Permit (103) 111 II
CITY OF TIGARD MECHANICAL PERMIT
1'7 II • COMMUNITY DEVELOPMENT Permit#: MEC2016-00226
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/31/2016
Parcel: 1 S134BC00403
Jurisdiction: Tigard
Site address: 12505 SW NORTH DAKOTA ST 1416
Project: Meadow Creek Apartments Subdivision: None Lot: None
Project Description: Unit 1416,install and vent new wood burning fireplace,gas line already existing. Replacement due to fire damage.
Contractor: ALL FUEL INSTALLATION&SERVICE LLC Owner: BEL PORTLAND HOLDINGS LLC
PO BOX 69 BY EATON VANCE MANAGEMENT
TROUTDALE, OR 97060 REIG DIRECTOR OF AASSET MANAGEME
2 INTERNATIONAL PL
BOSTON, MA 02110
PHONE: 503-674-2350 PHONE:
FAX: 503-674-2693
FEES
Specifics: Description Date Amount
Type of Use: MF Permit Fee 03/31/2016 $151.95
Class of Work: ALT Type of Const: Plan Review 03/31/2016 $37.99
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 03/31/2016 $18.23
Stories: Info Process/Archiving-Sm$0.50(up to 03/31/2016 $20.00
11x17)
Project Valuation: $3,106.00
Fuel Air Handlers
Fuel Types: Solid Fuel Units<10000 cfm:
Gas Pressure: Units> 10000 cfm:
Furnaces Boilers&Compressors
Furnaces< 100K BTU: 0-3 HP:
Furnaces>= 100K BTU: 3-15 HP:
Floor Furnaces: 15-30 HP:
Unit Heaters: 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $228.17
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: 1 Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct q ions to O C (ling 503.232.1987, or 1.8800.332.2344.
Issued y: �'/Z�.1�1�0�L Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application 1(lit 01.1 I( I I S 1 0\1 1
Received n rffinINIFII Permit No.:M , •4-6C04'
City of Tigard RECEIVED Date/By:
II li 13125 SW Hall Blvd.,Tigard,OR 972 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960Date/BOther Permit:Y: 4 1.1 / /6,"600 'J
lit,,\„I) Inspection Line: 503.639.4175 MAR 31 2016 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
CI 1. OF TI(ARD
COMMERCIAL FEE* SC ,t-USE tataturr
Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Cl1 Y OF CON$i 10a .
Value:$
0 .,, I��ES'm
❑ 1-and 2-family dwelling 124 Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
SITE �1 AM GOCATIOIV Heating/cooling:
Air conditioning 46.75
Job site address:12505 SW North Dakota St#1416 Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 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
Residential boiler(radiator or
hydropic) 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
rep i
Flue vent for water heater or gas
Install and vent new wood burning fireplace,gas line is existing fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 1 23.32
Chimney/liner/flue/vent 1 23.32
0 PROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: 12505 SW North Dakota St Clothes dryer exhaust 33.39
City/State/ZIP:Tigard,OR 97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT 0 CONTACT PERSON Other: 23.32
Business name:SAME AS CONTRACTOR Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Gas heat pump
Address: •
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail: Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:All Fuel Installation and Service Other:
MECHANICAL PERMIT FEES*
Address:P.O.Box 69 Subtotal
City/State/ZIP:Troutdale,OR 9706 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)674-2350 Fax:(503)674-2693 State surcharge(12%of permit fee)
CCB lit..:169503 TOTAL PERMIT FEE ,1 f
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: ---- ---7"----'
� s Fee methodology set by Tri-County Building Industry Service Board
Print name:Eric T.Camp Date:03/30/16
I:\Building\Permits\MEC_PermitApp_040 I13.doc 440.4617T(I 1,02/COM/WEB)