Permit j 3 3 cr0 t,vc. I
F n• ---- 7
a ts. CITY OF TIGARD MECHANICAL PERMIT
-sI" DEVELOPMENT SERVICES PERMIT #: MEC2006-00006
l l 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/5/2006
PARCEL: 2S 104AC -10800
SITE ADDRESS: 1 ZONING: R -4.5
SUBDIVISION: HANDY ACRES LOT: 034 JURISDICTION: TIG
Project Description: AC install EXPII E
• 6 w vv % V ---
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: < =10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
MICHAEL WEINANDY Description Date Amount
13300 SW WALNUT [MECH] Permit Fee 1/5/2006 $72.50
TIGARD, OR 97223 [TAX] 8% State Surchar€ 1/5/2006 $5.80
Phone: 503 - 579 - 8660 Total $78.30
Contractor:
JACOBS HEATING + A/C
4474 SE MILWAUKIE AVE REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97202
Contact #: PRI 503 234 - 7331
FAX 503 813 - 9258
Reg #: LIC 1441
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and
all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires
you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1- 800 - 332 -2344.
Issued By: ...41P / z Permittee Signature: a`y/
Call 503 - 639 -4175 by 7:00 a.m. for inspections 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.
w2'JM''�yacobsHeattng FAX N0. : Jan. 04 2006 03:34PM P2
Mechanical Permit Ica . i ■ l it t) I. i I t l.. i i t l N I 1
City of M Tigard Received
OR 97223
Date/By; a / S i i pc itNam • '�, - OoOQ
Phone: 503.639.4171 Pax: 503.59s.19GdAN 0 G7_ 200 Plan Rev
'* ri'
Inspection Line: 503.639,4175 lAttoBy Oth�rPonds
Internet: www,ci.tigerd,M.us , I �� BYt
CITY OF T1GA NotiFledlMethod: ' ' , gee Page a for
•
Supplemental lntbrmatloa
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1� I � I jl III , � }
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t a ltl l c.• 1nr41,rII,I•�1:1!7.5,.NJ1t!.Il i rlli�. , ' 1'1 ?? • ;i 9,. •, . 1.�1I i f {(,,., . PA ( ti!I' I; ,i'�t • 1 ,1il iii 1 , L1Ia1' r w.���jJ) t �11' N ' l : ' 'N' p= } n .n•: ' Y : r , : :
111 :1 R16S �i^I...e. filar F. , i;iflAa,IN(r�lll,1 ?Iin!},il,`. !Eli... 11!t'i: " 1 1 1, t:'l:: l ih',fk, -Ii. ,tvA.L! r l i ll i,LIhItt: ti :;.&11 .ihtL.1; l l .,tr.t 1tllA. . ; }. � ' 4. ,nl i t't,i 4 ;;;;,!!ti n u ,e rY!;ii
❑ New co El Addition/alteration/re lacement Mechanical �, J � I ! ` 1 o li the va j � I t rl 1 � Ik F I t
Addition/alteration/replacement permit flies are based on th value of t w t he work
❑ Demolition performed. Indicate the value
�''It ll' ,' ;p 1 I "' rJ � ^ I��T Other mechanical nmtelinis ns, lab (rounded to the a d, a dollar)
rofi of all
!I'��t � � "� �� �1" 71- t � + • '' I t i ' y �C f+ 1 C all i � , l r i l ai c:irl7 rir t I I 1 f r�9U111ment, 16110.OVd'tl
: !,r nl a t I� � � I l I' �4 � . r I pa,,l overhead, and profit
!ter. 1�1 1 1 .t., .lsr4jy 1 ,y1 gi
r; . igNi.ui'„'' it..4., -14. ∎Inuit,,— ..1- 1 ;1( a✓la.� .. ..'' � , ! Value: ,P
, I: 1 � 1 .�iaA r. , 1. h1 Ltl •,i I I ;l> a 111 ! I hd. rl ! 1 I ! II 1 1
C.4 dwelhn k Lit � V 1 i 1 1 t i t + fi f er � , , � 1 1 !r i a� l �ur� {.,:fill fi l l: �'r11p +rott:FHU`
Y g ❑ Commercial /industrial ❑ Accessory building .�!.alrl;t..ff „ ,,.,1...:1� .. , 1, t1 11:,; Gttl. R.' ttnrtoG' r; a4n 1. '•',;�'.�il' r,t''!>,at>.Is' +0
� I- and 2 fermi:
❑ Multi family ❑ Master builder 10 for special information use check/!81
r;lr 1 , I � I ' Other: r
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Description I Qty Total
f X344 , P 1 I 7 l i a i t nrin r t , n nr t ll ' !, ' t +'f 01 p S8, T
,{�fl.i 9a,11tIL ill fi it , ilifiril t .41lit, , lii,,;.iii., � t .' : ; A.,'1. 1,,14. F , yi n{ ., , i 4A 7, .. "i l ` ri, , I F }l/
9t t+'nPl�i lht, +lh 1 rnFi,., ,I,r,7.rN��lp JI' , n td d [ . 4 Pir't MM' 1{ ; Hattln e0tlling
lob site address: i Air conditioning or hest pump (requires t I
14.00
Cis /State/ZIP: - ha plan showing placer/min _
y �_ . .. � Furnace 100,000 BTU ducWvolde) 14.00 or
Suite/bldg./apt. no.: Project name: Pomace 100 BTU (duclyveesa) — 17.90 t
' - -__...• Clan heat pump 14.00
Cross street/directions to job site: Duct work
-.
