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Permit J.. •% C ITY OF TIGARD MECHANICAL PERMIT A DEVELOPMENT SERVICES PERMIT #: MEC2005 - 00484 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/4/2005 PARCEL: 1S134CB SITE ADDRESS: 11150 SW 123RD PL ZONING: R - SUBDIVISION: ANTON PARK LOT: 059 JURISDICTION: TIG Project Description: Replace air handler with 14 kw electric heat strip. 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: 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: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > GAS OUTLETS: 10000 cfm: Owner: FEES PETER STALICK Description Date Amount 11150 SW 123RD PL [MECH] Permit Fee 8/4/2005 $72.50 TIGARD, OR 97223 [TAX] 8% State Surcharf 8/4/2005 $5.80 Phone: 503- 221 -2272 Total $78.30 Contractor: THERMAL FLO 7236 SW DURHAM RD STE 100 REQUIRED ITEMS AND REPORTS TIGARD, OR 97224 Phone: 503 670 - 8343 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 -3 • Issued a ` �4 i/ ` Permittee Signat � f ' , �1llll_s%rL — Call 503 - 639 -4175 by 7:00 a.m. for inspections that business da . 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. 08/04/2005 09:58 5036709064 THERMAL FLO PAGE 01/02 ^ ,iY IYCBtYmlfA lrit OFft'l:p?. a E 4: Nii Mechu.fl Cal Permit .p13 s f (� �... � Receive ( Permit Nn,: Nfc a�J '� City ()f Tigard. E I V V - ,3„./B 01M t3 12,5, SV,r Hall Blvd,, Tigard, OR 97223 G i liinReview Other Phone: 503.637.417 Fax. 503.598.196 �� Sr fi 7tltolliy: Inspection Lint! 503.634.4175 ( • „. Dec P, d3'�Y ". see Page 2 for Notified /iv,'cthod: iC/ Snpplrmentatinfo ma Internet: y�nvw.Ct til7f d.nr.la5 ,.� .,.. .. _, nn y.� y, yyy�•l ay )�t� it . -..��. • ... 1r 1 ^�%� ... _ ::;4 #00041011 HI'4# lil'a7 ')i lit'';O✓'if!1 �',I, wS ;�'t T - « ■It in,ti ' • '- Mechanical permit'rccs ' are based on the value o'f work New constrt .,--1,------- Addit ion /A_l�tonatiic a i ep accment performed, Indicate the Willie (tound.ed to the neatest dollar) anti 0 Other: 1necbanica1 rmderiak, equipment profit. , i7emolition. _ . Ati ~1 • •' b y ot..0 ,rN , fir. _ __.. :.,, ' Value; — . ... - - -_ _ ,,, - u'iul'''1 `+'>i;; �1f11`; ii ';'15:'.. • Ni r- f>rid 2- Pan dwciling ❑ ( 0 n,mcrcia.1/industrial LI Accessory building . «, For special itiformation use Check, Lvt. 0 Master builder E Other: T f (� Multi fatni►y Description ! Qty. 8a. atx Ti k3 ,S' '1''h •''ri06.1 10.,1 );:;x,:l a! ` CS- • .., 3cating /cooling - Air conditioning I i nonditi ing o bent pomp Sob site raddres5; 1 ` 50 Uw p L - (requires site plan allowing laccmcnt 14.00 - � f urnncc 100.000 BTU (duotal�enl:� 14,00 city /Stitt. /7._TP; T-( CC ! • o _ 7Z ?..- Furnace 100,000 -F BTU tlt,ctaivonts — 1 J 17,90 17 • 6 1U SuitC /bldg. /4.., no -: 7 Project. name: Gas hest un, 14,00 - - - -., -- -' Duct work 14, 00 .. -._ • • Cross str•eel'.Riirectioils to job site.; _ .'-.- - ------------ --••w - T•Tydronie hot: wither systgan _ 14,00 Residential boiler (radiator or -._ l,ydronic)_ 14.00 - - -• -- Unit heaters (flies -type, no electric), ` - -_ in-wall, in -duct, s,.l.Lrended, etc. 10.00 .. "" Flue /vent for ai y of above 10,00 - Subdivision. ° — ion —_ - I ol . . no � Other ,1 10.00 'lax n,a.p /p areal no.: , Other fuel ppltanees 171i',$6111rT`.ION• lav v ' ,:..,.,• -•', .. 1 10.00 wate heater �„,, .".,,.._. -' „r. ...,,._ „� Gas fireplace 0.00 .,., -- .-- ......., — t (� f „� .. (,� ` t. - \' C, .kY _ l C Flue vent for water heater or gas f w�� r \ n'cplace 1.0.00 �Q.v. r �p _..... — l,o x0.00 _ \N ord /pellet stove_ _ 10.00 — -• - -- - - -- - — Wood fireplace /insert 10.00 C;hilnncy /liner /flue /vent: 10.00 12'ty wpi. T **ANT' ,... ..— • • • l't? (1 >i irk ...1..1^.Ili.••••••.••• �: — �.._...._.._...._:__. (xlxcr:' �.. �__ -- I . Nam: f p - 14 1Envirotlment;nl rl¢lanutvt ycntilati�nn ”' - Range hood/other kitchen Address: ti I, I 50 (,LJ l' VET pi, aciuipment � 10.00 City /,State /71P pc( rd Ole- q74 ClnthesAyerexrhaust 10.0 Single -duct exhaust (bathrooms. Phone: ( I - 2 zz I Ftlx: (' ) 'toiler compartments, ur.ilit.y room 6.80 _ r .AlticJ c a p cc far , 10.00 ..