Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2020-00211
T I G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/20/2020
Parcel: 1S134BD11600
Jurisdiction: Tigard
Site address: 10851 SW 118TH CT
Project: Trescott Subdivision: PENN LAWN ESTATES NO.2 Lot: 44
Project Description: Range hood installation.
Contractor: OWNER Owner: TRESCOTT, MICHELLE & NOAH
10851 SW 118TH CT
TIGARD, OR 97223
PHONE: PHONE:
FAX:
FEES
Specifics: Description Date Amount
Range Hood/Other Kitchen 04/18/2020 $33.39
Type of Use: SF 12%State Surcharge-Mechanical 04/18/2020 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 04/18/2020 $56.61
Occupancy Grp:
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: '®`--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 RE E! ,
City of TigardSli
Received N i7 rNa.l eta/
APR 1 4 20'Zr`� /2;) 47 ^91ECad w-O /
13125 SW Hall Blsd,Tigard,DR 97221 ` n Rd K„
Plane. 503 718 2439 Fax 503 598 1960 (ahcr Permit
Inspection lane: 503(r39.T1 75 CITY �- ; :'. �c r<atyrBy. w^• 0 See Pegs 2 oar
Internet- www.ngad-o(gov BUILDING 'xlNhud. SspeheneeW Ieeneetlrs
TYPE OF WORK COMMERCIAL ITV SCHEDULE-ass caaatIJ3T
Mechanical permit fees'arc based on the sabre of the work
❑New construction 1I4 AJdilionialteration+replacement performed.Indicate the Value(«wndnd to the nearest dollar)of All
0 Demolition ❑Other, mechanical materials.vyuipment labor.onenccad.and profit.
Value S tI` -i.60
CATEGORY Of CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES.
I-and 2-lamily duelling ❑('ommercialiinduslriul ❑Accessory'buildingfl
per Special inf meeaiom ss<rh<d4N.
Multi-(amity CI Master builder ❑Other: DescriptionQty. I Fa. j Total
JOS SEIE INFORMATION AND LOCATION ,Headnp/rnoEleg:
't Air conditioning 46.75
Job site address: ,05,5 ` W `,� CA—1. Furnace 100.000 BTU la s:wins) 46.75
City/Slate/ZIP: T rd� 0 2 - e1-i��3 Furnace 100.000*BTU(aavvenb) 54.91
I feat pump
Suite/bldg./apt.no: Project name: Ductwor 23.32
Cross streeUdireclions to job site: Ilcdronic hot water system 23 32
Residential boiler(radiator or
hydrome) 23.32
Unit heaters I fuel-type.not dectnc).
in-wall,in-duct.suspended.etc. 46.75
Flueivent for any of above 23.32
Other 23.32
Subdivision: La no,:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DPBQIPTION OF WORK (:u tiraplacdirum , 33.39
n ,, \ t�, f _. 1, Flue vent Inc water heater or gas
I--ref. -� /Y��D �-, 1 /mil r;_ltvcx-rL(iv, Af crh"{ fireplace 23.32
1`AE7 U••+c21 m, 6C `)t c f 1 L 3c, U Log lighter(gust 2332
Wordtpellet stove 33 39
Wood fireplace/insert 23.32
Chimnev/liner/tlueivent 23.32
ITROMMITY OWNER 1 0 TENAM` othaT- 2132
Ensieomnentd exhalent and ventilations:
Name: k G1n e te... T Y-•e S c l-t- Range nmodraner kitchen
equipment / 33.39
Address. i p O G S k S kAl \\ 'tom C',-}'-- Clothes dryer exhaust 33.39 _
City/StatefZlP: 'rxk lv-d OA-e "TZ2'3 Single-duct exhaust(bathrooms.
toilet compartments,utility rooms) 23.32
Phone:(204 (C*2_' 329I Fax:( I Auic/crawlspace fans 23.32
y A,Pg2CAMr Q CONrAcr PEPEON Other: 23.32
PIPinal
Business name: Fula
DAIS for tint roar;SLA3 for each additional
Contact name: )co.Ml ) —1eS 'C-1 — Furnace.etc.
Address: \br% 5 t sj \1(1 r'`L- Gas heat pump -
0112-,Z3 Wall/suspended/unit heater -
City/State/ZIP: "V;'t ' Water healerater
Phone:(2 i..P) (0(2215l t Fax::( 1 Fireplace
Range
F-mail: m 1-sr-CS C6-' ( kfActc . CCVY' Barbecue -
CONTRACTOR - Clothes dryer(gas)
!� Other I
Business name: 0P•‘- MY�S"���dt-twN 4plICAt..PPR1�1'11RE3" •
Address: Subtotal
City/State/ZIP: Minimum permit fee(S9000) eite.C7)
Plan review(25%of permit fee)
Phone:( I Fax:( I State surcharge(12%of permit foe)
CCB lic.: ij TOTAL PERMIT FEE / , G)
71 a permit aggi'aue.expires If a least le nee obtained wields ran
dole after k flea tees ampld as taompk(t.
Authorized re' • Fee methodology set by Tr1-O,on Building indumry Service Bored
Print name: Date: u 1 l3 Vtth
Iatldm wwaetMEC_ App N.111 don �--t� K C T 4al-4nm rn+21didti Eat
111 r .r,yn p� " ,