Permit r
�' illg CITY OF TIGARD
MECHANICAL PERMIT
: COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00196
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/18/2008
PARCEL: 2S 111 AD - 18200
SITE ADDRESS: 14884 SW JONAGOLD TERR ZONING: R - 4.5
SUBDIVISION: LADY APPLE LOT: 006 JURISDICTION: TIG
PROJECT: LADY APPLE
Project Description: Installation of A/C. NC unit cannot be placed within required setbacks.
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: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
BEACON HOMES NORTHWEST Description Date Amount
12703 SW 67TH AVE
TIGARD, OR 97223 [MECH] Permit Fee 4/18/200€ $72.50
[TAX] 12% State Surch 4/18/200€ $8.70
Total $81.20
Phone: 503 -570 -8828
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: _____ r_ Permittee Signature: ex/ / 9/0/D L /C',9--j 70
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.
\, ,AP3/17/2008/THU 09 :56 AM THERMAL FLO FAX No, 5036709064 P. 002 • Mechanical Permit Applicati � t�oli MI I' I1 • USL ONLY .
. r � pp
City of Tigard
APR 2f Date/By; f� U� 0 Permit No.%f' S a? / /� D0/ j
/
13125 SW Hall Blvd., Tigard, OR 97223 r Plan Review
' :: • Phone: 503.639.4171 Fax: 503.598.1960 1 F . Other Permit: TIGAKD Inspection Line: 503.639.4175 ` t �� �± p ` ,[Date Ready /By: Jurist H See Page 2 for
BUILD Internet: www.tigard- or.gov
ING '- �`���� Notified /Method: -77 Supplemental Information
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,,,
p lee of the work
performed, Indicate the value (rounded to the nearest dollar) or all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
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,:,:,,', and 2-family dwelling :..' a ,, , special use checklist. , .0,;1 t**14 {I.S ` §"X' 1∎4§,i7ii0
} elling ❑ Commercial /industrial ❑Accessory building "'' '' "''' ' " " "'
Multi- famtly ❑ Master builder ❑ Other: For s to
Description 1 Qt T Ea. f Total
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�tr, Y: };SJ(�J!JE"'.{ ° RIVIr> <T3briiAT� ill^ ;! , �4i i a.,,,41 m „ "•,4.:,,1.:,,. „I„ Beating/cooling
/coolie
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re l y a/� T- r�.- Air conditioning or heat pump
Job site address: / / '�'��� (-7 6vlf V � i t� � (requires Sit pla,i showing placement) I 14.00 14
City /State/ZIP: 7%' -4C_. 62, 9i.1. Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
f 1 L
Suite /bldg. /apt. no.: Project name: 4-/.1./., Gas heat pump 14.00
Cross street/directions to job site: D„ uct work - 10.00
Hvdronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
711 ,ii r 4 f � . ,. ..:,.-_ Fr
Unit heaters (fuel -type, not electric),
in -wall, in -duct- suspended, etc. 14.00
Flue /vent for any of above 6.80
Subdivision: Lot no.: _ Other: 10.00 •
Tax map /parcel no.: Other fuel appliances
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as 1 0,00 _
G fireplace
^ o a I Flue vent for water heater or gas
Xi/ 6 1 !/7L'2�. -' t2(r C�fi�it2dt//t i i L Loog g ligh l 1 0.00
lighter (gas) 1 0.00
Wood /pellet stove 10.00
Wood fireplace/insert 10.00
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10.00
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Name; 2'ti ijarne . Y Environmental exhaust and ventilation
Range hood /other kitchen
Address: /2'-'7 W ec 10.00 • .
City /State /ZIP: 77 �r �., 08, t/-7-z1 Clothes dryer exhaust - 10.00
Single -duct exhaust (bathrooms,
Phone: -�I O - gg f 3 Fax: ( ) toilet compartments, utility rooms) 6.80
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�',p;24,,, r.,a,..,' : 1 , t„ N .. G c,” ,n,' ,r ;h; , ^,r, ,,, • „.•,,,,.. Attic/crawlspace fan
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1;��{,,'� '�,��� �' ' �t • I G .., 'G ��'_;'� ”! .,.,, Other: 10.00
Business name: Fuel tin
p R
Contact name: / j _ ! $5.40 for first four; 51.00 for each additional •
Address: V � I i VI Furnace, etc. •
i Gas beat pump
City /State /ZIP: Wall /suspended /unit heater
Phone: () ��j,y�r v1 Fax:: ( )
f Fireplace
Water heater
E -that l: (�-/
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Range
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�' , !i' I ::' l v }" �,: Barbecue
Business name: )2.1Th, e „,
Clothes dryer (gas)
O ther
//ft � r .0144 ,
Address: , :.,.
1 1?�C Ii �►�71CA z$�R1VIiT�I?F7� � . ' '
City /StateJZIP: P � . , : �j� 47,7 /,, /� /,, "rJ °,' Subtotal /4,
Phone: J:' .07e),. /304J Fax' 4 a ) 0 * 1 IOl ' Minimun, permit fee ($72.50) • 60
Minimum
review (25% of permit fee) ,
CCB lie.: f, 494-1 -, State surcharge (12% of permit fee) j ,.1,0
TOTAL PERMIT FEE 49/ o A a
This permit application expires if a permit is not obtained within 180
Authorized signatur
days after it has been accepted as complete.
Print name: • I A/ie;'i /e Date: 4..- / -7- Q g3 ` Fee methodology sat by Tri- County Building Industry Service Board
CITY OF TIGARD .. . r.,
BUILDING DIVISION PERMIT #: MEC2008-00196
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/18/2008
Phone: (503) 639-4171 „......_. Am
, , nol l ii ,
Inspection Requests (24 Hrs.): (503) 639-4175 ,W '
INSPECTION WORKSHEET FOR DATE: 4/23/2008 TIME: 7: 02M1 PAGE: 16
SITE ADDRESS: 14884 SW JONAOOLD TERR CLASS OF WORK:
SUBDIVISION: LADY APPLE LOT #: 006 TYPE OF USE:
' PROJECT NAME: LADY APPLE
DESCRIPTION: Installation of Attl NC unit cannot be placed within required setbacks.
OWNER: BEACON HOMES NORTHWEST. PHONE #: 503-570-8828
CONTRACTOR: THERMAL FLO PHONE #: 503-670-8343
Inspection Request Scheduled For: Date: 4/23/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final ' 06877401 503-407-0580 Y
Corrections/Comments/Instructions:
-#12) C 6" - • (... ,_.., . _ 0 - . 4 -4-- 4 =5=/
-,--- 4 c_.., -
..,
PASS I I PARTIAL APPROVAL 0 CANCEL I I NO ACCESS
I I FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
...
Inspector: Date: ---.7--- g phone #: (503) 718-
. _. . .. , .. . . .