Loading...
Permit • 1 CIT OF TIGARD MECHANICAL PERMIT er DEVELOPMENT SERVICES PERMIT #: MEC2005 -00252 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/18/2005 PARCEL: 25111 AD -04600 SITE ADDRESS: 09020 SW PINEBROOK ST ZONING: R -4.5 SUBDIVISION: PINEBROOK TERRACE LOT: 069 JURISDICTION: TIG Project Description: Installation of A/C unit. 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: > 10000 cfm: GAS OUTLETS: Owner: FEES TARASAWA, FRED H Description Date Amount CONSTANCE J 9020 SW PINEBROOK ST [TAX] 8% State Surcha 5/18/200: $5.80 TIGARD, OR 97223 [MECH] Permit Fee 5/18/200: $72.50 Phone: Total $78.30 Contractor: THERMAL FLO 14865 SW 74TH AVE. #190 TIGARD, OR 97224 REQUIRED ITEMS AND REPORTS • Phone: 503- 670 -8383 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: 22, r.G�LU Permittee Signature: , ("j 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. 05/16/2005 22:22 • - -.. 11., • THERMAL FLO PAGE 02 Mechanical Perrm�it " h ' i D Imommilekimaimaigiaum • City of Tigard , ,• p /?vY 17 1 . PotmitNo.: !/U5 _ 5 L 13125 SW Hall. Blvd., Tigard, OR 9724A by 1 7 2005 Men Review purer Potmic phone: 503.639.4171 Fax: 503.598. -'r :x ' l t ` . Dote/By: inspection Line: 503.639.4175 J,1 11 Date Ready/By: Ea 5cc Fore s ror Internet: www.ci,tigard.or.us CITY OF TIGARD ' T NotiAed/Metilod: / Suppiersmeal information BUILDING DIVISION - . .:i. ;, ,i;: I •ro,gir g,!,., ._ „ o rm 4 �., f , ) . + cr sr.•y rra, ' " t !y •: {c {{t..p1:a it. • ,c' • ,f, t •1�. .'n 4>.;: rl��,� bpi ;-r !) •ii ! r � A '7�•• r A " ,, 1k'y':rt1r� Sdra ,�t�" r .. - '? u t:� : : llh , . , , , 1;6 2 I c+Y tN " t ht n ' : '' f J Jn �r ?..k Y 'sn, 1 { i:Y.• it “,, , 6cSrfm trt dfl �. rd y, I '. • Q : : . ,f, I A M, r 1 ^ A � ri. r �}I( i�` ! r.' t?u t r 1311. ,n:: c �u'� �rt =in; .', S':. Gilt f.:..;..: • `' Mechanical peen Lt fees* are based on value New construction An4ddition/alteration/ lacement of the weak r�P nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. , ✓;Y7 :we r•n,,rs v 1,0,, n 1 r' S'' I+y r! lii��t ',, x y .. •∎.t1):f•!., Value: $ { " ... a ,�''�� , .11 • , ' .' - ',. `t 0 ' YID� � , i . 1 •,, l5 . 4 ,j) � .t a m ; T q tie. - 3,.•r.,..1 ,�, - +•�!n . '.'Y :. : � , , `p:r I F '�ti !� l:�o. . Mtn , t� f �. L �f < . a . hr1 ,.6 t: f � T� .•, I �:v:'ts. . , A , ... r r e ' ,tie. !n1R �� f+r�l'M 'In + :>,l ' i i S z . ,nnui !I S I' : i ;i p� �• s •t � i � s 1 i I. • , t ,. .'i • • 1 :� �, �, ' . Oittt:ni)!o .>1ic 4'e at[katiti 7 ,. , •�:'.�,,:, i'a..: �., J 1- and 2- fart�ily dwelling 0 Commercial/industrial ❑ Accessoty building _ For special information use checklist. El Multi ❑ Master builder ❑ Other: Description I Qty_ J Ea. .1 Total li,r ;4:i ,, .!.i' ' F1/i f :, 1•• •,] i r ,444v ; :; ....:• ey,'n• ::,tr..�;, ri e atLn�/COOI .. , l ' �a 1 1:;'. ra r "? n,, +s , , °, ?'F ;V 1� ; } :�. ... k I �.t ; .�n� L �.. r�� �kw.A', -11! l ... hill i�'!D.9J,^, L .19 . � M.k1 t :R7, ... ,�: Air conditioning or heat pump Job site address: t'r o a 45/ DR W /Af& -Sr JSr- (roquilcs site �k o showing placement ) t 14,00 City /Ststc/ZIP: 7/ 45/ �R 9' 72- Furnace 100,000 BTU (duets/vents) 14.00 Furnace 100,0004- BTU (duete/venta) 17.90 Suite/bldg./apt. Ti o,: l Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 Hydronie hot water system 14.00 Residential boiler (radiator or h�dtynic) 14.00 Unit heaters (fuel -type, not nlcctrie). in -wall, in-duct, suspended, etc. 10.00 s. 10 Subdivision: i Lot no.: Flue/vent for any of above 10.00 Other. 10.00 Tax map /parcel no.: Other fuel appltancce ail 1,} CF 1 1 'T r 4 rA ,nom . t Rq 5 r.-+, , , r , n { ` 1 .747 ! y �" i rat Water heater 10.00 i$iiiIktl` mliA 'd t l� 1 t 'AM ∎ in s.4,3. � lantu6unil.'