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Permit (65)
CITY OF TIGARD MECHANICAL PERMIT `F! 11COMMUNITY DEVELOPMENT Permit#: MEC2016-00499 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/13/2016 Parcel: 1 S135DB05300 Jurisdiction: Tigard Site address: 11420 SW 94TH AVE Project: Myers Subdivision: MILLER Lot: 2 Project Description: Radon mitigation Contractor: CASCADE RADON INC Owner: MYERS, CARTER&KACEY J 12839 NE AIRPORT WAY 16711 SW WASHINGTON ST PORTLAND, OR 97230 PORTLAND, OR 97233 PHONE: 503-421-4813 PHONE: 503-936-1387 FAX: 503-281-6170 FEES Specifics: Description Date Amount Other,Exhaust/Ventilation 07/13/2016 $23.32 Type of Use: SF 12%State Surcharge-Mechanical 07/13/2016 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 07/13/2016 $66.68 Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct. - .ns . a NC by calling 503.232.1987 or 1.800.332.2344. I _ Issue. By: Permittee Signatu e: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. To: Page 2 of 3 2016-07-11 19:54:42(GMT) 15032962185 From: Anne Tucker Cy3E Rearesvc;•d 1` wy ll -4Qof T g L7 >3 /te 4,,,,,i,Ac. �oa- © 7 i % 1.'342,:i SW' iali Blvd.,i hard,OR.972,7 elan Fe i Irty ' 0_. Pb anC, crrq'7lh"..•4 Y4 {'�z, 503..59R.1?((rt.'' •� (�q1�+ n?hur i sr�as', Iii 1>.ciic f l--int- j13.G r`F. i^5 J L A I 2 016 17a ci? ldt.r1Rt DateRtm7yft;y i a!iS 63 ice1'ntc2:ter' httnic[ ,,vcwr.ti rd-or,gov t - NYgP:cao4,..alux: / /�' Saiptententat$nfurniaticti/ C#1Y L,( •kR _ T '" 1.iee3aiatnical permit t`e urc 1 acad o1.to v al of the a orl , 1,3 N tt cann.irtutiou r Additicanluiteisttaon/repr;a.,eruseiii performed Indicdtc€ c,/,atauciround-d to tncncarest dn;Lar)ut'nil 1 I lemolttiian Q(•)tla r met-hatimGaa ntaleriab rqu pmi,at tabor oacrtt.ai'd.and Irrglzt. ,,,,,,:i t €11' Cl ?1 '3+ Cbl� lt113Ctiir t alir. $ �_ _ ,� lh��,1�+7fk':Y3'+F.�,?�"t��' �'�$Sri'4"1' �R�'�vtr«� Mi* I-and 2-tsmil)','dwelling 0 Co.=tirnerntal induatna ( Accu; coy bualdiat, g •-31_3 1ara{uawu.uf4.rnaiin,, alrcliu _________...10 Multi-£anvil' E} vt�atrbusldLr Ctliri: 7cs:4tcsn I * n ` ,A. ttntFlCotxliitg• l ��1;+�I'k'fS 1��'$3,Sdx1keS1P1` �$�7#t�`af'iC.'ti'$`y{(� 'ui oonditionin. ,xr,,75 Job si{C (1Tc s,1 1,1201S' 1t$l's+ fife kutaszace 100,00013'11J(duct i ts' 1.. C3itt Slate/flI 9 a#dtr4 OR 97223 tube e:t tb04)00 t,BFC utucisornte1 '- 5491 I 4ttftc nl,rz;'ttt no; })r.1j.t.f itatite: kfrt13lt3TI. HcaT iiutp ,.1 ‘b J ._ Duet-c,rk _ _ "3.12 -..,-._., ._ ., ., . 313.3 t'tt,.>street direction;fa• job sits II dnanie liotdvater syst,m, w iiii 23.32 ________r Rea/jet/1/.1 be ler(rads tior t --- li dtttiiic 23.3'2 Unit ltcrc'tera,(fuel-type.„,pot+skcs.iic). I . iii-titch Mn dta-3,suspende 1,ele_ 4o:; m 4lue ri adt for;trr}til'atiett e 3-32 F 1 ," Sub/Jim i itin: L.ttt no: t3 e r 23 2 -- • . tither fail applia_nsea. P ....----- Tax i Ti13p.'parce1 no.: - ..._...__..__. ._..__r,.__. „..___._T___.____ ' , iur 1t ittta, 23,32 � t i77t J }L i G 'nrt`l e;za.ert: .3 3 39 # . Ftt7.iF wu'itt 1-0,.kmater i;cetlr;r or '+ fi I&tack !aidg titlia Ci dace ?:3.;2 Lc lrli r(has) 53.32' iUsnt4 41irt=t iv. 3 :3f1 _ V4000l titlqtaceiutsert 2:.32 C hiaiito tliiteirilaie?ieizl 23.32 _.. i tP zttyi : k lr ---„=.7:77.77,7,,•:„..,:,..,..t,„.;..,,:,. t/F+ i } c?nna ,. . . 3 t2 ,2'3_33."