Permit n CITY OF TIGARD MECHANICAL PERMIT
I II - I COMMUNITY DEVELOPMENT Permit #: MEC2010 -00460
Date Issued: 09/22/2010
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S103ACO3800
Jurisdiction: Tigard
Site address: 12556 SW 114TH TER
Subdivision: WALNUT GROVE Lot: 7
Project: Yesilada
Project Description: Install gas stove and gas line.
Owner: FEES
YESILADA, BIROL Description Date Amount
12556 SW 114TH TERR Gas Fireplace 09/22/2010 $33.39
TIGARD, OR 97223 Chimney /Liner /FlueNent 09/22/2010 $33.39
PHONE: Fuel Piping 09/22/2010 $14.15
12% State Surcharge - Mechanical 09/22/2010 $10.80
Contractor: Minimum Fee Adjustment - Mechanical 09/22/2010 $9.07
PETRA HEATING & AIR CONDITIONING
465 NE 181ST, #472
PORTLAND, OR 97230
PHONE: 503 - 253 -3263
FAX: 503 - 253 -3261
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressue:
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. /
Issued By: Permittee Signature: �,L / 27O �/ ■
Cali 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
09/21/2010 15:10 5036269138 HOT SPOT FIREPLACE PAGE 01/02
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