.164 k .: zli :Viet, �t tl511 N...I I le .F1:i.11,11ita i � f! :i L1 1/ - ` / Gas fireplace 10.00 (� iff' V Flue vent for water heater or gas fireplace 10.00 Log lighter (g) 10.00 Wood/pellet stove 10.00 Wood fircplaec/insest _ 10.00 it 1 1( f 1-1 -• 7 - 171t;!,1:. I tom q t.1q} {I I , i I I 'rl , ilttil �(i T la 3 1170 Chi1IIl.ney/tit[Q /9ndVeat 10.00 • s tls �i1lm erKal+17. ttll'• : A v! ft llli FT 19 11∎11 Y i111 ;4 , t ;lit:Ii' { : �rIIIN!SMILi 2311111 . F Other: 10.00 Name: )ij4/., -rr0 Environmental exhaust and ventilation Address: C/ � s W S 7- Ranggc hood/other kitchen C/ equi ment 10.00 City /State/Z1P: / / (9& q' Qle Q 2-2''1 Clothes d 'crexhaust 10.00 Single-duct exhaust (bathrooms, Phone &3) ,,, c j Ci' V/ Fax: ( ) toilet connartrncnts, utility rooms) 6.80 ' ''f C �i A r r + , ^ j �l � ' , j ' t { I s Y 77 - IItj' fl* } 4 ' ( 1 l W ,: r� 7 n 1.0 1 I e , iy ,r,S11%.'t• I Att1C/MflW�SpaCe fain k. fell, bJ,.., llsK „�cn..,,nr.t.,,n,l.n.,.r(d :u1lf....a11 , Ll• I t� 1 . l +,.r,,Qir• r` _ , 10.00 f Other Business name: , y t�l Fuel piping Contact nan: 4 e- kw ,e ; • 4... $5.40 for first four; $1.00 for each additional Furnace, etc, Address: / L( S 1/ if 'Z ' .. 4 V , t `� o Goa hat pump City/Statc/ZIP: 77 q CZ' l C/ 0< g 7 2- Z. ze Wall/suspended/unit hater Phone: (, j3) '--/,() g•9 .1,3 I Fax:: (5 3) 1 ,, 7 e , .._ i er If Water heater Fireplace E -mail: Jt Range t c. t t t "'�t� llti l " 1 sf 1 1� 5 � i t f � n t 17 x � I n r n7l i t ti n.,fl;`,�: , ?' . 011: f;tr t � 'k,'.L.c :n -• r ;�!��! g,, ° 11' . " 7. Barbecue 1 1'• i .�u? .ur .fen, la�.�. I P A...1 kJfli7„ ?s',x^ 4 � hn....11., u Business name: _Lk, vvi s ( f h G , Clothes thes drier (gas) s r Gt� 1- CIO ¢, In''•, twC.., cJri� ?t,�.in'N{T�tt(IVnr�Oriuis S 7 ,, 1t dr. �4illiI �`� "' kV 1:- 4 . ls..IL ).kAi�i ti ;i.. 1 M1 .. x , -zo.: '1 ` :Af1111%l y _ 1? '�. r s s +, 1 S I l® ,�:! �^: �..^$s,�an,t. .-c7,tf .�i,.�cL fs City/State /ZiP: f L • • / q ©E q 7 .g-. 4 Subtotal Phone: (5'p 3) (p 7© e6 3 q 3 Fax: (b03) �L� 7 D - • R oof 7o,/ Minimum permit fee ($72,50) • Plan review (25% of permit fcc) CCB lie.: I 5 1 1r ii 7 State surcharge (8% of permit fee) .5 TOTAL PERMIT FEE 7.3:......) Authorized signature: a e //. ,, ve X n M � � ' J a A T his permit application cxptrea if n permit is not obtained within 180 I,f�LSx�"+t -�' xr 1 X J r/, V drys nftcr it has been ecteyted ati complete. Print name: • -(+Lam_ f y •(iVn/e R I Date: S / 7/ S' ' Fee methodology set by Tri -County Building Industry Service Board isuitdtrisurensitatac- PerRdtAm.doc 12/03 • 440- 4e17T(I1/02/COM/WEB) 05/16/2005 22:24 5036709064 THERMAL FLO PAGE 01 • V fiT • s� a . 20 Q o CODE I OB NO. i IMAP .5' 23�S f I S = EA, TA TAg ts Aw.q �►DD s 9020 Sk.4 p ►NEa 1200K [DRAWN BY 3g72#44" I THERMAL FLO T-1.4 Alex , a � • 9 72 24. • CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2005 -00252 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/18/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 `-... INSPECTION WORKSHEET FOR DATE: 5/27 /2005 TIME: 7:10AM PAGE: 37 H+Ad•[- SITE ADDRESS: 09020 SW PINEBROOK ST CLASS OF WORK: SUBDIVISION: PINEBROOK TERRACE LOT #: 069 TYPE OF USE: PROJECT NAME: TARASAWA DESCRIPTION: Installation of A/C unit. OWNER: TARASAWA, FRED H, PHONE #: CONTRACTOR: THERMAL FLO PHONE #: 503 Inspection Request Scheduled For: Date: 5/27/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 007923 -01 503 -670 -8343 Y ► - Corrections /Comments /Instructions: M /No � Lq -t3LL S Z32 8 8 `z' °' ' - 5 - 55 ( (, 0^ 1(7- . ya M /A✓ . - s o -41/4 r5 I� l� -p F b. PASS M PARTIAL APPROVAL El CANCEL ❑ NO ACCESS ❑ FAIL II ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED SZ7• oS r— Inspector: y - Date: Phone #: (503) 718-