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Permit CITY OF TIGARD MECHANICAL PERMIT ` COMMUNITY DEVELOPMENT Permit #: MEC2011 -00097 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/09/2011 Parcel: 2S103BB12900 Jurisdiction: Tigard Site address: 12245 SW ANN CT Project: ARDINGER Subdivision: LAKE TERRACE NO. 2 Lot: 22 Project Description: Heat pump replacement. Unit must meet minimum 3 ft. rear and side yard setbacks. Contractor: ARROW MECHANICAL Owner: ARDINGER, KEITH E & SHERRY A 10330 SW TUALATIN RD PO BOX 23459 TUALATIN, OR 97062 TIGARD, OR 97281 PHONE: 503 - 692 -1565 PHONE: 503 - 590 -1621 FAX: 503 - 691 -1879 FEES Specifics: Description Date Amount Heat Pump 03/09/2011 $61.06 Type of Use: SF 12% State Surcharge - Mechanical 03/09/2011 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 03/09/2011 $28.94 Occupancy Grp: Stories: 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 503.232.198 • c •+ - .2344. Issued By: / / ��' ^�- Permittee Signature: ` � '— , � 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. 03/08/2011 10:58 5036911879 ARROW MECHANICAL PAGE 02/03 1Vjechanxcax -- rn_IL ,A.A>fiic t�nrl: ° �� 't 4 , ' ""'"" .�...,, -� a .t F012 OFFIC l_ Ilsr cys, LI' City of Tigard � �, = 4 Received ? I NI "� 13125 9\v ]iall Blvd,. Tigard, OR 9722'i < 1-�� t5ato/F3y: J / ! < -kill P�Tm, Na,; `• // . ' 111 Phone: 503.639.4171 Fax: 503.59R 1960 r* t �© Plan tzsviow fns octian Lino: StY3,639.4175 �` pT• Dote/Ry; Other Permit " Doto Ready/By: ET Svc Internet www.ligarcl .^1 & t ` � ' Notifiewi �tethnd iemont 2 in ror \ \ k �.��, r ° suprt�nnntr�t Infer netlon r " i. F o�l t i ?` i � y l i ,Q fit f , A t att � r cer y � l; rz , x r� � ti , � +' ut p�v4�ws�i?�? � i' "�,,� ��, � , , Ttc1 � , h �C�a;��ti��r h��yaaif *��i;F ,+��"�u . ,,�.4t�, rvamr ?aaz�,!/ xv«::?':g�_'^Q r �rtar�nr{{ r 6, ,oh,,., , 1{.,emq; k. W,44:.n4,?, � :; ,u, ra N rz �t J ,4 , a.. , F e1 ' � �.∎,, , n t• h ` � . +re�, r r ; i PR'" i AC �f l }},, .. 1 ... v6x�(NU�.r[� ��r ` )G�(7i1,Y,t .,�.{\ si. A •!��': � {w � R7 p7 �Ar`,tAJ94M:.{m � , U New construction re Additicul /ailentl:ion /replacemcnt Mechanical permit foes* are based on the value of the work (rounded a Demo / lion 0 Other performed. Indicate the value III ( ) the nearest dollar) of all i S '111 t� -}, , vF l •,� y 1 {! t °h '" ` '�' E ° "•rni r. X 41 ° 1 mechanical "mat'e materials, equipment, . i ) '�i " i t, r i i }4`,44. 5, o- ' , s u ( k�,' u )wy� labx�r overhead and �ro { 1 i v 4 4 '' ' a V ∎•. ,• vi hAr �„ t„ F , n, , 0 4 4 " , , d t , , il �, ''4'1,4 kt °4i r • 7, , R 1 � � ♦�} d�d��br,1 , rm , ,,g` r�he � P b W 4 ^ F��,a: �r , ,�7d�f *^rn ,y, r Y(,{t,a F 1Cx;� m family dwelluag 0 Commercial /industrial ❑ Access �. '? ?, ,'i) :Id t��lYVe j,4lu6 ° 1 , , � '�, t ; a t: ,4 r 's N 1- and 2- '{� �5 huildin P , bo „a. tsr1� � �{ ,., „ �.. � . El MnIti- camtly ❑ Mestet buildcC ❑ ()tb ,� 1zor. rhrclal Information use chrck! /sr R 'd 14 kJ ''t� i l r ig tyr , 'N ' 4 N r t7t �t, G[rM.'C'I r lr � T, i r i,r f'r ifckF1 4' 1RI RYFfi , r l5crrcriptiun Qty, � Fn. Total r ,1 i� A r. ,At ,i ; r14 l ' i.r � v . ,' ?bra 4R ? ::∎48 4 ' •A ' , a e �W!'