Permit CITY OF TIGARD MECHANICAL PERMIT
11
COMMUNITY DEVELOPMENT Permit #: MEC2010 -00194
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/30/2010
T;IGARD' Parcel: 2S111AA04900
Jurisdiction: Tigard
Site address: 8660 SW INEZ ST
Subdivision: GREENSWARD PARK Lot: 25
Project: Downes
Project Description: Install furnace, NC and duct work. Unit must meet 3' minimum rear and side yard setbacks.
Owner: FEES
DOWNES, T KEILY JR Description Date Amount
8660 SW INEZ Air Conditioning 04/30/2010 $46.75
TIGARD, OR 97224 Furnaces < 100K BTU 04/30/2010 $46.75
PHONE: 503 - 620 -6087 Duct Work 04/30/2010 $23.32
12% State Surcharge - Mechanical 04/30/2010 $14.02
Contractor:
THERMAL FLO INC
7236 SW DURHAM RD 100
PORTLAND, OR 97224
PHONE: 503 - 670 -8343
FAX: 503 - 598 -6746
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: /CC�i� � y4‘_ Permittee Signature: , TA) /J L _ / C' f--� , /
CaII 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.
A0
vi
Mechanical Permit Applicatio F�� >} �� USE ONI.,
City of Tigard Received
UscrJB / /// Pemut No /f�►
1 SW Hall Blvd_ Tigard, OR 97223 Q '� �� — ors/ 9
1 . Phone: $03.639.4171 Fax: 503,598,1960 APR 8 L Q FlnUare/Hy: n Kevie
T 1 G A RD Inspection Line: 503.639.4175 Date e d /Me Other Permit: N otifie t a'is: ® Sec Pa 2 for
hnemet www_tio�8rd- or.Lov �/
CITY OF TIGA d/Mechod: fi l'f Supplemental Information f
BUILDING DIVISION
.. ,. • . !: . ... a, s � (7! � L :. F� S tC u H � I7D�� value �E "C);#
fees* f the work are ❑ Ncw construction AddltlUll/ftltCraL 10I]/ICp1dCCTCICtIt wormed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical maccrials, equipment, labor_ overhead, and profit.
y dwelling t D Commercial/industrial F OUNS-1[eU["ri(icv
Value $
1 21ES .. "FlAL EQUIPMENT/. /. SYST?EMSTE`ES +` • 1 - and 2 farrtil dwellin erclal /tndustna[ ❑ Accessory building / -
0 Multifamily ❑ Master builder D Other: .special ntformation use checklist.
Description - Qty. Total
i:INPORMIA• ON- AiNI) 1,'OCA.TiO1�
.. db$ SITE -
Heating/coolin
Q�/ �1 ,[Y fie fib Air conditionin
Job site address: C ea (� �r(.� (requires she plan showing placement) 46.75
1 Cit /StatclZIP: / I ,- dr'et4 Q� 9111. ' Famace 100.0 BTU (ducts/vcnts) 46.75
Mr / ` Furnace 100,0 BTU (dects/vents) 54.91
Suitc/bldgJapt. no.: Pmject Hume: /' 2' � Heat pump 61.06
Cross street/directions to job site: _ Duct work ®L•�__i
Hydronic hot =ter system 23.32
Residential boi (radiator or
h drone 2132
Unit heaters ( • 1 -type, not electric),
in -wall, in duct suspended. etc. 46.75
Subdivision: Lot no -:
Flue /vent for ary of above 23.32
Other: 23.32 1
Tax map/parcel no_: Other fuel appliances
! DEBCAIIP_'C (I OF,., vORk ,•, Watenc�ater 23.32
If Ta. // Fief ct ee aL- Coaddro4e G s -fir water heater or gas 33.39
1;7 �'�n 16 fireplace
(
23.32
03 lighter (gas) 23.32
1 _ Wood /pcliet stove 33.39
Wood fircpiace/insert 23.32
rR 'f'El 17)+7"! ti. a /fuc /vcut 23.32
�, r Chimney /f in
�,� / .._. . ... , Other; 32
Name: � / �Cl o n e. Environmental exhaust and ventilation
Address:
_ Range hood /other kitchen
Same, T J r oth dryer 33.39
City/State/ZIP: ��h (il1 Cl Clothes es dryer w haunt. 33.39
Single -duct exhaust (bathrooms,
Phone: 6 6" 2 "(Q,e,- Fax: ( ) toilet compartments. utility rooms) 23.32
t Atticicrawl farts 2
,•,. .:. • A »lG>3`l`I _ . „[] 1v7„AC'.f- PFR�+ON ` 'i 3.3z
d F Other 123.32
Business name: -
Feet tiiping
Contact name; e $14, lc'or first four: $4.03 for each additional
Address: 2 �f �Q i
her Furnace, etc- I
�"" ` ' `�'r" ) 100 Gas heat pump
CirylStatciZIP: D /L7///t 74 91%2 44. Wail /suspended nit heater
Phone: ;„ v �T )6/0- i Fax :: 6/✓ 6f Q -1,' 4 Water heater
Fireplace
E-mail: s1/4/.1,11-4e# 7 ID 1 coot, Range • f I
_
Business name: Clothes dryer (rt )
j � ��+ O ther 7
Address: � _
U t1 6 ii. ECFHANICAI:1:!!FRMP1 '` ... _
City /State/ZIP; 1 Subtotal dep. 6
Phone: ( ) p ) Minimum permit fee ($90.00)
/ Plan review (25° o of permit fee)
B lie.: 15 / 4•7 ' / State surcharge (12% of permit fec) 0 02.....-' V TOTAL. PERMIT FEE J / �• e
Authorized sigrratur'L.el- This permitnppli lion CXpire iCa permit ix aat obtaine d ✓ within !80
(/ /,� l / daye after it has been accepted as complete.
r" -- 7 - -
I Pn i, ��l name :' Q Date: 20 ^'tQ Fee methodolo sel by Tri- County Building Industry Scrvicc Board 1, 1
I:\ Buildix \Pennnx\MFC- PermitAnndnr- IOMI /M 440.4617TfI1K32JCOM/WWP_til /3D r o /
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Site Plan
Prepared by: S4evC ! Date: 4 //0227t,
Customer Name: ong.s Address: 66)0 Scv Xrez si
Customer Phone 3- fie~ 60
E00/E00 d 9Z1.3#
Street
Property Boundary Line
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House u .
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