Permit (86) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2019-00433
T i LI;1 Il 1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/24/2019
Parcel: 1 S 136CA04201
Jurisdiction: Tigard
Site address: 11110 SW 79TH AVE
Project: marina Subdivision: FRIENDLY ACRES Lot: 6
Project Description: Replacing(1)water heater and adding(1)new bath fan.
Contractor: OWNER Owner: NIX, TREVOR&KATHRYN
MARIA GULAKOVA 11110 SW 79TH AVE
11110 SW 79TH AVENUE TIGARD, OR 97223
TIGARD, OR 97223
PHONE: 503-580-1664 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Water Heater 06/24/2019 $23.32
Type of Use: SF Single Duct Exhaust(Bathrooms,Toilet, 06/24/2019 $23.32
Class of Work: ALT Type of Const: Utility Rooms)
Occupancy Grp: 12%State Surcharge-Mechanical 06/24/2019 $10.80
Stories: Minimum Fee Adjustment-Mechanical 06/24/2019 $43.36
Investigation Fee 06/24/2019 $90.00
Investigation Mechanical 12%State 06/24/2019 $10.80
Surcharge
Fuel
Fuel Types:
Gas Pressure:
Total $201.60
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 wo is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to folio the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. ou may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.r#4.0,, ...... /
Issued By: •
AL����'�i'S%(sC Permittee Signature: /
Call 503.639.4175 by 7:00 a.m.for the next available inspection da -
This permit card shall be kept in a conspicuous place on the job site until completio, ,f the project.
Approved plans are required on the job site at the time of each inspectio .
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Family Fee Schedule:
Total Valuation: ,Permit Fee:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:\Building\Permits\MEC_PermitApp_040113.doc 2
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
11110 SW 79TH AVE, TIGARD, OR, 97223 September 6, 2019 at
11 :44:20 AM
Record Type: Record ID:
Residential - Mechanical MEC2019-00433
Inspection Type: Inspector:
699 Mechanical final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor