Permit C ITY OF TIGARD` MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00003
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/3/2008
PARCEL: 2S 104CA -04200
SITE ADDRESS: 13589 SW MICHELLE CT ZONING: R -7
SUBDIVISION: HILLSHIRE LOT: 042 JURISDICTION: TIG
PROJECT: SCHLOSS
Project Description: Install gas furnace and heat pump.
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CLASS OF WORK: ALT 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:
NAT 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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
JIM SCHLOSS Description Date Amount
13589 SW MICHELLE CT
TIGARD, OR 97224 [MECH] Permit Fee 1/3/2008 $72.50
[TAX] 8% State Surcha 1/3/2008 $8.70
Phone: 503 -524 -6765
Total $81.20
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 i Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for inspections that , siness 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.
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r,,V02/2008 13: 45 5036709064
THERMAL FLO PAGE 01
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INA_—_,echanical Permit Applicar i -' vott ot i...1.1sE
N Received
City ofligard Daso/By: / a- .0 8 41- Permit No.: kifekvg,...a=„23
13125 SW Hall Blvd,. Tigard. OR 97203
0 2 2008
Plan Review
0 : Phone 503,639.4171 FaX 502. it;;TroF Date/ny: Other Fermi!:
TIC.iik.P.1) Inspection Line; 503.639 A1 r IBinr... GARD Date Readytriy:
MA El See Page 2 tar
Internet: www.tigard-or uiNGDMSFON Notified(Methed: Supplemental Information
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— - -
' OF WORK • . . .
. ' ' - .. •tOSiittittOmAtkiitt* ge.listKO -.i.*t
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• _ Mechanical permit fees* are based on the value of the work
0 Nevi/ construction Tg. Addition/a.lteratiOn/replacernent performed. Indicate the value (rounded to the nearest dollar) of all
0 DernOlitiOn 0 Other: mechanical materials, equipment, labor. overhead., and profit.
. - -
. CAtEGORY OF cONFTRui.ori .. value:s
. .,_.
:
RESIBENTIALEOIPMENT./ SYSTEMSFEES*
.
_
I - and - family dwelling 0 Commereiel/indostrial 0 Accessory building - ... -
For special information use checklist,
El Multi-CH.761y 0 Master builder E Other: Description -
Qty.j 1 Total
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JOB SITE INFORMATION AND LOCATION . Ilearing/coolinl _
Job si i ,------
Air conditioning or heat pomp I
te address. I 3'5 , ,5 i Ir\ xie_. f (... i...
• - i' (requires site emit showiatulaceinctit 14 00 I Li f.S..)
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Furnace 100,000 BT11(ctuctsivellt0 I. 14.00 14,06
City/State/Z1P: —_—,— „ ---
— — Furnace 100,000- Bill tcliieWvoils 17 9C1
Suite/bldg./apt. no 1 PrOject riail1C: if t .
Cat heat pump 14,00 •
— _,....
Cross street/directions to.i oh site: Duet work 14.00
' ■,,■.■• ■■ ' 11 d r0 rYit water system ....... 14.00 _
Residential boiler (radiator or
,--..„--..--- hydronie) 14.00
I Intl benters (fucl-iype, not electric),
in-wall, in-duct, suSpended. etc. 10.00
-
__.--
— Flue/vent for ariLof above 10,00
Subd i vision; Lot Ito,: O --,
ther : 1,0,00
— - - -
Tax map/pal no.: Other f .
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BESCRIPTION OF WORK Water heater 10,00
• ..--.
Gas rir_eS_____ 10.00
—..______
c.ki Y A , 1 . Flue vent for wale/ heater Or vs
10.00_ ____
. --- -- ---. L lighter (aas)_ 10.00
Wood/pollct Stove 10.00
- .--
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------- Wood fireplace/insert I (1,00
—'
_-_--,------=. ,-, -‚ Chimney/liner/flue/vent 10,00
0 PROPERTY OWNER • 1_1 TENANT
_ • ___. ,.,----- Other: 10,00
__-- ... -
- ..-. - -
Narric:5‘ 1 Environmental exhaust and ventilation
. — _r_____—__
c.,•,■„______,, —
Address: I 35alL
--. Range hood/other kitchen
equipment 10.00 ..._
City/Stale/ZIP: - 1" ciWA j Ck Or_ _7 el(' Sr_aeic,Inaexhaust — 10.00
, .
