Permit CITY OF TIGARD MECHANICAL PERMIT
11 a
g - COMMUNITY DEVELOPMENT Permit #: MEC2013 -00233
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/01/2013
T t C, A R O 9 Parcel: 2S110DA06500
Jurisdiction: Tigard
Site address: 15286 SW 107TH TER
Project: Lawson Subdivision: ERICKSON HEIGHTS Lot: 26
Project Description: (1) NC installation Placement of A/C unit must comply with manufacturer's clearance requirements
Contractor: JACOBS HEATING & AIR CONDITIONING Owner: LAWSON, TIM S
4474 SE MILWAUKIE 4637 SW CULLEN BLVD
PORTLAND, OR 97202 PORTLAND, OR 97221
PHONE: 503 - 234 -7331 PHONE: 503 - 730 -9711
FAX: 503 - 808 -9108
FEES
Specifics: Description Date Amount
Air Conditioning 05/01/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 05/01/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 05/01/2013 $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. /� /� 'n
Issued By: �� Permittee Signature: 0 A 4 p C 4 . 1 0
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.
04/30/2013 12:58 5038139257 PAGE 02/03
Mechanical Perm Applitra AR C
EIVEP FOR OFFICE it F: t SI i)N1.1
City of Tigard Da lp/B ad Pe n i? Nowec w, 3.00 .1- 33
13125 SW Hall Blvd, Tigard, OR 97223 A PR 3 0 2 013 Review
f . Phone: 503.639.4171 Fax: 503.598.1960 Other ter
Pe
r r C;,•• r, r: t inspection Line: 503.639.4175
Doe/By
www.tigard -or.gov l CITY OF TIGARD > e rBx �:+: See i'opt z for BUILDING DIVISION Notified/Method: Supplemental Info merlon
ta��- s�.''_ry i' fig-
s' �':` e= �i�'��i� -�:'; — _-Y_�:iw�1r:,: ':. �i -�:,-..:= „ T•.,,�.,.`.—:.. -- -- ..�
£4?g F - �r_nkY:kg 'C' J�' :�. W •'fb;• tr . z ' j e i : ;h:j� ; ,y . '”. == J ' ; •' 4 77 _
'�.:... ..c. ice_^ ..8.3ju - i {1 ` J .t` -' �•r
...i [1' i.��'��.�..'�Si,n.. s v: +Iti„ .t ;j r v :A :t ^l ��..t.'. .� � a!T es:
New Construction ( A dd 1 tion/alteration/replacement Mechanical permit f e e s • M X on the value of the work
performed. Indicate value (rounded to nearest dollar) of all
❑ Demolition ❑ Oda:
` ' r:'?� , ^ ''� - 7. ,-' f : _ mechanical materials -• i • .. labor, overhead, and Profit-
:ails+' :��•► -��r,.,'- ie ;.� -_.; I t� S
and 2-family dwelling Co '•;�x'�'e `tr;# a�r�- rc. - _oar - zmot_
Y 1 S ❑ mtnereiaUindustria! 0 building kilik •• - •• :.u '�:_ ; • . . k tt - ,14 tilt i
Mufti- lhmiky ❑Master builder tither. For special �orfor aatton use checkltst-
y 'rr5' ^ x1 --,-.,--..-,..•-..- :{ . '~ t
. !'�"` _. _ Desai'Mon Qry. E. Total
;_lw "r ��. •:y1. _ . �... , ..... c6 ,=4 -:: •747. GYI, ` `.: .,
;_ l lea?.� llS
.,._::r _ ] :�a..acr... _ . -�.tiw � • .�IICaI �j +c
Job site address: , z , 0-1 - .-�._ re .
