Permit CIT Y " Y OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00183
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/3/2007
PARCEL: 2S111 AD -17700
SITE ADDRESS: 14786 SW JONAGOLD TERR ZONING: R -4:5
SUBDIVISION: LADY APPLE LOT: 001 JURISDICTION: TIG
PROJECT: STEN
Project Description: Install a/c and filter.
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: 0
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
MATT & SASHA STEN Description Date Amount
14786 SW JONAGOLD TERR
TIGARD, OR 97223 [MECH] Permit Fee 4/3/2007 $72.50
[TAX] 8% State Surcharf 4/3/2007 $5.80
Total $78.30
Phone: 503 -515 -3955
Contractor: •
THERMAL FLO
7236 SW DURHAM RD STE 100
TIGARD, 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 OU NC by
calling 503.2 . -or 1.800.332.2344.
Iss -d By: ) .1 i I J / Permittee Si • . 41
�� I .
Call 503.639.4175 by 7:00 a.m. for inspec ions busine .ay.
This permit card shall be kept in a conspicuous place on the j.. site until completion of the project. •
Approved plans are required on the job site at the time of each inspection.
7 09:32 5036709064 THERMAL FLO PAGE 01
Mechanical Pet`rn icatioECE,WED ���� n FOR ovvicE usE, oNi 1
- 2 20 01 Receives: . Perrnit WI/VA, �o -
City of Hall d R Dntdvr
't 13125 SW Hall 81vd., Tigard, OR 97223 AP pinn,leview Other Pcrnni
' •
m Phonc: 503,1'39.4171 Fax; 503.$98,1960 AD Dale ivy
Inspectirm Line: 503,639.4175 1e h lit!' Date Ready /By; � Sea rage 2 for
j ' 1 t i A R Fl i��7 Supplemental Information
Internet; www.tigard- Or.gov NnliPcdiMctl PP
TYPE OF WORK COMMERCIAL FEE *. SCREDUE,E, :,- "US) 'CIE Y ii T": .
Mechanical permit fees" are hosed on the value of the work
❑ Ncw construction IS- Addition /altera.tion /replacement performed. indicate the value (rounded to the nearest dollar) of all
El Demolition ❑ Other: mechanical materials, c ui rent, labor, _,,_o_ve11 and profit.
Value; $
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT / SYSTEMS F,EESR: >
l• and 2- family dwelling ❑Commercial /industrial ❑Accessory building _ Far special hTforma/lon use checklLct.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty, I Ea, i Total
JOI4 SITE 'INFORMATiON AND LOCATION Pleating /cooling _
Air conditioning or heat pump
Job site addres'?: ' L7' i ,sualon f 1 C CLOQ (requires site plan showing placement) 1 14.00 I LI - C�
City /Statc/ZIP:
r. r 0e- q Furnace =I=) rnace 17.90
Suite/bldg. /apt, no.: Pr name: Gas heat pump 14.00
Cross streeUdirecdanS to job site:
Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric).
in- wall, in -duct, suspended. etc, 10.00 -
Flue /vent for any of above 10.00
Subdivision: I.nt no.; _Other; 10.00
Tax map/parcel no.: _ Other fuel appliances _
Water heater 10.00
DESCRIPTION Or WORK Water
Gas fireplace
n5 f i l ' ' Flue vent for water heater or gas
l L�1��1 ( �' fireplace 10.00
Log lighter (gas) 10.00
Wood /pellet stove 10 .0 0
Wood firelaeo /insert 10.00
- _. . Chimney/liner/II ue /vent 10.00
[] PROPERTY OWNER ❑ TENANT Other: 10.00
Name; . 'T ` , _ LQ5� /t �-� Environmental exhaust and ventilation
Range hood /other kitchen
Address: 1 £47tj' au. Ton lei I e r l C1. eq pment 10.00
City/State/ZIP: Ti - �l. l Q q7 Z7...3 Clothes dryer exhaust 10,00
Phone: () 5 - 3ei5 5 Fax; ( ) toilet compartments, utility rooms) 6.80
Attic /crawlspace fans 10.00
0 APPLICANT Q CONTACT PERSON - 10.00
Other;
Business flame: Fuel i in ,
Contact name;
$5.40 for lirst four $1.00 for each additional
Furnace, etc.
i
Address: - —_ Gas heat pump
City /State /ZIP: Wall /suspen /unit heater
Water heater
Phone: ( ) Fax: ( ) Firrlace
E-mail: Range
CONTRACTOR Barbecue
- - Clothes dryer (gas)
Filminess name; THERMAL FLO INC Other:
Address: 7236 Sw DURHAM RI) STE 100 MECHANICAL PERMIT:,F'EES* • • :
Subtotal
City /Statc /Z1P: PORTLAND, OR 97224
Minimum permit fee ($72.50) 72,a)
Phone: (503) 670-8343 Fax: (503) 620-1953 -
- Plan review (25% of permit fee)
CCD lie.:151847 State surcharge (R% of permit fee) 5 ZO
f 5 TOTAL PERMIT FEE �f
/�' ✓ This permit applivetion expires if a permit is not obtained v460:1'180
Authnrimc1 signature: �' �' 5� dnya After it ban been accepted an complete_
Print name: BRENDA BURTON Date: -07 T • Fcc rncthndain set by Tr County Building industry Service Board
CITY *OF-TICARD
BUILDING DIVISION L PERMIT #: MEC2007-00183
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/3/2007
Phone: (503) 639 -4171
All, i�puyl�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/4/2007 TIME: 7:00AM PAGE: 66
SITE ADDRESS: 14786 SW JONAGOLD TERR CLASS OF WORK:
SUBDIVISION: LADY APPLE LOT #: 001 TYPE OF USE:
PROJECT NAME: STEN
DESCRIPTION: Install a/c and filter.
OWNER: STEN, MATT & SASHA PHONE #: 503 -515 -3955
CONTRACTOR: THERMAL FLO PHONE #: 503 670
Inspection Request Scheduled For: Date: 5/4 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
•639 Mechanical final 047534-01 503- 670 -8343 N
Corrections /Comments /Instructions:
PASS I I PARTIAL APPROVAL ❑ CANCEL [ I NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: ¢ -0 7 Phone #: (503) 718- ¢¢