Permit CITY OF TIGARD MECHANICAL PERMIT
I COMMUNITY DEVELOPMENT Permit #: MEC2012 -00293
T t G A R. D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/06/2012
Parcel: 2S112BB02300
Jurisdiction: Tigard
Site address: 8310 SW COLONY CREEK CT
Project: Colgrove Subdivision: COLONY CREEK ESTATES Lot: 19
Project Description: Replace gas furnace and venting to water heater
Contractor: JACOBS HEATING & AIR CONDITIONING Owner: COLGROVE, MATHEW E
4474 SE MILWAUKIE 8310 SW COLONY CREEK CT
PORTLAND, OR 97202 TIGARD, OR 97224
PHONE: 503 - 234 -7331 PHONE: 503 - 804 -6723
FAX: 503 - 808 -9108
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 06/06/2012 $46.75
Type of Use: SF Flue Vent for Water Heater or Gas 06/06/2012 $23.32
Class of Work: ALT Type of Const: Fireplace
Occupancy Grp: 12% State Surcharge - Mechanical 06/06/2012 $10.80
Stories: Minimum Fee Adjustment - Mechanical 06/06/2012 $19.93
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. l ,/� /� Ti , I
Issued By: N
Permittee Signature: Q . /? Pitt eta 1 / okL
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.
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Mechanical Permit Aa icationR E CE I I�
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