Permit ,:
7 a CIT TIGARD MECHANICAL PERMIT
1— ° � COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00273
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/14/2007
PARCEL: 2S112BA -07900
SITE ADDRESS: 07817 SW BROOKLINE LN ZONING: R -12
SUBDIVISION: BONITA TOWNHOMES LOT: 015 JURISDICTION: TIG
PROJECT: BENNETT
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:
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
PATRICK BENNETT Description Date Amount
7817 SE BROOKLINE LN
TIGARD, OR 97224 [MECH] Permit Fee 5/14/2007 $72.50
[TAX] i? o State Surcha 5/14/2007 $5.80
Total $78.30
Phone: 503- 807 -3903
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.
Issued B • jj 7!/I/ i / Permittee Signature: /r `/9y7
Call 503.639.4175 by 7:00 a.m. for inspections that 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.
05/14/2007 12:53 5036709064 THERMAL FLO PAGE 01
Me chanical Per '1n>�t 4nplication
. :' City of Tigard Rcci�cd r 2
A ° 13125 S W Hall Blvd Tigard. ,. OR 97223 19.60 l" � E Datdl3y:
e ;! /4/t7 5'J Permit No.; He c2404. - (' �'3
Phone 503.639,4171 Fax: 503.598,
Plan Review
frts ecticln Line: 503.(39,4175 MAY Date /By: Other Permit:
T I G A R 17 p 1 4 2007
Dm Rcndy/l ly luar.
mct: www. ti�ard oY,gc
/. :PIA S P fo CEP( NariFcd/Mclhaxt: �l7 I
lntc c tal 2 tofnrmation
CEP( OF i!
TYPE OF°IIVrd?!3!v►.�
,IVC1vi+tL 14''3`, ^.,• C 14
Mechanical permit fees' are based on the lue of the work
Ncw conrrtiction ddition /eltcration/rcplacemant p
perfimned. Indicate the valve (rounded 0 the nearest dollar) atilt
❑ Demolition ❑ Other;
mechanical materials, equipment labor. overhead, and profit.
CATE OF CONSTRUCTiON Value: $ —
1 - and 2- family dwelling ❑Commercial /industrial Accessory building RE ES"riAt1;@'>ju`' N 00t .$, Eti"` .,' '
❑ Multi- family ❑ Master builder 0 Other: For sp cfa/ infnrntoyion um checkAi.rf.
(Description Qty. 1 Ca_ I Total .
JO11 SiTE INFORMATION AND LOCATION Heati cr►oliy
site plan
Job site address: Air conditioning or heat pump
D rcx) + \
+ d (r,quinotr showing plaeertrenQ 1 14,00
�i-� �-�
City /Slatc/Z1P; TI
C� {G V _ Furnace 10 0.000 BTU (doota/vcrosl 14.00
Suitc/bldg. /apt. no.: L) 1 i. name; Furnace 100,000+ t3'1'U (dncts'rcara) 17.90
Gas heat pu p 14.00
Cross strcct'dilcctions to job site:. Duct work `
- 1.4.00
Hydronic hot water system _ 14,00
Residential boiler (radiator or
hydronic_ 14,00
- Unit heaters (fuel -type, not electric),
in -well, in -duct sus ended, etc. i0.00
Subdivision: Lot no.: ('Iur'vcnt for any of above 10,00
Other: 10.00
Tax map/parcel nn.: _ Other fuel appliances
• DESCRIPTION OF WORK Water heater 10.00
` �"- Gas fireplace 10.00
1 \ r C 0 rd Flue vent for water hatter or gas
fireplace 10.00
l ot; Iighrer (gas) 10,00 _
Wood/pellet stove 10.00
Wood frrcpIace/inscn 10.00
Q PROPERTY OWNER T Chimncyner uc/vent 10.00
❑ TENANT .
" Ot her /li/fl
: 10 00
Nr7rnc; kt i . V ��° '�
��_ Envirnamcntal exhaust and ventilation
Address: l ( Range hood /other kitchen
11 �r��l a. equipment 10.00
C'ity /State/ZIP:T. . QQ ci� 22/. Clothcsdryer exhaust 10.00
�* 1 �!
Single-duet exhaust (bathrooms,
Phone: ( _ Fax: ( ) g
J I toiler, compartments, utility rooms) 6.$0
,00 +�
❑ APPLICANT 0 CONTACT PERSON Attie/craw/space fans 10
Business name: Otter. { 10.00
Fuci piping
Contact name: V� $5.40 for first four; $1,00 for each additional
Address: Furnace, etc.
- Gaa heat pump
C. ity /Sratc/Zl1 : Wall /suspended/unit heater
Phone: ( ) Fax; : ( ) Water heater
E mail: Fircplacc
Range
_. CONTRACTOR Barbecue ""-
Busineas name: THERMAL FLO INC: Clothes dryer (gas)
other; ..
Address: 7236 SW DURHAM RD STE 100
AI CFIAPYr.aL PERMIT TEES.* ..
(City /State/Z :1P: PORTLAND, OR 97224 y - Subtotal
Phone: (503) 6704343 Fat: (503) 620 -1953 _ Minimum permit fee ($72.50) fr-
Plan of permit fee)
CCB lie.: 151847 State surcharge (8% of permit fee)
I r TOTAL PE!<tMIT FEE
Authorized Signature: !` _, lL This permit application expire; lie permit i�a not obtained within Ise
i days After it has beta accepted as complete.
Print name: DRF•NIIA 131IRTON pate: 5- A, 7 f rnCthodninpv set l y Tri- Coun Building , ildin
! ^a I � ee $ Indu. �Y .CCrvice RnF,rd
05/1412007 12 :53 503670.9064 THERMAL FLO PAGE 03
' t
Site Plan •
Prepared Date;
Customer L nry Add ress; 75 I ( r�
Customer Phone
Property Boundary Line
1 60/ 71 k.
to r t
MA
House
•
•
S t reet
CITY -OP TIGAID,
BUILDING DIVISION PERMIT #: MEC2007 -00273
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/14/2007
Phone: (503) 639- 4171�����IP�ypiu ° 1��'�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/24/2007 TIME: 7:OOAM PAGE: 63
SITE ADDRESS: 07817 SW BROOKLINE LN CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 015 TYPE OF USE:
PROJECT NAME: BENNETTT
DESCRIPTION: Install a/c.
OWNER: BENNETT, PATRICK PHONE #: 503-807 -3903
CONTRACTOR: THERMAL FLO PHONE #: 503-670-0343
Inspection Request Scheduled For: Date: 7/24/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 052479 -01 503 -670 -8343 Y
CCor /Comments/ Instructions:
1110 1-I La L0. 4 -- 5- l 2- 6 . S 7 &- GAI /Vie Ow
, � c�. -� /� , ! A li. - _ w. J ■LLu
PASS ❑ PARTIAL APPROVAL ❑ CANCEL lir
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: W24 Date: 7- Phone #: (503) 718- �J