Permit CITY TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00614
TIGARD DATE ISSUED: 12/19/2008
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S101 BA -00401
SITE ADDRESS: 12265 SW 72ND AVE ZONING: C -G
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: MARTIN
Project Description: Install gas furnace, gas lines for (2) fireplaces, BBQ & furnace.
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: DOMES. INCIN:
NAT 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: 1 AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 4
> 10000 cfm:
Owner: FEES
STEVE & SHEILA MARTIN Description Date Amount
12265 SW 72ND
TIGARD, OR 97223 [MECH] Permit Fee 12/19/20C $72.50
[TAX] 12% State Surchai 12/19/20( $8.70
Total $81.20
Phone: 503 -620 -0184
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.
Issue. By: ; % if Permittee Signat ■';e44! 7 —C.—. •
Call 503.639.4175 by 7:00 a.m. for inspections that business . y.
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.
... , 1'2/17/2008 13:42 5036709064 THERMAL FLO PAGE 02
Mechanical Permit Appljcat . cEnIc
City of Tigard 1 V L Received : 7 4 ,8 4ye
Li A. 6 z
. DPIdBy! 1 / Permit No.: r i g e A eet 5 --Of) (p /
II 11 13125 SW Hall Blvd.. Tigard. OR 97223 a Pion Rovieve ! .
/ a - Phone: 503.639.4171 Fa: 503.598,1960 "pia. 17 A'oe 0 Dnte/B , Other Pertrat:
inspection Linc: 503.639.4175
Ti•";A It0 Dine Ready/By: 6:1 See Page 2 for
_
Internet: www.tisard-ongov
CITY OF TIGARL Nntuled"d1,-1; 4 Supplemental Informative
-:, ••••• *•:'' .•:,::,,•• :::: . : :', ..,:-!!;, • : .:' " - .±V•PEA:PF ' ' ' :. 1 .. 7 ii .. 1 . . :..... fr . • '.. ...-: • . ' . : ' :.*... '; r.. '1COMITittitetAt 'YEt - 11SE
.
0 New c.onstruction . . re
A dd i ti on/al tcrat ion/rep I acement
,
1 Mechanical permit fees are based on thc value of thc work
performed. Indicate thc value (rounded to the nearest dollar) of all
El DemolitiCm 0 Other mechanical materials. equipment. labor, overhead, and profit.
. • CONSTRUCTION
O value: S
. ..... •
• .. ..':: . • : ::• . • ': • , :•.• ii6AT.E.GOlti !F • .•:,•• . ; • • i. , .. . .
... ..• " - - • . • *---' :." ...3RESEDEbiTIMAQUIPNEENI,1".PSYSTEMSTEES: .: ;;•;! ::
Xl- and 2-family dwelling 0 Commercial/industrial 0 Accessory building
For special information use checklist
0 Multi-family 12 Master builder 0 Other: Description Qty. Li Ea. Total
-..:•::•:: :.• . - ...': ;.. • ....: JOB.!SlitE :ISTFOR1V1KTION 'A70 '-1.10CAiTON;'. . ... ..' . ' ••• :•••:••• .•.. Heating/cooling
. .. . ...... , .
.1oh site addrms; if&O 6 T241:40 are/ Air conditioning or heat pump
(requires site plan showin , .lacement 14.00
-
City/State/ZTP: 7igar7t1..., 04±1.1JJ.0 Furnace 100.000 BTLI (ducts/ventfl NM '14.00 riiimia
Furnace 100.000+ Bill (duets/yew) 1 17 . 90
Suite/bldg./apt. no.: Project name: P2410 - Gas heat pump j1 4.00
_
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system , _ I 14.00
. Residential hailer (radiator or •
hydronic) 14.00 .
