Permit CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00393
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/5/2007
PARCEL: 2S 111 AD -20100
SITE ADDRESS: 14872 SW 89TH CT ZONING: R -4.5
SUBDIVISION: LADY APPLE LOT: 025 JURISDICTION: TIG
PROJECT: LADY APPLE
Project Description: Add AC unit
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF 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:
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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
BEACON HOMES Description Date Amount
12703 SW 67TH AVE.
TIGARD, OR 97223 [MECH] Permit Fee 7/5/2007 $72.50
[TAX] 8% State Surcha 7/5/2007 $5.80
Total $78.30
Phone: 503 - 570 -8828
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.
QPQr
Issued By: � i Permittee Signature:
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.
Mechanical Permit Application , I Olt O1 l l( I: l SI. O\I.\
City Of Tigard 5 EC � . + I r f r Received ; O P t NoM a / )---603
V
Date/By:
13125 SW Hall Blvd., Tigard, OR 9722 ,� Plan n Review
Phone: 503.639.4171 Fax: 503.598.1 0 ECE Date/By: Other Permit:
Inspection Line: 503.639.4175 ' I Date Ready/By: r ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: "/ Supplemental Information
Tilit � COMMERCIAL Fes* . L1LE - USE CHECKLIST
o ) .t t .: ,aIw
Mechanical permit fees* are based on the value of the work
❑ New construction ❑ Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ® Other: ADD A/C mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
®1 - and 2-family dwelling A `f .EQ " /1 Y1h *
y g ❑ Commercial /industrial ❑ A ccessory' building
❑ Multi- family ❑ Master builder ❑ Other: For special information use checklist.
Description I Qty. I Ea I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
89TH Air conditioning or heat pump
Job site address: 14872 SW 89 CT. (requires site plan showing placement) J 14.00
City/State /ZIP: TIGARD, OR 97224 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00
Cross street/directions to job site: HALL TO SATTLER TO SW 88Th Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: LADY APPLE Lot no.: 25
Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
ADD ;�K Gas fireplace 10.00
Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
® PROPERTY OWNER Chimney/liner /flue/vent 10.00
❑ TENANT' Other: 10.00
Name: BEACON HOMES NW, INC. Environmental exhaust and ventilation
Address: 12703 SW 67 AVENUE Range hood/other kitchen
equipment 10.00
City /State /ZIP: TIGARD, OR 97223 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (503)570 -8828 Fax: (503)570 -8869 toilet compartments, utility rooms) 6.80
0 APPLICANT ® CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name: BEACON HOMES NW, INC. Fuel i t
PPng
Contact name: DAVID DALBEY $5.40 for first four; $1.00 for each additional
Address: 12703 SW 67 AVENUE Furnace, etc.
Gas heat pump
City/State/ZIP: TIGARD, OR 97223 Wall/suspended/unit heater
Phone: (503) 570-8828 Fax: : (503) 570 -8869 Water heater
Fireplace
E -mail: ddalbey @BeaconHomesNW.com Range
CONTRACTOR Barbecue
Business name: THERMAL FLO Clothes dryer (gas)
Other:
Address: 7236 SW DURHAM RD SUITE 100 MECHANICAL PERMIT FEES*
City/State /ZIP: PORTLAND, OR 97224 Subtotal.,.. j
Phone: (503) 670 -8343 Fax: (503) 670 -9064 Minimum permit fee ($72.50) r 3
Plan review (25% of permit fee) 5' )4(1.)
CCB lie.: 151847 State surcharge (8% of permit fee) �J
C TOTAL PERMIT FEE /
Authorized signature: This permit application expires if a permit is not obtained within 190 ,..) days after it has been accepted as complete.
I Print name -j 6 02 hate. C , Z I ' Fee methodology set by Tri - County Building Industry Service Board le
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LADY APPLH
De , LOT # 25
i:XEc : OV PLAN.
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35.00 36.00 y 22. B, LD \G S I BACKS:
8' -0" PUE 0
BL.1961 ° EL.195 FRO \T OF GARAGE: 20' -0"
WATER - __ __ _ , -, -, -. REAR OF HOUS -: 15' -0"
i INTERIOR SDI OF HOUSE: 5'-O"
�i I
P L •'.95
co
Flj � I B U D\ G C O V H R A G I
- � STORM- - - - to SEWrR - - - , L IEL.196
-0 FOOTPRINT: 1917 S.F.
�- iI I * '� LOT COVERAGE: 32%
29. II
II - - ,, ® 0\'\,- N .\ ' I
�, �P , i , - -
5ti PROPERTY LINE --- - --- --
S . ti� L= _1 —. ., EL PROPERTY PIN •
3" - - - ? __ G " � J _ EROSION CONTROL -----------
IEL.193
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TI- PLA\ B{ ACO\
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SCALE: 1" - 20 .
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00393
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/51:2007
Phone: (503) 639-4171 A�xrn 4 . 11 ' v o j ,
Inspection Requests (24 Hrs.): (503) 639 -4175 ° s__..
INSPECTION WORKSHEET FOR DATE: 7/9/2007 TIME: 7:02AM PAGE: 31
SITE ADDRESS: 14872 SW 89TH CT CLASS OF WORK:
SUBDIVISION: LADY APPLE LOT #: 026 TYPE OF USE:
PROJECT NAME: LADY APPLE
DESCRIPTION: Add AC unit
OWNER: BEACON HOMES, PHONE #: 501570 -8828
CONTRACTOR: THERMAL FLO PHONE #: 503-67118343
Inspection Request Scheduled For: Date: 7/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
69 Mechanical final 051629 -04 503-407-0580 N
Corrections /Comments/ Instructions:
/
1■ PASS MI ' AR i AL APPROVAL ❑ CANCEL f l NO ACCESS
❑ FA ll. FOR INSPECTION ❑ ADDITIO L F S ASSESSED
- , _ ,
Inspector: Date: Phone #: (503) 718 - 2--‘
CITY OF TIGARD . .. BUILDING DIVISION PERMIT #: MEC2007 -00393
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/5/2007
Phone: (503) 639 -4171 no i l i
Inspection Requests (24 Hrs.): (503) 639 -4175 U.
INSPECTION WORKSHEET FOR DATE: 7/9/2007 TIME: 7:02AM PAGE: 32
SITE ADDRESS: 14872 SW 89TH CT CLASS OF WORK:
SUBDIVISION: LADY APPLE LOT #: 025 TYPE OF USE:
PROJECT NAME: LADY APPLE
DESCRIPTION: Add AC unit
OWNER: BEACON HOMES, PHONE #: 503. 5708828
CONTRACTOR: THERMAL FLO PHONE #: 503 - 670113'13
Inspection Request Scheduled For: Date: 7/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 051629 -03 503- 407 -0580 Y
Corrections /Comments /Instructions:
•
PASS MI "A) IAL APPROVAL ❑ CANCEL ❑ NO ACCESS
Ft FAIL FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED
f - ,..,,,, 1
Inspector: Date: ° � a2 Phone #: (503) 718- ZIG /