Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2020 00049
Date Issued: 02/12/2020
TIi.rRD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102BC00111
Jurisdiction: Tigard
Site address: 12528 SW BROOKSIDE AVE
Project: Arms Subdivision: WALNUT ACRES Lot: 10
Project Description: Gas line for manufactured dwelling (ADU).
Contractor: WOLF INDUSTRIES INC Owner: ARMS, STEVEN TIMOTHY& EMILY CLA
10600 NE 189TH ST 12530 SW BROOKSIDE AVE
BATTLE GROUND,WA 98604 TIGARD, OR 97223
PHONE: 360-723-5307 PHONE:
FAX: 360-723-5267
FEES
Specifics: Description Date Amount
Fuel Piping 02/12/2020 $14.15
Type of Use: ADU 12%State Surcharge-Mechanical 02/12/2020 $10.80
Class of Work: NEW Type of Const: Minimum Fee Adjustment-Mechanical 02/12/2020 $75.85
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: . Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicatii C I E ; hoR OFFICE: 1 SF Otil.1
City of Tigard h� Ratetea `�t,.�
-� I V 2 2 2 J J DateBy: W Permit No / c ` t r
13125 SW Hall Blvd.,Tigard,OR 97223 ( //Z% �i Q�f /
Plan Review
Phone: 503.718.2439 Fax: 503.598.19�p �y F Other Permit:
p�l V Of- f GAR[� Date Re
1 i t ,,it t> Inspection Line: 503.639.4175 Ev sate Ready/By: kris: H See Page 2 for
Internet: www.tigard-or.gov BUILDING 1) VISl01 otified/Method: Supplemental Information
Mechanical permit fees*are based on the value of the work
[erNew construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist.
0 Multi-family ❑Master builder 0 Other: Description I Qty. I Ea. I Total
Heating/cooling:
Air conditioning 46.75
Job site address:12530 SW Brookside 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.: I Project name:Arms Accessory Dwelling Unit Duct work 23.32
Cross street/directions to job site: SW Woodward Lane 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: I Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: 2S 102BC00111 Water heater 23.32
,;.. Gas fireplace/insert 33.39
Flue vent for water heater or gas
VAdPAP dt/tfi� Ci.S 1 f'tte, Le+„,„"at, &o it C mTd[/t fireplace 23.32
1M rl l t (/NJLOI fix( 4(`4 /�/W /(7 i A Log lighter(gas) 23.32
�� 5 O `V U Wood/pellet stove 33.39
-__ / 6 A, tp ro l' O00 Wood fireplace/insert 23.32
�/[ 7(�/ Chimney/liner/flue/vent 23.32
Other: 23.32
Environmental exhaust and ventilation:
Name:Steven Arms Range hood/other kitchen
equipment 33.39
Address: 12530 SW Brookside Ave., Clothes dryer exhaust 33.39
City/State/ZIP:Tigard, OR 97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(971 940-6415 Fax:( ) Attic/crawlspace fans 23.32
Other: 23.32
Business name:Wolf Industries Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Travis Huegel Furnace,etc.
Gas heat pump
Address:1601 SE Commerce Ave, Wall/suspended/unit heater
City/State/ZIP:Battle Ground WA, 98604 Water heater
Phone:(360-335-7792 I Fax::( ) Fireplace
Range
E-mail:th@wolfind.com Barbecue
Clothes dryer(gas)
Business name:Wolf Industries Other:
Address:1601 SE Commerce Ave, Subtotal
City/State/ZIP:Battle Ground WA, 98604 Minimum permit fee($90.00) ye.Li)
Plan review(25%of permit fee)
Phone:(3603335-7792 Fax:( ) State surcharge(12%of permit fee) (C/ ,I-6)
CCB lic.: 14 L Oq Cf TOTAL PERMIT FEE (Cr . ,f-{; ✓
This permit application expires if a permit is not obtained within 180
Tbrivo:11.-7/
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name:��t CjI Date: a.....7 - i 9
I:\Building\Pamits\MEC_PemiltApp_040113.doc 440-4617T(I1/02/COM/WEB)