Permit r ry
CITYOF TIGARD MECHANICAL PERMIT
. DEVELOPMENT SERVICES PERMIT #: MEC2004 -00758
8 j 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/18/2004
PARCEL: 2S 104DA -18100
SITE ADDRESS: 13310 SW KINGSTON PL
SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R -4.5
BLOCK: LOT: 007 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF 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:
> 10000 cfm: GAS OUTLETS:
Remarks: AC install.
Owner: FEES
MCCREA, JIM Description Date Amount
13310 SW KINGSTON PL. [MECH] Permit Fee 11/18/20( $72.50
TIGARD, OR 97223 [TAX] 8% State Surchart 11/18/20( $5.80
Phone: 503 670 - 8343 Total $78.30
Contractor:
THERMAL FLO
14865 SW 74TH AVE. #190
TIGARD, OR 97224 REQUIRED INSPECTIONS
•
Phone: 503 Cooling Unt Insp
Final Inspection
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. – — --
Issued By: 4, ec / Permittee Signature: Q9.7 (/AA
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Mechanical Permit Application r FOR OFFICE USE ONLY
City,o`c' Tigard • ED Received p
c" cEI� Date /By: L 1 `�� R Permit No.: 6. � � 7587
13125 SW Hall Blvd., Tigard, OR •i 2 Plan Review ��
Phone: 503.634.4171 Fax: 503.598.1960 / n , 4, Date /By: Other Permit:
Inspection Line: 503.639.4175 NOV 1 8 200 n Ready /By: Read /B El ® See Page 2 for
Internet: www.ci.tigard.or.us o
RD ^ Notified/Method: Supplemental Iuformatiou
Gay OF TIGA
a
l r °° i ; — %fli CH1I1 E , IJ ;.
.. ��� , ,..._,� ..,..- . = S kfGACKLISTA,
Mechanical permit fees* are based on the value of the work
❑ New construction - ®- Addition /alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition El Other: mechanical materials, equipment, labor, overhead, and profit.
- .p %.�> - F ,.;�';: .�: ���:�'�
_;:: GATEGORYO`CONSTRUCTIOIV'-
' '" 0-RESIDENTIALEQUIPMENTWSYSTEMS .FEES *`
(5.1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
❑ Multi- family ❑ Master builder El Other:
For special information use checklist.
Description Qty. Ea. Total
` , T ':INFO i... O ` ,. ° 't°_''° .=c Heating /cooling
F , RMATION AND;`L'OCATI� N =: - - ��,
_'��'' � '�� ._ ..�...��, „ - � -., ,,. �,.
4 . ,- <, < =SI ��Fd ., ,
Job site address: \ Air conditioning heat pump
p 1 0 5 \ n `'Q (} �/ n • ? _ (requires site plan showing placement) , 14.00
City/State /ZIP: 7 . c 4 �. _ pl a / 3 Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite /bldg. /apt. no.: Project name: Gas heat pump 14.00
Cross street/directions 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
Subdivision: Lot no.:
Fluc /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
r ,K•,i ::, .� :<:: a '= ,, :- Water heater 1
r- .. �:. +�''.: '" " ;, ;; DESCRIPTION sivoR i ,,,,,_;,> +. >: , ' i 0.00
Gas fireplace 10.00
\. %\(A U- g --7 1 °)1\ (VC. Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
:, ,.., Chimney/liner/flue/vent 10.00
�.:,_��,' PItt?PEIt7� y`"I�E � m h
, Other:
Name: . ofn nn C �C� Environmental exhaust and ventilation
Address: 3 3 I O l L Range hood/other kitchen
� `31 AD �Nl J-o Y/ equipment 10.00
City/State /ZIP: I (G L l / n-7/� p U 7 4 /�'?� Clothes dryer exhaust 10.00
Clothes Single -duct exhaust (bathrooms,
Phone: ( l) 6%0 (0000 Fax: ( ) toilet compartments, utility rooms) 6.80
:rAEELTe ;1% C.ONIAC3' "' %PE RSON -< Attic/crawlspace fans 10.00
Other: 10.00
Business name: / a o ( I � ` Fuel piping
Contact name: — PSS i (C.�
� V $5.40 for first four; $1.00 for each additional
Address: ,, II C Furnace, etc
`i , R6, 7 c— S n Gas heat pump
City/State /ZIP: i n 9 —) -- 4 Wall/suspended/unit heater
Phone: (Srs_5 ) ( S B3 0 3 Fax: : ((<- 67 - 9 6y Water heater
Fireplace
E -mail:
Range
s.
CO , *ACTO Barbecue
^ i°
Business name:
Clothes dryer (gas)
��� 1 I c O t h er:
Address: ��: >', �°� ". -� „ � �.,"
1 `. ECIT €€A=L PERMITIFEES *. ;`.2
City/State /ZIP: Sao U`
Minimum permit Q___($2,52)..)-- 7t-' 5
Phone: ( ) Fax: ( )
- Plan review (25% of permit fee)
CCB lie.: (3 IRO ./I State surcharge (8% of permit fee) 5 eo
- - -- - - - - -TOTAL PERMIT FEE 7 €, ' 3 Q _ •
Authorized signature: , O� This permit application expires if a permit is not obtained within 180
_ _ / d ' -L (/ days after it has been accepted as complete.
Print name: .. '!II ( t/ Date: / ( (7 "ty * Fee methodology set by Tri -County Building Industry Service Board
i:\ Building \Pemits\MEC- PermitApp.doc 12/03 440 -4617T (11 /02 /COM/WEB)
a2(
-
CONTRACTOR NC -HEAT PUMP O/D UNIT SITE PLAN
THERMAL FLO, INC.
14865 SW 74TH AVE #190
TIGARD, OR 97224
503 -670 -8343 OFFICE 0 BACK PROPERTY LINE
503 -670 -9064 FAX
tWA 30
TO SIDE PROPERTY LINE
TO STREET
I
CUSTOMER INFORMATION
NAME plc, (c. CV1
c l - F6-(fe-r1 c, 7a3
F
CITY OF TIGARD
' I BUILDING 6IVISION PERMIT #: iviEC 004 -00758
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/18/2004
Phone: (503) 639 -4171 i n� � ���:��yp°�myi lA il;
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4!7/2005 TIME: 7 :14AM j/ PAGE: 125
SITE ADDRESS: 13310 SW KINGSTON PL CLASS OF WORK:
SUBDIVISION: QUAIL HOLLOW- SOUTH LOT #: 007 TYPE OF USE:
PROJECT NAME: MCCREA
DESCRIPTION: AC install.
OWNER: MCCREA, JIM PHONE #: 503.870..8343
CONTRACTOR: THERMAL FLO PHONE #: 503. 670 -8383
Inspection Request Scheduled For: Date: 4/7/2005 Pour Time:
- Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 003663 -01 503 - 759-4230 V
Corrections /Comments /Instructions:
PASS n PARTIAL APPROVAL _[] CANCEL n NO ACCESS
n FAIL CALL FOR, INSPECTION ADDITIONAL FEES ASSESSED
Inspector: d . Date: *— 7 �� Phone #: (503) 718