Permit (2) CITY OF TIGARD MECHANICAL PERMIT
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COMMUNITY DEVELOPMENT Permit#: MEC2020-00007
Date Issued: 01/06/2020
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110BB05000
Jurisdiction: Tigard
Site address: 12173 SW CHANDLER DR
Project: Frye Subdivision: ARLINGTON RIDGE Lot: 27
Project Description: (2)fireplace conversion to log lighters with fuel piping.
Contractor: OWNER Owner: DANIEL&JULIE FRYE
12173 SW CHANDLER DR
TIGARD, OR 97224
PHONE: PHONE:
FAX:
FEES
Specifics: Description Date Amount
Log Lighter(Gas) 01/06/2020 $46.64
Type of Use: SF Fuel Piping 01/06/2020 $14.15
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 01/06/2020 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 01/06/2020 $29.21
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. '�
Issued By: l Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE 07\1.)
- Received
Cityof Tigard �ri Permit No.: � ^ ,�
131SW Halllvd.,Tigard,0143E,�1.m`�� Date my: — /4t�G��.,v-L l?7
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 JAN 6 ZOZQ Date Ready/By: lens: PI See 2 for
Internet: www.tigard-or.gov Notified/Method: -rn Supplemental Information
CH Y OF- IIGARD
.___ TYPE`,.t IIiai1 IU VIV GON COMMERCIAL FEE* SCHEDULE- USE cHECILUST
Mechanical permit fees*are based on the value of the work
❑New construction SAddition/alteration/repl acement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEFSe
get: 2-family dwelling ❑Cotrlmercialiindustrial ❑Accessory building For special information use checklist
❑Multi-family ❑Master builder 0 Other: Description I Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
' I^� Air conditioning 46.75
Job site address: 1 2-1 73 S(,J 12 hctrtSCer 1 r Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: ,t 9 c,,rrj OP- cl 7 2 Zit Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
r1 . Residential boiler(radiator or
/
1 : C to I .i 5 T 4few\ o 6-erc,le 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
Subdivision: Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater _ 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
n L Flue vent for water heater or gas
C OA✓ere- 2- FiJC_ pIcscef 7 t-, gof f r fireplace 23.32
CON INC C4- b er:1'}'.11 5ciS j-rkCJ t) PM-Pit:CCJ Log lighter(gas) 23.32 lice'-(ry
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
„�-PROPERTY OWNER � 'I'TENAN � 23.32
^7� Environmental exhaust and ventilation:
Name: '` e' V C Range hood/other kitchen
LJ` I '-')/- equipment 33.39
Address: f it 73 S C,., eh w.J l am- \ Clothes dryer exhaust 33.39
City/State//ZIPI : ) t ,64,..c1 o� "172-Z i Single-duct exhaust(bathrooms,
rtoilet compartments,utility rooms) 23.32
Phone:(f- ) 1-I-S T .ill 7 Fax:( ) Attic/crawLspace fans 23.32
0 APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name: Fuel pipirrg:
$1415 for Cost four;$4.03 for each additional
Contact name: Furnace,etc.
Address: --- Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace f4/. 'r
Range
E-mail: Barbecue
CONTRACTOR Clothes dtyer(gas)
Business name: /", lel Other:
vC✓� MECHANICAL PERMIT FEES*
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00) ..a)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)' /0,10
CCB lie.: TOTAL PERMIT FEE /ob.51401
This permit application expires If a permit is not obtained within fie
days after it has been accepted as complete.
Authoriz IgtlBtltte: E� (`_ * Fee methodology set by Tri-County Building Industry Service Board
Print ram Date: + _6-.-2/'
t\nuilding\Pry s\MECPemdtApp_040113.doc 1440-4617T(I 1/O2/COOMM/WEB)