Permit CITY TIGARD MECHANICAL PERMIT
`' ' V COMMUNITY DEVELOPMENT PERMIT # - MEC2007 -00034
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED 1/17/2007
PARCEL 2S103DC -06100
SITE ADDRESS: 11205 SW FAIRHAVEN ST ZONING R -3 5
SUBDIVISION: EXODUS LOT: 002 JURISDICTION TIG
Project Description Fumaace install with media filtei and UV lights
CLASS OF WORK ALT FLOOR FURN. EVAP COOLERS:
TYPE OF USE SF UNIT HEATERS. VENT FANS:
OCCUPANCY GRP: R3 VENTS WIO 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 REPAIR UNITS
FIRE DAMPERS ?. 30 - 50 HP
GAS PRESSURE. 50+ HP, WOODSTOVES:
FURN < 100K BTU 1 AIR HANDLING UNITS CLO DRYERS
FURN > =100K BTU <= 10000 cfm OTHER UNITS.
GAS OUTLETS•
> 10000 cfm:
Owner FEES
MICHAEL KOSMALA Description Date Amount
11205 SW FAIRHAVEN ST
TIGARD, OR 97223 [MECH] Permit Fee 1/17/2007 $72 50
[TAX] 8% State Surcha 1/17/2007 $5 80
Total $78 30
Phone:
Contractor
THERMAL FLO
7236 SW DURHAM RD STE 100
TIGARD, 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 By (� Aw w 2 , c. ' ! ,, Permittee Signature. a
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
-1/7/2O@7 11: 23 5036709064 THERMAL FLO PAGE 131
- Mechanical Permit Application - - ' - , FUItoFFICE tlsI. fm,A
City of T i and Received R ACE I DateBy' / �� (V / / Permit No
13125 SW Hall lvd • Tigard. OR 97223 , `� V a— e � � � V � , _ A
Phone 503 639 4171 Fax: 503 598 1960 m man Rev,
!rtrytl)Jl • , Dale /By Other Pennir
Inspection Linc 5 639,4175 JAN 1 ii" Date R� Datc Ready/By ® Page
interne[ www ci t i ard,or.Ug F4� ^
Notified/Method. 11 1 See See a E for
X Inform anon
CITY OF TIeARn
.. 'COMMERCIAL, FEE
�1iV'II�lAltt ,', *'scH(uno" cHBc1tiiy1s111.
❑ New construction Addition/alteration/replacement permit fees* are based on the value of the work
performed Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical marerals, equipment. labor. overhead. and profit
..1...:.„'H" CAT dORY OF CONSTRUCTION" , . Value $
�,1 and 2- family dwelling Commercial/industrial RESIDE TA'!EQUIRME ri ISYSTEroIS FEES " C"
8 ❑ ❑ Accessory building
❑Multi-family 0 Master builder ❑Other' For speda /informnnon use cheekily,
Description Qty. Ea Total • ' • ' JOB SITE INFORMATXON AND 'LOCATION Heating/cooling
Job site address. t \ ;05 thy) F0 ., ` L..,�� S� Air eondrttontng or heat pump
� �f.� - (regwres auc plan allowing placement) 14,(K)
City /State /ZIP :T '3 \ ut _i O � Q• 22. Furnace 100,000 BTU Mums/vents) I 14 00
Suite bldg /apt no ` C} Project nna Fuacc 100.000+ BTU (duele/venm) 17 90
Gas heal pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydrontc hot water system 14 00
—
Residential boiler (radiator or
hydrontc) 14 00
Unit heaters (fuel -type, not electric),
in - wall. in -duct, suspended. etc 10 00 _
Subdivision Lot no. Flue/ventforanyof above _ 10.00
Other J 10 00 _
Tax map /parecl no.- _ Other fuel appliances
:1 I)ESCRYPTIO, Off, ORICd:" '', - „ : -4 Water heater 10.00 _
. ,..
