Permit CITY OF TIGARD MECHANICAL PERMIT
111 11- '• C OMMUNITY DEVELOPMENT Permit #: MEC2011 -00602
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/23/2011
Parcel: 25111 CB01711
Jurisdiction: Tigard
Site address: 10125 SW HOODVIEW DR
Project: SESNON Subdivision: HOOD VIEW Lot: 10
Project Description: (2) gas fireplace inserts with venting.
Contractor: ALL FUEL INSTALLATION & SERVICE LLC Owner: SESNON, KAREN E & ROBERT H
PO BOX 69 10125 SW HOODVIEW
TROUTDALE, OR 97060 TIGARD, OR 97224
PHONE: 503 - 674 -2350 PHONE:
FAX: 503 - 674 -2693
FEES
Specifics: Description Date Amount
Gas Fireplace 12/23/2011 $66.78
Type of Use: SF Flue Vent for Water Heater or Gas 12/23/2011 $46.64
Class of Work: ALT Type of Const: Fireplace
Occupancy Grp: 12% State Surcharge - Mechanical 12/23/2011 $13.61
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressure:
Total $127.03
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:
Call 503.63'.• 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 tJSI ONLY
City of Tigard I
t9 Received P No.:
Date/By: l , 3 11 }jam /Yl GC , I I' . - r_.._
v 13125 SW hall Blvd., Tigard OR 97223 1
Plan Review
C .- phone: 503,718.2439 Fax: 5'03.59g.1 ��// p Bye Other Permit:
3 . 1 A i i lnspecdon • Line: 503,639.4175 • Ls: \ Date Re ady/By: runs. El Se Page for
D Internet: www.tigard or.gov Wy C � Notified/Method: f r Suppfemeutal Information
a+# M. a A3 v m r u: re n,
4 " • l as 1i
, tr Jr t r i $A l f y 1 h7 , '
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Mechanical p ermit fees" are based on the value of the work
❑ New construction ® Addition/alterati0oei> 1 performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ID Other; mechanical materials, equipment, labor, overhead and r rofit.
Value $
e 1
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'.1, f0'..ug '�. I pl�l a 4,i , r �i i lrid 5 „.te. t Aalit il �� U ;; ,: 4 I " v , r'k „ ,i,?, r r +' :ndil r 2'rl #kil ”. •N �n�`VAA 3SU .;P�1 e ,! Y ` h v14 '�Bdi r Z • a a' '
ottiiw :� # -r , v u ilea ,• �„ -. �, ■.., , �tuP o nfiim, .A l -
® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special inforntatlon use cheeklis.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Pa. Total
ti llipi iii! a .., t ' �,, a, D •. I .:
' :: 54„ l'.5,,,
Ilcating/cooling:
` - t�r R ,, II g. n•.;. +U • +�ti'' `�p .
, �1�,..! r� rid16G PiIHBPt�'.I�id, " � P ° w P I�� ::. , � .� , � , n x r. � o ,�'
. � - , - k , 7t<k S!I 0 "r• , . Air condition
Job site address: 10125 SW Hoodview (requires site plan showin: •lacemcnt 46.75
Furnace 100,000 BTU (ducts /vents) 46,75
City/ State/ZIP: Tigard, OR 97224 Furnace 100,000+ BTU (duots/vents) 54.91
•
Suitc/bldgJapt. no.: Project name: Heat pump
„____ re •uires site .Ian showin: •Iacement 61.06
Cross street/directions to job site: Duct work 23.32
• liydronic hot water system 23.32
Residential boiler (radiator or
h dronic) 2332
_„• Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46,75 ME
Subdivision: •
Lot no -: Flue /vent for any of above 23.32
Other: 23,32
Tax map /parcel no.: ther fuel appliances:
, ..i9 Ti "„ ...:... .::.... ":, ," � usrsl, r!, " "I:;iilltill9 ii, to 1Si "ijlCi O 23,32
mG. � I °°" c, � i - ��fefd p r � m.,.., 5�{ �,�! ::, n _ i � . P. i r f'r•, off' vofr,�: o i Water heater , i�.4.4,• , sI�A�r I tali f iriii � t'': ;,iiN i iiii 112, k "„ I "rl , . tiwe .:' " cnti ... d � s . Iii ; l 4 dr Tg'.:1 #if i °'�;s ;!11��4!y.ij.g.:�i;°Ir • t, 2 33.39 66.78
""
v £� ,. `, � lv l a r+ , 4 r^. "'. s '
IrN..
