Permit (62) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT
IN
Permit#: MEC2017-00468
Date Issued: 06/27/2017
Tf A D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1026C03701
Jurisdiction: Tigard
Site address: 12890 SW WATKINS AVE
Project: LEHL Subdivision: NORTH TIGARDVILLE ADDITION Lot: 31
Project Description: Wood stove installation.
Contractor: OWNER Owner: LEHL, PETER J
PETER LEHL 12890 SW WATKINS AVE
12890 SW WATKINS AVE TIGARD, OR 97223
TIGARD, OR 97223
PHONE: 503-810-7488 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Wood/Pellet Stove 06/27/2017 $33.39
Type of Use: SF 12%State Surcharge-Mechanical 06/27/2017 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 06/27/2017 $56.61
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 Notifi - •• enter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dire .uestions to •• C b 'ng 503.232.1987 or 1.800.332.2344.
Iss ed By: i / /,‘ , / 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
City of Tigard Received
g DDate/By: Permit No.: t' "" - ,
13125 SW Hall Blvd.,Tigard, 1'D 'F, , EIVEI)
Plan Review/ ir�
I -
Phone: 503.718.2439 Fax: 51 . ' 4 ' .1 Date/By: Permit:
T I GA R D Inspection Line: 503.639.4175 Date Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: /I!`�' Supplemental Information
JUN 2 7 2017
;4-• , i� i, TYP 'n COMMERCIAL FEE* SCHEDULE. USE 1 KIJJST"
Mechanical permit fees*are based on the value of the work
❑New construction ®Adii
UiL1 stON performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Oth r: jj�lln�l�� •7 mechanical materials,equipment,labor,overhead,and profit.
Value:�' , �Z � CATEGO.R.Y QP CO� Ta1C1TO�N.,, . , ;: � IFB 1ViQ "
Egi 1m:
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SI, INFO) TIO•I�I)41 LOCATT01"1 Heating/cooling:
; , '• Air conditioning 46.75
Job site address:12890 SW Watkins Ave Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
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: Lot no.:
Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DEijUpTIoWoFWOI Gas fireplace/insert 33.39
Flue vent for water heater or gas
I am installing a new EPA certified Wood Stove to an existing Hearth and Chimney fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 1 33.39 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
ix• Other: 23.32
o PRoPE O'f ER ,: • ,. ❑'TENANT
", ` � Environmental exhaust and ventilation:
Name:Peter Lehl Range hood/other kitchen
equipment 33.39
Address:12890 SW Watkins Ave. Clothes dryer exhaust 33.39
City/State/ZIP:Tigard,OR 97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)810-7488 Fax:( ) Attic/crawlspace fans 23.32
® '�T'LIC 0 dirs,itAcT PERSON Other: 23.32
Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional _
Contact name:Peter Lehl Furnace,etc.
Address:12890 SW Watkins Ave. Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Tigard,OR 97223
Water heater
Phone:(503)810-7488 Fax::( ) Fireplace
Range
E-mail: Barbecue
,,ie, C6NTR R • Clothes dryer(gas)
Business name: Other:
Ole �1C-t� IIS' .MF A,1!i CAI: 1E e='.'
Address:
Subtotal 33.39
City/State/ZIP: Minimum permit fee($90.00) 40,4,a
Phone:( ) Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee) j(,). 1
CCB lie.: TOTAL PERMIT FEE 33.39
C This permit application expires if a permit is not obtained w'thin 180
days after it has been accepted as complete. X Gal
Authorized signature: vti�,- ( * Fee methodology set by Tri-County Building Industry Service Board
Print name: ��-- r- -e 4 Date: 6/`Z 7/f 7
I.\Building\Permits\MEC_Per itApp_040113.doc 440-46I7T(11/02/COM/WEB)