`. „ 1-°, `f+nrarnaataia ntaalf exhaust and veaitixpiarlt Naim..Carter A•Mvcia s. Rsu,�o ftaocfretlrat kitehrrt yCtuigincnt 3339 / t clatctv.11420 SVf 94 Ave 1 _ ____# Ct}#x+s ih trr �Ia tits i.,:it'+ 'State 1�IT' Til/13211{$I 97223 . s SLO ii•ttoot i ,iaut.lahithmeaa; .� .•1321•_, 3 .•^ ,, ii kt c(a)apartrnente.ntbtttl f(is7*)__,. z '-� T hope (503)93.a 13$7 I a { I Atitraw�ds4cc fans 1._32 _ ? 13t trims name:(3ttg'aaele Reek # a ._ _ 4 . sills far dist roils;x4.03 rug,each aaldi irsrzaE ter;»itarname 1 aitFhtnen, f P _ t'r I nTlaiY.ti t.ta. 3 Address:12$i 9 NE Ah-pm-t Way,13a skiing 9 Crab tteatr iuxnl3 _ E Vv alt t}titp ride l:unn heater $ t iii �i tit,r_.11' 1 uailaattel OR 7239 T 3§ litsttter r Ilioce:(503).821 4f813 1 1•ua...(5€R3)28/.417ll k treT Sac 1-mel:toffieeicareaseideradoia.cittaa Barb Q) & ,-�, , - L.IO€be'^ti .{+soar Fua.'1 ...v._._......—. .........r.a I3113irieiv lS nae tt ta++tatic Radon OtFtcr 1 f c$set ws.1�1 NE1'lioft b'ar'n at lag ,,_;: ti . ..__.1331- ..._,........_..,,,,____„__7,,,.,..,,,,,,,_' #Iriett I , Cirs '.x"t.tic/tP.Pci tiicl OR97230 itztttrturti t�ntect.rte,fa9t?(RI) �� Phone:(S1)3)421.4813 }rat..{ f13) ti1,C1^rr3 1'tiiiaawvicw("1..,tp mt;el c) 'tuts--inehagc(!12%ofp itItie)_ /Q. '� C ;1 tic.:1 115;37a _c5 1 .. _ 1.1)'t 1LfVii FEE • t 1 TBiaa Iseritiil alt Carat pas eaptret it a permit is ian obtaiced 191100 180 rydwv 4 atter it ftas been accepted res,Fans J f�rrt}'tn�d ci�n�tttrre'. , �,� t �,,, 1� Itete a;f p � � F ”` t i.^r,m,=rli:mr',.t 'teem .( ,my ltuts:c {tt du t-.,s ,,.6,t„a«: I,Ptrrtia3ant April iltariitig tDa /16z 7,, ... te_ 1/1--1111•--":.� ..datrii,tr Parnist.'4,r`CC kemttApe otto,l+3oe 141-41.r t tit?h.z},S'i, ! - - - To: Page 3 of 3 2016-07-11 19:54:42(GMT) 15032962185 From: Anne Tucker lkil ..hainicii Perm L a i)ii atioa - City of.Tigart Page 2 Sftiptemertt 1 In'ar ral?at. 1 C,oittittleiseiat& r'Multi l+ar.eui!IT Fee che+ ule $000 to$St r ) 1(1.()U Muunauzn iva (.t� $>ci0.1,01 to$5,000.(X) W X9.06 r(,)r the ttrst$50000<a-id $:3'07 for each additional$1t)Ei.00 or a t`raactiort thereof,tta'tsrakl inclttiling $5,000.40. $:5,t)i};!U1-tit 10;000.00 $/07 3 9 for the f io t$5,000,00 anr1 9 1 $2.81.for c.`.uhr add,itiorrat$100.00 or i friction thrc nto1>to and includi $10,000_00, _ S-it.{{-f�t).(.1 to$;SE,100 tit..i $347 1 for-the first$10 fi:k')ttOO end i $2.5.1 fm�ach stJditic8mi$4..t.0 lata or traction therunt to and ittelaudiraa.g _ $50 0007 00. t $50000.01 to$1010,000;:Y() 1.$l,3-6'.i-.::7, 1 ibr the f,iarst$5(,,C)0C0.Ot)and # P $2.4a.)l it each addi ontal$:.10n 11n of fraction the eot,to and including ' 100,1)00.0()• I t)(,(.0t)i)1 trill tsip. $2,508.7 t Ion the first$100.,0(1,,.(,)0 and $2.1?.1Cor eat}r additional 1(}(.()( or _. fra+ktt�-tn hciciL-iF Note. ;;ii r e coulirxk r�clal buildings require 2 sets of plans. 1.^ kdtta,Ai' nrL,,;l (1.:C f'1'ntzYxptr 154314'3,de. n To: Page 1 of 3 2016-07-11 19:54:42(GMT) 15032962185 From: Anne Tucker FAX COVER SHEET TO COMPANY FAXNUMBER 15035981960 FROM Anne Tucker DATE 2016-07-11 19:54:09 GMT RE Permit for 11420 SW 94th Ave COVER MESSAGE Hello Tigard! Attached is the permit application for 11420 SW 94th Avenue. Please let us knowwhen the permit is ready to be paid for. Thank you! April Fleming Cascade Radon 503.421.4813 office@cascaderadon.com <mailto:office@cascaderadon.com> WWW EFAX COM