Permit CITY OF TIGARD MECHANICAL PERMIT
■ • ' COMMUNITY DEVELOPMENT Permit #: MEC2009 -00231
T t G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/26/2009
Parcel: 1 S136AD04700
Jurisdiction: Tigard
Site address: ,6611 SW PINE ST
-
Subdivision: Lot: 0
Project: Porch
Project Description: Install (1) exhaust fan, and (1) attic/crawl fan for radon mitigation.
Owner: FEES
SMITH, LISA LYNETTE & Description Date Amount
PORCH, CHAD FOSTER, 6611 SW PINE ST Single Duct Exhaust (Bathrooms, Toilet, 05/26/2009 $6.80
TIGARD, OR 97223 Utility Rooms)
PHONE: Attic/Crawlspace Fans 05/26/2009 $10.00
12% State Surcharge - Mechanical 05/26/2009 $8.70
Contractor: Minimum Fee Adjustment - Mechanical 05/26/2009 $55.70
ECOTECH LLC
P.O. BOX 11630
PORTLAND, OR 97211
PHONE: 503 - 493 -1040
FAX: 503- 493 -1042
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue:
Total $81.20
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: (fin i ac b 4 Q n Permittee Signature: Q
4ptali QACin
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
05/20:/2009 12:17 50349310 r , __ . 1 , :mb.4s1 ECOTECH PAGE 01
Mechanical Permit Applicatio C F 1 '
, �' fl.: FOiz OFF'icl l' i::.O,N • '
City of Tigard Received
t Y g MAY 2 0 2 009 DatcBy: c J•. r • 41 • Permit No.: rye 2�n ; 60111 i\
a 13 125 SW Hall Blvd.. Tigard. OR 9 7223
Alin Review
p . Phone: 503.639.41 ^,1 Fax: 503.598,1960 Other Permit:
T. r ( A 13 1.� i I..ine: 503. 539A175 CITY OF TIGARD ry,teR /9y. ES See page 2 for
Internet: www.tigar'd.or.gov BUILDING DIVISION NohfM/Methotl: Mg Supplemental information
'11{■� {L, r t mupun �gti e1,n�s �ni", 8 ! f i + • r ; •�p�y��yr jFU1
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❑ New construction [tldition /alteration /replacement Mechanical permit fees• are ased on the value of the work
171 Demolition Other: performed, Indicate the value (rounded to the nearest dollar) of all
mechanical materials, equipment, labor. overhead, and pro
qq •Im' �yy ;II, r 'qty! j F 1:1 Atll Mgtl IIII IyM P
{�fil.1 iN i!(t llJill `Pil %li1?�tiilll! Mil 1 1 ' c" n '`mas t .N 1�i i a i a a :d r ilk . 1 I ' =U '; l i �ir�'1),'I' x•11, i 1 - . . $
•����� �- �11t +••fir r,wa r,w irtvrAi_r e1 .t, Ir A to `i
-and 2-family v r 1. l J An1tL � i � t 1 . �1�nm' 1. namt>! t rtI ,an �ry , I j ,
dwelling i it �lfr.'1 - rticmnh rl ilPg i, 4AMill �11!i rlit�lri��initi�nll ?i illIF , I�
y R [' Commercial /industrial ❑ Accessory building For special information use eheehlist
showing � ❑ p M � ulti- family [] Master builder ❑ Other: Description Qty, I > a, I Total
iii, if I liN1fG }I {1i :111 1 t 1 ({'ill 11 a �. a<a,.1 1 ih j ugil rstl l�i+ 2 �e�i , 1 "n,4ltu.l'a .1 Ml iirl!i' i i4 1 Ii� , _ll� tic; aen
� IC,Cf h��ti��G11 h�l ! � l �Iltt�l!Ilii ! ttt►,;1C001i0>;
Job site address: / J J 5w' pi ne 5 (requires conditioning o heat pump
(requires alto pL�plan eFVlnR Dlacement ) 14.00
City /State/ZIP: let L.,.. q 3-ao2 '3 Furnace 100,000 BTLI (ducts/vcnts) 14.00
