Permit Support Document (19) ,11
CITY OF TIGARDr s` MECHANICAL PERMIT
I COMMUNITY DEVELOPMENTJo,'`.®„:, 4., Permit#: MEC2016 00868
Tt GRD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.243911. Date Issued: 12/29/2016
A.
Parcel: 2S112CB03500
Jurisdiction: Tigard
Site address: 8414 SW ASHFORD ST
Project: Lenz Constr/104122 Subdivision: ASHFORD OAKS NO.2 Lot: 49
Project Description: gas line to range. 2/6/17:REPRINTED permit to include venting for(1)range hood.
Contractor: ROTH HEATING&COOLING Owner: KELLY, JANICE J
PO BOX 1265 8414 SW ASHFORD ST
CANBY, OR 97013 TIGARD, OR 97224
PHONE: 503-266-1249 PHONE:
FAX: 503-266-3478
FEES
Specifics: Description Date Amount
Mechanical Permit-RES 12/29/2016 $90.00
Type of Use: SF Misc Administration Fee 02/06/2017 $45.00
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 12/29/2016 $10.80
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressure:
Total $145.80
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 OUNC by calling 503.232.1987 or 1.800.332.2344.
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.
CITY OF TIGARD MECHANICAL PERMIT
rim COMMUNITY DEVELOPMENT Permit#: MEC2016-00868
T
IC.;A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/29/2016
Parcel: 2S112CB03500
Jurisdiction: Tigard
She address: 8414 SW ASHFORD ST
Project: Lenz Constr/104122 Subdivision: ASHFORD OAKS N0,2 Lot: 49
Project Description: gas line to range
Contractor: ROTH HEATING&COOLING Owner: KELLY,JANICE J
PO BOX 1265 8414 SW ASHFORD ST
CANBY,OR 97013 TIGARD,OR 97224
PHONE: 503-266-1249 PHONE:
FAX: 503-266-3478
FEES
Specifics: Description Date Amount
Fuel Piping 12/29/2016 $14.15
Type of Use: SF 12%State Surcharge-Mechanical 12/29/2016 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 12/29/2016 $75.85
Occupancy Grp:
Stories: dw ( W--` ryl ,
Fuel 46.— ftAS
Fuel Types: Natural Gas �^
Gas Pressure: +- P IYLL�/.r I ' C # r "o--
s)zyr, 411-1.4"11464-415
Total $100.80
Required items and Reports(Conditions)
(2alfhaL
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 OUNC by calling 503.232.1987 or 1.800.332,2344.
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.