Permit y v. CITY OF TIGARD
MECHANICAL PERMIT
1)1 ° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00433
. TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/17/2007
PARCEL: 25111 DB -03400
SITE ADDRESS: 15315 SW ALDERBROOK DR ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.8 LOT: 420 JURISDICTION: TIG
PROJECT: GARDNER
Project Description: Install a/c unit.
•
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:
REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
KAREN GARDNER Description Date Amount
15315 SW ALDERBROOK DR.
TIGARD, OR 97224 [MECH] Permit Fee 7/17/200i $72.50
[TAX] 8% State Surcha 7/17/200i $5.80
Total $78.30
Phone: 503- 684 -1112
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.
Issued : i 1 A. y Permittee Signature: 0 9
Y
Call 503.639.4175 by 7:00 a.m. for inspections that business d
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.
07/17/2007 10:58 5036709064 THERMAL FLO PAGE 01
f OP=l]Alt)s]C iI PCrmit �1. s 1]CA ioxi City of Tiard '4, Rccc rl cL Permit No.: `.,
• .. 13125 SW Nall Blvd., Tigard, OR. 97223 7 O y' 1.47 . , �
Phone: 503,639.4171 Fax; 503,5913.1960 U L 1 7 2007 nn
1)atc/B A Other I'erntit:
Ti (+.A RD inspcclinn line: 503.(39.4175 Dk∎te Rcady/L3y: .1nr;,: 0 See PA e 2 for
Internet: www,tig rd- ar.gov q' ' :"` � ' S
CITY t� � DIVISION
� �, t t � Nctifieti /Melltod: `s Supptementnl Informnrien
BUILDING DIVISION
n "--- TYPE OF WORK • COMMERCIAL 'PEP.* SCHEDULE - :USE. CHECKLIST
Mechanical permit Fcez* are based on the value of the work
❑ New construction �✓lddition /alteration /replacement
performed, indicate the value (rounded to the nearest dollar) of an
❑ Demolition ❑ O her; mechanical materials, equipment, labor, overhead, anQprofh.,
_ CATEGORY OF CONSTRUCTION Value: $
•
I- and 2-family dwelling El Commerciallindustrial [I Accessory building 'RkSIDENTIAL EOUiPNIENT /:$VSTEMS TEES*
For ,rpec(al itvformation tam checklist.
PI Multi - family n Master builder ❑ Other
Description
..... ] TQty, Fa, I Total
___ .F013 SITE INFORMATION AND LOCATION Heating /cooling
153 I5 _'1 /, 1 \ �. i ,p Air conditioning or heat pump Job Litt)
Job ) site address; �,J lJIJ lT (requires We Ph showing phieemanl) I. 14,00 I " tt)
City /SLate/ZJP: 11` it ( 1,.... O q`7 4 Furnace 100,000 BTU (duets/ven t) 14.0n
I RnC
_ 100,000.r BTU (driers /vents) 17,90
Suite /bldg. /apt. no.: Project name: c. ,,,,, c1 flex-.
Gas hest pump 14.00 •
Cross street/directions to job site; Duct work 14,00
i dronic hot water systcm 14.0(1
- -W Residential boiler (radiator or
hydronlc) /4,00
Unit heaters (fuel -type, not electric),
-- in -wall, in -duct, stigended, etc, 10,00
Subdivision: Lot no.: • Floc /Vent f any o above 10.00
- •- --- Other; 10.00
Tax map /parcel no.: ^_ Other fuel appliances
DESCRIPTION OF WORK Watcr heater 10,00
. ! i-oL1 I �J ( c. ( - , U r "— Fl fireplace fe 10.00
1 \ /`1' 1 � .., '�� \ 1 � Flue vent for warn heater or gas
fireplace 10.00
Log lighter (gas) • 10.00 -
Wood/pellet _�� 10.00
wood fireplaccfinsert 10.00 _
�] PRnP�RTX OWNER ❑ TENANT hirnn�llinert luc/vcltt 10.00
•
1 Other: 10 00
Name: AJ� Q,3il C70.CC1 opx ^.
' Environmental exhaust ventilation
Address: ' r _ l 4 -b ` , 1 � Range hood/other kitche
w equipment 10.00
City /State /ZIP: • • L Clothes dryer exhaust 10.00 (C Single -duct exhaust (bathreoma.
Phonc: V � (� _ ii ! Z Fax: ( ) toilet compartments. utility rooms) 6,80
_ _ U APPLiCA.NT ❑ CONTACT PERSON , Attic&erawis = fans 10.00
Business name; Other; I 10,00 -
.. Foes piping
Contact name: S5.4A for first four; $1.00 for each additional
Address:
Furnace, ce.
- Gals heat pump
City/State/ZIP: Wall/suspended/unit heater --
Phone: ( ) Fax : ( ) Water heater
E snail: T — Fimitlacc ,"
. Range
_ CONTRACTOR _ 9 rbcctic
Business name: Thermal FIn, Inc_ Clothes dryer (gas)
""" "" Other;
Ar1rIn..e: 7236 SW Duf•hArn Rd
•
nT.C. ANrcAi. t'A:XMIT FEES -
City /State/ZIP: Portland, OR 97224 �� Subtotal _
Phone; (5n3) 670-834-3 n - Fax: (503) 620-1953 Minimum permit fee ($72,50) 12.50 „^
CC lie.; 1:5l S,17 Plan review (25% of penult fee)
State cih•chargc (8%e or permit fee) . '°r`
/ /-1A6-." _ - TOTAL P•CRIVIIT FEE `7 ; ,
nnthorized s i}xnattme: �r � ' Thi.c permit eypirea irn perntt bbtninr,ANwithin 1St
dayt After it hna been accepted na anmttletc.
Pt'itlt name: Brenda Estes T I '- 17 . _ • Pee methodology ?cI by Tri- Cnnnty BallrlIng Industry Service Board
07/17/2007 10:58 5036709064 THERMAL FLO PAGE 03
e
Site Plan
Prepared by: X. wi a_s Date: -I. ( -7_ o�
Customer Name; Address: Isar �s
Customer Phone• 706— ols- 00-2.7se
Property Boundary Line
gb
� � y
House
�rG (-42G
x : � Gtd
A . = �. ` /0- 6--4-
Street