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Permit c ° o ' CITY OF TIGARD MECHANICAL PERMIT • COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00557 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/24/2007 PARCEL: 2S112BC - 01800 SITE ADDRESS: 14735 SW 84TH CT ZONING: R-4.5 SUBDIVISION: HAMBACH PARK LOT: 002 JURISDICTION: TIG PROJECT: ELLIOT Project Description: Install 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: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES ELLIOTT, THOMAS SCOTT + Description Date Amount ZEIGLER, PAMELA 14735 SW 84TH CT [MECH] Permit Fee 9/24/200i $72.50 TIGARD, OR 97224 [TAX] 8% State Surcha 9/24/200i $5.80 Phone: Total $78.30 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. Issue. : ,ei /1/1/ / . , Permittee Signature: 5OL, /10 kid in Call 503.639.4175 by 7:00 a.m. for inspections that business day. la p ermit 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. 09/24/2007 15:40 5036709064 THERMAL FLO PAGE 01 ,- - Mechapical Permit Application Mk' 4iii ii.: ; Is!.: ths41A lig City of Tigard Received !� / �,•y� n 13125 SW Hall Blvd., Tigard, OR 97223 E1I� pt,tugy, �� 1 ' l Permit ✓ CiLf✓C / � I Phone: 503.639.4171 Fax; 503.598.1960 C 4 2007 j Other ther Permit: T[cnnn Inspection Line: 503.639.4175 SEP 2 2�� D / Internet: www,tigard•or.gov Date Ready/By: r,�it: ® See Page 2 for C1TYOFTIMII) Nutim' 7� Supplemental Inf MOLDING ormation • TYPE OF WO 'COMM F'•E SCHEDULE - :.USE CHECKLIST Mechanical permit fees* arc based on the value of the work ❑ New construction 'l Addition /alteration /replacement performed. Indicate the value (rounded to the neatest dollar) of al ❑ Dcmolitinn ❑ Other: ntecltanical materials, equipment, labor, overhead. and profit, CATEGORY OF CONSTRUCTION Value: $ 1 - and 2 - famil dwcllin Cnrnmcrcial /industrial RESIDENTIAL EQVIPMENT /•SYSTEMS fi'EESi' Y g ❑ ❑Accessory build For . oecia/ /' formation use checkhrr, Lp Multi- family ❑ Master builder ❑ Other Description Qty. T Ea. 1 Total JOB SITE INFORMATION AND LOCATION _HHeidittl?/ _ cnnll _ Job site addres 3 : 4 $ C j t1 C•F Air conditioning nr heat pump Age uiros Biro pion showingplacemant) 14.00 City /State /ZIP: T (, c d C) q i Furnace 100.000 ETU (ducts/vents) t 14,00 _ 1 t{.t Su itr /bldg apt. no.: tl Project name: /�'J 7 Furnace 100.000+ BTU tduciovents) r 17,90 yr �� Gas heat pump 14.00 Cross street/directions to job site; Ouct work 14.00 "' Hydronie hot water system 14.00 — Residential --- Residential boiler (radiator or hydtonic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, ctc. 10.00 Subdivision: Lot no.; Flue/vent for any of above 10.00 Other: 10.00 r — Tax map /parcel no.: Other fuel appliances — • DESCRIPTION Of WORK Water heater 10.00 - C� �� p Flue vent for 10.00 � `L�� � � • 4 ��� _ Flu or water heater or gas fireplace 10.00 «- Log lighter (gas) 10.00 _. Wood /pctietstovc • - 10.00 Wood fireplace/insert - 10.00 _.._. �'?'ItOT'ERTi' OWNER ❑ TE Chimney/liner/flue/vent 10.00 Other; 1000 . Nam i m�i! t J 1 0 _ Environmental exhaust and ventilation Address: I �tl "7 '7 31.1) Range hood /colter kitchen equipment 10.00 ^Cary /Si ate/ZIP: er 04 9.72,2- _ Clothes dryer exhaust 10,00 • Single -duct exhaust (bathrooms. Phi 1c:17.? ) (.03 —914,0a- Fax: ( ) toilet compartments. utility rooms) 6.80 ❑ APPLICANT © CONTACT PERSON Attic/crawlspacc fans 10.00 I�usincss name: 10.00 `-' Fuel Epinq Contact name; '— $5.40 for first four; 51.00 for each additiona Address: Furnace, ate ' City /State/ZIP: Gas heat pump Wall /suspended /unit heater (bona: ( ) Fax:: ( ) Water heater .. — r fi -n,ni I: Fireplace Range CONTRACTOR Barbecue Hnsincss name: Thermal Flo, Inc. Clothes dryer (has) Other: Address: 7236 SW Durham Rd NtECHANICA FEES' Ctlyttitntc/ZIP: Portland, OR 97224 Subtotal I' hoc: (503) 670 -8343 f Fax: (503) 620 -1953 Minimum permit fcc (9;72.50) 7� • .5 . c ._ ) n c'('R lie.: t 518x7 • of Plan review (25%ofpetmit fcc) _, _ slate surcharge (8% permit fee) 5, TOTAL PERMIT FEE 7%j- 7 ,1 A ul liorIZCd signature: i �1 This penult nrpiicatinn aspires I/ ti permit is not nhtained within ISO days after it llni been accepted ns complete. Print none: Brenda Estes - y Date: • 9-.2 -to 1 0 FIX methodology act by Tri- Coimry Bnildlnp Industry Service hnnrd /• CITY OF TIGARD `` BUILDING DIVISION I PERMIT ; MEG ?a07- 00557 13125 SW Hall Blvd., Tigard, OR 97223 ' I DATE ISS 9/24/2007 • Phone: (503) 639 -4171 M Ill+' I Inspection Requests (24 Hrs.): (503) 639 -4175 , � . INSPECTION WORKSHEET FOR DATE: 10/5/2007 TIME: 7 :01AM PAGE: 60 SITE ADDRESS: 14735 SW 84TH CT CLASS OF WORK: SUBDIVISION: H AMI3ACH PARK LOT #: 002 TYPE OF USE: PROJECT NAME: ELIJOT DESCRIPTION: Install furnace. OWNER: ELI. "IOT1 " PHONE #: , THOMAS SCOTT a•, CONTRACTOR: THERMAL FLO PHONE #: 503- 670 -8343 Inspection Request Scheduled For: Date: 10/5/2007 Pour Time: Code # Inspection Description Confirm # Contact # Me- =age 699 Mechanical final 056800.01 503.670 -8343 . Y Corrections/ omments /In\ructions: • � J4—d / et- 6 ,,,j,, u , S A 2e_ gL.d--- Y-4-c, .b4 , u,4- L4,-,,_ _c c - e - i c - 1 LAA . 1 1 -e i I c 64.- PlY rte► Cl e/Ci 4-_cie 1,7 S te i (1/- I 1 e (A/ L 1 ��/I / . , 7 \ / 1 ES PASS ] PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED - C/ VC; Inspector: Date. 7 P hone #: (503) 718- /6-i