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Permit CITY OF TIGARD MECHANICAL PERMIT W COMMUNITY DEVELOPMENT Permit #: MEC2009 -00268 TJGAR.D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/08/2009 Parcel: 1S135AA70241 Jurisdiction: Tigard Site address: 10434 SW AKILEAN TER Subdivision: OAK STREET CONDOMINIUMS Lot: 0 Project: Charles Project Description: Install a /c. Owner: FEES • OAK STREET TOWNHOMES LLC Description Date Amount 12670 SW 68TH AVE #400 Air Conditioning or Heat Pump 06/08/2009 $14.00 TIGARD, OR 97223 12% State Surcharge - Mechanical 06/08/2009 $8.70 PHONE. Minimum Fee Adjustment - Mechanical 06/08/2009 $58.50 Contractor: JACOBS HEATING & AIR CONDITIONING 4474 SE MILWAUKIE PORTLAND, OR 97202 PHONE: 503 - 234 -7331 FAX: 503- 808 -9108 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressue: Total $81.20 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 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: al • - . ( Permittee Signature: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. 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. 06/04/2009 16:13 5038139257 JACOBS HEATING PAGE 02/03 Mechanic Permit Application p_e_a_ I OR ors tc USE vt Ll . ' nth}' Of �1�1Tigard � q Nccsit�rd y Permit No.; C1 '" 13175 SW E " iall f3fvd., Tigard, OR 97223 1 • V Ptak. /Fl • r�ir r �. ...�► ' .. : , . 2 %.* Phone: 503.639.4171 Fax: 503.598.1960 1/ EEIIIIIIIII= Other Ninth; TIGARD fnspectipn Line: 503.61'1941175 Date R end na: lnris. ®Sre ln.e,2tor Ihternct; mvx.tiFard•or.gov NnritiediNfollod! t Surildementei Information . ! TYPE ':' ORIK. • I L "TCG ' $� F,fErILiYMiv' L'S .• 4;Vltif'>L tl .. ei evotirepfQt 1aCliti �. Gi�'IGt:% cs P' icy Addition /altcration /rvplaoclnc ..... ❑ New Construction �p rtt Mechanical ;n mil lies*: arc based on (h c �du l ❑ Demolition / � ` Other: perforated, tndietue the valile (rounded to the nearest 1IeIt1tr't of all FFF overhead, and pro Mechanical m , equipment. tabor: fit. . f CATTsG0RY,;Pr CQNSTR11. 1`CU ', r •.: • ' ilivaiue: 51. rn nlrrials c D i✓'- h od f 2 - latn t ly dwelling © Commercial/industrial © Accessory 1Z Sr1) 1or.i eclat ri g u p1 lr"i lSYSI}IF15:S " . � . , . l!17'l [rQt1f Xi- " � R 0 Accessory building - ..... ... . . ... Master builder j nnnrio n are r.I i oocription Qty. Ga. "(mil RMPA•'Tr'ON:'A 1Vfj'LOC'r' TiON i 'rte address, � ;OR sir. . tr*O - - � ,' .. � �denti.niJadlt;nR Job . .. '' Air conditioniri Or heat pump renulrex x ' U t { �3 5 6,....) t:y �l ue..,0 � �� . t~r' n '7 .CC , ,(.....1.3 ( r nl Ian a ' hrnvinr 4rmctR l a U nih(I Citt'IStatc/J'fP: i I l C ra W I 6 R. 1 Fumace IQO.000r3T1,1 dtictatvenre r)0 �' t �7 c ... t 14 - w_. SUiteibidg./:tpt, no.: Project name: Cin Gt ' FLIrr11Ce I0b 090.x' BTU (du r,dw,nrs) 17,90 • C as heat'pllnth 14:00 Cross streetiitireciinns to job site: - _., Y . Duct work 1(1,9(1 ` __ Hydrntrie, hot water system 14.01) - - Residential boiler (radiator or -- — __ 'drOrUe) 14 00 ' Unit heaters (fuel -type, not electric), W......