Permit t '� 7 7f , : - CITY OF TIGARD MECHANICAL PERMIT
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_ � t Permit #: MEC2010 00163
c COMMUNITY DEVELOPMENT
{ 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/13/2010
T1CrARD 9 Parcel: 2S 111 AA03300
Jurisdiction: Tigard
Site address: 8635 SW GREENSWARD LN
Subdivision: GREENSWARD PARK Lot: 5
Project: Sellers
Project Description: Heat pump and air handler Must meet 3' minimum rear and side yard setback
Owner: FEES
SELLERS, KENNETH STANLEY Description Date Amount
8630 SW SCHOLLS FERRY RD #317 Furnaces < 100K BTU 04/13/2010 $46.75
BEAVERTON, OR 97008 Heat Pump 04/13/2010 $61.06
PHONE: 12% State Surcharge - Mechanical 04/13/2010 $12.94
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:
Gas Pressue:
Total $120.75
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: J I L L " _t/ p dr Permittee Signature: Int j /J f (f li e Tu -�
CaII 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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Ciwstaterap: Portland, OR 97201 . I : r ~��
(503)234.7331 Fax: (503)848 -9]08 .. Ids.
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04/12/2010 13:54 5038089108 JACOBS HEATING PAGE 01/01
7 L\f S S (4 I a-1r -I(
ple0.S
,•' CEVED
SITE PLAN
APR 1 2 2010
CITY OF TIGARD --
BUILDING DIVISION
Ai
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DIRECTION
HOUSE
RONT
J0b Name
Address /5 . . Ad Ai
Make C
JACOBS HEATING & AC
4474 RP Milwauloe Ave.
Portland, OR 97202
(SQ3) 234 -7331
(503) 813 -9257 fax