Permit C ITY OF TIGARD MECHANICAL PERMIT
l� DEVELOPMENT SERVICES PERMIT #: MEC2005 -00468
l I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/3/2005
PARCEL: 2S112BC -03200
SITE ADDRESS: 14685 SW 83RD AVE ZONING: R -4.5
SUBDIVISION: HAMBACH PARK LOT: 016 JURISDICTION: TIG
Project Description: Replace air conditioner.
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: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
RALPHA STAEGER Description Date Amount
14685 SW 83RD AVE [MECH] Permit Fee 8/3/2005 $72.50
TIGARD, OR 97224 [TAX] 8% State Surchar€ 8/3/2005 $5.80
• Phone: 503 - 598 - 0362 Total $78.30
Contractor:
THERMAL FLO •
14865 SW 74TH AVE. #190 REQUIRED ITEMS AND REPORTS
TIGARD, OR 97224
Phone: 503- 670 -8383
Reg #: LIC 151847
Th is 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 0 ° = - !@1-0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1 -' 332 -2344. •
Is - ued By: I 404L-. ma- �„ , IC J Permittee Signatur � � —
Call 503-639-4175 by 7:00 a.m. for inspections that business •1y.
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.
08/01/2005 10:45 5036709064 THERMAL FLO PAGE 01103
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Mechanical Permit A � � ''"
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Tigard, OR 97223 �00 ptha'Panntt:
13125 5W hall f t 7 g / n , c; ;, Dnto/By:
;A..� „1 .4 Dote lnriw WI See Pa ;2for
Phone: S(13.fi39A171 Fax: 503.59R. �1' , J � . .��� Ready/By, A $npplcn,entnllnfarmati+m
Inspection Line: 50,639.4175 4s., ° NntifredlMethad' < </
ern 4vww gait u () �� p N
Internet: Cl... ,ci. ,ar 1 ,� y s` i t .
__ -_ -_ - ••^ Mechanical permit fee'? arc based on the value of the Work
-- —^ -��. A d dit i on /alteration /repla,ccrnent . performed. indicate the value (muncicd to the nearest dollar') of all
• D New construction O tnaction mechanical materials eguipmen�, tabor, overhead, and rnfit.
Dcmalition Other: Value: —
• _ — .■CAT /~MOBV OE C �, . , . it � r .:.:.:` ,., " '
C nI1,nlCrcill /indl1311'lal ❑ flct CS. ^ ^. +nry build For cpcciai Information rice checklist.
0 ]gi I- and 2- gamily dwelling 0 T� Total_
Master builder ❑ Other; Description QtY
Multi - family D •
Heat'lu /ennlln
• iOU • * 1' !'ORNIYi.T40i1..XtD.' ; ;J JO:A � fir cnndltinning os hcot pump
rd t,„ giurr9 site flan altnwin p laccronoz ! 14,00
lob site addj_A 5 W �2 �[� 1 m i e 100,000 BTU (dnctslvcnrs) 14.00
ritylState/TTf`_� q�xc�T Q ._( L Fpn,acc 100,00(} (ducts/vents) 12,Q0 " —
l3 Project. name: Gas h eat pump± 14.00
$nite/lil ----.. , -- - -_ y O,act work 14.00 ,
• Crass St ree[!directions to job site: —�•. Jvdrnnic hot water systt t1 14.00
-" � Raaidentinl (toiler (radiator of
1 init heaters (fuel -type, not electric),
_ -_. -- "^""'• in- wall suspe,tded etc, I 10.00
_ _ Fluc/vent for env of ab out J 10.00
1.,01. no:: _ � i 10.00
•
SuNdivisi0n: j ,. f ..
