Permit CITY OF TIGARD MECHANICAL PERMIT
• COMMUNITY DEVELOPMENT Permit #: MEC2012 -00451
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/29/2012
Parcel: 1 S135CA03800
Jurisdiction: Tigard
Site address: 11321 SW 95TH AVE
Project: Spady Subdivision: GEARHART ACRES Lot: 10
Project Description: Replace gas furnace and install a /c. Placement of a/c must maintain minimum 5 side and rear yard setbacks.
Installation of hot water heater will be done under minor label.
Contractor: ANCTIL HEATING & COOLING Owner: SPADY, PATRICIA J
4320 N WILLIAMS AVE 11321 SW 95TH AVE
PORTLAND, OR 97217 TIGARD, OR 97223
PHONE: 503 - 281 -0752 PHONE: 503 - 598 -7799
FAX: 503 - 282 -5722
FEES
Specifics: Description Date Amount
Air Conditioning 08/29/2012 $46.75
Type of Use: SF Furnaces < 100K BTU 08/29/2012 $46.75
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 08/29/2012 $14.02
Occupancy Grp: Flue Vent for Water Heater or Gas 08/29/2012 $23.32
Stories: Fireplace
Fuel
Fuel Types: Natural Gas
Gas Pressure:
Total $130.84
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503. 2332.19887 ( /�
Issued By: Citt (/r Permittee Signature: � �-PPU ek )Dki.
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit A, licati l'.c)R oFrI(:t.: uSt: O ,I.V
• EcEivEi • • Received
City of Tig$rd Date/sy: P �� PeimitNo.: 4 E �� o /
, -•QQ 5/5,
• t ' 13125 SW Hall Blvd., Tigard, OR 97223 AUG 2 9 2012 Plan Review
Phone: 503.718.2439 Fax: 503.598,1960 Date/y: other Permit:
t; c, A R 17 Inspection line: 903 6394175 CITY Date ReadyBy: ruri :: S Sec Page 2 for
Internet: www.ti -or v 1 ` J Notified/Method: Supplemental taformattoa
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Mechanical perm
❑ New construction ® Addition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all .
❑ Demolition . Other. mechanical' materials, equipment. labor, overhead, and profit.
Value: $ 50.00 •
u! �ryr�ptry V , ter . - hrl�: - , v r,,?SS CCrrff(, 1>:tci; +.�!n;.,, w " r L,; R. Tti'..,i , t ,' I,„ y f '1;�� VW/at c "' c-•�= :kQ •
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,��4 , m u:;,uvan..r..a 1tt tLdYlr'•w �,v�t
. ® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist
0 Multi - family ❑ Master builder ❑ Other: Description C Qry. I Ea. I Total
� l �r� �' �+� .,t;aat��,,� =.7!LL ' t x" an r 7� ! rt Heatio cooling:
. �MEnt :)�'g. L':• -! tµ'J Fjp1v." a ll, • ,7 g1 WI 4 r ' ° t ' {1
7tru .,Cvbt,,; . ,- tece. a.§. ay:J,i'1Mer, !' ∎fr." :1 . b � Air condiLionutg
Job site address: 11321 SW 95 Ave (requires site plan showing placement) 1 46.75
•^ Furnace 100,000 BTU wets/vents) • 1 46.75 •
City /StaIn/ZIP: Tigard, OR 97223 Furnace 100,000+ BTU (ducts/vents) 54.91
Suile/bldgJapt. no.: Project name: 40300 Spady Heat pump •
M (requires site plan showmF placement) 61,06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel - type, not electric),
in - wal in -duct, sus• tided, etc. 46.75
-
Subdivision: Lot no Flue/vent for any of above 23.32
Other: 23.32
Tax map /parcel no.; Other fuel appliances:
r'Pt' J7 lr;:!t:+»7 f75Ata V'7L .r.� -
A , r, 16, r ' s; r' c�"?t '3 sr 33.39
• ,. rt ,' •I�ty1z,.,j os. i'v dUis. ' '1 o g a ntiit..: ' vt ;'S dm,..1. 1 ' � . - ;' ' i1 '7 fireplace 1 2 .32
Push- Pull gas furnace, install AC, ' Flue vent for water heater or gas
, L rl krg Q 44.A1 4 1) * Z1 4/1),t— LOA fireplace 23.32
n ,gh. ( Log lighter (gas). 2332 •
