Permit Support Document IA '
CITY OF TIGARD MECHANICAL PERMIT
2 COMMUNITY DEVELOPMENT Permit#: MEC2020-00318
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/29/2020
Fir - Parcel: 2S110DC90011
Jurisdiction: Tigard
Site address: 15695 SW 114TH CT 2
Project: Rothenberger Subdivision:TAINS AT SUMMERFIELD CONDO-PH Lot: 1
Project Description: Install gas insert. 7/15/20: REPRINTED permit to correct address.
Contractor: FIRESIDE CONTRACTING SERVICES LLC Owner: CURTIS ROTHENBERGER
18389 SW BOONES FERRY RD 15695 SW 114TH CT
PORTLAND, OR 97224 GUILFOYLE, KATHRYN ELIZABETH TRS
15695 SW 114TH CT#1
TIGARD, OR 97224
PHONE: 503-684-8535 PHONE: 503-332-5169
FAX: 503-620-5699
FEES
Specifics: Description Date Amount
Gas Fireplace 05/29/2020 $33.39
Type of Use: SF 12%State Surcharge-Mechanical 05/29/2020 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 05/29/2020 $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 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: rzt_e_4„,y--,..-4/
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.