Gas fireplace
Install 2 gas inserts and 2 gas venting Flue vent for water heater or gas
fire .lace 2 23. 4664
- Lo: Ii: ter _as) EMI
Wood/ .ellet stove 33.39
Wood fireplace /insert 23.32
y a • , "mil'° i . V ..: a,' "„ ' "III ;. • I �a w ; atCi'1'J slid Ii Chimney /liner /flue /vent 2332
n11=.�, d,' ;p . II, yFb + , 31 "'i'I�+f� ; +R } = 'Ia �.r�',i, ,,,H'll; +'� l,'. ,','`i"f.�,ICI'9.":',# P {,�I��:�� u f; it 23.32
i i„ncpAtiwna "un'�dir... 'K'�'? p ,�.�,�!,a.:.r: Y . j�I:mn�:,�" {a,wvY ,. , t�7.�S1�.1....�� - 1 t�,ul„�.,,,� -�E�. 1,�+
• .. Other'
Name: Bob Sesnon Environmental exhaust and ventilation:
Range hood/other kitchen
Address: same as above e•ui -merit 3339
City / State/ZIP: Clothes d er exhaust III. 33.39
Single-duct exhaust (bathrooms,
Phone: (971)322-7665 Pax ( ) toilet com.arnnents, utili rooms - 23.32
;' t8 r 4 } lntt# y4 r ' d j17 { Itl ui ty lill „""p,
IiI6jf�,t'�2�;1�?�i, Attic/crawispacefans OM
s�..q n F,S',r w f�#.�1 Ie ° ":M p6ts,,;,?• rl,:." Yp..,#r u :rnr:.; ,
'i� fx a a ,cl:�Cdd..i, ; .. � ,i�s, 0� Other: 23.32
Business name: An Fuel Installation and Service, LLC Fuel piping:
Contact name: Erie Camp $14.15 for first four; $4.03 for each additional
Furnace, etc.
Address: PO Box 69
Gas heat pump
City /State/ZIP: Troutdale, OR 97060 Wall /sus. ended/unit heater II..�
Phone: (503) 674 -2350 Fax; : (503) 674 -2693 .11M
E- mail:• allfuel@n eomeast.net Ran_e _
:,,ip ninn ., ' f ''.t 2 r,rieldirth M pA'y6'6['40F i '''' {' I ■ , i:.,..:... :., CrfE °° ;,'Y�(Ili ." i..,, l':% , " Ifs ., .. l� n•.,•:larlfa`I� r} Barbecue � {, :, ,. 'a t r 4 ? "' t rnilY, , ,l •°i a ° : r1 H . f. � ; ^� i,.,. r viu,i i 1 r
g all ,�ap� i � � � •i �, ,,,�..,� ,�r;fl:;l���Pa�tli�I p�,l.,t ���,i " l '�l X" I ,,ta:,r:: ■
li; :':i�;�d r d9i^ iis f.::, Il ,:fi�9lta�i #.Se ,•�.+ ,�" + . .H " "sdsr r.,Lrdd }Run " s, :;,,�;r,
Business name: All Fuel Installation and Service, LLC Clothes dryer (gas)
Other:
;'d. �,
Address: PO Box 69 ° '' "i^ri; bifre;,i S : c 0 "'�`•, y . i"k q, a n 1 " ,, , °i :
• "i'f1P "�,)iio �h•':'!';Ip{!IN -..It .. tl � S:. . Frm'� �' ". ha.p�� e i ),t �:ic� }1..
City / State/ZIP: Troutdale, OR 97060 Subtotal 113.42
Minimum permit fee ($90.00)
Phone: (503) 674 -2350 Fax: (503) 674 -2693 Plan review (25% of permit fee)
. CCB lic.: 169503 State surcharge (12% of permit fcc) 13,61
, TOTAL PERMIT FEE 127.03
This permit application expires If a permit to not obtained within 'ISO
Authorized signature: days after It has hem) accepted as complete.
Print name: Eric T. Camp Date: 12/23/11 ° Fee methodology set by Tsi•County Building Industry Service Board
I :\ ildingwwennit6c4 C.. itApp.doo 09/04/10 440-46177(11 /02ICOM/V,' )