Permit CITY O F TIGARD
MECHANICAL PERMIT
nY COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00001
TIGARD,' 13125 SW Hall Bivd., Tigard, OR 97223 503.639.4171
DATE ISSUED: 1/2/2008
PARCEL: 2S112CD -15900
SITE ADDRESS: 07981 SW KELSO CT ZONING: R -12
SUBDIVISION: CHURCHILL WOODS LOT: 010 JURISDICTION: TIG
PROJECT: CHURCHILL WOODS
Project Description: Install a/c
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: 1 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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
WILSHIRE HOMES Description Date Amount
10110 SW NIMBUS AVE STE B
TIGARD, OR 97223 [MECH] Permit Fee 1/2/2008 $72.50
[TAX] 12% State Surchai 1/2/2008 $8.70
Phone: 503- 624 -1600
Total $81.20
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 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 OU NC by
calling 503.246.6699 or 1.800.332.2344.
tss
-d By: l� � � Permittee Signa re- �7a I
Call 503.639.4175 by 7:00 a.m for inspections - -Ire usiness lay.
This permit card shall be kept in a conspicuous place on the jo ite until completion of the project.
Approved plans are required on the job site at the time of each inspection.
•
PAGE 01
THERMAL FLO
c ` 32/2008 10:24 5036709064 .
:.;.' : " " 13125 S1/4/ Hall Bivd., Tigard. OR 9*7:1 -- cElvE
Plan ReView
Other Pent it:
ri4i inspection Line: 503 639.4175
, , Ncw construction liE Addition/94.436W ', • , Mechanical permit. fees* arc based on the value of rhe work '
performed. Indicate thc Wm (rounded to the nearmt dollar) or
rt. )01,10m:ion E Other:
CATEGORY OF CONSTRUCTff,""
Value: S
Description
JOB SITE FINFORMATOON AND LOCATfON
Air cOnditioning or heat pump — 17 1 , - ,
Furnace. 100,00D BTU duets/veva:0 14.00
(. ilvNatc/ZIP:
Furnace 100.1100+ BTU (rhietoventl) I 7,90
Duct work
Residential hoi3er (radiator or
14.00
Flue/vont for sntof above
10,00 —
....____
r 7.:,, mnp/pareel no.:
Other lac' appliances _
Water heater
Gas fire.ia
Wood/edict stove
Woodk_re >lace/insert 10.00 —__11
0 PROPERTY OWNER
TENANT
..-4 • 1 Range hoodfother kitchen -T
1 o.no i
( :,..,./;pacrzfr,fit,- r_LoC, q772,3 Clothes dr , cr exhaust
•
Fact intA___
1.c5.40 for first four; ST.00 for each additional 1
Furnace, etc.
Water heater .
. Fire ., . .7 ..— .
coNTRAcron
Flarbecue
- _____ __ ________ _________ i_ge.LIJDSUSAIL_______ __ L2= __f_____ T
.% :ii i ,, ri. R iqnnturc! - W--`f . "" i vi '
i'v imolc: Brenda Estes
f Et, 9.o
02/2008 10 :24 5036709064 THERMAL FLO PAGE 03
--CCU(
SITE PLAN
PREPARED BY: e_-_ DATE: /- 7- D' 2
CUSTOMER NAME: 1i.'1 � - /} t ADDRESS:
lqcn '<aQ \5O
CUSTOMER PHONE:
PROPERTY BOUNDARY LINE
1
5 AL
HOUSE
STREET