Permit -- CITY OF TIGARD MECHANICAL PERMIT
t COMMUNITY DEVELOPMENT Permit #: MEC2009 -00622
Date Issued: 11/20/2009
TIGARD; 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1S134CB09800
Jurisdiction: Tigard
Site address: 11170 SW 123RD PL
Subdivision: ANTON PARK Lot: 60
Project: Parsons
Project Description: Replace gas furnace.
Owner: FEES
PARSONS, JUDITH P Description Date Amount
11170 SW 123RD PLACE Furnaces < 100K BTU 11/20/2009 $46.75
TIGARD, OR 97223 12% State Surcharge - Mechanical 11/20/2009 $10.80
PHONE: 503 - 590 -6828 Minimum Fee Adjustment - Mechanical 11/20/2009 $43.25
Contractor:
WATTS HEATING & COOLING INC
580 PORTLAND AVE.
GLADSTONE, OR 97027
PHONE: 503 - 786 -2858
FAX: 503 - 786 -2807
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: G ��L'' y�� _. Permittee Signature: a/v ' /' L•/ (9 %7Oe.l /
Call 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.
' •
FROM : WATTS HEATING & COOLING INC. FAX NO. : 5037862807 Nov. 20 2009 10:24AM P1
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