Permit CITY OF TIGARD MECHANICAL PERMIT
II I I ' COMMUNITY DEVELOPMENT Permit #: MEC2013 -00382
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/11/2013
Parcel: 2S112CA05000
Jurisdiction: Tigard
Site address: 7978 SW ASHFORD ST
Project: Feeney Subdivision: ASHFORD OAKS Lot: 4
Project Description: Replace gas furnace and install new a /c. Placement of a/c unit must meet manufacturers clearance requirements.
Contractor: JACOBS HEATING & AIR CONDITIONING Owner: FEENEY, PATRICIA K
4474 SE MILWAUKIE 7978 SW ASHFORD ST
PORTLAND, OR 97202 TIGARD, OR 97224
PHONE: 503 - 234 -7331 PHONE: 503 - 530 -8052
FAX: 503 - 808 -9108
FEES
Specifics: Description Date Amount
Air Conditioning 07/11/2013 $46.75
Type of Use: SF Furnaces < 100K BTU 07/11/2013 $46.75
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 07/11/2013 $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 que ' • s o ` NC by calling 503.232.1987 or 1.800.332.2344.
Issued By. _ /t/ ! / Permittee Signatur [
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.
07/09/2013 15:52 5038139257 PAGE 02/03 Iv
Mechanical Permit Application Ti=ittli {,0.k. 1 I 1 1 ; � ;1 ONL
City of Tigard Rzei>'ed
I . ° Eli/ / r /3 C J -Llf7 P•I:ntt llh M �/& _
I . 13I25 SW Hall Blvd., Tigard, OR 9 • . P1an Review I -- " rr
Phone: 503.639,4171 Fax: 503,596.1 Da1c/illy, Ober Ferran 1
T I C:,1 Rf, Insttection Line: 503.639.4175 J ill G 2 13 pare Raady/Dy. - -- ice-.. -'�'- E c ra 2 rev
Internet: www.tigard- or.gov Netiff Mcthnd• _ � I Sappkntcoml Information ■
r � ; ��� -- r r. 7 � ;.7 "' - c...�� .f ;yp ,
t w uS.Gt_i , t.r. r,:' 1 b 4 `. � :JQ i ' ;'' a i „ • 3 fl.f,J'.*.IO :111- - : . 44#7) . _ :_•
❑ Ncw constriction �r - . dili0n/a t I . 11 . + J , �f� ... Mcehanical permit fees" are nn the vnlua Of the work
performed, indicate the value (rounded to the nearest dollar) of a]I
El Demolition ❑Other. �� CC • mechanical materials, equipment, labor. overhead, and profit
G Q " _°+ ' ; ti "., a fti i l r . ti Value: S
�:�lr and 2- family dwelling ❑ Commere 1 0 A essory building �-- 'r. _r
itil industrial cc
❑ Multi -family ❑ Master builder ❑ Other ,., •. __ f_nr ,rl'cr n, ....._ Wm use elwcklrst.
r - nT , .t _ r- r �r h . piro Qty Ea. Total
f .. ^,c n
" 'w st/•t � i I L �l Y r1r , S R
-,.- c.; t Wi . `� h i � � fit li 7�J cooli
address: r Air condnng
i
Jnb site addr
� . _- .: ,.. � r S L ftc. •lanahra -n4 • lreertrnt 46. � O '
City/State/ZIP: • l �- 9 - Furnace 100.000 BTII tdrtctstvantsl 46.75 M
Suile/bldgJapt, no.: Project name: Furnace 100,000i- BTU wets/vent!) 54.91
' �.2 ��.'G+( F'_rtt pump ,._ 11= 61.06
Cross
Cross street/directions to job site: , ,: J tyr;. r work.
1•ivd;:7 ic rot water syskrn 23.32 M
Ret:Tcl ntinl boiler (radiator or
- ydr:tnic) 23,32
^--- Unit beaters(fitel•tvpc, not electric),
in -wall, in -duct, suspended. etc, 46.75
1 Subdivision: Lot no,: I Fluc/vettt for aiw of about 23.32
Other: _ _ I 1 23.32
Talc reap /pareel no.: _ Other fuel appliances
. r;:, -rte 42..;_ •. "� -' - -- I.. _
.. � . � �e µ arc. I ester _ - . - ... _ 23.32
G 33.39 I
!clue vent for %v oter heater or Gas
ME► ' 4 it ' ' GI . Lurf10.0 e vt •4' 1,, fireplace 23.32
Lu, i )ter (gas)
►'1':x.1 .9? . � �..�..- ._.._._ 23.32
t n'•Q -r Wood a]let smve 33.39
Wood frceolnce /insert 2332
�'FT ✓ ' ci'- ''�f . T , , ` rn �7Y Chlmneyfliner /11ue/vrnt y 23.32
O.47.- •-' -
I 23 3
Name: .e. a i Erivirmoaieatal r-xhalrer end ventilation
Address: Range hood/other kitchen j
-- czc uiprtent I J 33.39 1
City/Stnte/7,1P: Clothe dryer exhaust 1 1 33.39 I
Phone: (so.$) .0 . p 8 r Fax: ( ) ------- - SinglMtuct exhaust (bathrooms.
toilet corn arbnents, utility rooms
.§.;t �ts.. '
Z., - ,
`;} : 3�, T . : -..1 ,,..i_ ., _.. r_ r •24 ' u ;' Artie/crawls. 23,32
T : cc farts 23.32
-
Business mono: Other_ , ( 23.32
Contact name: �- •- Foci pilling
__
514,15 for first roar; 54.03 for each additional
Address: furnace, etc
City/State/ZIP:
Gas htat plane
Wall/sutpcadcdlunit heater
Phone: ( ) F es; : ( ) Water heater NIIIIIIIIII
E-mail: fireplace
h r Ran +e IIIIMIIIIMIIIN
w¢•a s'...::.r.5ti.... ,.:....„ : .•,. : .w }... - :C4 - : 4 Darbeette
! Business name; Jacobs Rearing & Alr Conditioning Clctbc; ,:rya (
Address; 4474 SE Milwavklc Ave Other:
CitylStttte/ZCP; PotYland, OR 97202 s -, ' °' ; - n ziLlt�=:_ ' ? '�i { :vr
-
ems-
_""
Phone: (501)234.7331 Fax: _ Sublets! • �
(503) 1108.9108 Minimum permit fee ($90.00)
-.
CCB lie,: 1441 � Plan review (25% of permit fee)
I � State surcharge (12 % of • - N;
it fee) M
Authorized signature: a f TOTAL PERMIT FEE J ((' .. I
�I � -
_
r� 71ii• ttt"tt aprli� t:..n etrir�+ irermli la trot obtsinitl with n ISO n ant nccepictt of eomptete. /
der; a: lrorlr ha+ 1
ome: � �i . � :■ Dale �
ME
t3 � to ethtMato Stt by To-county tiu Industry Service agave
t- zwelhor, mitwon- i'arroitApp.d I6gIN1
aaa 1 rr l I A;vcomntnl
q t 51.0
07/09/2013 15:52 5038139257 PAGE 03/03
•
SITE PLJU
es
DIRECT] 1 ON
HOUSE
FRONT
sTREEr 0
Job Name
Address
Modal r
Make
JACOBS HEATING & AC
4474 SE M1lhvaulde five.
Portland, OR 97202
(503) 23,4 - 7
""—` (503) 813-92571a=