� ,A.Prif;h'CMiki'1". © . ' :iYTV;iT"► , ( 1` papa r wls a s • -- .._...,,,. - - -- -- —__ «°.,,._, Other: 10,00 13ueinca� narnc: __,_.., - - -, Fuel piping __-___t/L. C_otti.act name' .-cy , „ 6: -tC? , ,, �._�5.40 for fikvt four; $1.00 for cacti additional 0 s; � �f a s heat etc. Adtlre _...,•,,,,� � �._. �_�'�.t_.- .1- y.C.J� q -2 ...... +� � . — Gas heat ppump City /State /7.I1': Po t[4„M� 7 Z • L ,,. Wall /suspendcd/uui theater ^, � 7 � �—. � ) Water hewer Phone: ( ) 10 .. ,° f , / : 3 F 1270— r �_._.. • _..... _. . -- Fireplace . :'oNMArTOrt' • 13arhCCllC _ _ - -- Clothes dryer (gas) —�... Bii. iiic name: - �/�. ` nn �� _lam . e �..,1(,. Other: -.._ ___ Addr sr.. ,,... , . :�F1 ! (t�' ,Jfi' — -- (;.`.s /Si.ate /11h — - - - -- ._� Subtotal i p N linimum pertnil: fee ($72.50) )2 _ _ _ Plan review (25% of permit fee) Ct:T3 ric p - iv J __ Ss .atesurcha r g e (8% (t of permit fee) : f 7 A ]C.1P'F R111(iT FEE FEE ; -( . �" rni ntv1ientian cxpirrn if w puma iii not nllrnincd within ISO S0 (/ f; � 7I r T0 _ � This peri rtnpx after it hap tlncq Rrcentrn as comnt�`t�c, Authorized signature �.., i . �� . Print name: /� E 9 � -� ha,c: •^ �a t°CC IttClltodelo tel by Tri.Cn;IIIty Tinkling TnS1P; iry S .r i C Board i c..(a CITY tFITI ARD BUILDING DIVISION PERMIT #: MEC2005-004&4 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/4/2005 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/4/2005 TIME: 7:08AM PAGE: 45 SITE ADDRESS: 11150 SW 123RD PL CLASS OF WORK: SUBDIVISION: ANTON PARK LOT #: 059 TYPE OF USE: PROJECT NAME: STALICK DESCRIPTION: Replace air handler with 14 kw electric heat strip. OWNER: STALICK, PETER PHONE #: 503 - 221 -2272 CONTRACTOR: THERMAL FLO PHONE #: 503- 670 -8343 Inspection Request Scheduled For: Date: 11/4/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 020378.0 503 - 706.8180 N Corrections /Comments/ Instructions: • k1 A2 J PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS n FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: / 4/ Date: , i / Phone #: (503) 718- CITY OFTIPARD g (L BUILDING DIVISION PERMIT #: MEC2005 -004B4 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/4/2005 Phone: (503) 639 -4171 IV��0iij �l Inspection Requests (24 Hrs.): (503) 639 -4175 - ''I �.. INSPECTION WORKSHEET FOR DATE: 11/3/2005 TIME: 7:06AM PAGE: 71 SITE ADDRESS: 11150 SW 123RD PL CLASS OF WORK: SUBDIVISION: ANTON PARK LOT #: 059 TYPE OF USE: PROJECT NAME: STALICK DESCRIPTION: Replace air handier with 14 kw electric heat strip. OWNER: STALICK, PETER PHONE #: 503- 221 -2272 CONTRACTOR: THERMAL FLO PHONE #: 503-670-8343 Inspection Request Scheduled For: Date: 11/3/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 020161 -01 503-706-8180 N Corrections /Comments /Instructions: • I PASS PARTIAL APPROVAL n CANCEL O AIL AALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Date: ii 3--0 Phone #: (503) 718- CITY OF• TI(ARD _ ._ BUILDING DIVISION PERMIT #: MEC2005 -00484 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/4/2005 Phone: (503) 639 -4171 4/ 44 ( Inspection Requests (24 Hrs.): (503) 639 -4175 M. i �� .. INSPECTION WORKSHEET FOR DATE: 9/13/2005 TIME: 7:05Am' PAGE: 67 !Z ST A/o R+1 " SITE ADDRESS: .11150 SW 123RD PL CLASS OF WORK: SUBDIVISION: ANTON PARK LOT #: 059 TYPE OF USE: PROJECT NAME: STALICK DESCRIPTION: Replace air handler with 14 WI electric heat strip. OWNER: STALICK, PETER PHONE #:. 503 - 221 -2272 CONTRACTOR: THERMAL FLO PHONE #: 503- 670 -8343 Inspection Request Scheduled For: Date: 8,x13/2005 Pour Time: Code # Inspection Description Confirm # Contact # , ss - 699 Mechanical final 016500 -01 503 -670 -8343 Y A M Corrections /Comments /Instructions: °A /— i C: /D A PASS ❑ PARTIAL APPROVAL _ CANCEL tai 0 ACCESS f2 FAIL w!il CA FOR INSPECTION [fir - II DITIONAL FEES ASSESSED Inspector: ---- Date: / /' c Phone #: (503) 718-