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Permit (85) mob, CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2019-00630 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/28/2019 Parcel: 2S 102AB00601 Jurisdiction: Tigard Site address: 12075 SW LINCOLN AVE Project: RUGGIERO Subdivision:RTH TIGARDVILLE ADDITION,AMENC Lot: 63 Project Description: Tankless water heater installation with gas piping. Contractor: OWNER Owner: RUGGIERO, RYAN C & NICOLE S RYAN & NICOLE RUGGIERO 12075 SW LINCOLN AVE 12075 SW LINCOLN AVE PORTLAND, OR 97223 TIGARD, OR 97223 PHONE: 541-921-8891 PHONE: FAX: FEES Specifics: Description Date Amount Mechanical Permit-RES 08/27/2019 $90.00 Type of Use: SF 12%State Surcharge-Mechanical 08/27/2019 $10.80 Class of Work: ALT Type of Const: Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE ONLY Received gs - City of Tigard Date/By: y / Permit No.. /ti �j/� Ili13125 SW Hall Blvd.,Tigard,OR 97223 "�� {y / 'I�� `` `" v t�0 Phone: 503.718.2439 Fax: 503.598.1960` ' r, ,' k>•z e Plan Date/By:RevOther Permit: _ ��✓�iaf7l9 � T I GARD Inspection Line: 503.639.4175 Date Ready/By: Juris: H See Page 2��for ���^^^���� Internet: www.tigard-or.gov AUG e 1019 Notified/Method: Supplemental Information U 2 C T ?:64r ., ,d`\`,, B ,M s re, ,«. ,r,-.1 �,v'tws.. u.,. .vww-t m-.un:s ,...6,-‘6,,,,,,,,cs-..,,�...v cu<s.0: S H`•'. .a-;,,. .:. ... ..'p VY.:, is 7 tl' ,. 7�Ty *x--;_,,:„, °` Mechanical permit fees*are based on the value of the work ❑New construction lhal Addition/alteration/repIacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit. Value:$t ..,:, 'CATEGORi' OF CONSTRUCTIQN,,.>, rt ;" RESIDENTIAL '/SYSTEMS FEES* [(l-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION; ' ' - Heating/cooling: ��,.. r,,.. i ... Air conditioning 46.75 Job site address: (?-b-7 5 S ta 171e,c.p 1 i^, PrVc- Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: -T� 1 ' U 1127�j Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite bldg./apt.no.: I Project name: ,� �j� �y(1,,,/,(4),....a....,1— , Duct work 23.32 Cross street/directions to job site: 11" Hydronic hot water system 23.32 ^•, Residential boiler(radiator or / VV t-V t-t v 17 J SAP) LI i-C,o It^ hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: c lei/Ig (p&'e e ( I Lot no.: G Other: 23.32 - - Other fuel appliances: Tax map/parcel no.: Water heater ( 23.32 .3.3;4, . .; ., DESCRII?T]ON okiWORK x . ;, Gas fireplace/insert 33.39 Flue vent for water heater or gas 1.1---s f F'(tot v t/Yd Ij VS (f, filly- F4i y �÷ i v-t 51—j.( fireplace 23.32 J Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32['/PROERTY OWER 1, `- o` TENT ' ` g .. .4-.,..-.6,-, , r; _t. ❑ AN =' A Environmental exhaust and ventilation: ^ Name: {�,\7/.,y._ py,,1 Iry Range hood/other kitchen Address: U 1 I equipment 33.39 y / SidLi N r D h Clothes dryer exhaust 33.39 City/State/ZIP: 1 - ,r- ( te 1 7- Single-duct exhaust(bathrooms, z t �� � t / toilet compartments,utility rooms) 23.32 Phone:( y 1) 57,( ?j$9 + Fax:( ) Attic/crawlspace fans 23.32 `' ❑ A1LG,ANT r, '.❑'.CONS 1cT PERSON...., Other: 23.32 r Fuel piping: Business name: 1 . rd ``1 Lt-- v\a L s-'( 0lI/v(../ ' err. ora Gf '1../C_ $14.15 for first four;$4.03 for each additional Contact name: j i 1 vf - 1/�� Furnace,etc. Address: Gas heat pump ._.�__ IN ad/suspenueunlmrheatet City/State/ZIP. (11.41,-,i--5 l VIA Water heater 1 /l'1'r Phone: - S) b 71- G tt 5 6 Fax: :( ) Fireplace Range E-mail: Barbecue ... )�. .A �.- , CONTRACTOR ( ...,.,. ...,; ,. z . ' .A; Clothes dryer(gas) Other: Business name: sIEES* ''` _ MECIIANTC ,W.,7,MI . r.�.� Address: Subtotal „.2_g 302 City/State/ZIP: Minimum permit fee($90.00) a©,¢,16, -f-' Plan review(25%of permit fee) -- Phone:( Fax:( ) State surcharge(12%of permit fee) CCB lie.: TOTAL PERMIT FEE 1.00; This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: /vl� (, , J( -i * Fee methodology set by Tri-County Building Industry Service Board Print name: /7---------_-___,7/ "'"j_ Date: pj' 74 r f I I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: $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