Permit Support Document CITY OF TIGARD MECHANICAL PERMIT
' 41
a COMMUNITY DEVELOPMENT Permit#: MEC2020-00211
j Date Issued: 04/20/2020
Ti C;A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
11, Parcel: 1 S 134 BD 11600
Jurisdiction: Tigard
Site address: 10851 SW 118TH CT
Project: Trescott Subdivision: PENN LAWN ESTATES NO.2 Lot: 44
Project Description: Range hood installation. 5/5/20:REPRINT to add(3)single duct exhaust fans.
Contractor: OWNER Owner: TRESCOTT, MICHELLE& NOAH
MICHELLE TRESCOTT 10851 SW 118TH CT
10851 SW 118TH CT. TIGARD, OR 97223
TIGARD, OR 97723
PHONE: 206-612-9329 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Range Hood/Other Kitchen 04/18/2020 $33.39
Type of Use: SF Single Duct Exhaust(Bathrooms,Toilet, 05/06/2020 $69.96
Class of Work: ALT Type of Const: Utility Rooms)
Occupancy Grp: 12%State Surcharge-Mechanical 04/18/2020 $12.40
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $115.75
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 503.2 .1987 or 1.800.332.2344.
Issued By: P Permittee Signature: SC-C.
y �
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.
-. City of Tigard R..c.,,ed
III,- 13125 5AV liatt Blvd.,Tigard,OR 97223 R E,c F I tic-rri' -C-7t72r)AC- "Pri ..2424) -(-...."--_)2//
. ,,,,, 4 Itomv,
I. Phone 503 718 2439 Fa\ 503.598 1960 Bate FIN Giber Permit
I 1 C.s F is Inspection Lint' 503.639 4 175 NO% See 63 rage 2 fr
o
Internee lays se tleard-or pus APR 2 9 2.0-6. IN):R t i e,IA 1.K. .:31:A Supplemental information
ta‘fl I V (i I- "uciAr7
Tyre or ,,.,„ .,. ufwir4 .G.nvist4m, ,, ,.., , a:404mo At.no._seitottu_ufatiotocui
_ - - - ° - ° ° ' ': • ' - Mechanical permit fees*are based on the s atm of the work
LI NCIN construction Additiontalteraliontreplacentent perfonned Indicate the value(rounded to the nearest dollar/of all
0 Demolition Ot her: mechanical materials,equipment labor,overhead.and profit
Value.5
Ili 4 and 2-family dwelling 0 Commercial:industrial 0 Acceitsor) building For Term' 1 infonuation use checklist.
• Multi-tiltnity D Master builder 0 Other: Description Qty. Ea. Total
- - JOB SITE EEFOESIAT/OE:AND LOCATION -- -
.., 46.75
Job Site address: Wii+S i Si,j,.3 tkic'..i cak- Furnace 100,000 B Ill iductilscsast 46.75
City/State/ZIP: 911 2.3 Furnace 100.0004 BTU tilectssamist 54 91
Item pump 61.06
Suite/bldg./apt no.: Project name.
Duct sunk 23.32
Cross street/di[reams to job site: I billow hot water syslem 23.32
Residential boiler I radiator or
hydrome) 23.32
Unit heaters ifuel-type.not electric).
liEwall,in-duet,suspended,etc , 46.75
t•Me/vent for any or above 23.32
Other 23.32 _
Subdi vision: lot no.:
Other fuel appliances: ..—
I ax map/parcel no.: Water heater , 23.32
33.39
flue vent for water heater or gas
C..P cAl2 ca ry...an 1- 0 v., 2 V.Actk.rcrovNry-1 fireplace 23.32
Log lighter(past 23 32
eiCA.rk..$ C. 0A.4 AN'A rvvsl-v\\} je,vm t-f. . A ooripellet stove 33.39 ...siNS" . (...., aL'52-6 - II ) wk.,.fireplace/ins-en 23.32
Chltfirantlinvullutivent 23.32 .,
r ither 23.32 ,
Name: t l. cArkeAke_ .1-,1---r- t-4-. Range hoixtiother kitchen
equipment 33.39
Address: S c>Ts s i S v.Y \k.8,-4.. . c4-- clothes drser eshaust 33 39
C ity.,'S tate/ZIP: el 1 11:3 Single-duet exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone.( 2COLPl (a 42,932.1 las: I ) Antercrantspace fans 23,32
Other
414p#m - • , - 0 comici mAsopt,, 23.32
Fuel piping:
Business name: —
Sta.i for firm four;$4.03 for retch additional
Contact name: Furnace,etc.
Gas heat pump
Address:
WallAuspendeditin it healer
City/State/ZIP: Water heater
Phone:( ) Fax:1( } Fireplace
Range
E-mli 1: 1,147Y -Sri 47747-- Zi7(.%i 7'• CDC2frit-y Barboam
CONE PACIOR ' , :'..”--.,;„,.; ' : ;-_-_ (. lOtheS dna liaS)
Business name: t sit..
mgcmixickt itoiirt
Address: Subtotal
City/State/ZIP: Minimum',vont fee($90.00) ........... _
Plan review 125%of permit lee)
Phone:( ) Fax:( )
State surcharge 112%of permit fee)
CCB lic:. IT/TAL PERMIT FEE 1
- . °This permit application espiree it a permit is not obtained eithin tee
di. after It lim been accepted as complete.
Authorized signature: • tee memoitaioat set by Tn.-County Building intioNtry SaYice Board
Print name: iurVeli,,,,,Q 1\--A( c- 1)ate: 1 1.-•:5
I Aka kia*PtotuttNI C PrrnutApp i4OL I doz. 440,007T 0 1 02.4:0.0:WFDI