1`t t 0J02_ P . �jQ-i4I), A-N�l t- , Wood/pellet stove 3339
Wood fireplace/insert 23.32
ag , 3'H? Wy 4-. .i y;r+„ Vii. j * } Chimney /liner /flue/vent 23.32
..14 t ,;; ,:•.. '.... a r/,s i �� �Gz ,,' ,c ,Erl� : 1 Ili ' r . ti<,Y . a u • I _ , '' Other: , 23.32
Name: Patrice Spady Environmental exhaust and ventilation:
• Address: 1)321 SW 95 Ave Range hood/other kitchen
equipment 33.39
City/State/ZIP: Tigard, OR 97223 Clothes dryer exhaust _ 33.39
Single -duct exhaust (bathrooms,
Phone: (503)598-7799 Fax: (50 toilet compartments, utility rooms) 23.32 _
o-
„�;,,ty G ,,,,;,;, ,,,, �,. , „ , ,r41lf t +r,�' a; ! t'ig , r V r r : , it Attic
! /crawispace fans 23,32
; , 4.r , :; -,„ i , ' , NAL t { y r - y l�t1 A .: `: ;r;.t
. rrSld4iCW1� "" ,, . .,,: Other; • 23.32
Business name; Anctil Heating and Cooling
Fuel piping:
Contact name: Brian P Murphy $14.15 for first four, $4.03 for each additional
Address; 4320 N Williams Ave Furnace, etc.
Gas heat pump
City/State/ZIP: Portland, OR 97217 . Wall/suspended/unit heater
Phone: (503) 281-0752 f Fax: (503) 282 -5722 water heater
Fireplace
E -mail: brian@anctilhvae.com Range
r, u7 _ -
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Clothes d cr as
Business name: Same as Above
_ ,, Other: �_-
Address: s„ p 7'
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Subtotal 4 8a- i '
City/State/ZIP: _
Minimum permit fee ($90.00)
Nhonc: ( ) Fax: ( ) Plan review (25% of permit tee) ..---
I CCR lie.: 8897 State surcharge (12% of permit fee) LJ
-- TOTAL PERMIT FEE �,W.L1
ti �� ` 'MIA pcnnn application eapirl ii a permit is net etnaim,u wiimn tau
tluthorizctl signature: yr r ./t/. \�/ days after it has been accepted as complete.
Print name: B rian P Murphy
Dale: 11/29/12 1 ' Fee mcthrulntogy set by Tti Coune} Building Industry Service hoard
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HEAT PUMP UNIT SITE PLAN
S N
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FT TO BACK OF PROPERTY LINE
CO
S FT TO SIDE OF PROPERTY LINE
q5 FT TO FRONT OF PROPERTY LINE
1 4.S
' ADDRESS: 11321 514.1 7514 Ave
T�u�as'� { bfL 9 7223
vtu QS five_ �f
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CITY OF TIGARD MECHANICAL PERMIT
• COMMUNITY DEVELOPMENT Permit #: MEC2012 -00451
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/29/2012
Parcel: 1 S135CA03800
Jurisdiction: Tigard
Site address: 11321 SW 95TH AVE
Project: Spady Subdivision: GEARHART ACRES Lot: 10
Project Description: Replace gas furnace and install a /c. Placement of a/c must maintain minimum 5 side and rear yard setbacks.
Installation of hot water heater will be done under minor label.
Contractor: ANCTIL HEATING & COOLING Owner: SPADY, PATRICIA J
4320 N WILLIAMS AVE 11321 SW 95TH AVE
PORTLAND, OR 97217 TIGARD, OR 97223
PHONE: 503 - 281 -0752 PHONE: 503 - 598 -7799
FAX: 503 - 282 -5722
FEES
Specifics: Description Date Amount
Air Conditioning 08/29/2012 $46.75
Type of Use: SF Furnaces < 100K BTU 08/29/2012 $46.75
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 08/29/2012 $14.02
Occupancy Grp: Flue Vent for Water Heater or Gas 08/29/2012 $23.32
Stories: Fireplace
Fuel
Fuel Types: Natural Gas
Gas Pressure:
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 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503. 2332.19887 ( /�
Issued By: Citt (/r Permittee Signature: � �-PPU ek )Dki.
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.