Permit Support Document li E I MECHANICAL PERMIT
CITY OF TIGARD t° t
11
8 COMMUNITY DEVELOPMENT Permit#: MEC2022-00084
Date Issued: 2/4/2022
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 25112CB18500
Jurisdiction: Tigard
Site address: 15120 SW 81ST AVE
Project: Generator gas lines Subdivision: CORBIN ESTATES Lot: 2
Project Description: Generator gas lines. 12/21/22: REPRINTED permit to include gas piping for future range.
Contractor: MR ELECTRIC OF HILLSBORO Owner: YUZON, DENNIS ALFONSO
58569 PEBBLE CREEK RD YUZON, PAULA BALLARD
VERNONIA, OR 97064 15120 SW 81ST AVE
TIGARD, OR 97224
PHONE: 503-537-8128 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Heat Pump 02/04/2022 $61.06
Type of Use: SF Fuel Piping 02/04/2022 $14.15
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 02/04/2022 S14.79
Occupancy Grp: 12% State Surcharge-Mechanical 02/04/2022 $10.80
Stories:
Fuel
Fuel Types: Natural Gas
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
Issued By: �"'. v.4__, / Permittee Signature: // /�1 --("
r
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.