Permit „ CITY OF TIGARD MECHANICAL PERMIT
_ COMMUNITY DEVELOPMENT Permit#: MEC2013 00592
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/08/2013
Parcel: 2S 111 CA 14100
Jurisdiction: Tigard
Site address: 15060 SW 98TH AVE
Project: Estrada Subdivision: DARMEL Lot: 8
Project Description: Install and vent gas stove;install gas piping.
Contractor: ALL FUEL INSTALLATION &SERVICE LLC Owner: ESTRADA, JOSE L&OLIVIA J
PO BOX 69 15060 SW 98TH
TROUTDALE, OR 97060 TIGARD, OR 97223
PHONE: 503-674-2350 PHONE: 503-624-7969
FAX: 503-674-2693
FEES
Specifics: Description Date Amount
Other,Fuel Appliances 10/08/2013 $23.32
Type of Use: SF Chimney/Liner/FlueNent 10/08/2013 $23.32
Class of Work: ALT Type of Const: Fuel Piping 10/08/2013 $14.15
Occupancy Grp: 12%State Surcharge-Mechanical 10/08/2013 $10.80
Stories: Minimum Fee Adjustment-Mechanical 10/08/2013 $29.21
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: Grl� [jj_ Permittee Signature: 7/ki .4 -/nrG/ee9-770,.../
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 Anniica r•i • . _ • roR O rlc.:r• 1.) r'.ONl.YY •
- City of Tigard Received /f��
r Date/By: (O t" 13 �`/V ._/ //
13125 SW 11a11 Blvd.,Tigard,OR 9 2 Plan Review
Phone; 503.718.2439 Fax: 503.598.19600 r T 3 2013 Date/By:
ocher Permit:
Ti C A R D Inspection line: 503.639.4175 l• Date Ready/By: 81 See rage Z for
Internet; www.tigard-or,gov Notified/Method: , Supplemental Information
TIG�RD
CITY OF A,
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n ' is ' 11aS 1 m wi ivik:, �I•:::1. •1 ,+H4 " 'R1 idloNag $ Ii;tg-A.bA.I;i k i,' N'.I,rm-,k1,.g3reA,Iere r!£ `r' t's+r�+C
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 laborioverhead,and profit.
Value:
1,171-
‘,44,1114-,;.. 'a�'1, '.l.,t�� ld. 61 r W,w 11,1h ;i8.'iip tllip.l'gdi:.?i ;a,, ': _p.,.,:,,., . �::
.: ,
, ; tt „ t ? < f
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special ln/brmallon use checklist.
❑Multi-family , ❑Master builder ❑Other: Description 1 Qty. 1 Ea. I Total
)i.",P:: �i", i14.§t; 7;g's t ,ek, 6: us-''-ind�.1ht,,IIiI ' 1,i ildiiN� � Air Heating/tooling:c tinn
Air conditioning 46.75
Job site address:15060 Sw 98th Ave Furnace 100,000 BTU(ducts/vents) 46.75 i
City/State/ZIP;lake t]awegp j kR 97224 Ti 6-412-tl. Furnace 100,000+BTU(ducts/vents) 54,91 ,
Suite/bldg./apt.no.` 1 Project name: Es-re-4?>rt Heat pump 61.06 VY-
Duct work 23.32
Cross street/directions to job site: l-ydronic 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
Flue/vent for any of above 23.32
Other: 23.32
Subdivision: Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
a ergay " t^ ,sit u'=r o la rra w t r m :i4 n t{ g4 Gas fireplace/insert 33.39
;1 ;. 53;titan i llE'n#!I�a =1419.; M. _i hutli x �ath ut,41 Flue vent for water heater or gas
Install and vent new gas stove,Install new gas line fireplace 23.32
Log lighter(gas) 23.32
•- Wood/pellet stove 33.39
Wood fireplace/insert 23.32
- Chimney/liner/flue/vent 1 23.32 23.32
41' a a t �t� gy�1o�`",� iii; ky�µ p r `tt ti� `t 114 10(1 `�°r- Environmental exhaust and ventilation:
23.32 23.32
✓f .i{. ItT.'C' ''''..r,1,W c'E.3-'. " !tt[114'. .'1Fu!�...114.'1i 1� J. ' '' f' r 11 4
Name:Jose&Olivin Estrada Range hood/other kitchen
l
y equipment
Address: 15060 SW 98th Ave Clothes 3.39
dryer Clothees dryer exhaust 33.39
City/State/ZIP:Lake Oswego,OR 97224 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)624-7969 Fax:( ) Attic/crawlspace fans 23.32
.1'../1 II`° tp++t. , .s^ 9B"i°F3S'8P 'aat°1.a Ile:n t ixc n e r�, r c t-
1,h,,,r,,„.4 t .°<, l? .;.,', �t "1'p`1=1..I*12,. P4 f .1I `, ,04' F-155 M Other: 23.32
r,e� P' "{ >, .a Pa l: , PR it tf , 1 T 1,qa rt tyu. Fu t
el in
Business name:Same as Contractor p p g
$14.15 for first four;54.03 for each additional
Contact name: Furnace,etc.
"- Gas heat pump
Address: Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) I Fax::( ) Fireplace 1 . r 14,15
Range
E-mail: Barbecue
1 .g !(v eg r l t t n llM M E I I :: !
Clothes dryer(gas) .
Business name:All Fuel Installation and Service Oth1er , ,
: tr 7-,.i1n�,.w`uv!^a c adt�;ole�. Iai n:.er tNS a, �,.,*,aRL..,
Address:P.O.Box 69 Subtotal
City/State/ZIP:Troutdale,OR 97060 Minimum permit fee($90.00) 90.00
Plan review(25%of permit fee)
Phone:(503)674-2350 Fax:(503)674-2693 State surcharge(12%of permit fee) 10.80
CCB lic.:169503 TOTAL PERMIT FEE 100.80 t/
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete-
Authorized Pr signature: //// ` Fee methodology set by Tri-County Building Industry Service Board
int name:Sheri Camp Date:10/03/2013
iAaui14ing1Permit81MEC PermitApp 040113.doc 440-481 r1'(I1/071CO114/was)