Permit -r .
CITY TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00617
Tt Gn RD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/23/2007
PARCEL: 1 S133AD -14400
SITE ADDRESS: 12756 SW SORREL DOCK CT ZONING: R - 7
SUBDIVISION: SUMMER LAKE LOT: 025 JURISDICTION: TIG
PROJECT: PETERSEN
Project Description: Install furnace.
CLASS OF WORK: ALT 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: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
ALAN PETERSEN Description Date Amount
12756 SW SORREL DOCK CT
TIGARD, OR 97223 [MECH] Permit Fee 10/23/20C $72.50
[TAX] 8% State Surcha 10/23/20C $5.80
Total $78.30
Phone: 503- 860 -8618
Contractor:
THERMAL FLO
7236 SW DURHAM RD. STE 100
PORTLAND, OR 97224 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 670 -8343
FAX 503- 670 -9864
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 di - - • - '\s to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issu = • By: f 4 Permittee • nature: jr A
Call 503.639.4175 by 7:00 a.m. for inspection at busin- s 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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--THERMAL FLO PAGE 01
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Mechanical Permit ttp '11 1 1 -1 ' . '- :,.. '• ,: ''; ' '' . 71,,it%:::',':,q,:i--4:‘?r,i1V:i-V;(.._1,',(,)1:-.P.'!:.1.".,n1',:.;/:?;.11;Y:i..*1,,.■....::,.;',!:;'_'..2:::',:.,j:,i'.::-..--,'
Mechanical
i
City of Tigard Ao Date/By: of o 7 „b Permit No.: ge
r illif r o 1312 SW Hall Blvd_ 'ricard, OR CliCT 2 3 2007 Plan Review ____
• • z .-
Date/By! Other Permit:
' • • , :,..i Phone: 03 6394171 Fax 50,59R,1960
- .' ..• ; Insoccf on Line: 501.639,41a1 I( ur lit...LARD Dere Ready/r B
Juth e..........: ;..- --- g5 s p 2 f„.
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internet: www.tigarcl-ortmv ' . .., TVISION ,Ivotificd/Maihod: / Suppletnental Information
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ROWING D
• TYPE OF WORK • .COMMERCIAL"TEE" :§CIIEDULE . 1- 1 S . ECHECKLIST
• _
_......
Mechanical permit fees' are based on the value 7 the work --
1. 1 N::w construction jia Addition/alteration/replacement
performed lnelicatc the value (rounded to the nearest dollar) of all
1)o.molition 0 Other: mechanical materials. equipment. labor. overhead, and ran.
— -
--
CATEGORY OF CONSTRUCTION -- Value: $ —,— —
RESIDENTIAL EQUIPMENT / sysTEms.YErs*
K1, and 2-family dwelling 0 Commercial/industrial 0 Accessory building
Iror special information use cheekhst
Ei 1\1,11d-family 0 Master builder 0 Other:
Description 1 Qty. ea. Tnun
_. . .
JOB ST E INFORMATION AND LOCATION HeAtinp/cooling
-
Air conditioning or heat
.1 pump
1:1) site address: co _., reAU:bd< C3 (requires aite_plait thowing placement) 14.00
_ -- ,
.. ....
CO./State/ZIP: ' 1- 0 ,' q7 ace Furn 100.000 BTU (ducts/vnts) e
t 14.00 ... 1q - I
-
Furnace 100,000-i- BTU (duets/vents) _ 17.90
r.,„7,; no.: , Project name: lOpip
1 . Gas heat pump - 14.00
' ..... ....
—
sIrcel/directions to job site: Duct work 14.00
-
I-Iydronic hot water system 14.00
---- Residential boiler (radiator or
. -
...____
i
.. _ .. , Itydronic)
Unit heaters (010-type, not CICVSIC.).
in-wall, in-duct, suspended, etc.
Flue/vent for ar2y of above 1104:0000
10.00 _
Sn Orli visi on; f_Ot nO.:
. — . Other 1 coo j
f ;ix mita/parcel no.: Other fu cl =Jinn ces
-......___
DESCRIPTION OF WORK Water bearer 10.00
- • • - W fireplace 10.00
_Th 11±ELLiarj O
(
Flue vent for water heater or FtFIS
fireplace 10.00
... — Log lighter (gas) 10.00 .,
_ Wood/pellet stove 10.00
Wood fireplace/insert 10.00
• -- .------ . Chimney/finer/flue/vent 10,00
0 PROPERTY OWNER 0 TENANT .
Other:
--- -
— ,
N:trin
L_ Environtncntal exhaust and ventila ion
—
Range bond/
A.lilless: 035(e (50c)Orreu OX,k_Ci equipment other kitchen 10.00
/.--1 thes dryer exhaust 10.00
c ily,.;;tate/Z1P: ri li / d_ LI' .
2 Clo Sirigle-cluet exhaust (bthrooms,
_... ..... .._
-
l'ili me: 503 ) e .. 0 a Fax: { ) toilet compartments, utility rooms) 6.80
__ . a
C APPLICANT 0 CONTACT PERSON Attic/crawlspce fans 10.00
.. —
-:- -----
Other 10,00 . --
namc;
LIApipitgI
C.;iitiict name: 55.40 for first four: S1.00 for each additl mut
_
_
... _...-
Furnace, etc, _
A .1i.rcs:4:
(ias heat pump
.
( .rty.itate/2.1P:
Wall/syspendedAmit heater
_ ... .. -
i'llitne. ( ) Fax: : ( ) Water heater
---- — f'
-epla.._________. —if.....
I .;161.
Rage
. - .. _ ______
CONTRACTOR Barbecue ... . -
_
....._
Clothes dryer (gtts)
121111eSS name: Thermal Ho, Inc.
. .. _
.
Arldi•Ls,. 7236 SW Durham Rd
MECHANICAL PERMIT FEES*
- — -
_. .._..._...
Iatc/ZIP: Portland, OR 97224 Subtotal —
R.T 670.8343 FAX: (503) 6209S3 ___ Minimum pe feu ($72.50) 72,a
-- • • Plan l'CViCW (25% of permit fee)
.________
crp. lic.; 151847
State surcharge (8% 0 r purnit feel -.
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__. . ...._
.
TOTAL PERMIT FEE -
This paroitt ormTrearion eitplres If n ncrmil is not obn tan i
A tort signartirc: ....
days After 1 1 line been Accented ns enmplCtL
- . ...
F. io■ 1;:rma: Brenda Estes _ Mite: Fe. nintl•Nlology rat b Tri-Connty Building InrItt9tt7. Servien Boned
.. . .... _
. ........ . .. ,.. ...
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