The URL can be used to link to this page

Permit • l F u CITY FTIG D ,.�, MECHANICAL PERMIT g MEC C OMMUNITY DEVELOPMENT PERMIT #: 2007 00561 DATE ISSUED: MEC 2007 T[GARD' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112CD - 15600 SITE ADDRESS: 07987 SW KELSO CT - ZONING: R -12 SUBDIVISION: CHURCHILL WOODS LOT: 007 JURISDICTION: TIG PROJECT: CHURCHILL WOODS Project Description: Install a/c 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: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES WILSHIRE HOMES LLC Description Date Amount 10110 SW NIMBUS AVE #B1 TIGARD, OR 97223 [MECH] Permit Fee 9/27/200i $72.50 [TAX] 8% State Surchar€ 9/27/200 $5.80 Total $78.30 Phone: 503- 624 -1600 Contractor: THERMAL FLO 7236 SW DURHAM RD. STE 100 PORTLAND, OR 97224 REQUIRED ITEMS AND REPORTS Contact #: 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 1 80 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 OU NC by calling 503.246.6699 or 1.800.332.2344. 1 / Issued : ' / � Permittee Sign , ture: - !." ■� 7 .'? - 4. 7...._____. Call 503.639.4175 by 7:00 a.m. for inspections th . 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. Wit: 15:07 5036709064 THERMAL FLO PAGE 01 Permit Application 747.6 T Y it k .-0 m i c';',' o4 i ,' ; x , 'p; � .a ?i �h �'' , 3 1V` 72`{ ' , i ' j d al Perm ili ' ,� ` , a. T, z�i 1 .,. , :�� r 1 N ', ' �. n n 1!(�MKr 6 1 �'' ' a 1 , q G�.d m, d s, r. ,i� s , .,. r ° ' ' '" C of Tigard �� : �` �., � � y 9 Q ' k Pemii No.: ) 4 e t . � ° 13125 SW Han Blvd., Tigard, o Arai t . - ? �� ti I ; ww Plan Review IIII C, ; Phone: 503.639.4171 Far: 50 .5• ;..60 Date/By: tither Permit: � i" h di l 7 M „ i e Inspection Line: 503,639.4175 S E p 2 6 NW Data Ready/By: JJIM • la Sec Pap 2 far 1( I>: h w` r +'r ,.i: Internet: www.tigard ir,gov OF 1 iVl ® Notified /Method: / 0 Supplemenial Information ��Y i 1 TYPE •Ce ' fEE BCKEDULE - •138F , CHECKLIIST Mechanical permit fees* are based on the value of the work ❑ New construction /alteration /replacement perfomred. Ind into the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ - • RESiDENTIAL EQUIPMENT / SYSTEMS FEES' in 1- and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building Fa' special information use checklist. ❑ Multi - family ❑ Mastcr builder © Other: Description f Qty. Ea, Total JOB S1TE INFORMATION AND LOCATION FIeating /coaling — Air conditioning ins ho or heat pump J site adrea ds: *7 q l r - .�t D J r r� ` ! `��`� (requires fre4 Bile plan showing placement) 14.00 City /State/ZIP: y Er � � Furnace 100,000 BTU (ducts/want) 14.00 Furnace 100,000 BTU (diets/vents) 17,90 Suite/bldg. /apt. no,: l Project name: Gas hcar.pump 14,00 - ^^ rnss strccUdircetions to, j ob site: Duct work )4,00 �. jydronic hot water system 1 4.00 Residential boiler (radiator or liydronic) 14,00 Unit heaters (fucl - type. not electric), in - wall, in -duct, suspended, etc. 10.00 Fluclvcnt for any of above _ 10,00 Subdivision: Lot no.: Other: 10.00 fax map /parcel no.: Other fuel appliances — ..._ DESCRIPTION OF WORK Water heater 10,00 L . ` ... 1 ( r l - ` c(Y f Gas fire vent fo _ 10.00 � ` 4 Flue vent for r water heater or gas fireplace 10.00 L._.. ..- - . LcjlJjhtcr (gas) 10,00 Wood/pc)let stove 10.00 Wood fireplace/insert 10.00 ❑ PROPERTY ❑ 'TENANT Chimney/liner/flue/vent 10.0(1 _ . other: 10.00 Environmental exhaust venftlat Address: 161A0 SLO 16 m_ ` C � } Ran a tdlotherkitc r1 J equipm 10.00 ( . iE,y /5late/ZiP: r I ' ✓ c7 cloth. dd}�er eXllaLlSt 10.00 , -.�,� . • 1 rct Single -duct exhauM (bathrooms. Phone,) f 0_ hip Fax: ( ) toilet compartments, utility rooms) 6.80 —_ 0 APPLICANT ❑ CONTACT PERSON Attic /crawlspacc fans 10.00 -- Otlier: 10,(10 I filminess name: .� Fuel piping Col tact name: $5,40 for first four. $1.00 for each additional Furnace, etc, Address: __ _,., -. Gns heat pump l'idy /State/ZIP: Wall /suspended /unit heater -- Fax:: { ) Watcr heater Phone: ( ) Fireplace i -mail: Range CONTRACTOR Barbecue • i1, r;incsc name: Thermal Flo, Inc. Cloth�5 dryer (qas) • Address: 7236 SW Durham Rd MECHANICAL PERMTT FEES" City /Stale/7_ Portland, OR 97224 Subtotal ^ !'hems: (503) 670 -8343 Fax: (503) 620 -1953 Minim permit fcc (572,50) 'Z` 1 _ Plan review (25% of permit fee) 7("n lic.; 151547 _. State surcharge (S% of'vertigo fee) _ TOTAL PERMIT FEE r — Thai permit application cupiroE If a permit ii not ohtnincd within 1 FM n,n)1rn•ized signature; da attar It hnF been accepted at cnmplctr., I int name: Brenda Estes Date: r 4r --CJ'v / " Fee methodology set hl• Tri.Conn(y Buflding ladusiry Service Board -,,,F2 15:7 5036709064 THERMAL FLO PAGE 02 ?.&01— cx)c Site Plan Prepared loy._.____ Date:_ 7 Customer Name.Z.5 gor Address: 7''..7 -' Customer Phone:____ .. _ Property Boundary Line i , 0 7 0 \ J T ,...,..m.,,,„....m....,—......0. ,,, ...... ,, ........m.w....07 1 ! i ! . ! / House . , • i • , . I .. • . : • i . . . . , . . . , ■ I ' 1 _ • , Street