_..� in -wall, in -duct, suspended. etc. 14.00 . 1 Subdivision: I :i - Flue/vent for tn`' shot's G.RIt no -. ut Other: 1000 Tax nta.p /parcel nh.: her fiicf 0p/dinners ., .„,„..,.... I. U SC1f1MYON Ut . WO K'. Wirier heater r 1U,QU n � - _ p ' Ca,s fireplace 10,00' �_ w • JN C. t, o t r C C n ct 1 4-: 4 - , r Plus vent flat water hearer or gas ._"'"".. ! lireptnce 10.(I6 ._ Log Iitihtcr'(,>xas) 10.011 - _� w hod / Mlet stove. 111,.00 _ .Wood Ilritplace /insert 10,00 _ , Ti ')'Figl'.FIiTY. OWNER �' Chimncy/lincr /flue /vent 10.00 _.•„ . _. Name: 1 ''",ti .. Other; ,T 1_I 0011 ..1. _. C. ' t l � l �� ii 1•irnnme,nlnl exhale:Aend.�enrilnlPan . .. I Address: Kan x; hoed /other kitchen . • equipment 10,00 City/State/ZIP; CloItIOS!tiryceexhaust I(V00 - Phone: (S 03) 7°7 - 3 l'bx: ( ) Sin glaclllGt exhaust it (bathrooms , _ w — 1 toilet CORTI,,partlncnty, u oo 6.80 • 1:1 n1';E�l. t[:,tf • • : ❑' coNr tc; r.':trrYtat� I c — ...._.. -.._., • . utility ' r ms> ��� �tIIICIc )ir C fans 10.00 Business mute: Other; 10.00 1 Contact name: — r2tI Llfi.iiA. $5.411 for Pleat four; $1.00 for each addieanul Address: lrurnrtce, etc. _City /Stalvzll': �-- Gas heat Gunn M 4 Wall /suspended /trait heater Phone: ( ) Fax: : ( ) Water Beater hire lac E-mail: ^-� ,_,.,_...... � R an a . ------ Barbecue •∎•• - . Business name: Jacobs floating & Air Conditioning Clothe! dryer (gag) _r Other:. t Address; 4474 SE ,4fil 2likie • _._.,— ' ' IECH ANJCM:, PEfit'611T"rilt'."3" • Cif ydStlrtcJ lP:'Pcgrtlnnd, OR 772112 mm Subtotal l'c �� Phone: (503) 234.7331 Faa: (593)'FlI)3.9 T - Ivfiltinlllfi) perrnif fee. (572,W) } '� .`s�7 t . --_ -- tita CC 13 tc. 144) J� T StaI surcharge (1% bfpermrr ice) „ j.. ICJ ~ - TOTAL PM ;RM1T FEE Authorized signature: n, 1,,,dro This imroa r aptille.t111t vira if n Peorttiek ttei oIteitted , virhia IOU _ +lnya a nor Whnx. been accepted n•4 complete. E runt n � s - t d 0:10r. ! ` r rcc'me thodnla ac , 6 , • 7 `6 _ RY t by Tri.Camty Building Ind 4try Sri viec hoard 1 '[tui1S1nH J•errn1 ''ttiC-JnnnT.4pp du: tnl oX 4.1 C,- / '7, r7 ( 06/04/2009 16:13 5038139257 JACOBS HEATING PAGE 03/03 SITE PLAN <0> O _ , DIRECTION '� girl.' -.�► - 1 HOUSE , AUS t 5 „A2tD Wp Gtr FRONT ” 7 STREET S Job Name 5_i /E Oodreteg Address /0 `�� � �d.� /L �'.✓ j Model # V /SZz44A07 Make •1C/4 /692._ JACOBS HEATING & AC 4474 SE Milwaukie Ave. Portland, OR 97202 (503) 234 -7331 (503) 813 -9257 fa.,