Air conditioning
Cityl$tatt2lP: �- ••' Ma site phut showier - *taxman 46.75
� 1 tJ i `^ �� Furnace 100 000 BTU &ice can 46.75 '
Suite/bldgiapt. no.: Project name: Furnace 100 000+ BTU �aah+enn 54.9E
Cross strzetldirections to job site: 1=1 61 -06
Duct work 23 32 IIM
Hydroafe trot wawa tern
Y
-- esidential Boller (fadlator or
hydronlc) 23,32
Unit heaters (fuel •type. not electric),
-
in -wall, in -duct suspended, etc. 46,75
Subdivision rt no.: Flue/vent fbr any of above _ 23.32
Tax map/parcel no.: I 23.32
r�- r c �l __ Other fuel applicants
liW as7 iTiZ i <
: "-s ',4'• :li �� Sr '' -'a'* - 47.0::'' T . a _�
.= .1 xi�.:..'� ' _�J�e " y:� " +:t Water heat heal=
23.32
1 - O - A Gas 0 dace 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter (gaq 1 23.32 all
Woo/pi elks nave MI
�ry�',• -�,� - pcs �•- _ _ Wood 'laccriruert 23.32 r
_rc. v.. _ i r. ;, 4..,, �,M, :u ,,. C bimtte ¢r /Oudvrnt
Name: • ,�� .:.�ir r.�a .: ; �"� Oh ��
�
A ? EaHroomental exhaust and ventilation
Address: „ ,, ‘, t � ¶ (O _ ' • -1-- - rj 44 i Range hood /other kitchen
IIII City/State/71P: ( ::‘,a_ 1 •l ent 33.39 lin
Clothes dryer exhaust 33.39
Phone; 4":' )7 '.7-)- -- •- Fax: ( ) Sing1 exhaust (bathrooms,
—
eduet (b
Jam;' -y , -- 7f _- .r �,:. voila com, is mil'
}:. F.� ”; ��3_ }ii'��'7 C.;vJ!f��� 1'w .Ff-- •r7:1 -: -i•:- � 100@$ 23.32
, . "?a 'i• = _... rtili.4.1:0> :_ „':yap +% .. %q, }: f �..��:''∎: w=,
- ...�L� s M1:.� !` : ai_1� c AtIidCraw .. «+ fans _�
Bualnc,, Hartle: . - Other.
r
Contact name:
Address: --___ -15 for prat four 5103 for each t
City/State/7-1P: -- INN
Phone: ( ) Fax : ( ) M c � — Fireplace --
E-mail: �M.
Range MIMI=
• Business � _,. P.. : .._ tl 1 .�' !•M.t'...^t>v�✓w.IWh�
� _.. " same: Jacobs Heatin & Alr Conditioning Clothes . , NMI
Address: 4474 SE Mtlwankfe Ave Otte )
CitylSratclZlP: Pnrtlaad. OR 972t12 — v *T W24 .A.T%�;i''!:x'_trr ::_1::::,-( ,
Phone: (503) 234.7331 Fait: (503) 8Q8.9106 Mitiutam • . it fte ($90.00) • OD
CCD lia: 1441 _ Plan review (25% permit fee)
State Surchar=e (12% ofperm t fee) IIM
Authorized sigtlattae: / a �.e_ rvA L CV. \ A r TOTAL PF.4a;11�r EE C ? 'tr
Pent Rama: /1.2 �y-� ( Date - a r
A ' nth plank cq i Kyi� a P tr oo FEE
obtained !O wtari e 1li0
I `' ' .- 5 • Fer �hodom Dena � hd i lndue complete.
i �+tmu'm enuasc.PwbhApp, Iaotror aao..s l rri o 1+OZ[oMnvyal BY net by Tri�� Bm ldiag ladus� Service Baud
04/30/2013 12:58 5038139257 PAGE 03/03
SITE PLAT
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l osrox. DIRECTION I
HOUSE i
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Job Name -I Vat, (....451.A.SSLO
Address J '' 2--- 9 15 SC..0 • ( j A l
1. cL a r?z2
Mode] w f
Make
JACOBS HEATING & AC.
4474 SE Mftwaulke Ave.
Portland, OR 97202
(503) 231 -7321
(503) 5] 3 -9257 fax I
•
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
15286 SW 107TH TER, TIGARD, OR, 97224
Residential - Mechanical
699 Mechanical final
PASS - No C of O
MEC2013-00233
George Heimos
Setbacks met
Violation Summary:
Inspector Contractor