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Permit u , * , CITY OF TIGARD d4 ,,,,;,._.. �� MECHANICAL PERMIT y ` . ill . - - - COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00098 ' i' � u DATE ISSUED: 2/26/2008 T 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 ` PARCEL: 2S112CD - 16300 SITE ADDRESS: 07919 SW KELSO CT ZONING: R - SUBDIVISION: CHURCHILL WOODS LOT: 014 JURISDICTION: TIG PROJECT: WILSHIRE HOMES Project Description: Installing NC add -on. 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 WISHIRE HOMES Description Date Amount 10110 SW NUMBUS AVE STE B1 TIGARD, OR 97223 [MECH] Permit Fee 2/26/200€ $72.50 [TAX] 12% State Surch 2/26/200E $8.70 Total $81.20 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- 670 -9064 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 ,„.--/ _ ' -rmittee Signature: � C A Aoo,---- Call 503.639.4175 by 7:00 a.m. for inspections that business ay. 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. . •rL3/25/2008/MON 01:13 PM THERMAL FLO FAX No, 5036709064 P, 002 Mech Permit Application .. FOR OFFICE' U ONLZ' �� ` RE : L . � ill City !! u 13125 SW Hall vdTiard, QR 97:ir ? A ' e : Phon: 503.639.4171 Fax: 503598. - i AatrJ9yt Other Permit 7 1 G A R.l Inspection Line: 503.619.4175 r r p r) `q 7 U ` !`O Date Ready /Bye Juris: O See Page 3 for Internet: www.tigard- or.gov tl y y - tD ` Notified/Method: / *� (chY Y l I'�' Supplemental Information 44, t,'f i Mi4t , atz4I1 . I..Y ! i �W 17�A' ,'',iY 1J �lrj1.+✓IY��Tn 1i !: � f,04 1 Il y .TW _ 01.�1 , ^>W fl ' !'��' , i�y�''1^ F/V')W' .! *VGtit � s ew construction Addition /alter M `meat J Mechanical pemmt fees* are based on the value of the work , performed_ Indicate the value (rounded to the nearest dollar) of all PI Demolition Other: mechanical materials, equipment, labor, overhead, and profit. ' . � .. y i ) 1 �! I �.. '. x,14 11 ; ! ;i: ; :l ! � , ,,. N ILif. i CrTIO 11 ;!,4. d'v: i 4 Y l l .+, r 1 . .14 _,, i i . • � ( • • • .�{ value: } •v y y * y{ :( 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special friOrmation use checklist ❑ Multi - family ❑ Master builder 0 Other: Description 1 Qty. 1 Ea. 1 Total !! ;1 "I'J1J „W .U©#.01. 1I ' FO111VIAx1!:A* 6 4 0 M r " Heatin cooiin Job site address i l ,'q s� k0N t efOO G Air conditioning or heat pump / 14.00 / 7 / A� (requires site plan showing placement) City / State/ZIP: /BtZ „At • Furnace 100,000 BTU (ductsivents) 14.00 ' k _ /_ (� � + / �^ _ (��! wjo Furnace 100,000+ BTU {ductaJvems) 17.90 j/ �/ Suite/bldg. /apt. no Prosser name: (/ Gas heat pump 14.00 Cross street/directions to job site: • Duct work _ 10.00 rhor ao Ga,de' 0 - 1l I•lydronic hot water system 14.00 (� ;J Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct. suspended, etc. 14.00 Subdivision: I Lot no.: ll1' Flue /vent for any of above 6.80 Other: 10.00 . Tax map /parcelno.: Other fuel appliances ?,I G R�� � � t r , t: °P " t.i w' 1 s ! )I 1 �I�J y �' R . l i 6! „�y,1C 11r r h .. ! ! I, ,y li,. Water heater 10,00 ,f * : )e l ! I di ia iif" , ..„7 ...,,. : n" .., " ,.. Y,k . !i. 1 , it :rget �„ i. . ! 6 1 : !'1 . 1.li .... Oes fireplace 10.00 Flue vent for water heater or gas • 4' A Zd D4't � / f it 4 1 u(L�,(� �,/ (�f��J Log lighter (gas) 10.00 Wood/pellet stove 10.00 • • Wood fireplace /insert I 10.00 I r t , „ �..,,.s11,,,d1.,,� Chimney /liner /fluc/vcnt i 10.00 i ; tt.; y l i ., ,�„ ��� g r m Pi; i �y cin 3 l i ('i e, quj. r ,.'S':3 .,1 ,,;V4M1; a'!:� lC1�WN�I¢ aN!,�,. I. 3f .t:..M,.w kr „ .Wn,u n v ,t i E " a :TMi�!: _ Other _ .. 10.00 Name. j44 ig /j1/J/ 4e o Environmental exhaust and ventilation Address: /gllQ 804 /{[!// L. & Ve J( Range hood /other kitchen equipment 10.00 City/State /ZIP: 1 77 D � *zap Clothes dryer exhaust 10.00 / Single -duct exhaust (bathrooms, Phone) (� � �� Pax . a f toilet compartments, utility rooms) 6.80 n, 7, a 6 n 1 � , � v n .. at w" 1 pJ ; .m '1 i Fy n� I . : i p - 1 Y S lne n lial^ •5,1u`IPAVi](ai ,i 1!I ;5;ii P R illI �1k GO A1� I. P :�t 1 , ., i!1 AttlC /Crawl$ flCE 10.00 1 ta ;.� L„ d... ..,.,.. .. .. ' " ' ' y ' � Other: 10.00 Business name: I , Fuel pi pi ng Contact name: /// _ r $5.40 for first four; $1.00 for each additional Address: V a, 4,1° v v Furnace. etc. Gas heat pump City/State/ZIP: Wall /suspended /unit heater Water heater Phone: ( ) Fax: : ( ) ' arr �C ' at Ran fnplace 1 : S; � marl �✓ ��a�� • cent.- Ra� ► -��i .�. /r • 14. I ii r co i - •ii , yi '. . 'I s V �' / x T A ! Iry 1 ti t a, a �, tCOP29 :K /.`IjQ f i a , i.., I, i , ... a_. ,.,. Barbecue `� ���. Business name: 7 'm i k 2;,c Clothes dry,. • as /�.,� Other Address: '1 # 7f (5' Q?l,' /Id - ld0 ;'r'" '' l ! Ml 1vFL4'iVICAL'-..GR94I17 ] R . City/ State/ZIP: /),/ Z / �,,, 0741- Subtotal 14,- 1 ,,, � d/� f �j ' 7Qi�� Minimum permit fee ($72.50) 1 AO Phone: , olio , 4it Fax 7 (!/ plan review (25% of permit fee) CCB lie.: it 434--I State surcharge (12%ofpermit fee) .70 TOTAL PERMIT FEE Authorized signatu :, This permit application expires it o permit is not obtained within 180 J ' / drys after it has been accepted as complete. Print ratite: re ffe eeepeole y Date: F 1 - Fee methodology set by Tri•County Building industry Service Board � FFB /25/2008/M0N 01 :13 PM THERMAL FLO FAX No,5036709064 P.003 WeC__ SITE PLAN PREPARED BY: e N DATE: -.2 CUSTOMER NAME: 64.44 v 344-c-s ADDRESS: 7f / 5 4 ) LSr% Ct CUSTOMER PHONE: s ' G • dd f PROPERTY BOUNDARY LN 1 HOUSE STREET