Permit
~ CITY OF T I GAR D MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT#: MEC2007-00442
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/19/2007
PARCEL: 1 S133CA-03200
SITE ADDRESS: 13796 SW ANNA CT ZONING: R-25
SUBDIVISION: GABRIEL WOODS LOT: 011 JURISDICTION: TIG
PROJECT: MOSS
Project Description: Install a/c unit.
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
3 - 15 HP: COMML.INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50+ HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS
OTHER UNITS:
FURN >=100K BTU: 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
RASHANA MOSS Description Date Amount
13796 SW ANNA CT.
TIGARD, OR 97223 [MECH] Permit Fee 7/19/2007 $72.50
[TAX] 8% State Surcha 7/19/2007 $5.80
Phone: 503-333-2459 Total $78.30
Contractor:
THERMAL FLO
7236 SW DURHAM RD. STE 100
PORTLAND, OR 97224 REQUIRED ITEMS AND REPORTS
Contact M PRI 503-670-8343
FAX 503-620-1953
Reg LIC 151847
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued B Permittee Signature: l
Call 503.639.4175 by 7:00 a.m. for inspections 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.
07/19/2007 13:30 5036709064 THERMAL FLO PAGE 01
Mechanical Pet A Ii 7, 1 War
.r City so Tigard ~ ~ i k.. Receivo
13125 d
11811 Blvd.. Tigard, OR. 97223 Dato/uy
Phnnc: 503,639,4171 Fatx;
$03.59$,1960 .I I I I ~ ~ ~ P1tn Review
lnspcction Line i03.639.417$ i7 lJL Datciny, OthefPermit:
rrttcmet: www.rigard-or.gov DatcRcady/1My:
v j ( 'InlifreA/tyclhod: Fancy, 1$t $oe Pn
TNW -R Supplemcnts► kofnrmafien
tRC1AiL : F Er.ACKEDL1L
❑ New conskructiorl (Addition/alte'MR
ration/N1118cc COMM
CKLT9J
rrtent ivfeehanic, x - US<
El UemolitiOn OthCi: lxrm
mech itlnlrfees cu'i' e h aleon the value oFta
ad,hc wortrrk
CATCGORI' OF CONSTRUCTION lechlinical imatcricate the vlttc nlrnt (rou lna ded borr) tq the e ,7carest dollar) ) of al
anica, g_ t
® and 2-family dwcliin value; lue; S S
l; ❑ Commercial/industrial ❑ Accessory building RESIDENTIAL F, QUIP MENT/'SYSTEMSTEIr4+
❑ t\9ulti-family ❑ Master builder ❑ Qthcr: Forsimcial infnr~mrion 11sechcckllsl.
JOB SITE INFORMATION AND LOCATION Description
/ Ifeatitt cools Q Total _
Job site address; 3? 9(o `C± Air conditioning nr heat purrs
City/St<te/71P: I ; "'"Site iA11 6hcwin I, ccmaat) 14.00 IL
G-<` l tlrnace 100,000 BTU ducrs/veuts)
f Suite/bldg,fort, no.: Project nan7c: mU J Furnacc 100,000i . 14.00
T3Tt.! (duets, venial 17.90
Cr•OCs street/directions to fob site: Gas beat urn 14.00
Duct work
14,00
I-r dmnic hot water s stern
RcsideTitial boiler (radiator or I a.00 _ JI
h ronic 14, 00
Unit hWers (ftiel-type, not electric),
in-wall, in
Subdivision, -duct, sus ndcd, etc. f 0 00 Lot 770.: Fluc/vent for an of above
10,00
Tax map/parcel no., Other; t 0.0
0
fivela
Dr4CRI T1rON OF WORK WOOther terheater scatr liancca
~J er 10,00
1-n=~~u~1 f{ t l' Gas fire lace 10,00
Flue vent for water heater or gel
firc late
10. On
Lo li liter as) 10.00
Wood/. elIet slovc 10.00
Wood fire lace/insert 10.00
❑ PROPERTY OWNER ❑ TENkNT Chirnts /lincrlfluC/vent
10,00
Name; Outer, 10.00
Address; Environmental exhanat and ventilation
3 / Range hoodlother kitchen
City/State71P: l.~ e ui n7ent 10.00
Clothes d er exhaust 10.00
I'honc:(~ 3 lG Fax•( ) Sin -Ic-ductexhaust(bathrooms.
❑ APFLICANTtoilet com.altmen(s. utility morns)
❑ CONTACT PERSON Attic/crawls ce fans 6 80
Rl,siness name: 10.00
C)iltcr;
10,(10
r C'nntacl norther T'ncl pining
Address; 55.40 for firlot fattr; rt.00 far tact, additiomt(
Furnace, etc,
City/State/7.IP; Gns heat ni nr
r'bonc; ( } wnll/stts Cnded/ugil boater
I:ax: ( ) Water heater
f~-177ai1: Fire lace
o
COl1'TRAf:TOR Rnn e
Barbecue
I3nsiness nar77c: -rlrcrmnl Flo, Inc
Clotl7m dryer as)
Address, 72.% SW Durham Rd Othcr:
City'//S,,r7tC/LIp' Portland. OR 97224 hIECHgN1C`Al. PF..RMrT I'CrS•
Phone:
' (5n3) 670-8343 Tyuhcutat
Pax: (503) 62(0-1953 M117imttn7 Ntrrnil rce (S72,$0)
CC R tic,: 151847 Plan review (251% of unit rcc)
State surchnrge (8^/) of permit fee)
Authorircd si d
grtauue; TOTAL nERM1't FCf"
This pCl•Mit ny.9 Ater tsprt•Cg iron cr -
p miri5 that nbtoined wlrhin IAn
r n n8n7c: I3f~enda, EStc9 I >,ys after it ha.~ „Cen aecenrcrt nc cnttt7tiete.
Dau': I Fcc nTolhettology scr by 9'ri-r
. , - .nrmly r3ttildinj~l GId1191r)' SCfViCC. Bnard
07119/2007 13:30 5036709064 THERMAL FLO PAGE 03
Site Plan
Prepared by.jg
Date: -7, /6
Customer Namci4,k, ,Address:__l~~tco
CLlstaler Pho~~ - s
Property Boundary Liras
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V"
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House
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