Permit CITY OF TIGARD MECHANICAL PERMIT
111 COMMUNITY DEVELOPMENT Permit#: MEC2022-00065
Date Issued: 1/27/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2 27/202 05300
O- Br Jurisdiction: Tigard
Site address: 14856 SW 106TH AVE
Project: Baumgartner Subdivision: LANG HILL NO.2 Lot: 46
Project Description: Gas Fireplace to Existing Gas. 2/8/22: REPRINTED permit to include(1)flue vent for fireplace and(1)fireplace
gas piping.
Contractor: HOME FIRE STOVE Owner: BAUMGARTNER, KEITH
1695 MARKET ST NE 14856 SW 106TH AVE
SALEM, OR 97301-1370 TIGARD, OR 97224
PHONE: 503-364-6339 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Gas Fireplace 01/27/2022 $33.39
Type of Use: SF Flue Vent for Water Heater or Gas 01/27/2022 $23.32
Class of Work: ALT Type of Const: Fireplace
Occupancy Grp: Fuel Piping 01/27/2022 $14.15
Stories: 12%State Surcharge-Mechanical 01/27/2022 $10.80
Minimum Fee Adjustment-Mechanical 01/27/2022 $19.14
Fuel
Fuel Types: Natural Gas
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 offsthe rules
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Issued By:
Permittee Signature: � v
/ A-
Calll550T3✓..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.