Permit 4
CITY OF TIGARD MECHANICAL PERMIT
I . COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00622
TIGARD DATE ISSUED: 12/31/2008
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112CC - 08200
SITE ADDRESS: 15656 SW 84TH PL ZONING: R -
SUBDIVISION: LANGTREE ESTATES LOT: 014 JURISDICTION: TIG
PROJECT: CHEN
Project Description: Install gas 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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
SHYNG DUAN CHEN Description Date Amount
15656 SW 84TH PL
TIGARD, OR 97224 [MECH] Permit Fee 12/31/20C $72.50
[TAX] 12% State Surchai 12/31/20C $8.70
Phone:
Total $81.20
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.
Issued B Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for inspections that business d 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.
DEG/30 /2008 /TUE 05:39 PM THERMAL FLO FAX No, 5036709064 P,002
Mechanical Permit A. lica EIVE . . FO 011ICE' USE ONL1'
- City of Tigard R ece i ve d /_
q 13125 SW Hal, OR 97223 Plan Re : !�. 3! 08 Peru No.: IYeCapOS'oo tPa.�
Hall Blvd Tigard,
Phone: 503.639.4171 Fax 503.598.1960 DEC 3 P1anview
Date/By. Other Permit:
TIC A 1l 1) Inspection Line: 503.639.4175 Dale Ready/By: 1 ® Ste Page 2 for
I nternet www.tigard- or.gov • CITY OF TIGAR Notified/Method: Supplemental Information
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❑ New construction ,Addition/alteration /replacement Mechanical permit fees are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other, mechanical materials, equipment, labor, overhead, and profit.
.w. w. o- mnvw w .nn �: . on•tm . r 's'' r ,....., ,._ kti,,. e m Value:
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i villGc:wd:nm mri�unpii'um' ui"Y:7 .la X11,', +y' fIJ" v, NOWO��nrirv,: a a N Iry iluy i
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�a ,�' t• ^ '1��1 ii....r• ro � ' ?4 "�ul "r$
Xi- sad 2- family dwelling ❑ Commercial/industrial ❑ Aooessory building For special trifornurr /on use checklist.
❑ Multi- family 0 Master builder ❑ Other, Description Qty. I Ea. I Total
Ir1� i Ili i�Fniiit�di1Jd'w"'7 M I ru I A^ ; , �hvaf6 �atIIF• "•• r`-;rr�i d6
CcP�Kw ��ppy�'wr i":'. , 40lh'°I�J� X' O �'�'M a. ,,04174^^r i aap�r• 8+ GI'bci,i illgrf ng/
tl!9P,.!4.PWC!9W91F'I.t9. W. T mu', ° I J,1. .� , O I �Di.im:'r !1! � � tl cool
Job site address: 6690 �/ if p
Air cond ng ar he at pump
/ V (requires site Plan showin 14.00
City/State/ZIP: - 4 p , QR 9-11. 2 4- Furnace 100,000 BTU (ducts /vents) i 14.00 l4.
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt no.; I Project name: (?/ Z 4- 04e Gas heat pump 14,00
CrQ88 street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
Thom /..� /' de, Ca 6 _ � 7 Unit h e c) 14.00
[i w✓ �✓j�GiCl Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14,00
•
Subdivision: I no : Flue/vent for any of above 6.80
Lot Other: 10.00
Tax map /parcel no.: Other fuel appliances
„hrl�a� a �r �;„',,� a i�t�� � 'i f ^ °: 10.00
Eynmslm .,m i .7 a I :4 :1 1' rl i1` �Pq (� wm, t D
a. �: � ,,,. •. u�1Swl. iooawww� 'mmF *:;::F_TY.�Na_. r�rvu. 'iu��l.o Water heater
Gas fireplace 10.00
/Y /�, �1 Flue vent for water heater or gas
�� l__// /I. / P�itri L de� fireplace I0 .00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
