Permit A
CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00215
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/19/2007
PARCEL: 2S 109DB -04900
SITE ADDRESS: 13263 SW SUMMIT RIDGE ST ZONING: R -7
SUBDIVISION: SUMMIT RIDGE NO. 3 LOT: 128 JURISDICTION: TIG
PROJECT: SAMPSON
Project Description: Install A/C.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: SR3.3 VENTS W/0 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
STEVE SAMPSON Description Date Amount
13263 SW SUMMIT RIDGE ST.
TIGARD, OR 97224 [MECH] Permit Fee 4/19/20W $72.50
[TAX] 8% State Surcha 4/19/2007 $5.80
Total $78.30
Phone: 503- 828 -1076
Contractor:
THERMAL FLO
7236 SW DURHAM RD. STE 100
PORTLAND, OR 97224 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 670 -8343
FAX 503- 620 -1953
Reg #: LIC 151847
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: // , /L/ Permittee Signature: 3p, 401; r
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
04/18/2007 13:13 5036709064 THERMAL FLO PAGE 01
J'' Mechanical Permit Appiicatiarc>I FOR QCi (c h; i;$f. ONLY
City of Tigard Received
a I 125 SW Hall Blvd,. T(t?Ard. OR 97 Dardny: rcnnnit No.: 1,4E-c_ 2 o _ 00215
I Phone: 50.639.4171 Farr: 503.59S tc/
cC�I��® plan Review
�-lJ
Dot Other Pemlil:
TI t .n n ti Inspection Line: 503.f,39.4175
Date Rrndy,73 : ,����•
Internet: www.tigrlydt+r.�ov 8 2 007 N a t e Rcodlcthod: S Sec Pre 2 for
APR Supplcmamtal Warmndnn
• --- TYPE OF W D . • •C'dM1Sl f 'TA,t.1 E
D ING DIVISION?: !. ;>i<s-
❑ Ncw construction ddition /alts[ Ion rep accment Mechanical permit fees' Arc based an the value of the work r
performed. Indium the value (rounded to the nearest dollar) of oll
❑ Demolition ❑ Other: - mechanical materials, esinpmenl, labor, overhead, and ro�fit.
r. CATEGORY Of C.ONSTRt1(:T10N Value: $
g and 2- family dwell in; ❑ Commercial /indusu'ial ❑ Accessory building R'P-Ri kf2U[Pl t /SYSTEMS T+�qg .
❑ Multi-family I: builder ❑ Other:
special lnformatlon rice checklist.
Description acriptinn Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION Heatinwcooling
Job site address: 15 �C,,ttt'l, m % t 1L\ (18 e__54. Air condition n or heat pump
�quires silto e p plan sl,owinK placement) 1 14.00 4.
C�
City/State/41N I' i O �2 q / Furnace 100.00013T11 (duos:vents) 14,00
••. *•- ' • Furnace 1 00 ; 000+ 13T11(rlucts:vcnts) 17,90
Suile/b1dg,/apl. no.: Project name;
. , _ Gas heat pump I 14.00
Cross street/directions rn job Site: -- -
_. Duet work 14.0_
Fiydrprlic hot water system 14,00
•• - -• Residential hailer (radiator or
h 14,00
unit heaters (fuuj -type. not electric).
in -wall. induct. suspended, ctc. 10,p0
Subdivision: l.Ot nn.: -- ' Flue/vent for any of above 10.00
_ Other: 10.00
Tax map /parcel no.:
Other fact a Iiancc
�f /� DESCRIPTION OF WORK Water heater 10,00 `—
I 5/Q 1 / -T /C . _ _ (;as fireplace 10.00
Flue vent for water heater or gas
J_Le.place W.00
log lighter (gas) 10.00
-- - .. ~ Wood /pellet stove 10.00
Wood Fireplac:e/insert _ 10.00
❑ PROPERTY 'OWNER ❑ TENANT Chimney/liner/flue/vent 10,00
Other: 10.00 •
Name; .s G , C Fnvirn »mental exhaust and ventilation
Address: /32G3 e s . � - ` � , • J �.J, /� (. C� Range hood/other kitchen • = �i+LJ� -J Q. lJ' - ttipmcnt _ 10.00
Ciry /Statc/ZIP: +' Ld 7 Clothes dryer exhaust 10,00
_ Sinpl .duct exhaust (hathrooms,
Phone: �` ` f .Jt•+ r r �-o r � 7� Fax:( ) toilet colnyattl lltilit roo ms) 6.00
-
0 ArrLICANT �"
_L_ ❑ CONTACT PERSON AIHc/crawispace fans 10.00
Business name: Other: _ 10.00
--
Contact name: -- '- • Fuel piping
S5.40 for first four 'S1.00 for each additional
Address: Furnace. etc.
CityiCtartcf7l P: - - C1as heat pump
Wall /sus tded /unit boater
Phone: ( ) I Fax: : ( ) • Water heater
E-mail: Fire lace
�. Ren�c --
CONTRACTOR _ Barbecue —
Business name: THERMAL Fi ^0 INC: Clothe diver (gas)
Address: 7236 SW DURHAM RD STE 100 Other: _
M•ECH prawn. I E S* • •
City /Rtote -J .IP: PORTLAND OR 97224
Subtotal 14-. CO
Phone: (503) 670-K343 Fa.: (503) 620 -1953 _ Minimum permit fcc ($72.50) 72. 50
CCB 1k.: I51847 ( 2 5 % P e r th f e e ) ' 20
State surcharge (8%, pfpermit feel � 30
TOTAL. PERMIT PEE
Authorized sitnanlre; , . „ 7 , This permit application expires it permit is not obtained within 1A
�� !!!��� L if
olo day M
s okra. it has been accepted no complete.
Prins. name BRENDA BURTON I).ii : ) • Pee mrlhod ........ 17 /O ! I py set by Tri- r•.onnly Thaklin t Indus Service Board
.1./1^, ,
04/18/2007 13:13 5036709064 THERMAL FLO PAGE 03
f% 1 r e • "
RECEIVED
APR 1 8 2007
Site PL.; OFTIGARD
' 1 DIVISION
Prepared b L APS Date: APiblw IV hi*
Customer arne: ss LW' 2
41-161444
Customer V McIMAM
Property Boundary Line
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S
H ouse
i 0 .
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Street
r .
CITY OF TIGARD
•
BUILDING DIVISION PERMIT #: MEC2007- 00215
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/19/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ill
INSPECTION WORKSHEET FOR DATE: 5/11/2007 TIME: 7:01AM PAGE: 116
SITE ADDRESS: 13263 SW SUMMIT RIDGE ST CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE NO. 3 LOT #: 128 TYPE OF USE:
PROJECT NAME: SAMPSON
DESCRIPTION: Install NC.
OWNER: SAMPSON. STEVE PHONE #: 503- 828 -1076
CONTRACTOR: THERMAL FLO PHONE #: 503 67041343
Inspection Request Scheduled For: Date: 5111 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 047889 -01 503-670-8343 N
Corrections /Comments /Instructions:
gid C 0,fleeC- t gc c.c5- c
❑ PASS ITIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: le4 Date: 5 -- --// —d ? Phone #: (503) 718 7 .4 -