Permit •
q CITY OF TIGARD MECHAMECNICAL 2012 -002 PERMIT 10
: '. � Permit #: COMMUNITY DEVELOPMENT I 0
T1GAD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/26/2012
• R
Parcel: 2S112CB10700
Jurisdiction: Tigard
Site address: 15427 SW KENTON DR
Project: Griffin Subdivision: ASHFORD OAKS NO.2 Lot: 121
Project Description: Install new gas fireplace and venting; install gas lines for fireplace, barbcue and range.
Contractor: ALL FUEL INSTALLATION & SERVICE LLC Owner: GRIFFIN, BRENDAN & SELENA
PO BOX 69 15427 SW KENTON DR
TROUTDALE, OR 97060 TIGARD, OR 97224
PHONE: 503 -674 -2350
PHONE: 503 - 780 -7046
FAX: 503 - 674 -2693
FEES
Specifics: Description Date Amount
Gas Fireplace 04/26/2012 $33.39
Type of Use: SF Flue Vent for Water Heater or Gas 04/26/2012 $23.32
Class of Work: ALT Type of Const: Fireplace
Occupancy Grp: Fuel Piping 04/26/2012 $14.15
Stories: 12% State Surcharge - Mechanical 04/26/2012 $10.80
Minimum Fee Adjustment - Mechanical 04/26/2012 $19.14
Fuel
Fuel Types: Natural Gas
Gas Pressure:
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 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 or 1.800.332.2344.
Issued By: Permittee Signature: 0, / 11-7 0 / 0 6 . / 9-7
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.
Mechanical Permit Appli it D 1'oR OFFICE 1_1`A UI \'L1'
City of Tigard ICS 7►, ermit xo.
13125 SW Hall Blvd.. Tigard OR 97223 Derdlay: 7 Zb / . t ' Doe/ •
Phone: 503.718.2439 Fax: 503.59�PR) 2 5 2012 p eW Other Permit:
T I �; :1 R D Inspection Line: 503.639.4175 Date ReadyBy: FIAS 6t! See Page 2 for
Internet www.tigard-or.gov CITY OF TIGARD Nodded/Method: Supplemental Informadon
1 ■ 1► 10
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Me chani cal perm fees' are b ased on th value o the work
❑ New construction tEl Addition/alteration/replacement performed. Indicate the value (rounded to the neatest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead. and profit.
t { «.r ir, It1 /'l�ti�; unc 7r i' , L f -r �,1:, „ :1J S� t�y 1,I. t �j r +,�, u Value' $
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® 1- and 2- family dwelling [❑ Commercial/industrial C7 Accessory building For special information use checklist.
❑ Multi - family 0 Master builder ❑ Other: Description I Qty. I Ea. I Total
L 1"*- }iti:14,i -2 ;; : c �Si 1 lf.?Fi :(i t(ir (i , 11) t i � r - jrl,Sl C lr1� , t ilrrf` ,Tli (, .7 Heating/cooling,:
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Job site address: 15427 SW Kenton Dr. (requires site plan showing placement) 46.75
City/State/ZIP: Tigard, OR 97224 Furnace 100,000 BTU (ducts/vents) 46.75
Furnace 100,000+ ETU (ducts/vents) 54.91
Suite/bldg./apt. no.: j Project name: Heat pump
(requires site plan showing placement) 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
Tax map /parcel no.: Other: 23.32
,.. ,, r .. F , Other fuel appliances:
1 !' 1 ti {„ L 1 I u ,5 �. f :r W. , y r 2-ti tKl C i f 1 W'. =�d's. , r ^tn
4�oB 1 ..�. ! n � r- �i'�'; �i7:.ac.�1IL ,, ;r�, •.cam , , . ;f ...� 1 . � ..t. ° ;"iFd ' i! � • • •1,.f v r n u , ,` Water heater 2332
Install gas lines for BBQ, Range and fireplace. Install new gas fireplace and water Flue vent for water Gas fireplace/ _ 1 33.39 33.39
heater or gas
venting fireplace 1 23.32 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert 23.32
' �l 'r�' , r!r } •5 • P I i'p' u' il ° -i' °J j.F'F -o. SP1 �J',i -•l .. -l'.',: �
, I' y 0 r G iJ rl f r { L { • 6 I I { S ,,rr: , r ' !I , (,r+. � ( r !• t. �., -E'•i: � !u r Chimney/liner /8ue/vent 23.32
� n�.aa1yr ..;.4 1 d,l!F.ImkFF_!_ t ' i ,, a.!ih ; r • J a Y : _f° 1. ; S . 1 t u i i
- :,,ai...tr a��l..,.,1, 1 �..,,:,,ulw u.�,.. 3 I'!', r ��.,r�: _.., i • Other: 1 23,32 I
Name: Brendan Griffin
n Environmental exhaust and ventilation:
Address: Same as above Range hood/other kitchen
equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Phone: (503)780-7046 Fax: ( ) Single -duct exhaust (bathrooms,
ice n e: ( 5t . ; ' 0 -70 r:i t•c toilet compartments, utility rooms) 23.32
.,•: .te -r • ., ,
'1 ,ti. .� , • � u..i !�d i . 2 ' !
r6�.v i:7�,iilFi iiLa�r _pl, , , , -, r �„ - i1 lr} 1� ' $ 1 , H t y :, ;* . y ,,,?Sr,G\':�ii�l z till,.
l : " { ,; �l n [ t i �i YS [ h � 1ii!': -tv1,L ]� A',c 111 i r i 1 1 r''!'ILI nLl., Attic/crawlspace fans 23.32
t Z ;177 :3 aA.+, t ,' 1 •., _. L c S ' r Lt e1 .1.....e. n',. „ 4..44:jlt,_ l
Business name: All Fuel Installation and Service, LLC. Other 23.32
Fuel piping:
Contact name: Eric Camp $14.15 for first four; $4.03 for each additional
Address: PO Box 69 Furnace, etc.
Gas heat pump _
City /State/ZIP: Troutdale, OR 97060 ' Wall/suspended/unit heater
- Phone: (503) 674 -2350 I Fax: : (503) 674.2693 Water heater
Fireplace 1 14,15
E -mail: allfuel @comcast.net -
rs,. t ia ;G ;:.1411 ; ; / { :r ;
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Range 1
. :aka- ;.I.:l, n.
'�?r� ;�i ,.l ._ ;... .i ce 1 :i . ,` � } t ; {y j , Barbecu 1
Business name: Same as above Clothes dryer (gas)
Other.
Address: ;iht;;;r,ii ; 1 %r''T=i`il5ifr�•opu'rlr JJ..f �
•
' . 1. L.'.:'!: . { "�III�r11`I�„ ..,r. ,1 1:4 n'.,
City/State/ZIP: - _ Subtotal 70.86
' ;one :( ) Fax:( )
Minimum permit fee ($90.00) 90,00
Plan review (25% of permit fee)
f �
CCB lie,: 169503 '1. (v State surcharge (12% of permit fcc) 10.80
�� TOTAL PERMIT FEE 100.80
Authorized Signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Eric Camp Date: 04/25/12 • Fee methodology set by Tri- County Building Industry Service Board
Iaulidiog\Pennits1 C- PerraitApp.doo 03/07/12 440.40177 (I1 /04/COM/WE8)