p��,,1 a� .,....., + r h;,� r . a�° r� I �
Chimney/liner/flue/vent 10.00
E!I� •'le u d dYEBr 4' N 01 aa;wucw i nn I' «•��tl 1 r �5 i y •
dma:i I,�"N?�, mw�m. n �, N -^^ r,: rt.:rt! I" �V31�1�'' ���':. �a� '.�a���:�1�����R����ay.l�.��.� � � other: lo.00
Name: Ch ep f c5h // p - O ust r .. Rnvironmental exhaust and ventilation
Address. •J a Range hood/other kitchen
//��
/�, % Q
equipment 10.00
City/State/ZIP: Sa . a oli$ Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (f(1) ) 6' e, Fax: ( ) toilet compartments, utility rooms) 6.80
��� w "n;ma W1 1'^ I,vN,�� hN O -� ''�'1 4 'M�'
tnl sl't�" s� 1 a �� 1 r ti ��1` I e Attic/crawls ace fans 10.00
'��u �'^^��� hl '`�.m,��Y�pp�tt EMPA�. .. �� , q.1 °, ::�C n iyl(wligl:; 'L?'!�iY;;,a:.i!L :.,,,o mm p
a�: I'nlm�,l3lt'�n,u: 5"Y+tlf�2lu�I +G�� {wv$: °'K x 1 r+�.+. w �vr�i
Other. 10.00
Business name:
• Fuel piping
Contact name: 60/1
W I $5.40 for first four; $1.00 for each additional •
Address: n O Furnace, etc,
1/ 4, ' Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ') Fax:: ( / )
Water heater
^ onnal d r/4t a ICON Fireplace - - . _ -
E-mail: ree -
.a ° w'$ �iinmS "/'"ma .tY:` ":"W..n..�bi.. io+l:lS.uw "�"' nm..:��wi�:�....ro'ilY' IIAnl' ! t Iiit(gl; a �;rK; tlrl'd.2V It i „ , MBarbecue
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... an'wn'lvv+ . el+ta;nn �I mw a m....., .n�.:�w,,,�..�:,u,�:m:.::m:.��, °imr.::�� :�:.v�'n'�:k.13W.C'WTI.".iwd ; 1 V , 9 a, R l�� :vh.�o._I.'e1r.: "
Business name: Pty'' r/0 Zip! Clothes dryer (gas)
Address: ! /Ig 0 100 Other. t
r'maarr� N qvr, ^-� =i- .,,,�, __.,..__...: - , ...._.- .. ����;.;�'r-- �ne;r�'t�:L;�s
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Y� �+u1.9`� 1�_i ,�' .'tElllt� ._ _. ' :a w1ip,�;, e i u '
City /State/ZIP: A rt/ j4 at of g 0 Subtotal : oo
Phone: teema.,01410 Fax )b10- 9O''* Minimum permit fee ($72.50) 72 .60
Plan review (25 /e of permit fee)
CCB lie.: 15/041 State surcharge
TOTAL t
OTAL ?E RM TFEE j . 2.
Authorized si attu� This permit application expires if a permit is not obtained within 180
days after It has been accepted as complete.
I Print name fr e, e,a /dAPL' " v // `J �q ie Date: , I D j 9_-w-00 • Fee methodology set by Tri -County Building Industry Service Board
1:1BIdid eewero itrUr1EC -P remitAeo.doc /07 440.4617T(11ro2/canvWSB)
CITY OF TIGARD 0 •
B
0
UILDING DIVISION PERMIT #: MFt008 00€22
13125 SW Hall Blvd., Tigard; OR 97223 ISSUED: 12/31/2008
Phone: (503) 639 -4171 Al' 1p�10 �t-
Inspection Requests (24 Hrs.): (503) 639 -4175 . , f
qr
INSPECTION WORKSHEET FOR DATE: 1/7/200'x''' TIME 7:00AM PAGE: 11
SITE ADDRESS: 15656 SW &4TH PL CLASS OF WORK:
SUBDIVISION LANGTREE ESTATES LOT #: 014 TYPE OF USE:
PROJECT NAME: t'HFN
DESCRIPTION: Install gas furnace.
OWNER: CHEN, SHYNG DUAN . PHONE #:
CONTRACTOR: THERMAL FLO PHONE #: 503.670.8343
Inspection Request Scheduled For: Date: 1/27/2009 Pour Time:
Code #. Inspection Description Confirm # Contact # Message
699 Mechanical final 080047 -01 503.670.8343 OP
Corrections /Comrrients /Instructions: .
t-t I N o r( L. L am_ -- - -• i - /R6-6
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•
/ )
,; PASS . � / iJ CALL PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
-o FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ikl. Date: Phone #: (503) 718-
§ 4'/