Permit rt CITY OF TIGARD MECHANICAL PERMIT
1111 2 ...- COMMUNITY DEVELOPMENT Permit ft: MEC2009 -00415
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/12/2009
Parcel: 1 S134BD08200
Jurisdiction: Tigard
Site address: 11618 SW PENN CT
Subdivision: Lot: 0
Project: Well
Project Description: Installation of NC. Unit must meet 3' minimum rear and side yard setbacks.
Owner: FEES
WELL, LARRY Description Date Amount
11618 SW PENN CT Air Conditioning or Heat Pump 08/12/2009 $14.00
TIGARD, OR 97223 12% State Surcharge - Mechanical 08/12/2009 $8.70
PHONE: 503 - 524 -2062 Minimum Fee Adjustment - Mechanical 08/12/2009 $58.50
Contractor:
D & R HEATING & AIR CONDITIONING
PO BOX 1292
CANBY, OR 97013
PHONE: 503- 678 -2517
FAX: 503 -678 -2097
Type of Use: SF •
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue: •
Total $81.20
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: Permittee Signature: ell
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.
Aug 10 08 11:45a DR Heating 503-678-2087 p.1
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Aug 10 09 11:45a DR Heating 503 -678 -2097 p.3
HEATING &AIR PO. Box 1292•Canby,OR97013
mg CONDITIONING (S03) 67 &2517 • •Fax (503) 678 -2097
www.drheating.com
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