- 5 ingle-cluct exhaust (bathrooms,
Phone: (503)3-244_ 6-7 4"5 Fax: ( ) toilet Compartments. utility rooms) 6.t0 ....
D ;,,irrtrcAiNt 0 CONTACT PERSON Attiectawlspece fans 10.00
--------------- Other: 1 , 10.00
B nm
a — . . e: .. Fuel piping
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Com.met name: S5.40 for first 'four; $1.00 for each additional
- , - ------- Furnace, eto,
Address:
__.
—_--- Gas . Oas pelt pump
Cit,y/Statc/7.1P: Wall/suspended/unit heater
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Phone; ( ) • 1 i, ( 1 _ Water haler
—. - ----
—_, -- - 1 —,-------- Fireplace
E -mail ;
--------, - , ____
CCINTRACTOR Barbecue . ..
, ___
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Clothes dry, elcas)
Business name: Thermal Flo, Inc_
_._ . Other
Acidrsa; 723.0 SW flueltam Rd. Ste 100 MECHA PERMIT FEES°
--- _ __— - . , NICAL
City/State/ZIP: Portland, OR 97224 subwoi __
____________ — — Minimum permit fcc (572.50) ' 7
Phone: (03) 670-8342 Fax; (503) 620 ___
---- - Plan review (25% or permit fee) ]
CCEA tie.: 151847 PE .,
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T OTA1, RMIT FEE 40
NIP
• This ifermit p
oprieation <rg pirr A i i a permit iN 001 obtained wii:1laii
Authorized signature: 7 s - ii;:ic • dar after it livis hem accepted AA cant plete.
Print name; Brendo Este S Date : /- 2 -Or) roe methodology cal by 70-c...omay neildine Indio:try Service nectrti
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-- 01/02/2008 13:45 5036709064 THERMAL FLO PAGE 03
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Sit. Plan
Prepared by: A.. Date: ��--
CLl er Narne: 'i scG. Address: - l.3. -sq s,. rvt lia.14, c'
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CLIStmm1Cr Phone: 5>4 - � - � - g
Properly Boundary Line
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CITYOF TIGARD •
BUILDING DIVISION -
#: MEC2008-00003
13125 SW Hall Blvd., Tigard, OR 97223
DATE ISSUED: 10200a
Phone: (503) 639-4171 pAll
Inspection Requests (24 Hrs.): (503) 639-4175 A
INSPECTION WORKSHEET FOR DATE: 2/7/2000 TIME: 7:03AM PAGE: 48
SITE ADDRESS: 1.509 SW MICHELLE CI CLASS OF WORK:
SUBDIVISION: HILLSHIRI" LOT #: J42 TYPE OF USE:
PROJECT NAME: SCHLOSS CiartN tr. OA' l'i'v
DESCRIPTION: Install gas furnace and het pump.
OWNER: SCHLOSS, JIM PIM: 603-6246766
CONTRACTOR: THERMAL FLO PHONE #: 503-670-6343
Inspection Request Scheduled For: Date: 2/7/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 064572 503 V
Corrections /Comments/ Instructions:
I d PASS fl PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
El FAIL li CALL FOR INSPECTION D ADDITIONAL FEES ASSESSED
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Inspector: Iv' ' Date: r
Q 0 S Phone #: (503) 718- sa-715 w
CITY `
BUILDING ION PERMIT #: NIEC2008-00003
13125 SW Hall Blvd., Tigard, OR 97223
t:, DATE ISSUED: 1i312808
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/24/2008 TIME: 7:02AM PAGE: 86
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SITE ADDRESS: 13689 SW MICHELLE CT CLASS OF WORK:
SUBDIVISION: i LOT #: 042 TYPE OF USE:
PROJECT NAME: SCHLOSS
DESCRIPTION: Install gas furnace and heat pump.
OWNER: SCHLOSS, JIM PHONE #: 503-524-6766
CONTRACTOR: THERMAL FLO PHONE #: 503
Inspection Request Scheduled For: Date: 1/24/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 063573- 01 503-670-8343
Corrections/Comments/Instructions:
- • 6 '40 - S 40S2
AXSc
,..•
I PASS Fl PARTIAL APPROVAL El CANCEL n NO ACCESS
FAIL CALL FOR INSPECTION Ei ADDITIONAL FEES ASSESSED
Inspector: Date: — 6 8 Phone #: (503) 718-
t . .