—
14,00
Hydronic hot water system e I4.00
Residential boiler (radiator or
hranic) 14.00
Unit heaters Owl-typo, not electric),
in -wall. in -duct, suspended, etc. 10.00
Subdivision: Lot no.: Plug/vent for any of above 10.00
Other: I 10.00
Tax map/parcel no.: - • -
1 �fI I'!' { EI {F' I'I'ii!iill(} r '1:� I' ji}i!k R F 71 '!lilrlct!S 1" I o ltlf �riila'n r' lu ",G 1i : t 1: t � 1., • Other stiles ana ncei
I l i V r a i t s, til' !t r I lIN I l t 1 ::,}, � uK M1e4� W j;WWa >} 1 ' IOW , ., ps ry i t It 4 s 1v1 . , f " ! Water heater 10,00
i„ ltl? 1 ,1 i, i I'iM.I.� (fide 1,.,, ll& �� 14� tl4i..11 ;: . a but tr n,6 n l�l'r. 1,:1/ t i!�1 lr ..,1 4:1 ' , r. 11 ,c ,,. , P . „ H i �. !At 1, 12 1
Oes fi - lace 10.00
Flue vent for water heater or gas
fireplace
Log lighter (gas)
10.00
10.00
W... 'ollotstove _ 10.00
Wood
fireplace/insert 10.00
I rr t alrrlin i11" 11t te r C 'tr ;t al rtt Hlkvaq+ t �1 g� p( a�. t I , n y —]rd - �lNa Jr } A
Chimney/liner/flue/vent v /liter /nUC/VCIit 10.00
, fiil� l I�, i,' ri, r A ,f�t.+! t 11 , 'F .'IEIRJPF ,, p� 1 1�J(ri' 1� :1 . � A 1 d i ryF�1�1 1^�' i ,i,3i1 ......1
III loll 11 r; , L1I�1 „, �i 1t,t n..,i ,� 1,� ,r.: r +. A; t A I•fl.d �11f171b�Ill��,',Iwi �� �. ���,� .1>: c Ir. Other ` 10.00
111% -'•�'- a w ,.; ..' G_ _RO, Environmental exhaust and ventilation -
Address; F � Range hood/other kitchen
equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Phone: r ( )
Single-duct exhaust (ba ms,
( ) 41 ,,,,,,,..,.. Fax: toilet compartments utili rooms) _ p
p :i'j+ I � J I r f 1 : rl ( f f h fi i t � ! Hl Y !11�1 1 h, I(li�'� H d N !, 11 , 11 'f iN Jt ,IJJ.u11 J. 1J ` 6}j �� L B4OU
r 11� (i ��1I�1 1 i' t el fr l ll ° iI� 1 1, U y �1 W E�i itmo S ' rJ '� q,f ��u l �ti l1 � i� r# l f 1st D:59 1 l:LA Ut d:4, Auio%rawlapace flans 10.00
�. p. ,ifmptl �, i,i, , T i • 4,k r 1 � 1 r, d I 1 C I I �J mU, l:..lru: f Iq 1 luan,trM1r. ia a
,1 ,.l t. r
Business name: Other: 10,00
^-- Nei piping
Contact name: SSA for first four : 1.00 fbr each additional _
Address: Furnace, etc.
Gas heat .0 .
Clty/Stata/ZiP:
Wall/suspended/unit hater
Phone: ( ) Fax; : ( ) Water heater
email: Fireplace
! 1 1 Range
! !f ` '. ` , !EI f t l , sl uff ttl�f i Ir p 'dal li ' P��i �RS � �tl t i `> { "' q'�n r to t iq P �� �. 8 ' ' 'd'F 't •� * III �'f � ^ ��t`�rn.; . {'
I4. 1 .: tllclllL :. � , �J �w itt i ir.f.l�(fi.r.rlh ftll iwAP:. lwai.fiti!i41i!611,.1. :11.1.117 .,.'4f.,..,' ° :,11Yl ,I.7i,Eal�{, ;1 YStE17Hli'i1...J Barbecue w I t•.
Business name: Jacobs Heating and Mr Conditioning Clothes dryer (:sera)
Address: 4474 SB Mflwaukle Ave �' IdIJ l h q 1! 6, 1 n t Ij! 1 rt t
ills f'� 1 iii p'`r., ys n17 1hI'r! ,atli {sE i I MIA J t 1
u,lA „ {1 ! n.en w., lm. rw ., p! t ,.. m I! n
City/State/ZIP: Portland, OR 97202„ — Subtotal
PhOno: (803) 234-7331 -Mug; 808 -9108 Minimum permit fee ($72.50)
'— .+ Plan review (25% of permit tee)
Cal tic.: 1441 State surcharge (8% of • t the)
TOTAL PERMIT FEE >
Authorized signature: \ ; L ', This permit appucatlon expires if a permit is eel obtained wit 1s 1 0
days anent lute been adeeptad u complete.
•i e, s • Date: • Nee methodology eat by Trt•County Building Industry service Board
1;\ tiuitdleltu 'ealllta\MaC.Pmmespp.Mc 12/07 440.46I7T (I 1/
1 .-2I
FROM : FAX NO. : Jan. 04 2006 03:35PM P3
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