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Permit ,, e V ��� MAR* MECHANICAL PERMIT r e '' 1 COMMUNITY DEVELOPMENT PERMIT #: MEC2007-00465 , ,,, , DATE ISSUED: 7/27/2007 TtGA'R; 131 SW Hall Blvd., Tigard, OR 97223 503.639.4171 ayt� g PARCEL: 2S109DD -11000 SITE ADDRESS: 12698 SW REMBRANDT LN ZONING: R -7 SUBDIVISION: BELLA VISTA LOT: 040 JURISDICTION: TIG PROJECT: NIIYA Project Description: Install a/c unit. 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: GAS OUTLETS: > 10000 cfm: Owner: FEES JEFF NIIYA Description Date Amount 12698 SW REMBRANDT LN. TIGARD, OR 97224 [MECH] Permit Fee 7/27/2007 $72.50 [TAX] 8% State Surcha 7/27/2007 $5.80 Total $78.30 Phone: 503- 922 -2674 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 OUNC by calling 503.246.6699 or 1.800.332.2344. B � // P ermittee Signature: Issued y /� 1 //1/ g b- i 1Cah Y Call 503.639.4175 by 7:00 a.m. for inspections that business da 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. ,- 07/26/2007 06:58 5036709064 THERMAL FLO PAGE 01 Permit Applicatio r K r r «r rW t rw, eta Y S P x y Mechanical Per ����,� ,�,� � �� � � TMs, i .w ;, �,� l 1 g ••- 1 i� ii. )Nt �, r ,9 t } 1 n N. City of T><aalyd 1 `l fl Received in,�, i n.i . T IN ,q� a 13125 SW Hall Blvd., Tigard, OR 9 223 k 1 ' Deft/By: 2C, Q S permit Ne.:/(467.6 - ‘ p„ i 1[7 y� Phone: 503,639.4171 Fax; 503.598.119 Plan Review c 7 t C'' ", 60 Inspection Line; 503 - 639,4175 U L (0 6 2007 batc/By: Other Permit: bra '! Ott' Internet: www.rigard -or. nv Dare Reedy/By: Adis: B r See Pap 2 for S r — Ct S i' u -;' , ,, , ,i3 Notified/method: 77G- Supplemental toformatinn gyp• °.3 � rvPF •o>F w tj — _ , COMMERCIAL 'WE_ . UIEDi1)LE - , .VSE CI4.ECKLIST ❑ New construction Additipn /aitcrat ion /replaccmetlt Mechanical permit fc c ' are based an the value of the work performed. indicate the value (rounded to the nearest dollar) or ❑ Demolition ❑Other. mechanical materials, tti meat, labor, overhead, And refit, CATEGORY OF :C.ONSTRtiCTION Value; S IN- smd 2 - fancily dwelling ❑ Commercial /industrial RESIDENTIAL EQUIPMENT l •SYSTEMS PEES" ❑ Accessory building 1:=1 Multi - family ❑ Master builder ❑ Other: special ihformasionuse checklist -� Description Qty. I En, Total .JQR SITE INFORMATION AND LOCATION • Hea ting/coo( g IOU site address; / 2_10i 5�.1., rJ _ �_ {�, n Air conditioning or heat pump L l�-e i 1')/ � A Lu-� e. _ (rcquircc site plan showing placement) I, 14,00 i{.I-LO City /Statc/7.iP: ; ��� , Furnace 100,000 BTU (ducrsi � J i4-00 Suitc/hidg./ apt. no.: Protect. name: 100.000_ BTU (ducts /veins) 1 7.90 Gas heist pump 14.00 Cross street/directions to job she; Ducr w _ 14.00 Hydronic hot water system 14.00 I__. _ Residential boiler (radiator or h dronic 14 0 Unit heaters (that - tape, riot electric), in -wall. in -duct, suspended, etc, 10,00 Flue/vent for anv of above 10.00 Subdivision: Lot no.: Other: 10,00 Tax map /parcel no.: Other filet appli DESCRIPTION O WORK Water heater 10,.(-107 - ,_ �. t tL C���, r f G Gas fireplace 1 0,00 �Q� Flue vent for water heater or gas _ fireplace 10.00 _Log lighter (gas) 1 0.00 Wood/pelfet stove 1 0.00 - Wood fire In users 10.Q ❑ 'PROPERTY OWNER ©TENANT Chimne •/liner /fluc/vent 10,00 Nance: Other; 10.00 '�p� ���� � ,�( � t r cl Environmental exhaust and ventilation Address: + �..� 5 l Range hood /other kirchckitchen •- t. bi_ - _ - _ c ui mcnt. City /State/7 ar • � -72 2 Clothes et exhaust 10,00 10.00 -- Phone: 503 • !� �7r a ��. Single - duct ¢k (bathrooms, toilet aim.artn1cnrtmcnts, assts ' rooms 6.80 - ❑ APPi,.ICANT ❑ CONTACT PERSON Attic/crawls ace fans r 10.00 Business name: — Other. 10.00 Contact name: Foci piping — 55.40 for first four; $1.04 for each additional Address Furnace, etc. City /State/7AP; Gas heal pump �� Wa ll /sus ended /unit heater P -mai l ( ) Fax: : ( ) Water healer III r -nail: - -- Fireplace Range CONTRACTOR Barbecue Business name: Thermal rio, inc. Clothes d r ( as) 7236 SW Durham Rd Other: city■$tatcr rr: Portland, OR 97224 _ MECHANICAL PERMIT 4 MEW Subtotal Phone: (503) 670-8342 Ti,: (503) 620 -1953 Minimum permit fee (:072.50) Plan review � . CB tic,: 151847 - (2 R%c of permit fc t _ State surehargc OM ofpermit fc) — / 4 J� TOTAL PERMIT FEE r ; ►` • 11111 Signatu, � This permit nppiicntirn expires if a perroit is not oatninet1 within 3530 day after it hap been accented nit compick. Print name: Brenda fgte3 l.)StC, /'r e ' - Fee methodology get by Tri- Conety Building Industry Service. Bnnrd i1JL /27/2007/FRI 08:31 AM THERMAL FLO FAX No. 5036709064 P, 003 07/26/2007 14 ;L0 FAX 5035961960 CITY OF TICARD 0 003 07/25/2007 06:50 503670064 THERMAL FLO PAGE 03 RECE JUL 2 7 2[07 Site Play CITY .- UVJ e® BUQQl N DIU ION Prepared by; DAuld 4554-er Date: _. - 2' Customer 'ataie' � 1' Address: l ZOO sw l bran - Customer Phone 0 . — q -- X 674 g7721 Properly Boundary U))19 5 eci AP DE 1. House RECEI\f E JUL 26 2t@? CITY S11'R©t i ? •