Permit (42) q CITY OF TIGARD MECHANICAL PERMIT
`711
1 . COMMUNITY DEVELOPMENT Permit#: MEC2016-00470
TrGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/29/2016
Parcel: 25111 BD00503
Jurisdiction: Tigard
Site address: 14820 SW 98TH AVE
Project: LOWERY Subdivision: DARMEL Lot: 2
Project Description: Radon mitigation system.
Contractor: CASCADE RADON INC Owner: LOWERY, LESLIE MARTIN& ELNORA M
12839 NE AIRPORT WAY 14820 SW 98TH AVE
PORTLAND, OR 97230 TIGARD, OR 97224
PHONE: 503-421-4813 PHONE:
FAX: 503-281-6170
FEES
Specifics: Description Date Amount
Other,Exhaust/Ventilation 06/27/2016 $23.32
Type of Use: SF 12%State Surcharge-Mechanical 06/27/2016 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment-Mechanical 06/27/2016 $66.68
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 *, FOR OFFICE USE ONLY
City of Tigard Rvvanved '71 /
i ..:"4 13125 SW Hall Blvtl.,Tigard,OR 972 7 /6.0.C1* .
Phone: 501718,2439 Fax: 503.5k;k
,,t.\,!‘C°:- 4,2
Plan Review
it,%\CZ1 . Other Penviat
TI G A R D Inspection Line: 503.6394175
"liteniet: 15,WW.1 igard-or.wry \..\•,\4141PaterP4,a,.,(,IYI3r ju'is 61 See P4ge 2 f(4.
, .,,,,,,,%,.....)psc\of i,,„Nola leo-lothod -7-7..-_..,„ Supplookonial Inrormation'' TYllE12„tFtWetl(c*- , ep*,,illgiwirAL:411,i.--f-$914.gptit:*-,,..,„,13wcIA09,4t,..::
AMechanical perturt les.s are based on the value ot the work
0 New construction t, AdditionialterawoulPcoment
X7` performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit,
CATROO*y,9K03ii,Spy,p,,critioN-,,,,..i,,,, ,,, ,,, ,,,,,,,,,.,,,,,, , ,,,,, ,,_ yait101$,S1,500. ,,,
1,14is;-;;
0..... 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building F kir'si'mciaiin'f'0't'llia''''tion—u se citecktis;
0 Multifamily 0 Master builder 0 Other: 1)esoittttort Qty. Ea. Total
: . .
39T:,EI3NR9111S,IikrtON'/rNlIO'*,.:00,A.TION.
Air conditioning
Job site address:14820 SW 98., Ave
Furnace 100,000 Bill Ourtsiverits), 46.75
City/Stile/711):Tigard OR..97224 Furnace 100,000+13111(ductsivents) 54.91,
!kali pump 6106
Suite/bldg./apt.no.: l'n)iect name.161283,1
. - . .
pact work 23.32
Cross street/directions to job site:
,ilvdronic hut water system 23.32 ,
Residential boiler(radiator or
hydrotiic) 2132
Unit heaters(titel-type,not electric),
— . _____ in-wall,in-duet,suspended,etc. 46.75
Flue/vent for any of above 23.32
Other- 2132
Subdivision: Lot no.: '
Other fad appliances:
Tax map/parcel no.;
Water heater 23.32
...-.;...., / ' -,`-: ''": "''''- •,...-''',.:',„:". latscitiptriwcip'woki(-2,:,::---,.„,, ',,,,,.,„/ ,,,,-"r;;:1,- :,,,-,,,•. , Gas firplitcelintiert ' 33,39
Flue vent for water heater or gas
Radon mitigation
fireplace 23,32
1.oit lighter(gas) 23.32
Woodrpiltet stove 33.39_
Wood tire lace/insert 2332
Chimney/liner/flue/vent 23.32 _
-'• "ii:•'i 011'
'ROPERTY`-OWNEit: - '''' 1'1: '' LI-Tilt/ANT " 'I""f'''"",' , Other 2132
. - Environmental exhaust and ventilation:
Name:(lerri Shcoltiik
Range hood/other kitchen
.._..„„... .
Address: 1.4820 sw 9e Ave equipment 3139
Clothes dryer exhaust 33.39
City/Stale,'ZIP:Tigard Olt 97224 Single-4u;exhaust(hathrooms
toilet compartments,utility rooms)' 21 12
Phone:(623)693.3596 Fax:( ) Atticicrawlspace flint --.' 2.3..:3-2 „„ ,_
Other: / 23.32 ../1.12
Business
Fuel piping:
name:Cascade Radon
$14.15 for first four;54„03 for each additional
Contact name:April Fleming
Furnace,etc.
................_............_
Address:12839 NE Airport Way,Building 9 (las heat Pump
Walliaitspendedinnit heater
City/State/ZIP:Portland OR 97230 „.
Water heater
......_
Phone:(563)421.4813 Fax::( ) Fireplace
Range
F.-mail:office4easeaderadon.coni
Barbecue
•,---- ., , „ , ,„ ," '• ",C,ONTRit,stiT011 -"-:";;;,, :i''. ,,,-, ,,, :, ,- At-,A-A.,„0,'„'''' -'' Clothes dryer(gas)
Business name:Cascade Radon Other:
•':'' A,. t,a•---- .448: -,tPt•ill444-..4'''.':'7:
Address,12839 NE Airport Way
Subtotal )..S.Z.,1:4
City/State/ZIP:Portland OR 97230 Minimum permit fee(59000) 1,4 .0
v.0
Phone:(503)421.4813 Fax:( ) Plan review(25%of P(' ft'Fee) ' .1 ,ort
State surcharge(12%of permit fee) iti,•-ggy
.: TOTAL - -
CCB lie,: 180537 , , 1 „
PERM I FF14`
..
.
,,,,,,, , f , . This permit application expires ifs permit is not obtained within 10°
days atter it has been accepted as complete.
,if L '
111116„
A uti )tizeal sigtialure: ' ims. 4 Fectnethodology set by Th-County liaileing Industry Service Bard
IPrint nettle:April clouing i I Date:es/24/16
tinaiiiinitioimeawmf.c....PezatitApp,O40113 dpe 440.461'1(11,02,41`0MIWEI-3)