Permit •
d •
CITY OF TIGARD _ MECHANICAL PERMIT
111114 a COMMUNITY DEVELOPMENT Permit #: MEC2013 -00075
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/04/2013
Parcel: 2S109AB02200
Jurisdiction: Tigard
Site address: 14383 SW 134TH DR
• Project: Stahel Subdivision: THREE MOUNTAINS ESTATES Lot: 5
Project Description: (1) gas furnace replacement
Contractor: JACOBS HEATING & AIR CONDITIONING Owner: STAHEL, DAVID IAN &
4474 SE MILWAUKIE STAHEL, STACY JEANMARIE
PORTLAND, OR 97202 14383 SW 134TH DR
TIGARD, OR 97224
PHONE: 503- 234 -7331 PHONE: 503 - 395 -7055
FAX: 503 - 808 -9108
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 02/04/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 02/04/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 02/04/2013 $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.
51
Issued By: ,. 1/l n Permittee Signature: D k\ 4PPC-- i66-776 lj
IIIYYY 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.
02/04/2013 10:55 5038139257 PAGE 02/02
1 eclian Wit ��DV�Ca 01A i I Jis r >r i ir. i 1
Ph __:, . City of Tigard RECEIVED e31111=11102111 PerraeIva. , . 7 '0'000-7
13125 SW Hall Blvd., Tlgatd, OR 97223
r- • Phone 503.639A171 Fes: 343.596.'960
Other Permit
; ;, :: Lice 503.639.4175 FEB 4 213 ter'
Mogen www.tigard-or.soe
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Mechanical pantie �• see based on the value oftlx antic ,
D Demolition /C Other:
performed. Ind value (mod to . nearest doll, oral
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0 Multi - family 0 Meste r builder ❑ Accessory _
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r- ,,�:�: •a :_,i,_, I - � ` .I ' . ,, ::: • '1 : = ; _�� -- :I Qty. Total
CitgJStattlLlP; !, (Q i 46.75 _
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Suite/bldg./am. no Project ` Furnace loo ODO+BM dam 54.91 e. Cross
greet/ to job site: 61.06
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Other MI name:
Ate $14.18 for first four 94.03 for each tdditionel
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- • Business ranee: Jacobs 4:_:: - - ` �, r''?.: 7.—:_1._ ".., :P'; - ?I � �
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Address: 4474 8E MI loaaulsie Ave Olher:
City/Stale/llp; Portland, OR 97202 i h T , i , : _' - _ ; z::
Phone: (503 734.7!31
_____ Fex (SU) 80 -9108 M� 0 � �
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Plan review (25% of ' - ,1 d fa) MEM
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TOTAL a
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