Permit v CITY OF TIGARD MECHANICAL PERMIT
1111 2 - .• COMMUNITY DEVELOPMENT Permit #: MEC2012 -00253
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/16/2012
Parcel: 2S104CD04900
Jurisdiction: Tigard
Site address: 13807 SW HILLSHIRE DR
Project: Leavitt Subdivision: HILLSHIRE ESTATES Lot: 49
Project Description: Flue vent for new water heater and gas line extension.
Contractor: COLUMBIA CONTRACTING SERVICES INC Owner: LEAVITT, THEODORE D & CAROLYN J
38197 SE HUDSON 13807 SW HILLSHIRE DR
SANDY, OR 97055 TIGARD, OR 97223
PHONE: 503 - 225 -0774 PHONE: 503 -488 -5611
FAX: 503 - 668 -3701
FEES
Specifics: Description Date Amount
Flue Vent for Water Heater or Gas 05/16/2012 $23.32
Type of Use: SF Fireplace
•
Class of Work: ALT Type of Const: Fuel Piping 05/16/2012 $14.15
Occupancy Grp: 12% State Surcharge - Mechanical 05/16/2012 $10.80
Stories: Minimum Fee Adjustment - Mechanical 05/16/2012 $52.53
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
or direct . • -s io o OUNC by calling 503.232.1987 or 1.800.332.2344.
„n tes<._
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.
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