Permit CITY OF TIGARD MECHANICAL PERMIT
`` COMMUNITY DEVELOPMENT Permit#: MEC2013-00608
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/14/2013
Parcel: 25110DD90021
Jurisdiction: Tigard
Site address: 10980 SW MEADOWBROOK DR 2
Project: Lange Subdivision:SUMMERFIELD BROOKSIDE CONDO Lot: 2
Project Description: Installation of heat pump,placement of unit must comply with manufacturer's clearance requirements
Contractor: FOUR SEASONS HEATING&A/C INC. Owner: LANGE, CONRAD PHILLIP&
1005 INDUSTRIAL PARKWAY LANGE, LEOLA P
NEWBERG, OR 97132 10980 SW MEADOWBROOK DR#2
TIGARD,OR 97224
PHONE: 503-538-1950 PHONE: 503-639-9298
FAX: 503-538-0165
FEES
Specifics: Description Date Amount
Heat Pump 10/14/2013 $61.06
Type of Use: SF 12%State Surcharge-Mechanical 10/14/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 10/14/2013 $28.94
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 ■ ..+ . .-nter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or ect questions to O by - ' g 503.232.1987 or 1.800.332.2344.
Is ued By: I /J Permittee Sign.
Call 503.639.4175 by 7:00 a.m.for the next available ins•: ion 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.
FRON1:Four Seasons Heating T0:5O35O81Q6O1O/11/201314:47:5Q #13184P003/0O2
City of Tigard ,!'. - -,/(11 LA - ---
. . Plan Review
Ihne Ready/By. tuna la See Page 2 for
Internet: www.tigard-orgov Di 1 ti i)‘- - -,, Notified/Method: Supplemental Information
- ' TYPE OF WOILW'--!'71,1.) COMMERCIAL FEW* SCHE,DuLE- tisE aucciany
----- -ae-chanical permit foss°am based on the value attic wo'rk-- -
0 NOW construction yirAddillonialterationireplaccmcM. performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials.equipment,labor,overhe4 and profit,
VI I-and 2-family dwelling 0 CommcreiaWindustrial 0 Accessory building For gredal kfonstation we checklist
0 multi-family 0 Master builder 0 Other: 13mteription Qty. lia. Total
Cross street/directions to job site: I lydrunic hot water system
_Flue/vent for any of above 23.32 ._
Tax map/parcel no.:
- log lighter(gas) 23.32
Wood fireplacefinsen 23.32
Chimney/liner/flue/vent 23,32
PROPERTY OWNER __E 0 TENANT
AAPP11.1(:ANT p CONTACT PERSON Other . -- 2332
fluid[MSS Mine:
.. .- -Fat/r Season-s-Heati-ng S14.15 for first fociritlkfor each madtdoisal
Contact mune:
Addrsts.s: 1005 Industrial Pkwy _
_Fireplace _
CONTRACTOR -, _
Clothes drys-Sato)
13usiness name: Four Seasons Heating Other:
- -- Plan review(25%of permit fee)
...e.1.1,...()A.-i)Lkl—/L12(_,) days after it bar Wee acceverd es complete. p
Authorized signature: • Faa mailuatnlogy set by Tri-County Building Industry tiarvica Hoard
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DATE: 10 - 1 1 -- TIME:
TO: City of Tigard
ATTN: Permits
RE: Please issue and fax copy of Permit as soon as possible.
NUMBER OF PAGES (including cover): ,
FROM: Four Seasons Heating & Air Conditioning
1005 Industrial Parkway
Newberg., OR 97132
Phone: 503-538-1950
Fax: 503-538-0165
Sent By: Deborah
E-Mail: deborah@fourseasonsheataincom