Permit a CITY OF TIGARD MECHANICAL PERMIT
1111 COMMUNITY DEVELOPMENT Permit #: MEC2012 00675
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503.718.2439 Date Issued: 12/19/2012
Parcel: 2S 104AC 12700
Jurisdiction: Tigard
Site address: 12640 SW 135TH AVE
Project: McGinley Subdivision: HANDY ACRES Lot: 32
Project Description: (1) new burner /log set installation and (1) gas piping
Contractor: ALL FUEL INSTALLATION & SERVICE LLC Owner: MCGINLEY, CHERYL M
PO BOX 69 12640 SW 135TH AVE
TROUTDALE, OR 97060 TIGARD, OR 97223
PHONE. 503 - 674 -2350 PHONE: 503 - 709 -3340
FAX: 503 - 674 -2693
FEES
Specifics: Description Date Amount
Wood Fireplace /Insert 12/19/2012 $23 32
Type of Use: SF Fuel Piping 12/19/2012 $14 15
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 12/19/2012 $10 80
Occupancy Grp: Minimum Fee Adjustment - Mechanical 12/19/2012 $52.53
Stories:
Fuel
Fuel Types.
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: l c ti 1 -/VtiC 4 )&(
jaititl/ 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 ApplicationREVEIVE l Oi. Ul Flt_ E I s. I O\i.1
City of Ti gard DEC 19 2012 R i�tdey: id-IIG l sr Permit No. : iLiec ,Pv /a -Uv6,7
• 13125 SW Hall Blvd., Tigard, OR 97223
Plan Review
' Phone: 503.718.2439 Fax: 503.598.1960 rr Other Peniiit:
r 1 ; , �, t Inspection Line; 503.639.4175
CITY TIGARD � Dote Ready/By: 7 Sea Pap 2 for ■ Internet: www.tigard- or. &ov BUILDING DIVISIO N�� ' B Supplemental infarwatton
-......,,,.,..,":,,I,' FT _ t F — h 5 ;8 the value o .-..._
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"" �` � °•'"" Mechanical permit fees" are based on the va of the work
. 1=1 New construction Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor. overhead, and profit.
f. 1 1:0, ,'I1 , r . 1 � , , i i S 5 !' 7 ,. ,. 1 , . ,L4 11 T i, 4:... r 1 t i -_
Value: .
�� z >.ra , a,_, . I a z23z' , r S..0 .,r .. ryn i t s ! �1 , �' _ '
® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For spedal Wormadon use checklist.
Multi- family ❑ Master builder ❑ Other: Description J Qty. i Ea. 1 Total
I . ! Rating/cooling: :
t i�l. f..,, .Y.J �� F i 1 � � 7 � � L- : : :: r ` , r ! ; ,' ,, i .,L t
+(: .I
„ .L, ` .. y c. ' � � ii; J �,..W.,.: ` l , 1 Air conditioning
Job site address: 12640 SW 135th (realms site plan showing placement) 46.75
• City /State/TIP: Tigard, OR 97223 Furnace 100,000 BTU (duataNwa 46.75
)
Furnace 100,000+ BTU (duets/vents) 54.91
Suite/bldg./apt. no.: Project name: Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
tic 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: tea: Flue/vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel piiances:
° ∎ , L r " . T . Water heate 33 39
L c i i� ... nom. { u F Ui'i ' „� �! ::::„Le � i�_ _.: • - 1,1. .- � �.', 1 ° ,.tom .___= �. 1'...L f ak 1. . »a_ ,iL� w..t -'" "e
Install new burner/Log Set and install new gas piping Gas fireplace/insert
en ac `^sent —
1 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/ insert 23.32
t t 1r , +_ c_; i �. r -
. . J �tt .. ..I, L', , T ,,l Chimney/liner /fue/vent 23,32
L ___ • .. ......,,.. ._. - ,._
_ . !. :1... ,,.. , ,..
.,' . , } . :.i . ? .,.;!i�:...:..___ , = Other 23.32
Name: Cheryl McGinley Environmental exhaust and ventilation:
Address: 12640 sw 135m Range hood/other kitchen
equipment 33.39
City /State/ZIP: Tigard, OR 97223 Clothes dryer exhaust 33.39
single-duct exhaust Phone: (503)709 -3340 Fax: ( ) toilet mpartments, rooms) , 23.32
.:',,,TT: 1! , '4.-.. - ,' - ‘4:•-7. - ?17,7 , 7 , -=- - - - -;',1'.': ' 'i a..r ti n T"`r' . : * = e cY . -.
.. ., , I', s
, t . ' I ' ' i AiriGcrawlSpace fans 2332
4,a.._ � _.. .... ". -,�[l �r J ,1 °,_ , .1�._._ =_ y�i., .� I � L" -. 37Lt..1. ... . ;...J.:: l ... t:':.:
Business name: Same as Contractor Other: 23.32
Fuel piping:
Contact name: $14.15 for that four; $4.03 for each additional
Address: Furnace, etc.
Gas heat pump
1 City /State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace 1 14.15
4 I'�' 'IIIS... �1' ' 1 T, 1 t 4 44 , . . 1l Range
r ' -s4! t! !}} 1 r 1 �.
— _, .... _......_..,�. „ n, _.,..,..W..L.iti,,_ �..._�._ '..�.�. � �� - �,. +�r..�1lti , a>,,,il;in�l�7,. Barbecue
Business male: All Fuel Installation and Service Clothes dryer (gas)
. Other:
Address: P.O. Box 69 .tom , ''1' T•
City /State/ZIP: Troutdale, OR 97060 Subtotal 47.54
Minimum permit fee ($90.00) 90.00
Phone: (503) 674 -2350 Fax: (503) 674 -2693
Plan review (25% of permit fee)
CCB lic.: 169503 State surcharge (12% of permit fee) 10.80
TOTAL PERMIT FEE 100.80
This permit application expires it a permit Is sot obtained within 180
Authorized Slgllatllre: days after it has been accepted as complete
Print name: Eric Camp Date: 12/19/12 ' Fee methodology set by Tri- County Building Industry Service Board
• I:\B uilding ■?amitalMEC- PennitApp.doe 03/07!12 40 -46177 (11/02/COM/WEB)