�'rfi11 rlg 16 by HOMO coQ1t1A Job site addrroaa; ' �� t S A R M Ait conditioning City /Stntc a i,-, to 1a aheleta _____eat 46.75 Dr2, Furnace 100.000 BTU dnotanmmx Suite /bldg. /apl nn,: P lnjactnamo; A Pinnace 100,000•. -- ,i t NQ �1/. �e / , ..._ . -, Hcn ratp t n u 61.06 - (•O Crmss street /directions to_inb site: J 0 / Duct. work 23.32 Mill H drone hot water is stem 23.32 Residcntinl boiler (radiator or � �.".� h droaalc 23.32 MI — - Unit heaters (fuel -type, not electric), .. —_ in -wall, in- duct,anspcnded, ate. 46.75 Flue/vent 0x nag of above 23.32 Subdivision: bdSubdivision: Lot no„ Tax map/parcel no Other 23.32 7 °i11 "� SG; , ,,Cr ,�t+ ,r171r�vtINOW ��' s rr� +: t r ++n;,vn Other likincea aaty . �itg i�l��lr , ",ts�iel.aVhi'uVa li: , 1 g yr 0.E r ��n r, * i' :0 � ,, ` r1 4 \1 ', 'Vs Va 4t O ! xt k rr� ro " +. , 4 A��k'S,hI�.T.,nt. ,n,! ,}iM u�1u�g N, d3 '� �J+ ��ism'Nrh wateratet 23.32 / f� �,. Gas C :11tcc 3.3.33 i'a'M' '- Igite a `1^ J Flue vent for water heater or ga fate 'lace _ 23:32 Log lightcr.(&no _ an - Wood/pellet .staxvo, IN 3339 Wood the lace /ittscrt � 23.32 r�j.,,I4x1 7° � 1��r:S.(�aeq,y w 4°� ?,rr �[3 r Ir'v , g ,w IG Sr �� r1 1 Gi V11 4 A`�'� pie try.��Jv'i o�Id���g1Ht"t �'1 {Zw�,�v �°i r�r`, °�� l °} F ; "�^Ir7� 'fa ils l , Chlmn• /liner /flue /vont REINIMIll �':� . . , 1Y r r,. p / vr �C � $ 51,bMUl ft"�r )�I u r r f �� 7F 14 `1' I �� I�'�.�'�a�� Gluter: __ 23.32 MOE Name; K surd _. �"� w l Environmental exhaust and ventilatioventilation Address: Mange hood/0111er kitchen A44 LrT, ui _tent 33.39 III City /State/ZiP: 'r' 6,4 o _ m Clothes dr er exhaust 33.39 9ltkgic•dUCt. exbxuis (bathrooms, Phone ) O Fax ( ) toilet cox ailments utpi,ty rooms 23.32 all 1 �y f�,r p `i ' 1 i �i t7 s� i i, , p , i4 "'Ki r ,e qt ° rrv,a, a4us S a r, , o: i' :' l� i f`1 p "„ r , 4 � , , nr, 4441,, � Fr !girt t .,Met , itO• �, r - • A Fe A' i , v' , a,ry ��,, r ti a re n ' 41 ° , ;4 ,1 , , .4,ti r 23.32 F. ,/� ' p OA 's O t, a1 kr � » t er, Other; 13n.Rt1lc s name: , A1tC1Q O / 7 L ,f Anl•l [-ID 2.332 T Itucl.rylptns;� C — onfect name: trdirFF for each add H'Z.tr�,r4 y " i ltar liraC' fomr 34.03 lriotral Address: 1 p7s _� 14.1` Furnace etc, MI 30 ""i�6 I wa T F�+ m Ci a n pump _ " C- itylCtnlo /ZIP' on 4706 Z. waning .cnded /eait laantar iaitona: (42.. 3 rR f 2 . S Fsx:: b ) 6q /r / S7'7 Water hooter - Fire )l lone 1'jrrnnil: _. l'il bl },ny���, , , r , ,v y ' (" fir "�Q { t1�i`r`YYlyr , t) IM T � ' ��"llr4 '�,y �arti f mulry yr .an_e @y ; 1, lye� �jj 7, n 4�1 r,t 9r , J' , , ,+ e,p, , 1 , �, 4, r�q� , l "17''i@ u l itS " +fi r ,, ° °t,r'C „C`: ,� , �:li A. , , ° .1,i}' ,CR ou 1: e , �'7J s& „1&,... ° 1 ;1 �,;,'1, 1,. ) 19� ;. 