Permit CITY OF TIGARD MECHANICAL PERMIT
s COMMUNITY DEVELOPMENT Permit #: MEC201000544
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/29/2010
Parcel: 2S102BCO2600
Jurisdiction: Tigard
Site address: 12875 SW WATKINS AVE
Subdivision: Lot: 0
Project: James
Project Description: Install gas insert and venting. Gas line already exists.
Owner: FEES
JAMES, ALAN Description Date Amount
12875 SW WATKINS AVE Gas Fireplace 10/29/2010 $33.39
TIGARD, OR 97223 Flue Vent for Water Heater or Gas 10/29/2010 $23.32
PHONE: 503 - 367 -3114 Fireplace
12% State Surcharge - Mechanical 10/29/2010 $10.80
Contractor: Minimum Fee Adjustment - Mechanical 10/29/2010 $33.29
ALL FUEL INSTALLATION & SERVICE LLC
PO BOX 69
TROUTDALE, OR 97060
PHONE: 503 - 674 -2350
FAX: 503 - 674 -2693
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressue:
Total $100.80
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 i • - . •ended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility • 'cation Center. •se rul- .re set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or di • ct questions to OUNC b . Iling 5 b 46.6699 or 1.800.332.2344.
I sued By: / Permittee ignature: '.7
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
Mechanical Permit Appl ElVED FOR OFFICE USE ONLY
City of Tigard Received /fir
.1 DataB , A Permit Vo.: r `�' ,�o -Aog
13125 SW Hall Blvd, Tigard, OR 9 d 2 9 2 010 Plan Revi G
Phone: 503.639.4171 Fax: 503.598 Ej .,� DatedBy: Other Permit.
r 1 c .� R D Inspection Line: 503.639.4175 Date Ready/ By:
Internet_ uwW.tigard-or.gov
CITY OF OF sec Page 2 for
� I CAR Notified/Method: Supplemental Information
TYPE A t7RK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction ® Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other:
mechanical materials, equipment, Tabor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
® 1- and 2- family dwelling ❑ Commercial/industrial 0 Accessory building RESIpEATIAL EQUIPMENT/ SYSTEMS FEES*
❑ Multi - family ❑ Master builder For special information use checklist.
❑ Other: Description Qty. Ea. 1 Tota!
JOB SITE INFORMATION AND LOCATION Heating/coollr
Job site address: 12875 SW Watkins Ave Air conditioning
(requires site plan showing placement) 46.75
` City/State/ZIP: Tigard, OR 97223 Furnace 100.000 BTU (ducts/vents) 46.75
' Furnace 100,000+ BTU (ducts,vents) 54.91
Suite/bldg. /apt. no.: 1 Project name:
Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system _ 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Subdivision: I Lot no.: Flue/vent for any of above 23.32
Other: 23.32
Tax map/parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater ' 23.32
Install gas insert and venting, Gas fireplace 1 33.39 33.39
g ng, gas line is existing Flue vent for water heater er gas
fireplace I 2332 23.32
Log tighter (gas) 23.32
Wood /pellet stove 33.39
Wood fireplace/insert ' 23.32
Chimnev/Gncr /flueivcnt
® PROPERTY OWNER ❑ TENANT 23.32
Other. I 23.32 _
Name: Alan James Environmental exhaust and ventilation
Address: Same as above Range hood/other kitchen i
equipment 33.39 I
City /State/ZIP: Clothes dryer exhaust 33.39 '
Single -duct exhaust (bathrooms,
Phone: (503)367 -3114 Fax: ( ) toilet compartments. utility rooms) 23.32
27 APPLICANT ❑ CONTACT PERSON Attic/crawlspacc fans 23.32
•
Business name: All Fuel Installation and Service, LLC. Other: 23.32
Fuel piping
Contact name: Eric Camp $14.15 for first four, 54.03 for each additional
Address: PO Box 69 Furnace, etc.
Gas heat pump
City /State /ZIP: Troutdale, OR 97060 WaI1/suspcndedlunit heater
Phone: (503) 6742350 1 Fax: : (503) 6742693 Water heater
Fireplace
E -mail: allfuelCbcomcast.net Rand
CONTRACTOR Barbecue
Business name: Same as above Clothes dryer (gas)
Address:
Other:
MECHANICAL PERMIT FEES*
City/State/ZIP: Subtotal 56.71
Phone: ( ) Fax: ( ) Minimum permit fee ($90.00) 90.00
Plan review (25% of permit fee)
CCB tic.: 169503 State surcharge (12e /a of permit fee) 10.80
TOTAL PER 11T FEE 100.80
Authorized signature: �' This permit application expires if a permits not obtained within 180
days after it has been accepted as complete.
1 Print name: Eric Camp I Date: 10/28/10 ( * fee methodology set by Tri- County Building Indusby Service Board
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