Permit 14 CITY OF TIGARD MECHANICAL PERMIT
`" 2 COMMUNITY DEVELOPMENT Permit#: MEC2020-00536
Date Issued: 8/17/2020
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S109AA02000
Jurisdiction: Tigard
Site address: 14450 SW 130TH AVE
Project: Pangares Subdivision: WOODFORD ESTATES Lot: 8
Project Description: Permit to Inspect and final work performed in 2003(MEC2003-00135)for range hood and dryer exhaust.
Contractor: OWNER Owner: PANGARES, CARY J &TRACEY L
14450 SW 130TH AVE
TIGARD, OR 97224
PHONE: PHONE:
FAX:
FEES
Specifics: Description Date Amount
Range Hood/Other Kitchen 08/16/2020 $33.39
Type of Use: SF Clothes Dryer Exhaust 08/16/2020 $33.39
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 08/16/2020 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 08/16/2020 $23.22
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: � py- Permittee Signature: /t/ /97" ,Pe 770.✓
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicati n E'+r�U E D f V Date/H : /3 zc 42 d ,M U Zt7 / Q534
111 City of Tigard Datcf$y: Permit N°
13125 SW Hall Blvd.,Tigard,OR 97223 A U G 0 3 2020 Plan Review
e Phone: 503.718.2439 Fax: 503.598.1960 D,m,B3y: Other Permit:
TI GARD Inspection Line: 503.639.4175 CITY OF TIGARD Date RcadyBy: Jule' l3 See Page for
Internet: www.tigard-or.gov BUILDING DIVISION lgontied/Method. Supptemeutar farm-manna
TYPE OF WORK COMMERCIAL FEE* SCHEDULE- USE CHECKLIST
,,( Mechanical permit fees'are based on the value of the work
0 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.
Value:$
CATEGORY OF CONSPRIICTTON RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
.mil i-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special Information use ckeckrlst
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB armINFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: t 414 SID Sl....k. l3 O'kill' AA..)E„, Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: -r 1 4 Ake) o I 1'a.o�,,. Furnace 100,000+BTU(dacur/vems) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: Duct work 23.32
Cross street/directions to job site: , -E. IS(ALL (1/1., Uf j /,..1 RQ Hydronic hot water system 23.32
Residential boiler(radiator or
-3bt`•'t`9 IX)) 1-t 2.r' R4tiAk'r ore C((L r,F-1at..4) hydronic) 23.32
e � O'� t"L. QSQ` .)1 R`�t '� O� 1'3 o- Unit in-wall,
in- (fuel-type,deed,not etc.
t„ �iJ qr 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
t, Flue vent for water heater or gas
�G
t 4 F The S I-0-p 1 o c O Ivy fireplace 23.32
CA t�() ,�O SEt_t. ft2) ( Log lighter(gas) 23.32
P U Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/linerlflue/vent 23.32
PROPERTY OWNER ❑ TENANT Other: 23.32
n Environmental exhaust and ventilation:
Name: C t "--4 A %- a- .ceY PA-r,3(4. Ar S Range hood/other kitchen
equipment 33.39 4.
Address: 1 Lly SID ) 13E- A J&. Clothes dryer exhaust I 33.39 _3337
City/State/ZIP: " \[I, {) °(Z, ci-1 2.,)A-1 Single-dux exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(n3, 9 13-- 9 (pY 1 Fax:( ) Attic/crawtspace fans 23.32
❑ APPLICANT ❑ CONTACT PERSON Other: 23.32
• Fuel piping:
Business name:
S14.15 for Brat tour$4.03 for each additional
Contact name: .,A.q/t„q.- j A )'.)•.e Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/StateTLlP: Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail: ,a,fry A Q r�." f r- -ram st e- . CO Y't' Barbecue
I i CONTRACTOR Clothes dryer(gas)
Business name: d k.)If(s /`- Other:
MECHANICAL PERMIT FEES*
Address: Subtotal 6ry,"t,v
City/State/ZIP:
Minimum permit fee($90.00) Gj() —
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee) `D et)
CCB lie.: TOTAL PERMIT FEE 160, ;
'ibis permit application expires if a permit is not obtained within 180
days after It has been accepted as complete.
Authorized signature: ` * Fee methodology set by Tri-County Building Industry Service Board
Print name: f.k_CA. Date: �' 3 U
I:lhuildinglPem.iIMMEC PermitAppJa40113.doc 440-4617I(1 tf0t/COM/WEB)