Permit C ITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00583
TIGARD DATE ISSUED: 11/25/2008
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S111AD - 20700
SITE ADDRESS: 08807 SW SCHECKLA DR ZONING: R-4.5
SUBDIVISION: LADY APPLE LOT: 031 JURISDICTION: TIG
PROJECT: LADY APPLE
Project Description: Install a/c
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:
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
BEACON HOMES Description Date Amount
12703 SW 67TH AVE
TIGARD, OR 97223 [MECH] Permit Fee 11/25/20( $72.50
[TAX] 12% State Surchai 11/25/20( $8.70
Phone:
Total $81.20
Contractor:
THERMAL FLO
7236 SW DURHAM RD. STE 100
PORTLAND, OR 97224 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 670 -8343
FAX 503- 670 -9064
Reg #: LIC 151847
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center.
Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OU NC by
calling 503.246.6699 or 1.800.332.2344.
Issu d By: ` Permittee Sign i . 64 ,4
Call 503.639.4175 by 7:00 a.m. for inspections I at ine - .ay.
This permit card shall be kept in a conspicuous place on the job e until completion of the project.
Approved plans are required on the job site at the time of each inspection.
f N -0V '24 /2008 /M0N 02:41 PM THERMAL FLOG 11 FAX No, 5036709064 P. 002
.
Mechanical Permit Applicati ECEI " E F i)R � c,r. rr USE o NIx• . . •
City of Tigard NOV 4 2� �� Ir � Nftt_x1 -�sg3
Permit No.;
a 13125 SW Hall Bl vd., Tigard, OR 97223
e Phone: 503.639.4171 Fax: 503.598.10A0% Plan Review Permit:
CITY OF TIGAR DateRyt
Inspection Line: 503.639.4175 Date R eadyBy: �� � & 'f Su Pagel for
•rt
Internet: www.tigard or.gov 3UILninir DIVISI • ^.tified /Method' /p.. SupptcmeotoI Information
iteA �,,w, . . ._...�.nnrMMSAA- ougc. ..,, - n �. • �4' I..'. _. �j( �t�,,I' "'
r i' M1 6,VA �PWM- Ry t� r"4•NN:) ���. abit...TVw 9 uily�•' . 1 ��+�I+YR�.rstlLf t/"0„ 7%„$ . ..
New construction ❑ Addition/alteration /replacement Mechanical permit fees* are based on the value of the work •
• performed. Indicate the value (rounded to the nearest dollar) of all
D Demolition ❑ Other. mechanical materials, equipment, labor, overhead, profit.
..
,.:.t �,t� ,_,M.. � - ' - - - N�,,: _t::;x -.,. ,�� . Value: $ •
:,�ai�s."raa:'•s O n o atl"�1VS>?kriJ ,� 3- .?:L� -. 2' '-4'L�°'
na?r::rlatrti; r . ...... ... ..... .. . . . .._ ..., _.... . �r :. .. ., C5fiI0 , ... •� .,r.� .�.. _ fi � .. t .. - •.
X1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
For special Olfonnation use checklist,
❑ Multi family. ❑ Master builder • ❑ Other: Description • 1 Qty. II Ea. _I Total
i:7 t�„�IE..,R10B1 .:.: �- ( ryTLF7� !�����jI��N °. ^"_.�.W g :� q �� r�� ,.yf li•Itating/c0olinR
w t/ Air cOnrJRioning or heat pump /QQd
Job site address: O�/ e C R rl� / r (requires site plan showing placement) / 14.00 • 7
City /State/ZIP: 77 eZrt, ne (j1 � Furnace 100,000 BTU (d tvems) 14.00 •
A Furnace 100,000+ BTU (d uctylvents) 17.90
SSuite/bldg./apt. no.: I Project name: NV 4 iI & w Gas heat pump 14.00
Cross street/directions to job-site: . . Duct work 10.00
- - Hydronic hot water system 14.00
• Residential boiler (radiator or
. l7 na/ �ll ate .06o -�i /A • Unit 14.00
I „`GfW�..'�J Ll,!(,(,� -� w Unit heaters (fuel -type; not electric),
. in -wall, in -duct, suspended, etc. 14.00
Subdivision: l Lot no.: Flue/vent for any of' above • 6.80
•
Other. 10.00
• Tax map /parcel no.: Other fuel appliances
g .. ._ _
` "; "- a , _ ' t ^� ws .�• eFa �, Water heater 10.00
-_ ____ - Gas fireplace 10.00
• Flue vent for water heater or gas
z , / /� i / wl On �/ . ion �. ' fireplace 10.00
LGa/ / (i(,(,�' (� Fes/ L ail Log lighter (gas) 10.00 •
Wood/pellet stove 10.00
• Wood fireplace/insert - 10.00
,� M r- ,._,,. mo d- Chimney /liner /flue/vent 10.00 •
;"4° diO Q ,,�,_ � ° p G, �"m 51 :..,r.`' Other. 10.00 • •
• Name: € e,vo t O�e • Environmental exhaust and ventilation .
