Permit (42) CITY OF TIGARD MECHANICAL PERMIT
11 COMMUNITY DEVELOPMENT Permit#: MEC2017-00208
Date Issued: 03/23/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 13/2 3DC04500
Jurisdiction: Tigard
Site address: 11560 SW 133RD PL
Project: Vincent Subdivision: BRITTANY SQUARE NO.1 Lot: 3
Project Description: Install DHP
Contractor: THE HEAT PUMP STORE Owner: VINCENT, MADELEINE
11933 NE SUMNER ST 11560 SW 133RD PL
PORTLAND, OR 97220 TIGARD, OR 97223
PHONE: 503-253-4084 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Heat Pump 03/23/2017 $61.06
Type of Use: SF 12%State Surcharge-Mechanical 03/23/2017 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 03/23/2017 $28.94
Occupancy Grp:
Stories:
Fuel
Fuel Types: Electricity
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: 0.6 1) !S CJ Q Permittee Signature: !) L—/o6j
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.