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Permit Support Document . CITY OF TIGARD MECHANICAL PERMIT i. COMMUNITY DEVELOPMENT ��'� Permit#: MEC2014-00400 T!GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/31/2014 Parcel: 1 S134BD00900 Jurisdiction: Tigard Site address: 11575 SW HAZELWOOD LP Project: Sally&Greg Newton Subdivision: ENGLEWOOD NO.2 Lot: 97 Project Description: Install Gas Furnace&Air Conditioner. 8/4/2014:Reprinted permit to include gas piping for furnace. Contractor: WOLFER'S, INC Owner: NEWTON,GREGORY CLARK AND 1365 N FRONT STREET SALLY N WOODBURN, OR 97071 11575 SW HAZELWOOD LOOP TIGARD,OR 97223 PHONE: 503-981-4511 PHONE: FAX: 503-981-0801 FEES Specifics: Description Date Amount Air Conditioning 07/31/2014 $46.75 Type of Use: SF Furnaces>=100K BTU 07/31/2014 $54.91 Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 07/31/2014 $12.20 Occupancy Grp: Fuel Piping 08/04/2014 $14.15 Stories: 12%State Surcharge-Mechanical 08/04/2014 $1.70 12%State Surcharge-Mechanical 08/04/2014 $1.70 Fuel Fuel Types: Gas Pressure: Total $131.41 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 q O-99 4. Issued By.a Permittee Signature: — . . ' ` 'sue /./ 4 - . ■ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. JUL/31/2014/THU , , PM UNOLFEAS HEATING FAX No. 5039810801 P. 001 Appc Mechanical Permit pli FOR OFFICE IISE ONLY City of Tigard d . ■ 13125 SW Hall Blvd.,Tigard,OR 9 Date/hr �� �.4r�� '�I Phone: 503,718.2439 Fax: 503.598.7960' 312014 Dite/B view Ocher Permit 1?raa/9y: r I c inn Inspection Line: 503.639.4175 • Date Ready/By: See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information . µ . : , , Wait _Lww" ,„ e}°&p -:I 7.5 0 'Wr . ; �._a^r , Y,; „l A M t i.a tilt 5`NL' .-qTymjsmk Mechanical permit fees'are based on the value of the work ❑New construction N Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit +nw Value:lue:$a ^t a., t^w v,,,.: , .." Hf4m f,1,-_,m 1,-ii,.,,,Xl. r °.«.r n „w.,�t rF'"w Wi r�ffiy\ryry ji�_ ut �. •m N 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building Forspectal information use checklist ❑Multi-family 0 Master builder ❑Other Description I Qty. I Ea I Total ' '+ :itr i 1•.1., ., .r ..- . `•,iaf�f i'°3''/-vt.Pvrt i.7 ..r. -:"; licating/cooling= ti. t ^ y .s ns ©; ns, a p1,Gh° 1J a" :re. K �C 1515 f n , . ti Lp Air conditioning a a 0.100.000 46.75 Job site address: tA. , Furnace 100.000 BTU(dues/vents) 46.75 City/State/ZIP:11fl y en 3 Furnace 100,000+BTU(duets/vents) 54.91 l Heat pump 61.06 Suite/bldg./apt no.. Project name: 23" Duct work Cross street/directions to job site: Hydronic hot water system - .t Residential boiler(radiator or • hydronic) 23.32 • Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above I 23.32 • Subdivision: I Lot no.: Other 23.32 Other fuel appliance' Tax map/parcel Do.: Water' •er .23.32 ' T 33.39 �,z.: a»�atz r i,1.Y ri r,41' e �,s �' » µY r_. . -_t a ] Flue. ..er heater or gas fire. 23.32- • er(gas) 23.32 I '.J, .: 0,• 1 • O. pi 1. 1 i in Ii it PA' , ,tetstove 33.39 // / x/ r . II '# 11 oil . 1 ri - .OA fa 1 .,fireplaae/insert, 23.32 - _iimney/liner/flue/vent 23.32 Other 2332 rIl t 4, t i • , s�� 11x`�r�-; --u ��� - Environmental exhaust and ventilation: Name: . Range hood/other kitchen •f , °� e.1 egdipment 33.39 Address: • r�� l�� , 'Le ,P . _ ,aothes.dryer exhaust 33.39° City/State/ZIP: a lire . — . toilet compartments,utility rooms) 23.32 Phone:("'I ) y'D •fi�rr}} Fax ( ) I 'ttic/crawlspace fans - 23.32 7 ';+='h: !' 1 gi •ri:+M ''f Y e. ,. . I.�'tller: 23.32 --i, "s ,,......, � ,MSS ff " l v.4.1 piping: - •,•• a`.-. 1 1 r '. I _ $14-15 for first four 54.03 for each additional Contact name: k i S h L 1 � "I Furnace,etc. i )4.15. Address: I Gas heat pump 1 /I r J • Wall/suspended/unit heater ! a. I 0 _`t7v 1 Water heater _ 1�1 Phone:(5)_.5) -F :: ./q?J) # ' - b! a Fireplace Range E-mail • ` - / (D , I► Na jIWI/WI Barbecue . '';"1i; {'y£""" jt",^`g11ft.9c C ek"ate ( `" Clothes dryer(gas) • 1 Other: Business name: i , Address ��IF �1 tJl " �^"'�`" � ,...r _ .. . ....Subtotal l iyjs City/State/ZIP: Wood OR q 704 Minimum permit fee($90.00) . �J����.�/� ) Plan review(25%of permit fee) ^ ` Phone: Fax:(50) 9gl•D S t( State surcharge(12%of permit fee) /, 10 COB lie.: q 1 TOTAL,PERMIT FEE I S.g • This permit application expires if a permit is not obta d within 110 days after it has been accepted as complete. Authorized signature: ,1' 1 Li �. . • Fee methodology set by•Iii-County Building Industry Service Board /. Print name: `` I k J .1 .1.■ • Date: 7 0 - t:IThitllhg\Pmatp,MEC PermitAoo 040113.doc 44046111(11/01/COM/WEb) Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 11575 SW HAZELWOOD LP, TIGARD, OR, 97223 Residential - Mechanical 699 Mechanical final PASS - No C of O MEC2014-00400 George Heimos Violation Summary: Inspector Contractor