Permit � CITY OF TIGARD MECHANICAL PERMIT
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COMMUNITY DEVELOPMENT Permit #: MEC2010 00299
,'"IlGA.RDt 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/01/2010
Parcel: 2S103BD02800
Jurisdiction: Tigard
Site address: 11980 SW CARMEN ST
Subdivision: Lot: 0
Project: Reeves
Project Description: Install gas furnace, A/C and attic fan. Placement of a new NC unit must meet 3' minimum rear
and side yard setbacks.
Owner: FEES
REEVES, MICHAEL D AND NADINE K Description Date Amount
11980 SW CARMEN ST Air Conditioning 07/01/2010 $46.75
TIGARD, OR 97223 Furnaces < 100K BTU 07/01/2010 $46.75
PHONE: 503 - 454 -1058 Attic/Crawlspace Fans 07/01/2010 $23.32
12% State Surcharge - Mechanical 07/01/2010 $14.02
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 $130.84
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: 4��~ %'� '�,G� _ , Permittee Signature: /9/ e / fir, -T70, ..
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
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Mechanical Per'mit.Appliea ' YI ° 1(>'12`,c>I Fie I. l 51 c >NI
; city of Tigard CEIV Received
"`. ID q 13125 SW Hall Blvd , Tigard, OR 97223 p Plan Review *go •
Phone: 503 639.4171 Fax: 503.598. l y6( U N 2 9 2 010 Date/By: Othc Permit:
1 Itts eetion Litho: S03.639.4.175
,1 - G 11t U, Date Rdady /$ : 9J• Sec Pit a 2 for
od: Supplemental Information
,tin ('Internet: wwwaigaid- or.gov N otified /Meth
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❑ Ncw construction 12) Addition /alteration/replacelnent Meehatucal permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
1:1 Demolition (0 Other: mechanical materials, c�uipmcnt, labor, overhead,
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For special information use checklist.
L] Multi ❑ Master builder ❑ Other
r 11J rr l t a ( YP' n • Description 1 Qty Ea. Moral
11- •a1' t� ��,1" 1 1 0 t a , i l ;,J,',..11,17(:,: a : a Y� c to ll 1�1�Y�11a V ! °GRF A t' i t W.1 Heattu• coolie:
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oh site address 11980 SW CARMEN STREET Air conditioning
ter, .. re uire3 Site Lin shciwin letemeet 1
City /State/Z1P: TIGARD, OR 97223 Furnace:•100,000 BTU ((]_uc te/vents 1 46.75 46.75
Furnace 100 000+ BTU ducts/vcnts) 54.91 -- '
Suite/bldg. /apt. no.: Project name: #28876 Heat pump 61.06 III
Crossstreet/directions to°job site: Duct work 23,32
" H (Ironic hot water - stem 23.32
Residential boiler (radiator or •
hydronic) 23.32 •
_ - _ - .... Unit heaters (fuel -type, not c11 ctric),
in -wall, in -duel, suspended, etc. 46.75
Subdivision: Lot no : Flue/vent for any_of above 23.32
,� --- Other - 23.32
Tax map /parcel no.: c appli ...
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OthCt fuel AttCe4
i �,; 'r,: e Y I ..' " "(;i.. ,,• " Ir,,,, „ ti<> ,.,, Wafrs healer ��
f k !i 1'�T�r' . D';� f.^1 k .r'11'�gi { .�:,,�t” :, ?.; , J* v k!? :} ' ^, ;, •i; i '? tftr " )Su ,4, !4700 cc .,.,,.,
.. 1'�:N: S��?M �;.;�!, ?r,) I,tG:; I: WF 'J'.,:�.1� .,. 1 �1i ,.' W , ,- ,w, . , . ir Jitr.o..,,k ,:, N;,:.ai k,i.W�W,: -: Uas fireplace = 33.39 —
INSTAX ,GAS FURNACE Flue vent tbr water heater or gas
INSTALL AC fi .lace 23,32 MI
.. Lo • li titer (gas) III. 23.32 EMI
INSTALL DAYTON ATTIC FAN Wood/.ellet stove 33 -39 MIIII
Wood fire•lace/insert _ 11121111■111
y ':7; er:':r rtr ;e:'r'f.. {7i%k.A,,t('1'li °J
Chit>;tne /liner /flue /vent ���
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t. , a' „ r,t?.,111 r,., r . U �,,: � Other:
Name: MIKE AND NADINE REEVES .Environmental exhaust and ventilation
Range hood /other kitchen
Address::11980 SW CARMEN STREET •ui.ment 3339.
Clothes diver exhaust
33.39
City /State/ZIP; TIGARD OR 97223 Single duct exhaust (bathrooms,
Fax: toilet compartments, utilit rooms
23, IN
Phone 1 503 454 Pa
1058 r r 'l / . . ; x ( , " 1 ItAci s ot �Y l��n`cl , 'irf•`" ^r:! ���
( /Attic /crawls.acc fans
fq 7t�r ^t }] A� ` ,,; Qy i �" ,� T ,. ,r tF r i 11 r �, e Other: 23.32 MEM
.Business =name. ANCTIL }IEATING'•AND COOLING Fuel i,itt:
$14.15 for first four; $4.03 for each addition>tl
Contact name CHRISTINE BARY Furnace, etc.
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Address: 43.20•N1VILL1fAN1S AVENUE _ Gas heat pump ��
Wall heater heater MEW City /State /Z1P 'PORTLAND OR 97217 Water r ll heater _
Phone: (503) 281 -0752
Fax: t (503) 282 -5722 Fir lace
1'utnge .-- am
E -mail INSTAL L@ANCT11 HVAC COM
ter• --^-^r i a , I , - -^ ! it !, I I I rt r
il i � t ` /� "r,:•I q Barbecue EIM
tiC » „,.,, ,,;?, 1 liPi i 4 � ti �3T;7'1u� X ”' � tit*C �a } ls�:u+ g.i ",F31 t.,>r 7,1. t'.__
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:1 V t f tl„ y t 4 r J Yl�t O hl I Y print ,. .,, ,r. . f ,..r. Clothaa dryer (gas)
fius ness name; ANCTf L HEATING AND COO LING Other m a 1 , I t a: .
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Address: SAME AS ABOVE - , --" i t 1 +d "` �J 1'`Ifa. , .: Subtotal 116.82
cit $tatc/ZIP �1iiSimutctpennil($90
�' 1 1a, ( Plan review (25% of pem it fee)
hone :( ) __ -- 1 '— —"-- — — — fee 1,„„/' . - State s urcharge ( 12 °�u Af permit feel —� 14.02
I x0.34
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{.0 13 tic, 8897 — — — -- —' —' — — TOTAL PERMIT FEE , _
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t . tS:gs aft_er It has beet: ACG tpted tt cotn
.' u Print nantc: ( lhorllttd Sll'i1tllUrl " , t ' `, ` - —� — .. . � " Fee IPCthU,„,„„„,,,,„,y Set IrY Tri -( runty Ruil<Ilnl+ 1t wary S.rvt C P. r4
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11R15TlNfi BARTON — — — 140 -0171 (1I (11!('r,M;w1-:41)
Td 14822 :SO 13T121E BE 'ant ZZZSZ8Z £ ON BNOHd but loot 8 EU122aH 1IlDNti WOLIJ
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° 4320NWJUIamsAve. Portland OR 97217 I
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