Permit ��;s MECHANICAL PERMIT
CITY OF TIGARD
COMMUNITY DEVELOPMENT Permit #: MEC2010 -00198
;TIGARD' 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 04/30/2010
Parcel: 25111 BA00304
Jurisdiction: Tigard
Site address: 9747 SW ELROSE ST
Subdivision: Lot: 0
Project: Frutos
Project Description: Replace gas furnace and install heat pump
Owner: FEES
FRUTOS, DAMON E & Description Date Amount
FRUTOS, BROOKE L, 9747 SW ELROSE ST Furnaces < 100K BTU 04/30/2010 $46.75
TIGARD, OR 97224
Heat Pump 04/30/2010 $61.06
PHONE: 12% State Surcharge - Mechanical 04/30/2010 $12.94
Contractor:
ANCTIL HEATING & COOLING
4320 N WILLIAMS AVE
PORTLAND, OR 97217
PHONE: 503 - 281 -0752
FAX: 503- 282 -5722
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressue:
Total $120.75
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: NV Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day. J j
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.
• n 13125 SW Hall - 111:e., Tigard, OR 97223 ,,m uii,�,nr, r�LC �G' IU ° (1„) 4
Plin Review 11
Ph e: 503.639.4171 Fax; 503.598.19 E i � , r natc/Py: Other Permit:
• 'C I (:. n F 1? ' Inspection Line: 503.639.4175 J fir_' � ; Date Ready /By: tug El See Page 2 for
Internet: www:tigard- or,gov Notified/Method; Supplemental information
►a 2' 2010 -
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` Mechanical permit fees* are based on the value of the work
0 New construction ® Addition/altcrati. - . p
B _ 1 1 - , 1 U� S! ® A' performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition 0 Other: mechanical•materials, equipment, tahor and profit.
f Cr W r ° r i n i, w v n } , 1 , iv . F , i v ' I . ' y i ' , ve � I if t .0t Value:
^ln'.t f 6r,� ,1 ,' ,1i¢ i t 1 Oal: rv� r;,IF 3't 6, 'x n ,, � q .,.., . e h ll , h,aXi,; , „ F �,v s{ r ', r _, rt a
® 1 - and 2-family dwelling Vi. a r imiu "r �, use •,. Ilaeaitlat i } + "`?
y g D Commercial /industrial ❑Accessory building For special information use checklist,
❑ Multi -family 0 Mater builder 0 Other: Description Total
@y y y p
` t r •p i g r �r 40 7 9 : 7'f r1 r 4i• 4 1 ,.. r d EC v e �� 1:i:l *..$1- ,wul h 1 ` . {?l; {.i f N lr r '.'1 I.I p 0 Qty. pa. 0
< <,�t� ?1e,f��� v �r ti � I iw 1 +�i�
Ik+a ' ,,, r „ nting/cooling
\ F Job site address: 9747 SW ELROSE STREET Air conditioning
(rCguires site plan showing pl 46.75
City/State /ZIP: TIGARD, OR 97224 Fut'ttace 100.000 BTU (duets/vents) 1 46,75 46.75
" Furnace 100 000+ BTU (duets/vents) ...
Suite/bIdg. /apt. no.: Project name: 428771 Heat pump I 61.06 61.06
Cross street /directions to job site: Duct work 23.32
'
Hydronic hot wate ystem 23.32
- Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall in -duct, suspended, etc. 46.75
Subdivision; .� Flue/vent for any of above 23.32
Lot no.:
Other. 23.32
Tax 1) ap /par no.: V." 6 / Other fuel a ances
,t6 kWRY4Yl , DO tt.n i1 �i1frLi, �'W..�'M �h�'ai.... r .1 4 . , i yt (t a :a l w,w ' . , f ^1 1 . �J 141r\ 1A11 �>M}r r . . n :,..) . I � t i 3 h"A ' r. ��1' 1 Water heater 23.32
YI I � �' i Y [w ,1 , a' . t r" r , a 4 n tt r R `, v Adt l rl i ` ti. 14;i
PUSH/PULL GAS FURNACE Gas fireplace 33.39
, Flue vent for water !tester or gas
INSTALL HEAT PUMP f rep ►ace 23.32
. Log lighter (Ras) 23.32
Woodlpellud stove 33.39
Wood fireplace/insert 23.32
'a'i }} t�y o , a P " >i i` 1f� y a6a '`r ?s:' 1u % i:r i {° r'4 Chimney /1incr /fluelvent 23.32
\ i3 a t Rli:. t a;�. k. ' `` Y ,: a"i, I (, $ 5 if ,, w i f ∎ G � ii 1 r , � ; . Other: 23.32
'Name: DAMON P UTOS Environmental exhaust and ventilation
I Address: 9747 SW ELROSE STREET Range hood /other kitchen
•• ui ∎tnent 33.39
City /State/ZIP: TIGARD, OR 97224 Clothes dtyer exhaust 33,39
Phone: 503 6 5 r ) Single -duct exhaust (batluooms,
toilet compartments utili rooms 23
( )3 1659 Fax ( .32
,; lit l l h I. s ; t h vi t w y ,,,, w r�
rr i 10..1�w. }',v t_� ,, `'+ifl 11 '.:.' I r i l i (+' t tr t�rr4rS- fl"h li t( 1 a .ldj awls ac f
t ,t . r, � n. ,v:;.:aS t aid!. ,. � , -_r0. ,. � •. r '', 'h�,i�r Attic /cr �' --P- -- e ans - 2332
Business name: ANCTIL HEATING AND COOLING • Other: 23.32 -
Fuel pipin
Contact name: CHRISTINE BARTON $14.15 for first four; $4.03 for each additional
Address: 4320 N WILLIAMS Furnace, etc, all �
City /Statc/Zl3': PORTLAND, OR 47217 ^ Gas heft um
'
Wall/suspended/unit heater
Phone: (503) 281 -0752 Fax:: (503) 282 -5722 Water heater
E-mail: INSTALL(ANCTILHVAC "COM _ Fireplace
Range
: i y�r '
"11. ?�1 lN� cr �l�lHjW � l i . i r 1ilrI vJt p
. iyc ici i �'1 ' lwq i , {
Id�r � .0 ;.; k VPr t ;w� 1 11 . l l Y:1i�'r,�{y � 14111r �(} 41Y4': Barbecue
vx.- ,,,n .,�, rr .�; ., , r r ri
; �Pa, Et ,'ldk'� �. � &rl 6 :1
r Business nine: ANCTIL HEATING AND COOLING ;. M
Clothes dryer (gas)
Address: SAME AS ABOVE Other r .��mn. t .,, r ! r r' t`( q w,r
Ciry / State /ZIP: { �)a4d l w`3� V 'i1' ; �A� ?I';,: ,'.� ,. „ t , lry, a it s
Subtotal 107.81
Phone: ( ) tax
-
( ) Minim permit fee (590.00)
CCB iic.' 8897 `- Plan review (25 °/u of permit fcc)
State surcharge (12% of permit fee) 12.94
-.
At thori ;rd si narur t ' t 4i) .. TOTAL PERMIT FETT 120.75
l ! his per;riit application expires; if a permit is not obtained within 180
Print name: CHRISTINE BARTON - - days after it has been accepted as complete. -'- f18le: a /29/10
a' dm r P omo. • ,NIL( •lint e -- - - � _. tCC nirlhtutolol y set h,, r i ( .'otlnry Bui43 Inituslry Crvut' Bt>dr't!
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