. Unit heaters (fuel-typc. not electric),
in-wall, in-duct. suspended. etc. 14.00
_ Fluc/vcra for any of above 6.80
Subdivision: I t.ot no,:
Other; I 10.00
Tax map/parcel no.: Other fuel appliances
" .'
ifs Water heater
I•• I:I' i' ':;',',:•;:::••::: ''::::•::.•'..:':.:!..:::.:,...:::': E!ldorrilir ov:ipv.oitie:.' i.-."':.:;•:.::::::,...:::...:::::.:-:...:: !i000
Gas fireplace 0.00
24'. 11 aao Primate', Flue vent for water heater or gas
t�1/het 4 Fire ' ei.■ g2 fireplace - 10.00
Log hitter (gas) 1 1 o.00
4 ,', e • F..tedee. Wood/pellet stove ' 10.00
Wood fireplace/insert . 10.00
• .• . . . , Chitnneyncr/flue/vent 10.00
•• ":'ONV.HER i.,..,::::::: • . .:: 4 00
..:. :: , .!•'!'... i.: .1:1::TET . ..;;.:.:''...:: '::i:: • .,,•: -
,-..-- Other 10.
Namc: Sreye-S %file' a-. getr'iirL, Environmental exhaust and ventilation .
' - Range hood/other kitchen
Address: . if • equipment 10.00
City/State/ZIP: • /I I / f a# • ." Clothes dryer exhaust 10.00
- Single-duct exhaust (bathrooms,
Phonc:j5D§) bro. met+ Fax: ( ) toilet compartments. utility rooms ■ 6.80
:! . )7. '• ' •. ' ' ' . ; . • :7 - coP.trAcT •PiRsos..:::• - .....' :::!'! Attickrawispace fans 10.00
.., . ... . • •., . • • • . I 0
Other: _ .0u
Business name: Fuel piping
Contact name: 6aft iv- of 35.40 for first four: $1.00 for each additional
Address: cli,e„[ i
0 Furnace. etc,
City/Stete/?2P: Nl - - Gas heat pump
Wall/suspended/unit heater
- -
Water heater
Phone: ( ) Fax: : ( )
_,. Fi dace
7E-mail: gifeer • C002,- _____ Ran , c
' ••• • ' ' : • :: " ... ' - 'I' ''!.' ' •:! ' • - ' - ••• :.• :'' ..:CONTRAETOR• :.., . • -.' . :: ' .• • ' • .. • ;.... ;! Barbecue
. •. _ ... .. ... - . 1_ . - " ' _,
Businnts name: 7 Fi .The, Clothes d t • 1
Other: .
Address: 9 Es 4V wp .. . :. : ivir,C1,1ANICA:14PETiitittiFF.1E-S"
City/State/ZIP: ' i oar '
y po filo- Subtotal 1 I. ' Al'
Minimum permit illekiljc-ri.
Phone: e
--Fax * )(pit) (7004- ' '
Plan review (25% of pcnnit fee) wimp.=
CCB lic.: lb/01./ State surcharge (12% of permit fec) . PA
TOTAL PERMIT FEE 41 , . e
I p e ppli e arim, e xpires Ira permit is ant obtained within 1811
...
Authorized signatur. / / / • / .'" ,, days after It has been accepted ea complete.
're.. Co
- :- . -t-- 4Pnnt name: e Date:1 #i •40 : • Fee inethodoInEy sel by Tti-Conn i Bodding Indomry Service Board
. eldrLS 4 t '7T1 I 1 gt, trnmrwRRI
, .
CITY OF TIGARD
•
. .
BUILDING DIVISION ,,,.. , 41 ° PERMIT #: WIEC2008-00d14
. .
13125 SW Hall Blvd., Tigard, OR 97223 . DATE ISSUED: 12/19/2000
Phone: '(503) 639-4171 ' l',
2
Inspection Requests (24 Hrs.): (503) 639-4175
13/ 2: 4
INSPECTION WORKSHEET FOR DATE: 11
TIME: 7 PAGE: 22
0^=e-nwi)t
SITE A SS: 1226SW AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MARTIN
DESCRIPTION: Install gas furnace, gas lines for (2) fireplaces, BBQ & furnace.
OWNER: MARTIN, STEVE & SHEILA PHONE #: 503.620•0184
CONTRACTOR: THERMAL FLO PHONE #: ' 603,670-8343
Inspection Request Scheduled 'FOr: Date: 1/13/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699. Mechanical final 0 503--670-8343 . 0 A:1-1. •
Corredtions/Comthents/Instructions: .
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PA$ til -ARTIAL APPROVAL D CANCEL fl NO ACCESS
71 FAIL / I .CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
410
Inspector : . ' Date: /04/_/ e " Phone #: (503) 7113:7-4g