Othe fuel appliances
Tax map /parcel no.: Water h eair r I O.dO
DESC1'iWP7'1O •41:1(' W tlltf :.' ' ;: • 10.00
�— -^�—•' T ens Fireplace
- ' e �1 _' p Fluo vent for water heater or gas tc,
� Lag Ihtc�(4a5)� 10.00
.. Wend /pellet srove 10.00
W —. -- m blond l'irepl•,cc/incet4 1 10.00 I
_ C'himncy /tinerlflue/vcnt _ 10,00 _,
El ..._ I'•FI.tCV —,_ T_W • W.....�] 'lnhNJk'I�'f' - --
Nal' _ ti 10.00
� -- °' "a , �Fnvirnnmcninl exhaust and ventilation
Q 1'1 j T Range hocld /ocher kitchen u
/ - _ r f t 1r � i ro t 10,00
Address:1 5 5w_... a
. _ p 922z41 ct�irte.9 a er e.�haxagt � lD.Do
L C Its /5tatc!7.11': f - Single -duct exhaust (bathrooms.
Pho1 : ( ) _ Fax: ( ) _toilet corn aliments, utir moms) 6.80 --
S3 , = L- �.L -�i-6 a- -• "' Aiticicrawts ace fans _ 10
.. - - - -�. C�` "'�JIQt`•A "'War p .. �
Q �.1'?V1 ;1tT'A:�fk'T _ _ -_�.._ Other: )0.00
l ;u inA+ name: t �`(�C.�. Cue l,i,infi .,
Contact name: �. a�1 2: .. _, $5.411 for first four': $1.00 for each additional
l�)K QiYC11�• (� Furnace, etc, —
• Addre,s: �i--t1 .1�J1� ��7 / � 1 lies (teat pump ^ - _
City /Statci7.TP )4 �� �'�� Wall /su9p ended htnithcat er
/- ,": 21 -S/331.3 Fax:: ( ) 70 __ 9a.,Fq Water heater -
Fireplace
F. -mail: _ Range
Y oflilTAAC"T(fli Barbecue - __,I
.... Clothes dryer (gas) -
Business name: _ c �.� 1� --- .-- Other; ,y
Airlrc ;. • -- .._t� f1� XG5�1 Jr { J? °:. --r'
.— _ - subtotal]
C,'ily'lState/7fP: - _ -- -u •• Minimum permit Fee 072,50) �_0
r _�. --
Phono: ( ) • Fax' ( ) Plan review (25% of permit feel
CCA hr, IS -4-f-12- _.I.— _ _ State surcharge (R" /o of permit f c c ) J � �
r � .. ` yam` This permit npplicnGon spires It a permit' is net eiiiiined within 1 r.
Authorized signature: - -r- -^ c... — ` T , _ days ANT it hoc been attenMd 55 complete
„• J �- Dale: R � 1 ' Fee methodototry set by Tri -cgamy minding Tndustry service 13010d Frint name; ,' JJli �� 6.' ��'� m ".._ -. ,. �.. ''' -'' .,,,
CITY OF TIGARD
BUILDING DIVI ®IV _ PERMIT #: MEC2005 -00468
13125 SW Hall Blvd., Tigard,.OR 97223 DATE ISSUED: 813/2005
Phone: (503) 639 -4171 a NAll
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/25/2005 TIME: 7:12AM PAGE: 66
SITE ADDRESS: 14685 SW 83RD AVE CLASS OF WORK:
SUBDIVISION: HAMBACH PARK LOT #: 016 TYPE OF USE:
PROJECT NAME: STAEGER
DESCRIPTION: Replace air conditioner.
OWNER: STAEGER, RALPHA PHONE #: . 5 - 598..0362
CONTRACTOR: THERMAL FLO PHONE #: 503 - 670 -8383
Inspection Request Scheduled. For: Date: 8/25/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 01418401 503 -670 -8343 N
Corrections /Comments /Instructions: / /� hr
-
/%1-L l u_ 6 tiur7C- ktdie -1-, 2-.3 2 -9O 4 G6f A/i4.: - t� W(../ hr •
•
•
SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED .
Inspector: Date: Phone #: (503) 718 -
08/01/-20 1.0: 45- • 5036709664 (. •THERMAL - FLO _, ' - _ PAGE 02/03
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_ Site Plan , •
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