Permit (38) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2017-00011
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/05/2017
Parcel: 2S 102CA00216
Site address: 13175 SW ASH DR Jurisdiction: Tigard
Project: Taylor Subdivision: VIEWCREST TERRACE
Project Description: Radon mitigation system Lot: 14
Contractor: ECOTECH INC Owner: TAYLOR, BARBARA J
PO BOX 83096 13175 SW ASH DR
PORTLAND, OR 97283 TIGARD, OR 97223
PHONE: 503-493-1040 PHONE:
FAX: 503-493-1042
FEES
Specifics: Description Date Amount
Mechanical Permit-RES 01/05/2017 $90.00
Type of Use: SF 12%State Surcharge-Mechanical 01/05/2017 $10.80
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By:
4 Permittee Signature: d,,/
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
01/05/2017 9:44 AM FAX 5034931042 i• `9TECH l2 0002/0002
Mechanical Permit Applicatii ,1,. 3' ;': ''' FOR()F'FF1cl:I.SE ONL.'
Cityof TigarReceived )7 9M/5 9 7 49O//
lig____ .., 131SW Hall Blvd.,Tigard,OR 97223 "y :'i;`,,J Platell3y; /S/7 �I/� Permit N
"� Plan Review
Phone; 503-718.2439 Fax: 503.59$.1960 Date/By: Other Permit:
11i,,I.1., Inspection Line: 503.639.4175
Date Reidy/t3y; loris: RI See Page 2 for
lntcrnet; www_tigard-or.gov ,, Notitied/Method i/7 Supplemental Information
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Mechanical permit fees*arc based on the value of the work
O New construction Addition/alteration/replacement performed.indicate the value(rounded to the nearest dollar)of all
0 Demolition Other: Q mechanical materials,equipment,labor,overhead,and profit.
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is11-and 2-family dwelling ❑Commercial/industrial 9 Accessory building • ' For special infer 'orlon use checklist
❑Multi-family 9 Master builder 9 Other: Description Qty. Ea. Total
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Air conditioning_ 46,75
Job site address; 1 S1 1 r) l__A+\r‘ r Furnace 100,00' ,(duets/vents) 46,75
City/Stats:/ZIP: -T;r, 4� C1 1 .a 2 Furnace 10" BTU(duets/vents) 54,91
`U� J Heater• 61.06
Suite/bldg./apt,no.: Project name:
Dr 23.32
Cross street/directions to job site: Jnic hot water system _ 23.32
4idential boiler(radiator or
.ydronic) 2132
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. . 46.75
Flue/vent for any of above 23.32
i i – Other: 2332
Subdivision: i
x - - _— Other fuel appliances: _
Tax map/parcel no.: Water heater 23.32
5��'',: ' Nl/,.00: tt' tk,+ P,P.§,§; %OT•1 oA't ,t. GaS ircplate/insert 33,39 i
Flue vent for water heater or gas
1i &• i.l£ II r.1 .Al i ,a 4pm , . fireplace - 23,32
Log lighter(gas) 23.32
-^ Wood/pellet stove 33.39
_ Wood fireplacc/inscrt 23.32
Chimney/liner/flue/vent 23.32
:;,:.,%:;.::.:•;;;p4,..:`i, idib11b ` '1Q2:0 1y••i lap:tV ,V.YF '� � 4I � „:,, Other;
2332
2
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_ .du , FJrbtiW. '4'.'d a,id' 4 ,,,;,( ,:. , „)i-,,. , ! Environmental exhaust and ventilation:Name: '6o.x o - b,_ Range hood/other kitchen
equipment , 33.39Address: I f 5 Ux[ k Clothes dryer exhaust 33.39
City/State/ZLP: -Tiocim Op.. - C 7x3 Single-duct exhaust(bathrooms,
toilet compartment_ utility rooms) 23.32
Phone:(5(z, ) "7 na I )
ALtiGcrawlspace fans 23.32
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,.`”`f`,1,,,;• ;d,, L .t; �a.,;;Cl.,1 "$;�.;�;;';,,,„v ;:,,a, Other:
,,,ni,z,si.,.a.ist. .,, 1t..,,,,ge8��1�rr�„�p',,)i� ,,;',,5. 561.,E 1A,,.. . if.;6“.4,.tt& vl' �IU�DY� N��}tRP,�iefl l 23.32
Business name. D Fuel p• iping:
`` �i� ,LQ. - $14.1-5 for first four,$4.03 for each_addit1onal
Contact name: V 1 ,�-,/� ;' ` i j IS Furnace,etc.
Address; `� v V� J./�I 1 „ Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:
2 f�QrH Q1 q70,03 Water heater
Phone:(boa) g u ... i L✓h r-:tx::(503) tr14 3 16�1e� Fireplace _. ....
E-mail: c�~]r..{„fb/-i ,L e_ex3 Ch L[ rn Range
,,i iV1,�''�1''';,;;, ?;i,�i :{jd.jj 74w..l,;♦rr of,�, d,t,., „_ ;:.va ,,fie.- .77",”, Barbecue
;!�, ta� 1.,..,1„ i:.�'.. ,'�i�`r, V',�r,. 1, r�u�.f`,!rfVS+
,1:,.,,: ' ,B,Y' Y S' .,+ 1i'11,"n1'" 8 t,.i. "^'ii aa��; r.'a�iy�.
i
� ...,.r, 1;,}'ir12s, : '�i,,; , ;t''°S `'''r ClothesdY ( )
... .., ,..�..,,.., ;Y n , r Cl' gas
Business name:J 0.C67-e0_.I1 LLC Other
Address: a ?t,t�1, t n�1�`w il!! 0.El't�l,. •I�I�I1`pIL'IZ1t,I'S440. }';V,
izi r inert/ hvC Subtotal q�'�j Q
City/State/ZIP: R i Q„,d, 1 (9 Minimum permit fcc($90.00) q b_Oa
Phone:(5 } / CI 3 — `{o 4 O Fax:(60 S) `l i 1 9!1 t/v l ^ Plan review(25°/n of permit£cc) .5�
1 F `i O 1 O l4 ) State surcharge(12%of permit fee) I 06 Ib
CCB lic.: � Is,via
. TOTAI.PERMIT PEE
This permit application expires if a permit is not obtained within ISA
days after it has been accepted as complete.
Authorized signatu . - l • Fee methodology set by Tri-County Building Industry Service ilolud
Print name: ,)i �CL \i' I.l k 1 Av,w,gDate: 1 I5 ) 1-7
+'l� �
I'\R„ilil:nu1Permlrq\MSC 1'em ilAnn 040)13 tine 440-4617T(I t/02/COM/W281
01/05/2017 9:44 AM FAX 5034931042 ECOTECH
a 0001/0002
tat EcoTechi. LLC
1,-°\'"6PO Box 1630, Portland, OR 97211
(503) 493-1040 (phone) (503) 493-1042 (fax)
Fax
'FOC, L ' I, From:
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Fax: �� -
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l Ij t�D r Pages: a 1_ i n C. Co V€
Phone:
Date: January 5,2017
Re: , a! ' la cc: