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Permit , , CITY OF TIGARD MECHANICAL PERMIT ` • . COMMUNITY DEVELOPMENT Permit #: MEC2011 -00597 Date Issued: 12/21/2011 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S101A601605 Jurisdiction: Tigard Site address: 7460 SW HERMOSO WAY Project: Rovig Subdivision: HERMOSO PARK Lot: 10 Project Description: Install 2 head ductless heat -pump. Placement of unit must maintain 5' side and rear yard setbacks. Contractor: FOUR SEASONS HEATING & A/C INC. Owner: ROVIG, CAROLE A 1005 INDUSTRIAL PARKWAY 7460 SW HERMOSO WAY NEWBERG, OR 97132 TIGARD, OR 97223 PHONE: 503 - 538 -1950 PHONE: 503 - 620 -5746 FAX: 503 - 538 -0165 FEES Specifics: Description Date Amount Heat Pump 12/21/2011 $61.06 Type of Use: SF 12% State Surcharge - Mechanical 12/21/2011 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 12/21/2011 $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 : 'cation e -r. Those rules are set forth in OAR 952 -001 -0010 through OAR 952- 001 -0090. You may obtain a copy of the rules or di -ct questions to OU • b calling 503.232.1987 or 1.800.332.2344. ` / Is-ued By: , /i -4 //� f' Permittee Si• nature:• l/ .4 P/( / _ e v.�._� !ii /is /II 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. 12/21/2011 11:41 FAX 5035380165 2002/003 Mechanical Permit AuDIjcation -‘�� i r f i s U tH H. t.[ 1.1.. U 1\ 1 t III City of Tigard C c \ ' :Ifif t m : , i3175 5W Hall filvd., Tigard, Olt ' s�: � Pharr } - ine: R i Pax 543_ ;. L►1 1 `�` �Q Other YmII -: hnapeatlon Lint 50i3.639.4t75 „C ` D� inteRrrx - r - p v O 6 , Noti5W a; New construction ddition/altermion/re Mechanical permit fees' are based on the value of the welt 0 Demolition Other: madsials, (rounded all t, labor overhead, pa , ,:fi`l - Value_ 5 �nsit dwehin Cu IDiN 11AL. UwMEN r / .El , ?, ,_ 1 -and 2 - Y li © 0 Awry building F ia tlan use cleec/dL .. ❑ Multi-family ❑ Master builder 0 Other: Qty- I Ea Total r .JOB B .. . 0 ice : f ' TI » uuatiag/coelluR Job site address: 1 20 5 . ) _ . 1 • Arm � aa►a�) - 26 _7 5 City/State/ZIP: Furnace 100,000 mu (ducts/varrm) 46.75 CR Furnace 100,000+137J (ducts/vete& . 34.91 Suite/Mg /apt. no.: �Projectname 61.06 Heat Pento -- Cross stir to job site: Duct work 23.32 Hydronie hot water system 23.32 Residential boiler (radiator or . hydmoic) 23.32 T -- [fait headers (feel -type, not electric), is -welt. in'4uet, suspended, etc. 46.75 Sabdivisicn: Lot no.: FluNyent far any of above 2332 Other: 2332 Tait maptparcel no Otteer fad appliauees . . y . water heater 2332 Gas firoplaco 33.39 2 _ 4 , 2--.! 10 U _, L ■ e V it Fihae.Oe►t for water heater or gas ._. fireplace _ 23.32 _ • Lee lip (as) 23.32 _ Wood/pelletstove 3339_ Wood fireplace/insert 23.32 !.....,, •-. : '; ;:71 Ovi1b113*„..., :', ". ",:?:.::.::' r ::,'.:- , '`' -.,..,.y . - /BueiVmtt otho, H� Name: l -4 )(Olt, K—t ) avervnwmtrl exhaust and ventilation 23 �,� y ,,,,,, c� r � �,� � 1 Range hood/calra kitchen — Address. Li ` b std ' 1 ` . .4 ,1050 (I. 1 e4Mienent 33.39 Gify/Staba/ZLP: -0- (. or( ci� ZZ 3 _ J Clothes dryer Cadlacwt 3339 Singla-duct a (bathrooms, Phone. 50 r .. 5-7 d Part: ( ) toilet oboormtt eenta. utille rooms) 2332 ti r i0; ' ; 3Stagopt AnicktawISPaCe fans 2332 Buainess name: ��p�� Other: 23.32 _. _ FOU SEASONS a •^ IN ^ Fuel piping Comact name - L 514.15 for first fea $4.03 for each additional , Ate: AND AIR CONDITIONING, INC. Furnace. etc. Gas heat pump citYIState": 10051NDUSTRiAL PKWY Widlisurpertdelluolt healer - - Fhoee: ( ) -- NEWPI O I 82 ) Water heater E-mail: • Business name: FOUR SEASONS H - - . (s1 . Address: /AND AIR CONDITIONING INC. Other ND :. ' " City/staterl lP: a , . ■ la . x,11: _ " :t ■ ! Minion= permit fee S (S59 0 b 00 Phone: ( ) r . M t Plan review 5% of • . it fie) CCB lic.: 'IV = ' - State surehaige (12% of permit fee TOTAL PERMIT FE ' 111/ . • t! a . / r i g , permit appilegiaa =pine if r w a g 8 oat obtained within 180 Authorized signature: i / Ai ii hit _ . dap attar it hot tea nominal as tampteae Print ounat r i f t •• . � Date: .J� • Fee r im Th y eat by Oeuedy addicts industry Biro . alt .r . INItaldweranatOSIEC.ParadtApp.oec 10•01 /09 us.astrr uazrcasewes) 12/21/2011 13:46 FAX 5035380165 Z001/001 '' `14 "Imil .c41,. x: .ra^ ova ado 4V P1 us 1 r v ■ run- 1 nova rc* • Wit... V . O C . Nit•INt. S . iN a v r , • a 9,J , w ' rp. Cli'lZ...:5 • Ammimmommoommimmommmo i ' , . . . . . i , 5 _ 4 , . DI . E g . 1 i ' • 1 . • • ...• . . N