Permit Support Document CITY OF TIGARD MECHANICAL PERMIT
' NI COMMUNITY DEVELOPMENT Permit#: MEC2020-00067
T1GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/30/2020
Parcel: 1 S125DD09800
Jurisdiction: Tigard
Site address: 9610 SW VENTURA CT
Project: Gas line install Subdivision:JASHINGTON SQUARE ESTATES NO. Lot: 106
Project Description: (1)Gas line is located in living room firebox on main level of home,and(1)gas line installed but capped for future
use line ran to upper level firebox. Installation of gas fireplace to be completed under separate permit. 2/4/2020:
REPRINT permit to clarify description of work.
Contractor: AG TEX MECHANICAL LLC Owner: MOEN-ARNOLD, BENJAMIN MATTHEW
16612 S APPERSON BLVD MOEN, MICHELLE DUBOISE
OREGON CITY, OR 97045 CLARK, DENNIS STANLEY ET AL
9610 SW VENTURA CT
TIGARD, OR 97223
PHONE: 971-254-5015 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Fuel Piping 01/30/2020 $14.15
Type of Use: SF Minimum Fee Adjustment-Mechanical 01/30/2020 $75.85
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 01/30/2020 $10.80
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�?UNC bb�yy`cacalling 503.232.1987 or 1.800.332.2344.
Issued By: : �/ Permittee Signature: e,A1 ,,,y
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.