Permit CITY OF TIGARD MECHANICAL PERMIT
• COMMUNITY DEVELOPMENT Permit #: MEC2012 -00378
T t C} ART) 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date issued: 07/18/2012
Parcel: 2S114BB11600
Jurisdiction: Tigard
Site address: 10449 SW KERI CT
Project: Parr Subdivision: SWANSON'S GLEN Lot: 57
Project Description: (1) A/C Must be within 5' side yard setback and approved rear yard setback
Contractor: FOUR SEASONS HEATING & NC INC. Owner: SILL, DAVID
1005 INDUSTRIAL PARKWAY 3892 NW CRAIG DR
NEWBERG, OR 97132 BEAVERTON, OR 97006
PHONE: 503 - 538 -1950 PHONE: 503 - 702 -8989
FAX: 503 - 538 -0165
FEES
Specifics: Description Date Amount
Air Conditioning 07/18/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 07/18/2012 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 07/18/2012 $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. /�
Issued By: O Permittee Signature: OA A PP C �. -A-Ti 7l.1.
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.
07/17/2012 14:44 FAX 5035380165 a002/004
. ;Macke mi 'l Permit p ithea '
. - City of Tigard M CI V C y - ' Primo ha-0031
13125 SW Hall Blvd, Tigard, OR ram 1 i i '' a 0
Row
•
503.639A171 Fax 59&1960 JUL 17 2012 Other �. •:
. Inspection Line 63 6! Ses Par 2 tor
_ CITYOFTIGARD -
T+� OF. w ILi:1li�G. TINISI® • . QAL �• .. : r
❑ New construction �Addltlon/alte onireplacement Mechanical permit ins' are based ea Om value of the weak
pfd. Indicate the value (rounded to the nest dollar) off all
[] 17ciuol'ition ❑ p
meeltaaieal inadiata, egaipeaemt. Tabor, overhead, and vend!
ma :ataxy Oo• .0 rRucnnoN . value: S •
end 2- fhanil dare! ''
.. - Y ling 0 Comm•rcial/iindustrial ❑ Accessary b uilding
O Multi-family ❑ Master builder ❑ Other F °n/ °'�""m°au see �octttae
_ Dtrsuiptioa (Qty. I Ea I Total
• JOB SITE IIYF .00A11OPl laBitil AND f Beating/maw
-
Job Site adder: (01-190( 5( ILeI 0.- , _ Air condition's/3
(re9 i she o pbm mawpbraement) l T 46.75 I
City/Stat&z1P: cyg zz Fumaee 100,000 BTU (deotstveas) 46.75
Suite/Ws/apt. no.: Project onyx T `°" lOG + BTU t rvwm) 54.91
v ! Heat !lump 61.06
Crass eeeet/diRcdons to job site: Duct work 2332
Hydro* hot water systerrt 2332
Residential boiler (radiator or
hydeoatic) 23.32
Unit heaters (fuel-type, not electric),
is -well, in-duet, suspended. etc. , . 46.75
Sbbdivi�n: , Flue/veal Su aux of above 23.32
Lot no.:
Other. 23.32
Ti a map/pmoel no.. Other Bred sagteaees
ppp Op : Wrier heater 23.32
fireplace eplace 33.39
Pi r C >+i 0, Flue vent for water heater or as
Cpl 23.32
- liklder.(101s) 23.32
Woodtpdiet =VC 3339
Wood fireplimermsert 23.32
•
• • Chimnevniaermuelvms 23.3
. 1St reorurrY mom • : (- - fl.nriatfr Ong: 23.32
Name: ppm el Si _ I I . itnvirosmentel iodinate and v tbm
Address: 31(9 140 C i P' �hood/other »an
enurement 3339
CAYState#231' -�7 �7G S 3339
Plasm S Z D 1 ;- Wet , utility rooms) 23.32 ,,
Q ra>C c
AnVuawlm= fins 2132
Other 23.32
Business acted°. Feel u
Contact name FOUR + � ' MAMMA $14.15 for That bur; $4.03 fbr each additt�al
Addroug AND AIR CONDM NING, iNC.
Gas heat raw
City/State/ZIP: Wallleasocededluaitbeatrr
i i • , • v - r•1 • 1 Weser healer
r ►�_ - , •R 97132 •
E-mail:
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Address: dd IN G, INC MECHANIC-AL PERMIT F»• • •
0 INDUSTRIAL PKWY
Subtotal
clly/sitmerilP: � � � review .
Minimize permit the ($90.00)
Finn ( 2596 of permit fbe)
lie.: • ! State (12% of permit fce
TOTAL PERMIT FE
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07/17/2012 14:44 FAX 5035380165 17/003/004
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07/17/2012 14:44 FAX 5035380165 R1001/004
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FAX
DATE: 7L1 TIME: 3c) P
TO: C :5 • eYE --
ATTN:
RE:
NUMBER OF PAGES (including cover):
FROM: Four Seasons Heating and Air Condidoning
1005 Industrial Pkwy
Newberg, OR 97132
Phone: 503-538-1950
Fax: 503-538-0165 -A
Sent By: raJti
ettotyte__, @fourseasonsheatair.com
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