Permit J r .i
C ITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00524
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503 639 4171 DATE ISSUED 10/23/2008
PARCEL. 2S 103 DC -00821
SITE ADDRESS• 11290 SW FAIRHAVEN ST ZONING' R -3 5
SUBDIVISION: VIRGINIA ACRES NO 2 LOT' 014 JURISDICTION TIG
PROJECT' HAMILTON
Project Description' Install furnace
CLASS OF WORK OTR 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:
3 - 15 HP: COMML. INCIN
MAX INPUT: BTU 15 - 30 HP' REPAIR UNITS.
FIRE DAMPERS ?. 30 - 50 HP: WOODSTOVES•
GAS PRESSURE. 50+ HP: CLO DRYERS.
FURN < 100K BTU• 1 AIR HANDLING UNITS OTHER UNITS•
FURN > =100K BTU. <= 10000 cfm. GAS OUTLETS.
> 10000 cfm•
Owner FEES
MARY JO HAMILTON Description Date Amount
11290 SW FAIRHAVEN
TIGARD, OR 97223 [MECH] Permit Fee 10/23/20C $72 50
[TAX] 12% State Surch 10/23/20C $8 70
Total $81.20
Phone: 503- 639 -1214
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 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 Permittee Signature OA/ fP0/ din -70 "I
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
i, �?CT /23/2008/THU 09:22 AM THERMAL FLO FAX NO, 5036709064 P. 002
R ECEIVE �!'
Mechanical Permit Application von o a r 1/SE,oM.\ ' '
City of Tigard o tusr /0 23� r "Pe""° No /WEC'o' / - +41sip
131255w Hall Blvd, Tigard, OR 97223 OCT 2 3.2008 Plan Review
• - ,.., Phone 503 639A171 Fax 503.598 Other Pent* Date By
'Ti CARD Inspection Line 503 6394175 CITY � p • {�GAR Dale tteae ,�� mSee Page or
- Internet, vnvw [nerd -or gov BUILDING DIvISI nneca tamod . 7 — s— $applemenrat tnrormvtion
. .,egGh� .a.� I ^ hq , §� }, •;(; 'tit'I ,° I,t � n ; ,uv - r "L �C�
,r' "r'.*. „. � "'Gt'^ � va,;i� >��e; „� „�, �rr`.i�`ci'rr��ott>"tt..� ; ?i:�i „.,���„ con' zm��o7�'. �” �r, F�. �sczieb r }>;,ivs>; ?crr�elc�Jasr„
^ gOn /alteration /rep (( c a me ) ) ���� tv "t�(I�a.F,;,
[] Demolition a ,., Other � la'e t i nt • .. •, performed,
mechanical f e, Indicate the (rounded t • the .. l.. ..„ .
re based on the value of the work
Ei New construction Adth
to We nearest dollar) of all
equipment, labor, overhead endzofie
- ',L':: _., I, ^.: , w
I�>)! (:° - ' CK (IlECa1SLY: {QP5UONST•RtJ CT1OT'. � ell air ;l•.^: ��,1: �t�.i Value $
, 1 1- 2-family dwellm ;i. ;;r t 'rC,G 6 ^b� l t:1 rSX, net` 1T �z'rJU7G,C'/i+1,1101GIV�J/(, ^S1 4101:57huL5• i; �'r�,„
❑ y g ❑ Commercial/industrial ❑ Accessory budding
Fat special rnformmuan use checklrsl
❑ Multi - family ❑ Master builder ❑ Other. Description
Qty I Ea 1 Total
^.,.,^^.,.1w,';iia, ",! ^• :y',._,;70r 1TE;(l*OliMArlor A"ND?L(jGi 10i bbt): :' ,, ,, Heating /cooling
Job site address u . 2_1 0 5 .. a Fc .t \.�u_..rr . C. .'!: �,,.
