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Permit CITY TIGARD MECHANICAL PERMIT ." 1 ° `'. COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00336 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/12/2007 PARCEL: 2S112CD -11300 SITE ADDRESS: 07727 SW ALDER ST ZONING: R -12 SUBDIVISION: HAMBACH GROVE LOT: 011 JURISDICTION: TIG PROJECT: SALISBURY Project Description: Install a/c 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: 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: GAS OUTLETS: > 10000 cfm: Owner: FEES BEN SALISBURY Description Date Amount 7727 SW ALDER TIGARD, OR 97224 [MECH] Permit Fee 6/12/2007 $72.50 [TAX] 8% State Surchars 6/12/2007 $5.80 Total $78.30 Phone: 503 - 523 - 9525 Contractor: THERMAL FLO 7236 SW DURHAM RD. STE 100 PORTLAND, OR 97224 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 670 -8343 FAX 503- 670 -9064 Reg #: LIC 151847 • This permit is issued subject to the regulations contained in the Tigard Munidpal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OU NC by calling 503.246.6699 or 1.800.332.2344. P ermittee Si n., PJ , Issu r ----' / 4i/dL�� .�_ ' g :.r ��U - -- �_ Call 503.639.4175 by 7:00 a.m. for inspections -at business day. This permit card shall be kept in a conspicuous place on the jos site until completion of the project. Approved plans are required on the job site at the time of each inspection. 06/11/2007 14:54 5036709064 THERMAL FLO PAGE 01 Mechanical Permit Ap • Licari' ] .... <1kh I(.1,; 1,SI.: 11N,,1' City of Tigard ti'. ' Iz�`e ;ved `'� life /fay: , Ii' b 7 41- permit No.: kite, ,„,,,,, 13125 SW Hall Blvd., Tigard_ OR 97223 Plan Review ' Phone: 503.639,4171 Fux: 503.59$,1960 Date/By: Other i D Inspection [inc. 503,639.4175 JUN 11 2007 Dale Ready/13y: u,r;5 — internet; www,tigard- or.gov Sec Page 2 for r i ; Notiiicd/Mcthtxl t Suppintoontal lnfnrmation cn O 1 itjAk ' _ • TYPEo Ii Ale?4 usJ i COMMERCIAL i•1~E* SC7iEDTJLE - VSECEiICKLIST ❑ New construction �A.dditi /alteration /replacement Mechanical permit fees" arc based on the value of the wor . performed, indicate the value (rounded to the nearest dollar) of all . ❑ Demolition ❑ Other; mechanical materials, equipment, labor, overhead, and profit, CA7'F:GORY OF CONSTRUCTION Value; $ — 1- and 2 - family dwelling ❑ Commercial /industrial © Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS F1w E * For special Information use checklist, ❑ Multi ❑ Master builder ❑ Other: Description Qty. I Ea. Total _ JOB SITE INFORMATION AND LOCATION Heating /cooling Job she address: ' — n 2:7 5L.0 1c n /" Air conditioning or heat pump /���+ (requires site plan showing placement) 't 14,00 ) City/State/ZIP: •r1 ci 6, 0 qf —L — Furnace 100,000 BTU (pm/vents) 14,00 -V, r 0 Furnace 100.000+ BTU (ducts/vents) 17.90 Sui te /bldg. /apt, no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work 14,00 Hydronic hot water system 14,00 1 Residential boiler (radiator or hydronie) 14.00 Unit heaters (fuel - type, not electric), in-wall, in- duct, suspended, etc. 10.00 Subdivision: Lot no : Flue/vcnt for any of above 10,00 Other: 10,00 ;fax map /parcel no.: Outer fuel appliances HESCRIPTTON OF WORK Writer heater 10,00 Cias fireplace 10.00 -de n ,r Flue vent for water heater or gas fireplace r 10.00 Log lighter (as) 10,40 ._ Wood/pellet stove 10.00 Wood fireplace /insert 10.00 0 PROPERTY OWNER I ❑ TENANT Chimney /liner /fl tic /vent 10.00 Other: 10.00 Name: C,, �a i.5 I nvtronmental exhaust and ventilation Address: '� � a 4.. � Q -, Range hood /other kitchen '�A e m meat _ 10 City /State /ZIP: , k' 0,1/4._ O O. g 7221/ Clothes dryer exhaust 10.00 y Single -duct exhaust: (bathrooms, Phone: 6(3) S —95 Fax: ( ) _� toilet compartments, utility rooms) _ 6,80 ❑ APP.LiCANT ❑ CONTACT PERSON Attic /crawlspacc fans 10.00 • 13usiness name; Other: 10 00 Fuel piping Contact: name: — 55.40 for first four; $1,410 for each additional Address: Furnace, etc, - Gas heat pump City/St ate /7_I P: Wall/suspended/unit heater Phone; ( ) Fax:: ( ) Water heater _ Fireplace E -mail_ Range • CONTRACTOR Barbecue Business name; Thermal FIo, Inc - Clothes dryer ,as) Address: 7236 SW Durham Rd Other: ` — _ MECHANiCAL PERMIT FE ES* City' /State /ZIP: Portland, OR 97224 Subtotal Phone: (503) 670 -13343 — I Fax: (503) 620 -1953 Minimum permit •cc (572.50) 77 7 Plan review (25% of permit fee) CCI3 lie.: 151841 State surcharge (8% Of permit fee) TOTAL PERMIT FEE '7S" CT Authorized signature: � � .... Ih1s permit appilcatien expires Ira permlt Is not obtained within Ian days after it has been accepted ns complete. Print name: Brenda Estes Date: 06 /11/07 " Fee methodology sot by Tri- County Building hidualry Service' Board 06/11/ 2007 14:54 5036709064 THERMAL FLO PAGE 03 . e , t , I Site Plan s T Prepared by: — e, Date; St) 1 _ g Customer Name• c ussoc.q Address: . 5‘,) A,..,. <- Customer Phone • 5 52 ciS • Q ,-D..\A la Property Boundary Line 4 c 1 House / -5-rr ' – I \. / / \ Street