Permit CITY OF TIGARD MECHANICAL PERMIT
is • COMMUNITY DEVELOPMENT
Permit #: MEC2012 00470
• TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/13/2012
Parcel: 2S114BA16200
• Jurisdiction: Tigard
Site address: 16225 SW COPPER CREEK DR
Project: Martin Subdivision: COPPER CREEK STAGE 4 Lot: 127
Project Description: (1) gas furnace and (1) NC installation
Contractor: JACOBS HEATING & AIR CONDITIONING Owner: MARTIN, JOHN R JR & JEAN C
4474 SE MILWAUKIE 16225 SW COPPER CREEK DR
PORTLAND, OR 97202 TIGARD, OR 97224
PHONE:' 503 - 234 -7331 PHONE: 817- 913 -9990
FAX: 503 - 808 -9108
FEES
Specifics: Description Date Amount •
. ' Air Conditioning 09/13/2012 $46.75 .
Type of Use: SF Furnaces < 100K BTU - 09/13/2012 . $46.75
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical . 09/13/2012 $11.22
Occupancy Grp:
Stories:
Fuel
• Fuel Types:
Gas Pressure:
Total . $104.72
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 A by calling 503.232.1987 or 1.800.332.2344. A
Issued By: jit `�� i /, >j'" 'Permittee Signature: n u AQP / Aoki
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.
•
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Address: 4474 SE i Ilwaulde Ave � Other
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Authorised • TOTAL PERMIT F RA • '
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Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
16225 SW COPPER CREEK DR, TIGARD, OR,
97224
Residential - Mechanical
699 Mechanical final
02/28/2013 00:00
MEC2012-00470
PASS - No C of O
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
16225 SW COPPER CREEK DR, TIGARD, OR,
97224
Residential - Mechanical
699 Mechanical final
02/28/2013 00:00
MEC2012-00470
PASS - No C of O
Violation Summary:
Inspector Contractor