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Permit CITY OF TIGARD MECHANICAL PERMIT • . - COMMUNITY DEVELOPMENT Permit #: MEC2013 -00284 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/29/2013 Parcel: 1 S134DB07000 Jurisdiction: Tigard Site address: 11147 SW TORLAND ST Project: Keller Subdivision: TORLAND ESTATES Lot: 8 Project Description: Installation of A/C. Placement of A/C or heat pump units must comply with the manufacturer's clearance requirements. Contractor: JACOBS HEATING & AIR CONDITIONING Owner: KELLER, CHARLIE 4474 SE MILWAUKIE 11147 SW TORLAND ST PORTLAND, OR 97202 TIGARD, OR 97223 PHONE: 503 - 234 -7331 PHONE: 503 - 803 -2783 FAX: 503 - 808 -9108 FEES Specifics: Description Date Amount Air Conditioning 05/29/2013 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 05/29/2013 $10.80 Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 05/29/2013 $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. Issued By: " / Permittee Signature: r9"./ 6 O( ' /7-7,--70,-,/ 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. 05/28/2013 15:16 5038139257 PAGE 02/03 Ivlecbxn>ic Permit A pica o EIVEI� • . • • • � j. I OR OM( li fiS k:,fl \1 City of Tigard t <a ta+ed, l3125 SW Hall Blvd., Tigard, OR 97223 Dan/By: S ° Z� /E>f`° P Wfdit ' � c ,• /�c, /3 - 4 1 04 , V 4 4 ie Phase; 503.639,4171 Fax: 303.596.1960 AY 2 8 201i Plan Rev "' Dauday; Other Pvmir r t r :.� t: r InsPcetion Liao; 503.639,4175 Interns www.dgsrd - or.gov CITY OF TIGARD Date od foe ® see Page for } � �r ;`.�_' 1+ u , Tit! Tl!NT r'flTTCI!\ \' Sappteafntatlafarmotioo <��,.� ^.�. �''' k :716;"- • �+'�,�•`: c •- -��-•, Ery �7S::�Frd' s:.._i r� �t :',° CY.`1T»ri5rra t :~i'�'':W`•,. .•�i{ r. + r•ql l�r ''-- _ _::,;+�ti�'. . ..•,is:: "= ••s:.����:,LL:,br'.,�w:.� �.•kr+'trfil- 1�x3c•`i�"i [ °��r��Lrl; G' �T. ��r. ��i r� tw. x.:.,:L*:�'-- v•.�.=�, _ • '1i4i1' _, •',::;1lY� ,1:1 :'r�e:d ...?. . :a " ,. ::t:= ''�` -r' , : � -' ti�s , a "f :Z ? : ('�i" �° CI New construction dition/alteration/relace ent er T ` — ' -- 'rte 4 P Mechanical permit fees* are based on the value of the work Q Demolition Performed. tndicae the wslue ; , mechanical materi -. i aed to the ne n�o Y; _ �- �- „':�: als nearest dollar) of all i•._�?Er�`: - r IVANIP : i :j'd70Z . ” - .. �• it �_ . t i •m -• labor dutch. . and .fit � � ° Ja c ��t�r� i. r ::�s "w' +C%t' fit .J`: _ value: $ �� dJ j �� - and 2- family dwelling ©Commerclal/in8usn Commercial/industrial ❑ Gasp building t ? • ifn Y 1 5 ,17 t. . ' � x c4 [] Multi-family Accessory ildiag For , .r:. k.elo : • • `-': h :. : -` t + 't ' Y [] Master builder ❑Other. eta! mrtforrmar checklist icei-f a il yx r "�S[-� c :e_,ast Master Description °R rstr LTI. �1 ''� , ,. ,� Pon Total 3 ��_ ':� / ^.1P,'ti'' cSr•:r.S'� Qiy� Ea Job site address, 1 TO r City/State/ZIP: 1 GL (' Q I. Furnace 100 000 • (y ■ V 00 BTU duets/vela � 46.75 Suite/bldg./apt no.: Project lame: i l Furnace 100 100+ BTU dttcta/veats MO 54.91 — MO Cross strec #diregioas to job rile: 61.06 Duct work ErninTIMMIIMMIll 23.32 ME - - IP _ Unit heaters (Biel-type, not electric). in -wall in -du- Subdivision: dad etc � INI Tax Lot no.: 73.32 map/parcel no.: Other. 23•32 MEI �t i'z 411-1115. ' a: - �•� —a n; �.�.. _ Other fuel . , • Ilan ��:� '�• -. r • '.-�. �,� ,r.� my 23 •3 2 MIME C 1 Flue vent for water heater or gas _ 33.39 MN 1 4,. .. c_pj t- .• h .lace 23.32 Wood/ -Bet stove �MI � t t= Jf� .-�- x�r: ; .. ,_._ Wood • laceJuuen ,. _titi,:3r �"• -.7�'. n'- � ��.�,..�, l �._, r, �`- '�1= ••ri• • n'- c . � �� _ _ '- . aF'� av- �r•�'�• �- y_ � , Chi niner/nndYent e/c i �.__� : }r aver: � Address: Range hood/other kitchen MIEN ~ City/State/ZIP: : •ul•ment Phone: l$h}) b Clothes d 33.39 Milli �� _ _ • � FM: ( ) Sin le -duet exhaust exhaust MI . T E - .i i` •r =i'i= fir.• -. �: c:> � mile • .artJn ,_Jr�yr .`si4. E !:y_: T �' -4_ . FT "t#=1': 44 .rtr. c ^•z' _ - .T.7 tb entf ttttlt rooms . - . _` 3vr ?ytr7d`f�� <� 1'r; e a Atti 23.32 Business name: ..' cf�a ace fatter � �� IIIMMIIMIIIIIIIMmimm Other ��� Contact name: Address: _ 514,15 for first four. S4.03 for each additional Ciry /State/ZIP: Gas heat ;L . ___ Phone:( } �� Fax;( ) E-mail: V ; v i t n - w — r. c,. ti . � ,- ' c.�r xis =? r •.+a,4 .?tYr o r .,- rr,rinr,.-zy, 4, Business -- d2-.:_�1 7! e1 1 : z It tli. 'JG ,v � 'Er rig Barbecue ��� ess name: Jacobs Heating _ : az� -;: ; ai � 8 Air Cot:dkl __ Address: 4474 $E r hvaakie Ave Other: ��� City/State/MP: Portland OR 97202 C - �� h r • e; (503) 2347331 ` -____ - " -- Far (503) 808 -9108 Minimum . �j C• .CB lit.: 1441 erttrit fee __0) li We so=■elftMMIce4WPMIMEINfee) IMO ' mature: KAM ',,r `..- TOTAL P$RPERMIT FEE runt utho nname: : rued s , Thh pro Permit apal/clams rapirm permit is set obtained O . 1110 ✓ � � Date: t4 u ee ra after It tun Non mewed mane. omPtenttema *wadi C.1`ae lupt.dee IOt; i 11 ' Fee methodology se by Tri-Coenry BBuildiina tndner Smite B oyd • IyT'(11NbCOM1YM'1'k1 c:74 / 1 f c I