Permit Support Document CITY OF TIGARD MECHANICAL PERMIT
Permit#: MEC2020-00258
IIICOMMUNITY DEVELOPMENT � ;a E Date Issued: 5/8/2020
T t(101,R 1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 t` „
rjrli 20 AZ 0 Parcel: 2S103BB07400
Jurisdiction: Tigard
Site address: 12522 SW 123RD AVE
Project: Molly Subdivision: LAKE TERRACE Lot: 2
Project Description: 2 ducted mini-split systems upstaires,and a 3 pot minisplit set up for the basement.2 ERV's for fresh air.
Up-graded gas lines to 2#for range',BBQ, and tankless hot water heater.And vent range hood. 8/15/2020:
REPRINT to add(4)exhaust fans. 9/21/2020: REPRINT to add gas piping to relocate meter.
Contractor: PORT AIR MECHANICAL INC Owner: RODGER, MATTHEW
20880 NW ROCK CREEK BLVD MCGOWAN, MOLLY BARBARA
PORTLAND, OR 97229 12522 SW 123RD AVE
TIGARD, OR 97223
PHONE: 503-957-2401 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Heat Pump 05/08/2020 $122.12
Type of Use: SF Chimney/Liner/FlueNent 05/08/2020 $23.32
Class of Work: ALT Type of Const: Range Hood/Other Kitchen 05/08/2020 $33.39
Occupancy Grp: Attic/Crawlspace Fans 05/08/2020 $46.64
Stories: 12%State Surcharge-Mechanical 05/08/2020 $28.75
Single Duct Exhaust(Bathrooms,Toilet, 08/17/2020 $93.28
Utility Rooms)
12%State Surcharge-Mechanical 08/17/2020 $11.20
Fuel Piping 05/08/2020 $14.15
Fuel
Fuel Types: Electricity
Gas Pressure:
Total $372.85
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: 11�t� `ls2uz_�f�j Permittee Signature: tri / /9/704.- /et 776,/,,/
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.