Permit �ra C ITY OF TIGARD MECHANICAL PERMIT
'' ; 2 '.':. COMMUNITY DEVELOPMENT Permit #: MEC2009 -00668
T t G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 12/15/2009
Parcel: 2S114BA09700
Jurisdiction: Tigard
Site address: 16445 SW MEADOWOOD WAY
Subdivision: COPPER CREEK NO. 2 Lot: 50
Project: Pietila
Project Description: Replace gas furnace.
Owner: FEES
PIETILA, LINDA L Description Date Amount
16445 SW MEADOWWOOD WAY
TIGARD, OR 97224 Furnaces < 100K BTU 12/15/2009 $46.75
12% State Surcharge - Mechanical 12/15/2009 $10.80
PHONE: Minimum Fee Adjustment - Mechanical 12/15/2009 $43.25
Contractor:
JACOBS HEATING & AIR CONDITIONING
4474 SE MILWAUKIE
PORTLAND, OR 97202
PHONE: 503 - 234 -7331
FAX: 503 - 808 -9108
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressue:
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 -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: H (scl A (IQ I 119 Permittee Signature: ‘.. I , 4p
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.