Permit CITY OF TIGARD MECHANICAL PERMIT
:'_ ! = COMMUNITY DEVELOPMENT Pe
COMMUNITY MEC2009 -00442
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/21/2009
Parcel: 1 S 133AD07600
Jurisdiction: Tigard
Site address: 10785 SW SUMMER LAKE DR
Subdivision: Lot: 0
Project: Rivera
Project Description: Replace existing furnace.
Owner: FEES
RIVERA, ENID Y Description Date Amount
10785 SW SUMMER LAKE DR Furnaces < 100K BTU 08/21/2009 $14.00
TIGARD, OR 97223
12% State Surcharge - Mechanical 08/21/2009 $8.70
PHONE: 503 - 866 -7206 Minimum Fee Adjustment - Mechanical 08/21/2009 $58.50
Contractor:
MECHANICAL INC
PO BOX 19569
PORTLAND, OR 97280
PHONE: 503 -244 -1730
FAX: 503 - 245 -7613
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
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: "Amy . if — Perrnittee Signature: 6/1/' #70,0 ,0 G / d■/ /
Call 503.639.4175 by 7:00 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.
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RECEIVED
AUG 21 2009 ;j'r
CITY OF TIGARD
BUILDING DIVISION
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