Permit CITY OF TIGARD MECHANICAL PERMIT
Permit#: MEC2020-00564
" 777 COMMUNITY DEVELOPMENT
T tGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 9(3/2020
Parcel: 2S103DA05700
Jurisdiction: Tigard
Site address: 10634 SW COOK LN
Project: Sholes Subdivision: FANTASY HILL Lot: 11
Project Description: To get inspection for work done w/o permit for bathroom conversion
Contractor: OWNER Owner: SHOLES, LANCE M & KRISTIN A
LANCE &KRISTIN SHOLES 106334 SW COOK LN
10634 SW COOK LN TIGARD, OR 97223
TIGARD, OR 97224
PHONE: 503-307-7577 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Gas Fireplace 09/03/2020 $33.39
Type of Use: SF Single Duct Exhaust(Bathrooms,Toilet, 09/03/2020 $23.32
Class of Work: ALT Type of Const: Utility Rooms)
Occupancy Grp: 12%State Surcharge-Mechanical 09/03/2020 $10.80
Stories: Minimum Fee Adjustment-Mechanical 09/03/2020 $33.29
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 : - set forth in OAR 952-001-0010through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 50• .2.1987 or 1.800.332.2344. t�J
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Issued By:
Permittee Signature: c// CLC�r-ricmf
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Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
T ' 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.