Permit Support Document CITY OF TIGARD MECHANICAL PERMIT
' l ' COMMUNITY DEVELOPMENT #.'; ( Permit#: MEC2020-00699
i �,�/q Date Issued: 11/2/2020
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 1f 4) Rd',V parcel: 1S134D613300
Jurisdiction: Tigard
Site address: 11134 SW 114TH PL
Project: 2759 Subdivision: BRIGHTWOOD SUBDIVISION Lot: 5
Project Description: add A/C. 11/19/2020: REPRINT permit to correct scope of work to"Line set only -NC unit not installed at this
time." Mechanical permit to install NC to be obtained at a later date.
Contractor: STONE BRIDGE HOMES NW LLC Owner: STONE BRIDGE HOMES NW
4230 GALEWOOD STREET#100 4230 GALEWOOD ST. SUITE 100
LAKE OSWEGO, OR 97035 LAKE OSWEGO, 97035
PHONE: 503-387-7577 PHONE: 503-387-7577
FAX: 503-387-7615
FEES
Specifics: Description Date Amount
Air Conditioning 11/02/2020 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 11/02/2020 $10.80
Class of Work: NEW Type of Const: Minimum Fee Adjustment-Mechanical 11/02/2020 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
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 questions to OUNC by
calling 503.232.1987 or 1.800.332.2344. / �v A2' /
Issued By: � Permittee Signature: 0 N 6` Z- C- q 7i0A
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.
Dianna Ornelas
From: Doug Webb <doug@stonebridgehomesnw.com>
Sent: Thursday, November 19, 2020 2:16 PM
To: #Building Permit Technicians; Blake Agate
Subject: 11134 114th pl. permit#MST2020-00209
Caution!This message was sent from outside your organization.
Please change electrical permit for ac to be pre-wire only
Please change mechanical permit for ac to be line set only
Thank you.
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