4 ,,it � r ll 0eti 13tasinosx nnmo; Cl -thoa d,y�gas) Other: s: Addres wf w , a R Yt a , un { 1� Addres ..W...� 0.., r.- fit &iei, .:,11 � Vi'� '/ , P G,ll° ,, } f . in 7 .T znTi G -7 �,,�� Ct t rW. r� i i',.'144'°e ✓c� I, fl ..".'f N .,4, t t0.;16 r a.l� ,� ,a . i q A'14%1.�: City /State /ZIP: Tit/ii ei44• '1,70‘Z ,,, Subtotal I )Q • Phone: (4`D3) tSr 42 ^ /6 _ Fax: (O3) La /,, 8 7q � .,...� Minimum permit The ($90.00) go •• .. Plan review (25% of pern)it fcr.) er. C.CIa lie.' 4 .. _State surcharge (12% of permit fee) Is) . 0 ToAr, I'�r>T FEE no , Authorized siRanlxtrc Thin pchmtt;ippltcetinn ex J r n ponnit tv not nhtlned within 180 - - �� dtayr, after f has !aeon nreepted no coat plete. P . " " ""' ^' 12er , 1-0.40,11z. t n ^ r ' F /f t / a I cc mcthodelary sot 1>t TH -C eurrtV Rtliidinck inehxtrrn 3crvim Roard 03/08/2011 10:58 5036911879 ARROW MECHANICAL PAGE 03/03 PortlandMaps 'Dcttu1 J :oport Page• I of I P ortiandMaps New .earch I 11,1,applig I Advanced I Goodie Earth I .Nclp I Portlanc Online 12245 SW ANN CT - Explorer I Property I ,Maps I Pro s I Crime I Census I Environmental I TIGARD Transportation Explore the area, view different themes Property Detail Long - 122:80199 Lat 45.43191 p t ^ • jj /21 P ' ai • � � ._ ._" , ".. • _ , . 12136 . I 5 • 1• ''I _r•'• • . •I 1 . x.5• l 2 y En 12275, S `77cmI • ri _, , '� 04 • I 4 c 1:145 ! E MI. l ''d ,,5. ,, I , • • I . :I • a 1 Property _ - -- .=f 01 1 5 0 FT City of Portland, Corporate GIS 3/7/2011 THE GIS APPLICA11ONS ACCESSR0 TRROUGH'hitE WEE srri rEGYD,E A mum DISPLAY OP DATA FOR YOUR CONVENIEN(71. nVP,R . '( REASONABILE ertoErRA3 BEEN MADE TO ASSURE THE AQLTIRACY Or THE MAPS AND AREOCIA rED DATA. THE CRY OP PORTLAND 'MA1r.NC'NO WARRANTY, REFRP OR CItIARANTIS? AS TO THE CONTENT. SEQUENCE. ACCURACY. TIMELDIr'S$ Ok COMPLL+R'3NESE OF ANY OF THE DAOi rROWDED IH,RRIN. Mt USER OP 'DIM NTLICF07I NR 1IHMI)1,I) N4rr EPLT ON fl L DATA PROYIIW.D M1111IIIN'M)R. ANY REARM. 'IRE COY OF rOR'H.AN) !o7'1 If:ITT.Y IHSCI.AIMR ANV RPFRRSRNTATIONR AND WARRANTrtR, TNCLU1MNO, WITI!OUT LIMITATION, THE IMPLIED W ARRANT/IN OP MERCHAT4TA1E L1iY AND FlT•RN PO,1 A 1'ARTLIA. IAR PUR1'OSIS. THE ay or rOtrrtAND SHALT. ASSURE NO tTAEILft'Q POR AN? tt1R.ok5, 0MIESIONS :(11I INACCUR &t lttS 1` 41C Irr1 IAtIov r novTnr:D rtr;oArOt to s coo 1 1OW CAUSED. TEtE aroY Or N 1tlT.ANn SHAr t" ogrkri Nn r tnnttrrY rot : ANY DUCISIONR M ADO. OR ACTIONS' TAKEN OR NOT TAKEN BY THE URER OP THE APPLICATIONS IN RELIANCE UPON ANY (NPORMATION. OR DA DUI1NIENEO HEREUNDER. FOR UPDATrhD INFORMATION AIIOIIT THE. MAP DATA ONOORTUANDEERWl PLEARE REFER TO CU S ,11=12AYh, POR QOG4f1ONE ARbor AsMEIRMRN1"NADRM'ATION PLEASII cONTACF THE. ootn.rri ABMTssoRg (R+rrC,'R rR rook COTwN'rr Address I Mapping I Advanced I Goodie • Earth I I About PortlandMaps t 2011 City of Portland, Oregon