Permit CITY OF TIGARD
MECHANICAL PERMIT
Permit, #: MEC2010 -00292
t o COMMUNITY DEVELOPMENT
�
1 3125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/29/2010
TIGARD Parcel: 25111 DB11400
Jurisdiction: Tigard
• Site address: 15260 +SW 94TH AVE
Subdivision: SUMMERFIELD NO.12 Lot: 641
Project: Catto
Project Description: A/C installation. Unit must meet 3 ft. minimum rear and side yard setbacks.
• Owner: FEES
CATTO, Z CYNTHIA R & Description Date Amount
MILLS, JERALD E, 15260 SW 94TH AVE
TIGARD, OR 97224 Air Conditioning 06/29/2010 $46.75
Furnaces < 100K BTU 06/29/2010 $46.75
PHONE: 12% State Surcharge - Mechanical 06/29/2010 $11.22
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:
Gas Pressue:
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 - 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: / = _ _�i ''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.
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0 ,0: : : : ,m , ... : .0, City of Tigard Rccc,ved ier } Datela : 'crrntt No.. ityee t, ` i
1, 4 t3125 SW Hali Blvd„ Tigard, OR 97223 y ►' `*'`- P° v - OCI
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4 hone: 503:639,4171 Fax: 503.59
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CITY 0�) IGARD p� � � tp t Information
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ement Mechanical permit fees" arc based on the value :of the work
performed. Indicate the value pounded to the nearest dollar) of all 1
0 Demolitrotl ❑ Other ,mechanical materials, , overhead, profit.
S'64 a at)w 911,r lr�c a@ i { ' {9 9 , \ d � l � a rr''4 i �i,,,ii rN i'' li; 0461:::k. 11i j. , eQ Value: $ tab0 and 1S OV rO
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r T iro �A) t ' tt 'we. " y , 31 +
i - and 2 -famil dwclhn Com dustria Aye. ssor building 1>
❑ Multi -family ❑ M aster builder ❑ Other;
Description Fo p csrx/ ra o c
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Job site address: 15260 SW 94 AVENUE Air conditioning
m (requires site plan Show lnK placement) 1 46.75 46,75
City /State/21P: TIGARD OR 07224 Furnace 100,000 BTU (due LY vents) 1 46.75 46.75
Suite/bldg. /apt. no.: Project name, #28874 ~ Furnace 100,000+ 13TUSducts /vents) 54
6L-HD pump 61.06
Cross street/directions to .job site: Duct work
23.32
4yd_ronic hot water system 23.32
Residential boiler (radiator or
• hydronic) 23.32
-, Unit heaters (fuel -type, not electric), .
in- wall, in -duet, suspended. e t c . 46.75
Subdivision; Lot no,: l''lue/ve t for any of above 23.32
-• Other: 23:32
Tax nuip /parcel no:; Otherfuel,appliances
t�� ��� y�aa { t°.r 1 IP 9 § k ' ^ '.. d a..6 ' a l' 4 Pe' l,.! r i r e\ Water heater 23.32
,..,,P' �i+ .,.,i;. Yr. t. / i;ii , M # rt • ' , I , .. , nykr,tr ., ,' r i , r I „ , 1 4 °� , ,,A,t1 i {p °M . O. X l r f •T;a " , i . , ".� I r
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Gas fi *lace 33.39
PUSH/PULL GAS FURNACE
Flue vent for water heater gas
INSTALL AC tiplace _ 2332
" lighter (gas),_ 2132
- Wood /.eliet stove 33.39
Wood fircplace/insert 23.32
�,�. ter, r r..r'r v r.r�.r r F M ""ti
4 t ' 1 )r n 7 1 t ay w Chant /liner/flue/vent (d Nrr.� �+� p / � -^ ? } fF {cue y
' �O l" lu {,4 0 , iw 9 "IA �t It � 1n Yv ui� O p � I "Ir I . r.-,:,, f,, - eT `,p 4 i'' A 1l.;',:;xtr ..,l \�':: �. /lin/fl/
rt'� • �r�t 23.32
_ Other: 23.32
Name CINDY CATTO Environmental exhaust and ventilation
Address: 15260 SW 94 AVENUE Range hood/othcr kitchen f
ec uipmciit 33.39
City /State/ZIP: TIGARD, OR 97224 Clothes dryer exhaust 33.39
• ( ) Single -duct exhaust (bathrooms,
( �c yy ��qp' 1 r toilet compartments, utility rooms) 23.32
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One,G „i ° , ° 5 ri 0 r�$ �,�1Ar Pax , lyq �� "Ar v ., ', "; tWi. I iplii "
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" ^ j °•4 n; 'r ° ^ a tl It Altrclomwlspacefans 23,32 •
Business name: ANCTIL HEATING AND COOLING Other. 23.32
Fuel piping,
Contact name: CHRISTINE BARYON 514.15 for first four; $4.03 for each additional
Address; 4320 N WILLIAMS AVENUE Furnace, etc,
Gas heal pump
City /Staate/ZIP: PORTLAND OR 97217 Wall /suspended/unit heater_
Phone: (503) 281 -0752 Fax: : (503) 282 -5722 Water heater
E-mail: INSTALL@ANC . Fireplace ng
P ,r l r. $ " rY a�lp^Y rf S. i,n'" 1 urGt ��' "1 ^' i ' 1 � �y.I't " i r r' T Nr fir I R - • •
. , .. w a P"' 1 :: z fi r,.:. IP t J..l ; ''r , W 4 � 1)'y' l Barbecue
Business name: ANCTIL HEATING AND - COOLING Clothes dryer (,eas), I
.,
Address: SAME AS A Other
80Vr,
1
City/ at IP:
clGa f1�ipf�;[,It�si ,, } n �l.r,i r ! :
— - Subtotal 93.50
one:,( ) Fax: ( ) Minimum permit fix (590.00)
__ ._ _
Plan review 2 °
CCB lie,; $897 (5 /n of permit fee)
State surcharge (12% of permit fee) ! l .Z2
�/1 ,, 1 EE AulhortrCCt a[in9fU 1N � `� { ` n �` t �{ 'l'bis application ewires
TOTAL pEriil it not ohtai red within 180
• \ \ \\ J L L ` I drys after has heeu accet>tcd as a mplete
Print wane (11R1ti'I'1,NE RARTON ^ - ._
_ I)�te' 612$/10 I • Fee mcdualnlogy set by Ill County building h Service Board
• Lturin ■,\ perur ri Ml: - s'onainPp due fl >i01 .. e. 440.407T 7T ∎ i i n12 CO.vi'WIG)
Id WdVT :SO OZOE SE 'uni- EELSZ8Z 20S : '0N 3N0Hd EU TCOJ EU �t=aH 1I1JNd WOA
FROM : ANCTIL Heating & Cooling
NOISIA.10 '01410-11f1S
09t10
002 7, WIfs
PHONE NO. : 503 2825722
Jun.
25 2010 05:15PM