Permit _ S
CITY OF TIGARD MECHANICAL PERMIT
I : COMMUNITY DEVELOPMENT Permit #: MEC2009 -00206
T t GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/12/2009
Parcel: 1 S133CD07800
Jurisdiction: Tigard
Site address: 11877 SW MORNING HILL DR
Subdivision: Lot: 0
Project: Jones
Project Description: Alter a /c.
Owner: FEES
JONES, STEWART G & KRISTIN R Description Date Amount
11877 SW MORNING HILL DR Air Conditioning or Heat Pump 05/12/2009 $14.00
TIGARD, OR 97223 12% State Surcharge - Mechanical 05/12/2009 $8.70
PHONE: Minimum Fee Adjustment - Mechanical 05/12/2009 $58.50
Contractor:
CLACKAMAS HEATING & COOLING LLC
15115 SE PENNY LEE CT.
CLACKAMAS, OR 97015
PHONE: 503- 658 -4808
FAX: 888-500 -2912
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
Issued By: )f l X Permittee Signature: Sf2i2401i C
Call 503.639.4175 by 7:09 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.
May 08 09 12:34p Clackamas Heating &Cooling 18885002912 p.1
Mechanical Permit AppliC9 . , ' "`; "t f ' ` t .1 `' • 1
City of Tigard 171 F ! V ED o axivo 5 8 ' r • . t rro : ♦ , (50 , 9 • .
13125 SW Hall Blvd., Tigard, OR ' Yt lKet)leviea Other Permit
t . now 503.639.4171 Fax 503.5 Ay 0 8 2009
Datethy:
Inspection Luc 503.639_4175 Axle t adlJBr tall 19 See Paw 2 for
l CITY CF TIGARD y1. � ,( ���
' Mew permit' buss are based on dte value of the work
0 New fiction ID A tion/alteratianJteplacasent pafonnod, Indicate the value (modal to the nearest dollar) of all
materials, Wit, labor. overhead, and profit mechanical ❑ Demo � ❑ Yahrc S
® 1- and 2- fHooily dwelling p Commercial/industrial O Accessory building Far special information use eheallbt.
0 Mutt -fmmIy 0 Maw builder 0 Other. Des 1 Qty- l Ea. J Total
:.. : Heatia�feoo"R
► :.' : r t` 4::: : ;:. - ::, ,5' 1Z ' ,!'OCJ�7 ;' Air caahlioning or bed tip 1 14.OD 14.00
Job site address: 11877 d11ORNING HILL DR twins aGcplao showier td»)
Furnace 100,00015Th (tar to 14.0(1
CitylStaterLlP TIGARD. OR 97223 Cum= 100,000* BTU (6 ) 17.90
Suite/bldg./apt. no-: I Project mama Coss heat pump 14.00
Duct work 10.00
Cross to job Hydrpnic but water sysy® 14.00
Residential boiler (radiator or
h,dronic) 14.00
Unit beaus (fiat -type not electric),
m-wall, in-duct, suspended, eta 14.00
Fluchsnt for rosy of above 6.80
Subdivision: I Lot no.:
Other 10.00
Tax maldpanaill no- _Other Ind appliances
10.00
0� l
Gas fireplace A/C ADD-ON Fbre vent for water beater ragas
fireplace 10.00
Lon ball= (M) 10.00
Wood/pella stove 10.00
Wood ftrtpIaoelnsat 10.00
. 10.00
r 13,' '.', :: ':E other. 10,00
Nam: JONES, STUART EaviQOonaesdt ramie and ve Sou
" Range kitchen
Address: 1l87i` '4ORNING HILL DR 10.00
Clothes duet exhaust 10.00
City/StatelLlP TIGARD, OR 97223 Single-duct t (bathooms,
Phone: (503)5245591 Fax: ( ) toilet compartments, utility rooms) 620
A hxswispsoe fans 10.00
®e` ' • , J T ': 10.09
Other
Business same_ CLACKAMAS HEATING & COOLING LLC - Fed ltl
Contact name: VLADIMIR MH®ATS S5A9 for fast fuse; 51.99 for each additional
Funtsoe, etc.
Address: 15115 SE PENNY LEE CI. is beat pump
City/StatefL1P: CLACKAMAS, OR 97015 waivadod/unit beater
1 Fax : (1388)500 -2912 Water beater -
Phone: (503) b58 -4808 Firep6roe
E -mail: CHCLLC)COMCAST NET LBW • L _ Clothes diya (no)
Business semc CLACKAMAS HEATING & COOLING LLC
Address: 15115 SE PENNY LEE CT.
Subtotal 14.00
CitylStatdZiP: CLACKAMAS, OR 91015 Mir beam( fix (�40) 72.50
Phone: (503) 658 -4898 I Fax (M508-2912 Flan review (25% of permit fee)
CCB lic.:1656.i0 State surcharge (12% of permit fee) 8.70
TOTAL PERMIT FEE 81.20
Adith-vtc j� 'ilis t+eemitapp&atiwes�irm Gte prate i re eWi�ed� 18a
Authorized /' /y' days idler it Ins Was = epee6au+Pkse.
Print name: VLADIMIR MIKHATS ' Detc: 0S• 0 e' 02 J • Fee mrshadotaE y set tr/fri-Caatay Badding 1y Service Board
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