\ ,i���� ,„ 11 . . Gas fit'cplace ] 0 00
� \ 1 C t $—f �Q� IT1OC \t� C, I 140C Flue vent for water heater orgas
('a vv--\ Lx-',/ , _ fireplace 10 00
' Log lighter(gas) 1000
Wood /pellet stove 10 00
_Wood fireplace/insert 1000
drPROPERTY',- OWNEIV ;il' r. 1 ':'''�i .[ ,'CtNAST! " Chinni Chimney/liner/flue/vent 10.00
' Other, i 10.00
Name: m1C VIOiOA tU_`.t11
Environmental exhaust and ventilation
��` L�ll � Range hood /other kitchen
Address:
�� �0 j e S C ]\ x� 1 p { � f x, l - _ equipmeitt 10.00
City/State /ZIP' t' (- d OIL-- Q 7 22,3 Clothes dryer exhaust 1 10.00
Single duct exhaust (bathrooms,
compartments, Phone: C ) 5-9 , I c. c. Fax: ( ) toilet compartments, utility moms) 6.80
...M;.: •' AFPLI � , „ � �" ' []:CbN'�73V,tT)YFRSON'' � - ....�.. Attic/crawlspaccfons _ 10 00 _
Business l ooms, CANS ...,, .. " " Other: 10
Fuel piping
I Contact name $5 -40 for first four; $1.00 far uach additional
Address' Fumacc, etc
-1 Gas heat pump
City /StatealP, wall /suspended /unit heater
Phone: ( ) Fax, :( ) Water heater
E-mail Fireplace
Range
.' CONTRACTOR ::. Barbecue
Business name' Thermal Fin Inc Clothes dryer (gas)
Other
Address 7236 SW Durham Rd STE 100 . . •MECHANICALTERMIT FEES* ' _
City/State /ZIP Portland, OR 97224 Subtotal
Phone (503) 670 -8343 Fax, (503) 070-9054 Minimum permit fee (S72 5(I) '] z So
Plan review (25% of permit fee)
CCB lie.; 151847 — State surcharge (R% of permit fee) ,g. 5346
TOTAL PERMIT FEE 5 /J t 3n /
Authorized signanRe:' Lc 41:1-1-4 ,�' � Thin permit application expires If n permit is not nhtam d within 750
doss after it has keen accepted an complete.
Print name ]'l-c 1� J-. Y . ]2i . � , f to n Dale )_ 17 -0- J I ° Fee methodology %el by Tn- Coanty Bwidtug Indusr. Service Board
lano;hhne`pmmik•• MEC Pcnnnnpp doe ilrta L71 440 -0617T11 l rtoV•roM'wEnI
CITY OF TIGARD
BUILDING DIVISION PERMIT # MEC2007 -00034
. A
13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 1/17/2007
Phone (503) 639 - 4171 . 1 r] �I
Inspection Requests (24 Hrs )• (503) 639 -4175 ' `i
INSPECTION WORKSHEET FOR DATE 3/9/2007 TIME 7:01AM PAGE 78
(4 -CXY I /5'
SITE ADDRESS 11205 SW FAIRHAVEN ST CLASS OF WORK
SUBDIVISION EXODUS LOT #. 002 TYPE OF USE
PROJECT NAME: KOSMALA
DESCRIPTION Furnaare install with media filter and UV lights.
OWNER PHONE #.
CONTRACTOR THERMAL FLO PHONE # 503-670-8343
Inspection Request Scheduled For. Date. 3/912007 Pour Time
Code # Inspection Description Confirm # Contact # Messa.e ^�
69 Mechanical final 044535 -01 503 - 670.8343 e l th.
Corrections/Comments/Instructions.
I /NoC uflraK7 _ s]' ice
a
i
LI PASS a PAR • L APPROVAL CANCEL 1 I NO ACCESS
❑ FAIL It • S FOR INSPECTION ❑ ADDITION ; L FEES ASSESSED
Inspector: Date o Phone #: (503) 718 -