Permit " q CITY OF TIGARD MECHANICAL PERMIT
''1 a COMMUNITY DEVELOPMENT Permit #: MEC2012 -00574
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/05/2012
Parcel: 2S103AD00107
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Jurisdiction: Tigard
Site address: 10705 SW FONNER ST
Project: Daily Subdivision: ECHO HEIGHTS Lot: 15
Project Description: Installation of wood stove and venting.
Contractor: ALL FUEL INSTALLATION & SERVICE LLC Owner: DAILY, THOMAS C III & CINDY E
PO BOX 69 10705 SW FONNER ST
TROUTDALE, OR 97060 TIGARD, OR 97223 •
PHONE: 503 - 674 -2350 PHONE: 503 - 620 -1639
FAX: 503 - 674 -2693
FEES
Specifics: Description Date Amount
Wood /Pellet Stove 11/05/2012 $33.39
Type of Use: SF Chimney /Liner /FlueNent 11/05/2012 $23.32
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 11/05/2012 $10.80
Occupancy Grp: Minimum Fee Adjustment - Mechanical 11/05/2012 $33.29
Stories:
•
Fuel
Fuel Types: Solid Fuel
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 Notifi - - - ter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direc •uestions to OU ' b ailing 503.232.1987 or 1.800.332.2344.
1 /
155 ed By: 1� Permittee Siq�nature: A mcor 7
111 "` !.�.
Call 503.639.4175 by 7:00 a.m. for the next available inspe ion 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 Applicatio ETVED FOR c,rr,t_ E ns,': ONl.
City of Tigard Receive*
Dete/By: i a Permit No.: i iievie , !a -t b 5_7
13125 SW Hall Blvd„ Tigard, OR 97223 N v O 5 2012 Flan Review
Phone: 501718.2439 Fax: 503,598.1960 D J y, Other Fit.
T 1 c. A li i Insp line; 503.639.4 p11 Dace Rea /B : finis:
Internet: wwty.t or.gov CITY TIGARD N�S Sc See Page 2 for
BUILDING DIVISION Su See Information
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El New construction ® Addition /alteration /replacement
Mechanical
fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition ❑ Other, mechanical materials. equipment, labor, overhead, and profit.
- 1 ra-t �.. 2. cam 'Value: $
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®1 -and 2- family dwelling ❑ commercial/industrial ,, ' na y u BMiu; #' uei y ° , i • , 1 i
❑ Accessory building For spedalInformation USE checklist
❑ Multi- family ❑ Master builder ❑ Other: Description
L , -.. ,_ . �y p I Qty. Ea. � Total
'T I l'' c�9o'i I I PI �� S"I s ' - , f '' K- 4 __'r'n k ' s ; ": -l ii' - T ; I t r Y ��+ eatifg/cooling:
c:h� i 4' • .... - r • r(. ��iJk Air conditioning
Job site address: 10705 SW Fanner 1rruires site plan showing placement) 4635 _
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.: Project name: Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Ductwork _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: Lot no.; Flue/vent for any of above 23.32 +
Tax map/parcel no.: Other: 23.32
_ Other fuel appliances:
�- ,iz etc, S l 1(` r:p,� gYII '�� :li:. f ^. ' I :.f
t S 1 ,' ,, a ,M1 ri.I , lu °s'i°a ): ",`, @l Water heater 2332 u. i . of { � JSll j � n'.h .i. • � �, : , }i J+h't �� �s T ...F.N:td' Q'1�i..0 q `l li!i.'.... gry •
Install wood insert and venting Gas fireplace/insert 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
-
Wood/pellet stove 33.39
Wood fireelace/insert 1 23.32 23.32
71; .1.. n - .iir I b, a.r.rA^ -I, r ' • r � •.,.. a , r_ f• 1
-, %, i.1 i. ly, E hr . Fat I ulUi { li 5 f11 9 :4 'JIN iN.∎F {I. . ,t ` .t' .I u 1 K s � a .,,,_11
- Other �fliner/flue/vent 1 23.32 23.32
Name: Tom Daily 23.32
Environmental exhaust and ventilation:
-
Address: Same as above Range hood/other kitchen •
equipment 33.39
City/State/ZIP: _ Clothes dryer exhaust 33.39
Phone: (303)630 -1639 Fax: ( ) Single -duct exhaust (bathrooms, ,
�# t,'Af; { t l�h�.� t'' I'�i,' f, Il ^yl+ a..� 'Al: �•1 toilet compartments, utility rooms) 23.32
n-1 t, 1, '. � . . ,,a IH�i-. d j i- ; ,ic ,:; -,i� �.. i � ,, i .�,,nTil�'. l i'"=.11 ' .F 1 Attic /crawlspace fans 23.32
Business name; See Below Other: 73,32
Fuel piping:
Contact name: Eric Camp S14.I5 for first four; $4.03 for each a _ dditional
Address: Furnace, etc.
Gas heat pump
City/ State/ZIP: Wall/suspended/unit heater
Phone; ( ) Fax: : ( ) Water heater
E -mail: allfuel®comcast.net Fireplace
Ni. 'l.l ' I � t �� ... I , 1 � F �J'l suu; . I� :i-: I s•. I r i :s p i � I{, l i Range
, a.. 1•n,» ,W. {I� - �;i,,�llti ?r.:�, � Ili a61.* Barbecue
Business name: All Fuel Installation and Service, LLC. Clothes dryer (gas)
Address: PO Box 69 Other:
i ; k ; g .ct -Iva,
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it pa u. -i, , E I
City / State/ZIP: Troutdale, OR 97060 Subtotal 46.64
Phone: (503) 620 -1639 Fax: ( ) Minimum permit fee ($90.00) 90.00
Plan review (25% of permit fee)
CCB lie.: 169503 State surcharge (12% of permit fee) 10.80
/ yam 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.
i Print name: Eric Camp bate: 11/1/12 • Fee methodology set by Tri -County Building Industry Service Board
1s113uildina1Permite l hlEGPermitApp .duo 03/07/12
440-4e rr (11l02/COMiWi B)