Permit 111 CITY OF TIGARD MECHANICAL PERMIT
a COMMUNITY DEVELOPMENT Permit#: MEC2021-00182
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 3/24/2021
T f tJ A R T� 9 Parcel: 2S111CA11900
Jurisdiction: Tigard
Site address: 10890 SW GARDEN PARK PL B
Project: MOREJON/197209 Subdivision: SATTLER PARK Lot: 4
Project Description: install 1 head mini split system
Contractor: ROTH HEATING &COOLING Owner: MOREJON,TANIA R
PO BOX 1265 10890 SW GARDEN PARK PL APT B
CANBY, OR 97013 TIGARD, OR 97223
PHONE: 503-266-1249 PHONE:
FAX: 503-266-3478
FEES
Specifics: Description Date Amount
Misc Administration Fee 03/24/2021 $45.00
Type of Use: SF Heat Pump 03/24/2021 $61.06
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 03/24/2021 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 03/24/2021 $28.94
Stories:
Fuel
Fuel Types: Electricity
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 ¢s 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 calli g,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.