Range hood/other kitchen
Address: -7, /q 67`e' ,-L� • equipment . 10.00
City/State/Mr 60 Dte.. 97;z 5 Clothes dryer exhaust 10.00
r� d 5 7 i ' ' Single -duct exhaust (bathrooms,
Phone: i Fax: ( ) toilet compartments, utility rooms) 6.80 •
+ ' ":.�, it a A T� Atti
u��>;�;�N "" � p � ,�, ;���,��; - 0� �,�p �'� „ Gcrawlspace fans 10.00
• rxa /w°rttl. �?p�l Ny �`^�. f:l� 1 + - M..r .. . .. e- A „ '�t° , �'i°�
Business name: Other: 10.00
n�
Contact name: K/ Fuel piping $5.40 for first four: $1.00 for each additional •
Address: r � Ili Furnace, etc.
•
`� Gas heat pump
City /State/ZIP:
le
Wall /suspended/unit heater
Phone: ( ) - I F •( ) Water heater
• �itG/f ie.oge'M4//'D /fl , coot, Range E -mail: 8 e - .
.C:..i tli+�'i�..¢ .... iAN••'f fir. t y'.F:•.......J.�irii:mul.. J'W�-`...
...... w.w Barbecue
:Yn,- .i� w4a �:.�' 4 Bar V ri
,.iir.r' idlAl. .Yiwq�.'... i. {. �•nc, +'I , ..:r,.: / rL _, �X� ; ?. si1•.; n" �c,�S�i:��cn'r: «.� .:� i:
Business name: l ee , f l o G Clothes dryer (gas)
/�• / % /��/J / //�� /��/� fin/ � Other:
Address: / I :N V9 Y Qi/ / „ / zee „ / O !,:zra✓'i ; M LA - -oko -i Gild it000t,11 F3,1,>n$ ...>. : :_ ;:; r.
City /Stale/ZlP:flO((hQ ,� �� _ Y !mil Subtotal 14:.e6 ,
) �r ✓�� Minimum permit fee ($72.50) ig,
Phone: ������ Fes �� 6 (f � Pl an review (25% of permit fee)
CCBlic.: i State surcharge(•12%ofpermit 0.70
.. . TOTAL.7'EIRMITFEE 91.20 . ' .
Authorized S)gnatu[eal . This permit cpplication expires if it permit is not obtained within 160
cloys after it has been accepted et complete.
I Print n fie, eQdy /a►411 j Date: jI••%4. •Qg * he methodology set by Tri- County )3uilding Industry Service Board
s: N.O'24/2008/MON 02:42 PM THERMAL FLO FAX No, 5036709064 P. 003
SITE PLAN
PREPARED BY: crz . • DATE: 4- .1 y- cag
CUSTOMER NAME: /�,3Y.. oaJ �2'v ADDRESS: g 7 ..5e -o Sc...4 e,‘...4
nn
CUSTOMER PHONE: l`i C at
PROPERTY BOUNDARY LINE
ti . ... .. . .. . .. ,
119
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STREET . . •
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CI F TIGARD A.
BUILDING DIVISION PERMIT #: MFC2009.00583
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/25/2008
Phone: (503) 639 -4171 t
Inspection Requests (24 Hrs.): (503) 639 -4175 -' aN
INSPE CTION WORKSHEET FOR DATE: 11/26/2008 TIME: 7 :00AM PAGE: 12
SITE ADDRESS: 08807 SW SCHECKLA DR CLASS OF WORK:
SUBDIVISION: LADY APPLE LOT #: 031 TYPE OF USE:
PROJECT NAME: LADY APPLE
DESCRIPTION: Install ate
OWNER: BEACON HOMES, PHONE #:
CONTRACTOR: THERMAL FLO PHONE #: 503-670-8343
Inspection Request Scheduled For: Date: 11/26/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 078566 -01 503.407 -0580 Y Awl
Corrections /Comments /Instructions: 4ffW
i S
n 4, . All ' wA
r
CO
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
kb. , i
Ins ecto c o , Date: 61 Phone #: (503) 718