Permit ri p! CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00331
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/14/2011
Parcel: 2S111DA17500
Jurisdiction: Tigard
Site address: 8967 SW GREENING LN
Project: McKay Subdivision: Lot:
Project Description: Install new NC. Unit must meet 3' minimum rear and side yard setbacks.
Contractor: JACOBS HEATING & AIR CONDITIONING Owner: MCKAY, TIFFANY A
4474 SE MILWAUKIE 8967 SW GREENING LN
PORTLAND, OR 97202 TIGARD, OR 97224
PHONE: 503 - 234 -7331 . PHONE: 503 - 810 -6463
FAX: 503 - 808 -9108
FEES
Specifics: Description Date Amount
Air Conditioning 07/14/2011 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 07/14/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 07/14/2011 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
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 -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: 0A1 G l 7
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.
07/13/2011 10:35 5038139257 JACOBS HEATING PAGE 02/03
E RIE
Mechanical ��ir�ilt,� �tL`atliOlrA __ .,. i-t;nrr c':11 i.lt. =r, i..,} (.),, 1 . N _ : .
City of Tigard JUL .13 2011 '::' � • t K :frIce -20 //- -003 -3/
_ - one SW Ball Blvd, Tigard, OR 97223 Plea Review PC= • Phone: S43,639.417t FCC 503.598.1960 Dme/By Pernik
: ,, ; in an Line; 503.639.4175 CITY OF TIGA one 1 r• se2 Pap s r01'
Internet w1°w-tigard- or.gav BUILDING DIVISIO1,. i/!(. /!� supplansttal reformsoion
.'7T -L" __ r— , _ r. -.: 4
+!;#1 7 Lf...; ;: " ...._._ . ,,. .�'' ... .. ._ ::::;2,,,,, - f .S. •�,'1 5:iry.::,..ar� { 7 ,A. _ � ' r J:-... _ 1L --. ^ &` .' T :- 4" t': 6 r = • $c.- r: g!.1 :�:, WINIC
[I New construction ) # addition/alteration/replecernent l P e value based de t va of doijar
etk Indicate the slue mntaded m the nearest Solar) of all
ti ther mechanical . _ - . , . and • .6s.
0 Demolition D _ : • -
R ... r „ . ^r- qn : : _ =Y ' :
. ^ :i =' ;T� � >d ii : ra r ^w ::1 .it' -'; .4
... •f . ,.. .', a ;; • ,,.. -.- . „ - .r� 1 —'- Fr R '. r . _ �- — — - ::•G -1 �
"rtN�- L. :; - v .: r,a a �!, ;� -..L.!,,, it 2.2: , ,.._ •:.`... . � Js _M . ,�.; ..,4 ?i:__ a : c " _
IIh-/ • and 2- family dwelling ❑ Cammerria Pu dus'drial 0 Accessary building
r, � _N F - :. �r `
:: btlimn rtl eked:lest
D Mule- family D Masrcr builder 0 Other. Dtscr1110au Qty. Fa Total
7 — - 70—n' u,
' N I ` 3 +.- ) , .I.- 'J 5 .t - ..Tr c % ,•`�J; .,r . � ? ..r” fall 1. +
City/State/ZIP: 'l 0 A. • Furnace 11. ■ + + ETV deemlvead .111 46.75
` •F' mace 100 000+ BTU duets/woes 54 91
., 61.06 MOM
Cross stet ef/dit xtimts t job site: _1)uut Ductwork 2332
llydroaic hotwabe raxm 23.32
Residential boiler (rediamr ar
l ydronic) 23.3.2
Unit beaters (luucl -cyp� eat electric).
• in -mill In-du - ` etc. 46.75
SutidiviSidtl Lazo.: Flue/mot for : of above
— — Orber._ 23.32
fax map/pmcel uo,: Otitet tqd n, hums
77.4.7.4'47,'7,-:: = - t7- --:Z'. - , ; ' _. ''.5 - t7.- -1,: :, -- •T ` e, h 23,22
41 .
y '_...._. . ._r _ _ . . . — i l? ..- i — .. • r J I . - . . - .
; — . . � 1 1 1 A:lLitill :hsi-t • -e r
, , r L, Rat '
- (ins S nee 3339 •
` � ,� _
tie vent far wader huger m gat iirCpiIICC ns -vR IV l ( "...) - A-`C C'O tAt — e Y l � - 2532
• l - !, ter 2332
• WQod1pe>leteve III 33.39
, -- Wood Srettlabdmseri 23.32
- ,.. - ,--- Chimney/liner/flue/vent 23.32
1' - . - = = - ",' _ : . `.' t - . _ '2'.2;;:=- .. .r �_. . i.ra Olba- 23.32
Nero 1 dN\ , :. , t • •• ... .., • , wagon
Range hood/other kitchen
Address: _ 3334
Ci StnttFZIP: Ctottus d clam= 33.39
Single- duet =haast(badvgams,
Plume (5v3 ) ,4 t F ( ) toilet ' ' " rv,1 utir rooms =II 23.32
- i C \-L r 1j1 netid _ Haan!
Business nrmta - — FFac pipiatt _
Contact name: 514,15 for Rrst four 03 for earl additional
Pomace, eta.
Gas heat mn_
111 1111
City/StatetZIP: Wail/ . - . It beater __
Phone: ( ) Fac4:: ( ) - - Water bests
•
��_�_MM -lace Range
,, . - 7 r., Z'z,-� — .77P-: r . r-r. : -; _ --,- -— - - _ - : ,r . i t T 'rvTi $BLbeQ10 —.
ausSEGS3 moms: Jambe gQgtilA$ lik Air GbAditle4[og
_ Other. _ IIIIIII NINON
Address: 4474 S E 1 V I l ► w a n k i e A v e - : r ,, ; : - -. + „ 7 :” _ v„z : .._, ._ . r,,,w - -� f,,
City/Sint el�: Portland. OR 97202 Subtotal L Q}y
Phone: (503) 234 Fax: (503) 8089108 Minim pettnn tae ($90.00) 9 c "n
Plan review (25% of permit fee)
CCB lie.: ) ' , 4 4 ] Stag: sardonic ( 1 2 % a . . . ' time) / 6 • *'‘ c
" — - TOTAL PERMIT FE.E I t 73.7'
Thu ac application empires if a permit in not enalager within -
Auth4sziznl signal= Jl7I►�/ � doers after it tw boa seceptcd as mapteta
Print name: 41 Dart: 7 13 ( e Fee metttado1e89 aR by T$-emeaty RnQding tangly Saviee Be L / }
den 1001r 9i 4404617r(tlIWICQ WE / -
) '7,3 "
07/13/2011 10:35 5038139257 JACOBS HEATING PAGE 03/03 •
RECEIVED RECEIVED
JUL 13 2011 JUL 1
SITE PLAN CITY OFTIGARD CITY OF TIG�RD
BUILDING DIVISION BUILDING DIVISI® N
•
,A.
DIR ON
HOUSE
4
FRONT
STREET • I A 6,_ _Ai
Job Name
A C. a.)(
Address
Model a _
A4alce
JACOBS TiEATING & AC
4474 SE Milwaukie Ave.
Portland, OR 97202
(503) 234..7331
(503) 513 -9257 fax