Ar conditioning or heat pump
dd (rewires site Ian showing plecemenll__ 14,00
City/State/ZIP' ( _q Or 6 1 1-217 Furnace 100 000 BTU (ducts/vents) 1 11110 1`�(•'p
' Furnace 100,000+ 13TU (ducrslvenie) 1790 _
Suite/bldg./apt. no.; [r01eet name' 212_. (r„,as Gas heat pump 14 00 f
Cross street/directions to Job site' Duct work 10 00
Aydrnmc hot water system 14,00 _
Residential ooiler (radiator or
, / hydromc) 14 00
I 4,0wl fi.S C^7Jir (9% ' C.-5- Unit heaters (fuel -type, not electric),
in - wall, to - duct. suspended etc 14 00 _
Flue/vent for any of above 6 80�
Sohdivrsion• Lot do • Other 10 00
Tax map /parcel no., Other fuel appliances
"it:E "'h'li S'S`-; "916,,"^ . i. ,. ^.D 'Y,"rthb, ,0 i
,9"�Y
�.t31K , ^x, � 1:iii "Y, J. ^;hl:'": AIN, Water heater 10 00 I ,
15.,. ..n,....,._,�: "h, „.,.� ., . ....'�� ��, ,,, ,.,.,., �„�,�,�, m „ ^, ,.,od��,.�,,,.�.^ ��� i
Gas fireplace 10 00
Flue vent for water heater of gas
•--- r -- fireplace 10.00
-cn- '- f✓P 'e.., A-- Lee hgtter(e 10.00
Wood /pellet stove 10 00 _
Wood fireplace/msen 10.00
,M1al li ^ ^t;l;:� ' C7I'.1 R'L1(il'01iiSy$]l: l' �t,I�C ^• " :u G "A,t " ti,. ''r.TgMH' °;.;d Ih'y,�:.�,'tr, Chimney /liner /flue/vent 1000 _..._...,..
n,,4�,k;m,n•o6�,S / "f ^,,...R,^�V �,,.W^......S�4iul ^... " .,. 6 ^IW': OET:. .� ^ Other 1000
� ,�/
Name a M C Environmental exhaust and ventilation
Address 4J Range hood /other kitchen
equipment 10 00
City /State/ZIP. Clothes dryer exhaust I ] 0 DO
5o ne As4 s;t�
_Clothes
exhaust (bathroom..
Phone (_) 1049' ( yt q V Fax ( ) toilet compartments, utility rooms) 6 80
Sk1 iAh:1 :4'q`yRtap; P�P�litCANr' "gdl)lif� ,•": ^1"!Y:"[ ^ ,�,,.y ® ? ,t i l�Ii'rs AtUdcraw'spaoe fans 10
B ?l,'1
�'!:= 69)l,l,iwl 0�i'�.., ... ... ( 7I ^A'CZ tir ,,,..a.,. ,�
• � Busness name Other 10 00
�/ "� p
Address' ( V 1 ' J � ,YA=/ Fuel piping
Contact name, e it (Y 1 // • J $5.40 for first four, $1.00 for each atldlhOnal
Furnace etc
Gas heat pump
City /State/ZIP' 4 Wall /suspended /unit heater
Phone ( ) Fax.. ( ) Water heater
L•maU' glei leer rinat nn • W�� Range
Fireplace
^ ; I'X � ',27J.7'^ " .dW) :,, `,( r, ', „,ii, : : �s lt.it , : ,��''e,: Barbecue
^ Business name r her� f PO .+u=//V Clothes drvei (gas)
/y [! �� Other
Address' .2/ V /0/9 IviEbr bilq ,�k) 11.U/kivIkEtbiS” �,, , ,,:
City /Sta / fOrj(44t, , 4vz Subtotal tL1'
iffe
Phone I��ep4t Fax )610-47o &'4- Minimum permit fee (S72 50) ft.0 D
Plan review (25% of peen It fee)
CCB ix. , /54044 State surcharge (12% of permit fee) 010
TOTAL PERMIT FEE 0/0161
Authorized signatur. / /1:Z@ This pet au( st i hasrb la co uple . within 180
��'��'^'�� / //' yy�� q days npli nRer it t has been een accepted as s complete.
Pr" " • r'GTle. enezeo/ea Date /V • ,3 -g . Pee methodology an by Di- County Building Industry Service Board
CITY OF TIGARD ,
BUILS ING DIVISION PERMIT #: MEC2000.00524
13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 10/23/2008
Phone (503) 639 - 4171 , 1 i Al
Inspection Requests (24 Hrs) (503) 639 - 4175 J. ':
INSPECTION WORKSHEET FOR DATE 1 1/1 012008 TIME 7:02AM PAGE. 19
SITE ADDRESS 11290 SW FAIRHAVEN ST CLASS OF WORK
SUBDIVISION. VIRGINIA ACRES NO. 2 LOT # 014 TYPE OF USE
PROJECT NAME HAMILTON
DESCRIPTION Install furnace
OWNER HAMILTON, MARY JO PHONE # 603 -639 -1214
CONTRACTOR THERMAL FLO PHONE # 503 - 670.6343
Inspection Request Scheduled For Date: 11/10/2008 Pour Time
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 077 876 -01 503-670-8343 Y
Corrections /Comments / Instructions:
40 — " at „ ,, 4A4/3'2-, - 7 /- -„
— vPASS ❑ PARTIAL A' PPROVAL ❑ CANCEL I NO ACCESS
❑ FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:
/r /, Date: / 6 f' Phone #. (503) 718- 2.1 4