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Permit ' Mechanical Permit Applica ' C `,p ti ;crv` g IOR OFFICE USE ONLY i; Received _ _ . City of Tigard Date/By: ,r — Permit No.: w 13125 SW Hall Blvd.,Tigard,OR 97223 `��/� '✓� /n51 ) �il l� Phone: 503.718.2439 Fax: 503.598.1960 JAN 2 2020 Dae13y:Plan Other Permit: Dale/Ely: TIGARD Inspection Line: 503.639.4175 CIFY OF TIGARD Dale Ready/By: furls: H See Page 2 for Internet: www.tlgflrd-or.gov 3UILOING DIVISION Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ❑ New construction ®.,Addition/alteration/replacement Mechanical permitdic thee"are based on the value of st work performed.Indicate value(rounded to the nearest dollar)of all ❑ Demolition ❑Other: mechanical materials,equi meat,labor,overhead, profit. _ Value'Val CATEGORY OF" CONSTRUCTION RESIDENTIAL, /S S FEES* 0_1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For specraf information ure checklist. ❑Multi-family ❑ Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AM) LOCATION Heating/cooling: Air conditioning 46.75 Job site address: I(1.(0 --+ St...) �} I ,�'Oti A v C. Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: "r I C�tZ. 9 I tit Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: „ Duct work 23.32 RgtliY. nc.-\-• r .v ` Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or 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 1 6� � � Flue vent for water heater or gas I n S i- n4 svo.-. r4 Its tJ P v. H. 4:_, u ._ fireplace 23.32 S U7 Log (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 cPROPERTY OWNER ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name: 5-e_,K mot .N 10^ Range hood/other kitchen equipment 33.39 Address: c • Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) _ 23.32 Phone:(5o3) 32 . -5.510(o Fax:( ) Attic/crawlspace fans 23.32 g APPLICANT I CONTACT PERSON Other: RZteiON w...4,,,r to,, 1 23.32 Business name: Fuel piping: s O k c 6‘wA•` o vs S $14.15 for first four;$4.03 for each additional Contact name: ?(.4,,, \ < Furnace,etc. Gas heat pump Address: 3,>;y D S C Z$j1.- A,...` Wall/suspended/unit heater City/State/ZIP: ?O r k`hh a (};i Q}`Lo•L Water heater Fireplace Phone:603 ) f Z `� 2�1� Fax::( ) Range E-mail: pa...)lo $orki 01..,.\Ao r.•5 Hvi'^t1 rr H.M t.w 1.-a.-Q_. l_0w. Barbecue CONTRACTOR Clothes dryer(gas) Business name: Other: MECHANICAL PERMIT FEES* Address: Subtotal City/State/ZIP: Minimum permit fee($90.00) C(o,Ek Plan review(25%of permit fee) Phone:( ) Fax:( ) !{J• r� State surcharge(12%of permit fee) CCB lie.: 138 3t,44 TOTAL PERMIT FEE jC1)_t7v This permit application expires ira permit Is not obtained within 180 �f days after it has been accepted as complete. Authorized signature: (-Pbw•—Q_._ l . Fee methodology set by Tri-County Building Industry Service Board Print name: r-7„ \ --t-- Lo__ I Date: Is_ 1 c( _ .ci CITY OF TIGARD MASTER PERMIT I, COMMUNITY DEVELOPMENT Permit#: MST2020-00015 R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/15/2020 TI "� Parcel: 1S133CD11600 Jurisdiction: Tigard Site address: 11787 SW WILTON AVE Subdivision: COTSWALD MEADOWS NO.3 Lot: 148 Project: TINKER Project Description: Radon mitigation system. Electrical permit will be submitted separately. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: Total: 0 sf Value: $2,150.00 Rear: 0 PLUMBING Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0 Drains: 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0 Heat Pump: N Hoods: 0 Other Units: 1 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 0 Owner: Contractor: TINKER.SEAN W&KATIE E SOIL SOLUTIONS Required Items and Reports(Conditions) 11787 SW WILTON AVE 3540 SE 28TH AVE TIGARD,OR 97223 PORTLAND,OR 97202 PHONE: PHONE: 503-234-2118 FAX: 503-331-7133 Total Fees: $316.01 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applica aw. 