Permit Support Document (42) CITY OF TIGARD - ) MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2019-00111
;1 It 17 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Date Issued: 02/25/2019
Parcel: 1 S 134BC00700
Jurisdiction: Tigard
Site address: 11020 SW SUMMER LAKE DR
Project: Law Subdivision: 1993-058 PARTITION PLAT Lot: 1
Project Description: Install gas furnace. 3/5/19: REPRINT to change address.
Contractor: FOUR SEASONS HEATING&A/C INC. Owner: HA&R, LLC
1005 INDUSTRIAL PARKWAY ATTN:TAMMY HOUSE
NEWBERG, OR 97132 12655 SW NORTH DAKOTA ST
TIGARD, OR 97223
PHONE: 503-538-1950 PHONE:
FAX: 503-538-0165
FEES
Specifics: Description Date Amount
Furnaces<100K BTU 02/25/2019 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 02/25/2019 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 02/25/2019 $43.25
Occupancy Grp: Misc Administration Fee 03/05/2019 $45.00
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressure:
Total $145.80
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: Permittee Signature: it
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.
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11020 SW SUMMER LAKE DR, TIGARD, March 11 , 2019 at
OR, 97223 10:08:25 AM
Record Type: Record ID:
Residential - Mechanical MEC2019-00111
Inspection Type: Inspector:
699 Mechanical final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Installed using minor label ELS699897
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12655 SW NORTH DAKOTA ST, TIGARD, March 4, 2019 at 10:40:41 AM
OR, 97223
Record Type: Record ID:
Residential - Mechanical MEC2019-00111
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
FA I L
Comments:
Provide correct commercial mechanical permit.
Address 12655 SW North Dakota is commercial office site.
Violation Summary:
Inspector Contractor