� u Furnace 100,000+ BTU (ducts/vents) 1 7.90
Suite/bldg. /apt. no.: Project name: PQ �t-T Gas heat pump 14.00
Cross street/directions to job site: 5W ( 9-1'l'` �� d Duct work 10.00
_h_13. �0 d 4 � ) n /� Hydronic hot water sxstem 14.00
TE t a N 6 N Residential boiler (radiator or
��(� _ 11 �L - 15 r C-r) 6 � T heaters Unit 14,00
t (1 r I-� 1 Unit h (fuel -type, not electric),
in -wall, induct, suspended, ctc. 14.00
Subdivision: Lot no.: b 1 ! Flue/vent for any of above 6.80
_ w Other: 10.00
Tax map /parcel no.: 1 ! („55 j , • Other fuel appliances
1' 1 1 V 1 a ll mXE M 'll' ,( Innn wn
:.',r, ll g'I u'' 1i'li $.7 47,7,t`' °tf,,,l'�T :;, ll114[1:111 Vii# 1 `rail Ld1 Water hcatcr 10,00
Gas fireplace 10.00
Flue vent for water heater or gas
a c r f Jt lace
10.00
( ' � "khan 5 n5 la ��n Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
y r� ��� 1p��1 ��y1 {
i�I�)t{Ia'dill(�i 1 'OV= 1151illflfh !1'ilfE11N�lill1Y;�1}aji Fh r i Ullift'I1 Chimne 10.00
Vigil; 111 1111. h. 1.M MrllN �� Ir I� Other: 1 0.00 T.
Name; CV ,o4 i- 0 (r_JA Environmental exhaust and ventilation
Address: ( 19 I I 5 V\ / ?, c . � �- Range hood /other kitchen
�r� equipment 10.00
City/State/ZIP: r/t A L t n g1^a 5 Clothes dryer exhaust 10.00
"' Single -duct exhaust (bathroom,
Phonc: ( ) Fax: ( ) 1
compartments, utility )
toilet comps , utili rooms 6.80 6, .
acc fans
;iriTH1i$fi''lf {{: (r ' . i' i l l �I I it Ilk {� m IT Ri . pq�{� /crawis 11
oth
�i �m ii1 �I 11`Iaty�im. F 1 ..,,:ltr a 1 1 .y r, � � !'•j iq � 1. 1 (• 1 U l ,�iii]Ilt ilt (f �111Mihr1lPi�Iitkltr�� � • 1 pfi�ilt.l \�� Attic e � 10,00 0
Business name: - '1`t er: 10.00
Fuel piping
Contact name; 7 _ a co • 55.40 for first four; $1.00 for each additional
Address: �� >0 f x { I iv V Furnace. etc,
J Q Gas he pump
���.
City/Stnte/7TP: -(„ ,_ b
t � 1 -7.a1 ( Wall /suspcnded/unitheatcr
Phone; (503)193- 16 T , Fax: ( ) !3' Water heater
[, l /� Fireplace
E -mail: ATT Gdfic S eaRzki)` C . a /e Ron
I ii r . u III 1i? 1'11 la FtIf:F � it I • I NiI t t I c1 ircq'F,!tr It nn r, u ' 1 11.1 t : r 1 ' Range
oriiiv I,If a llf,l lilifli:,lt1!i l,yl filllllf , r fF MMISffli�i 111111 i 111i 111i1i���Itiit . Barbee"
Busine q name: el`r)T ,I Li s Clothes dryer (gas)
g
Other: •
Address: -541-111 {�{y}g
+�O E l 1 I, O + r�} `�t+� � a n E '1 r " i14ail1I�l j 1
�� '� i y � 1: lu i f Ail 1l illtdrai+�ni�u �. n 1B �,mu ' I ` r''rl; I! � I l .
City /Stnte/7_1P: .1 _ _ Subtotal ., rr
Phone: ( • ) 9. Fax: ( ) M - Minimum pcnnit fee ($72.50)
Plan review (25% of permit fee)
CCB lie.; // (9, 1 I 1 a te r State surcharge (12% of permit fee)
TOTAL PERMIT FEE
Authorized signature194 This permit application rspiren if o permit is riot 'Ambled within 180
Days after It has been accepted as complete.
Print name: C°ra Date: .�irswbr? • Fee methodology eel by Tri{County Building Industry Service Board
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