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 ended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Tho les are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copyof the rules or direct questions to OUNC by calling 503.232.1987 or .2344. "------ Issued Byij --*C-' . � } '____Permi�ttee Signature: "Ca4 03.639.4175 by 7:00 a.m.for the neexx'ava1l ble inspection dat 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. Building Permit Application _- ,.,. ,� d .�. Residential RECEIVF ri .p t 4 ',' : '.-.!, City of Tigard t It"""d Penny No: 5 g Date/By:il)Y 1/� �a"iS� tU L CC 1iS- 1 hone S50 Hall Blvd..2439 Tigard,OR 97223 8.19 Plan Review r Phone: 503.718.243 JAN 2 2020 VI 'Z. 2 A Other Permit: � b 9 Fax 503.598.196U Dnte/nv: 111111 _i °-t°°D. Inspection Line: 503 639 4175 D Date Ready/By: - ]wis'. B( Seepage 2 for TIGA�D .z* axii Internet: wtvW.tl and-ur. nV Notified ethod: Supplemental Information G1T`f7F 7�t�f�R ' �� �C pp t^,i N ..' f TYPE OFTWfI=.." REWIRED DATA: I-AND 2-FAMILY DWELLING • ❑New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all CI Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the . `'. CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ 2 15 a -- , 4_and 2-lamely dwelling ❑Commercial/industrial /E 0 Accessory building 0 Multi-family Number of bedrooms: v ❑Master builder ❑Other: Number of bathrooms: JOB Sft'F. INFORMATION AND LOCATIONTotal numberoffloors: lob site address: ( S t.� ( - New dwelling area: square feet City/Slate/ZIP: �-'� �AsJ ©cz Ci- 1 -7 .-, 3 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Covered porch area: square feet C Cross street/directions to job site: Deck area: square feet N Other structure area: square feel REQUIRED i)ATA:COMMERCIAL-USE CHECKLIST Subdivision: ( Lot no.: Permit fees*are based on the value of the work performed. U Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead.and the profit for the DESCRIPTIONS OF WORK work indicated on this application. i H S t y a >��� a(- (1` i . �V Valuation: $ /N tes- ;t-��4 t ``U�, ��1 t e'er-J�-u Existing building area: square feet \ F New buikting area: square feet 1".1'_ROPERTY'OWNER it "TENANT Number of stories: to Nante: -A^tom,_-- A ,N.L.", V o A ' Type of construction: Address • Y e_ Occupancy groups: City/State/ZIP: Existing: Phone: 033, 37 _ //S t (0(0 Fax-( )Business New: ZAPPLICAN"1' \ S:O 0 NTACT PERSON BUILDING PERMIT FEES* (Please refer Is fee sclecrinfJ 1- name: 1 t.,..a �.0•�, O l 't S Structural plan review fee(or deposit): Contact came: ``�A w, S - _ t FLS plan review fee(if applicable): Address: 335 Lk f �� i'L-, A- City/State/ZIP: .r-j,0. - }'-t ` L d Gi 2-0 L Total fees due upon application: Phone:U3) Z.; Lk 'Z IA S' Fax::( ) l Amount received: E-mail: l"� PAOTOVOL7AIC SOLAR PANEL.SYSTEM FEES* A Commercial and residential prescriptive installation of /(\ CONTRACTOR roof-top mounted PhotoVoltaic Solar l'anel System. Business name: Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: Solar/ns•!nllu(ion Specialtr•Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 i _ and administrative fees): Phone:( ) 3 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: 13 S 3 N l-I I1-5 /z i Total fee due upon application: $201.60 Authorized signature: �^� �7 a This permit application expires if a permit is not obtained I'�e.. . L r within 180 days after It has been accepted as complete. Print name: - Date: r ''qq *Fee methodology set by Tri-County Building Industry. �i... , l .a �-L (��- V Service Board. l:\Building\Pennitsssss1BUP-RESPermitApp.doc 02/24/2011 440.4613T(I 1/02/COM/WEB)