Permit Support Document II CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2022-00002
Date Issued: 1/3/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 z
Parcel: 2S111 DC06000
Jurisdiction: Tigard
Site address: 9470 SW BRENTWOOD PL
Project: 21-543 Subdivision: SUMMERFIELD NO.9 Lot: 534
Project Description: Gas line for Generator
Contractor: THE PLUMBERS INC. Owner: O'BRIEN, DANIEL W& LYNN M
11420 SW PACIFIC HWY 9475 SW BRENTWOOD PL
TIGARD, OR 97223 TIGARD, OR 97224
PHONE: 503-519-6644 PHONE:
FAX: 503-684-1202
FEES
Specifics: Description Date Amount
Fuel Piping 01/03/2022 $14.15
Type of Use: SF 12%State Surcharge-Mechanical 01/03/2022 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 01/03/2022 $75.85
Occupancy Grp: Misc Administration Fee 01/19/2022 $45.00
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressure:
Total $145.80
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
Issued By: Permittee Signature: /}e /A1s
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.