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Permit
CITY OF TIGARD MECHANICAL PERMIT ® COMMUNITY DEVELOPMENT Permit#: MEC2022-00360 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date issued: 5/6/2022 Parcel: 2S102CC00315 Jurisdiction: Tigard Site address: 13470 SW CRESMER DR Project: Cresmer Subdivision: CRESMER HILLS Lot: 14 Project Description: Home remodel:REPRINT PERMIT adding gas line. Contractor: ZIGLINSKI CONSTRUCTION LLC Owner: ROGERS, FRANK MICHAEL&ALENE ROSALYN 14860 SW 103RD AVE 13470 SW CRESMER DR TIGARD,OR 97224 TIGARD,OR 97223 PHONE: PHONE: FAX: FEES Specifics: Description Date Amount Single Duct Exhaust(Bathrooms,Toilet, 05/06/2022 $69.96 Type of Use: SF Utility Rooms) Class of Work: ADD Type of Const: 12%State Surcharge-Mechanical 05/06/2022 $10.80 Occupancy Grp: Minimum Fee Adjustment-Mechanical 05/06/2022 $20.04 Stories: Fuel Fuel Types: Electricity 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: / 0Permittee Signature: Il'' I IdL-L� V 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 Cite of Tigard HI,d. I�p d %IR Mont 101 _a;=) has qI;i,ty 1,)(4) tsar.kta,h It, I^ia-mtt www figars`�i,rvt� ♦,an•c�I �f at,2x m Tl'PF OF WORKCOMMERCIAL FEF' S('HEDII.F - ISECIIECKLI%T r \te.hanaal Parma 1,t a e ha,d,n the° r ih, wk � ❑\eN eonsh uelam air- uiterdtion replacement rk,lorrrC�t lad,-'Ic the t }r. dcd 1-{hc rc t C.['j-'j, I ❑D-nitrhlion ❑Other. mc.bantcai maresrei, pnwrt-iaM r ,,e:f ca.l,ar:.f r;tit CATEGORIOF CONSTRICTION RESIDEN-M!,EQUIPMENT 51'STEMS FEES' .Pel_and_'-famihducilutL ❑Comnicrcialindu.trial ❑ Accc,sorsbuilding. � For yacialinformarionnsethrtVisr. © ❑\la,ter lsuddct Cl 011er Iks rpnon t � h,, Tntaf JOB SITE INFORMATION AND LOCATION fleeting'cooling: Atr.nndut„nm• At,-` [ Jab sate addres, untacc I11(i.040 Clty State ZIP IIcat rump Suitc bldg_apt no. ProlcCT name Pact,torn 1 Cross ctmctdircc!ions to 1,*,rte I hdmnrc hot eater ss,1011 — - Rrs dentia!hodrr,t etdiatrr of htdronicl 1 1 I nit heaters Ituel-type,rat elecrost. - tn-Halh to-dua,,u ended,cte ar,'_ I IOC tent for ans o1 ahosc St bsUtr+tan. Let no Olher - Other fuel appliances: 3 Tax neap panel no \\ticr heater DESCRIPTION OF IIORG (,as fire lase m cn Flue sent for watrr luaferor ia, _ ,�L 9 ( .}-� / fire lacr "/ M t � �” V N t {/�vet-C, 1 og.h ghtrr('ati) Nwa1relief Nose *'r > .y/ �jt/` uti \\cxxl fireplace incr. E _ ('himneshner Clue tent ❑ PROPERTY' OR'NEROthcr _ ❑ TENANT Ensironmental exhaust and sItntilation: Nam, Range hsKxi other 1,dchcn r ut mcni �'•� 'tlddresi (I,lthc,drscr c\haU,I i+y CIry Sule ZIP Single-duct cshau,t thathrnann,, i I tode[eom•sartneent,-uuhts nwat,t Phone I i Fast ) Atli,srawl, ace tan, ❑ APPLICANT ❑ CONTACT PERSON Other _ Fuel piping: gusto„nanY $14.15 for first four:$4.03 for each additional j Contact natne Pomace.ctc Address Ga,heat rumpI 1\;fll w,NndrS emu heater City'Statc ZIP \\asci heater Phone.t 1 fd\ ( l hue lace Ram;e E-trail Iianc�Yuc CONTRACTOR (Iothe,drN,:(q:ni Business nano 1�� y Other 7 1 MECHANICAL PER%IIT FEES- AddTcssP 0 j�j Subtotal i - Strnunum pCrmn fcc IS0er 00I C fry Sta:e Z1 P 42,V (i/1 Plan rcueH ta`.�vhPxmnt kit Phanc ) g� Fax 1 D titatc,u r.hare.i 1 °,�os prrmn reel CCB Ire 2-G 0 22 TOTAL PERMIT FEF. _ this permit application aspire,if a permit is rine obtained within IRU da,s after it has been accepted a,complete. AuthMwd signature 1 ee n edvxloli,rt,ct h, I n{,*uml Hmhi„jg Indus'Sc"e ii—wi P..N non- YCj Ditc.