Permit CITY OF TIGARD MECHANICAL PERMIT
1114
COMMUNITY DEVELOPMENT Permit#: MEC2022-01146
Date Issued: 12/13/2022
T I G ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S112CB08100
Jurisdiction: Tigard
Site address: 15041 SW KENTON DR
Project: Warren Subdivision: ASHFORD OAKS NO.2 Lot: 95
Project Description: Gas line for Range and hood
Contractor: NORTHLAND DESIGN& BUILD Owner: WARREN, STEVEN C FAMILY TRUST
20000 SW CAPPOEN RD WARREN,JANETH A FAMILY TRUST
SHERWOOD, OR 97140 15041 SW KENTON DR
TIGARD, OR 97224
PHONE: 503-380-6251 PHONE:
FAX: 503-625-4838
FEES
Specifics: Description Date Amount
Range Hood/Other Kitchen 12/13/2022 $33.39
Type of Use: SF Fuel Piping 12/13/2022 $14.15
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 12/13/2022 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 12/13/2022 $42.46
Stories:
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 of the rules
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.