Permit a CITY OF TIGA MECHANICAL PERMIT
2 COMMUNITY DEVELOP Permit #: MEC2013 00172
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/28/2013
Parcel: 2S114BA17800
Jurisdiction: TIGARD
• Site address: 9646 SW FERN HOLLOW CT
Project: Copping Subdivision: FERN HOLLOW Lot: 4
Project Description: (1) new NC installation Placement of NC must comply with manufacturers clearance requirements
Contractor: JACOBS HEATING & AIR CONDITIONING Owner: COPPING, CHRISTOPHER
4474 SE MILWAUKIE 9646 SW FERN HOLLOW CT
PORTLAND, OR 97202 TIGARD, OR 97224
PHONE: 503 - 234 -7331 PHONE: 503 - 747 -7107
FAX: 503 - 808 -9108
FEES
Specifics: Description Date Amount
Air Conditioning 03/28/2013 $46.75_
•
Type of Use: SF 12% State Surcharge - Mechanical 03/28/2013 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 03/28/2013 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
•
•
Total $100.80
Required Items and Reports
• 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: VtkCLCif Permittee Signature: 0 J 4PPc / t I 0
;MAL/ 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.
03/28/2013 12:38 5038139257 PAGE 02/03
echanical permit Appli[catioRECEIVED , r,1 1 <_ I. 1_ f
City of Tigard
Received /a. Pencil H pg ,(,1EGb1v 3 -ao I �a.
. 13125 3W Han Blvd., Tigs1r1.CR 97223 MAR 2 8 201 Review
_ �k--• Plume: 503.639.4171 Feet: SO3392.19600
,.. „ inspectioi Me; 303.639.4175 Other Permit:
uatentet www,tigmd.or.gov CITY OF v tak to sKr�me=fr
: V — L : ad�MElhod. Supplmtatot ho mattoa
I
BUILDING
Now construction " ` � �' � "= � � . Lt:.... — :"...,..%:,.::;::1:.:L . � ,. ..: *, � a _L. '� . . J 1 . 1 ter irr_ 1 ' i
Mechanical perm _'
ddidost/alteradoalFcplecetllept it fora* are • • : _ I on the value of the work
0 De cons Indians the value (rte ail
d r dwelling -• r.:l; �., F :, _ - �; ' +, : I w
end 2 -�m11y 8 Q Cotttma ❑ Amory building
y � - - � �,`. i ;,��
lwlutti- 13tntily =;r 1, F Or . , r; _.,..._ , - �- t � .__ . ' _.
❑ Master builder ❑ Qlli am dt bx
— T - : .. r. .' '. : `�_ ' . F . ' , I , R_'Ai M Total
City /St rom: I C' o717 `... 46 75 CM
0-i 4 012 q a_Li Pwuece 100 000 BTU doetevad - 46.T5 NM - SuitdbldgJapt. ao : I p_ n Fmnax moan ► wry
IM 54,91 MI
' �I� .. � 61.06 _ MI
Cross saed/directians to job alto: -
Heel warm MI 23.32
-
H ,, 0, c hot water
Residential holler (wham m or IIIM MII
•, , ie
Unit heaters (Stet -tne. not electric), NMI MI
Subdivision: e NM
Lot oat 2332
Oben MI
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23•2 NM
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Address: ' $a►ltoeptebt.l rsfiauat ma veo Wayou
City/State/2M ` Iffil �
Business Same:
Contact peaC. mar ME 2332 MN
Address: - MIS for firm fit , ` fo r each oddlfioeal
Cit,IState/Z ': MIS
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Email: � ��
Ruelnese 1 ntwme. Jacobs Ueatipg & Air CondIti n stu' I' l: i_ . _ , ' s ; j , • � �
g • dacha • - NMI =III
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Address: 4474 SE M1lwrnrkle Ave Other: IIIIIMM
Cie 4ttetzi Portland, .�; -- _ , .,. `: ,.�:
Phone: (503) E34 -7331 — ' - '''7',:'
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CCB Fax (503) 808.9100 Mlnimam permit tae (590.00)
lie : I44I Mao review 595 or , -- '.'t tee)
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03/28/2013 12:38 5038139257 PAGE 03/03
SITE PLAN
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JACOBS HEATING & AC
4474 MIhralatit
Portland.
PO.a) 7
(502) ) 92-37 Tax
-
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9646 SW FERN HOLLOW CT, TIGARD, OR,
97224
Residential - Mechanical
699 Mechanical final
PASS - No C of O
MEC2013-00172
David Young
Violation Summary:
Inspector Contractor