Permit n CITY OF TIGARD MECHANICAL PERMIT
er' `''' COMMUNITY DEVELOPMENT
PERMIT #: MEC2008 -00401
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/31/2008
PARCEL: 2D00701
SITE ADDRESS: 07275 SW VARNS ST ZONING: R - 3.5
SUBDIVISION: ROLLING HILLS LOT: 001 JURISDICTION: TIG
PROJECT: RUSK
Project Description: Installing gas furnace and replacing vent for water heater.
CLASS OF WORK: FLOOR FURN: EVAP COOLERS:
TYPE OF USE: UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS: 1
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
RAYMOND & PATRICIA RUSK Description Date Amount
7275 SW VARNS ST
TIGARD, OR 97223 [MECH] Permit Fee 7/31/200€ $72.50
[TAX] 12% State Surch 7/31/200€ $8.70
Phone: 503- 684 -9722
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 OUNC by calling 503.246.6699 or 1 800.332.2344.
Issued By:i Permittee Signature:
all 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.
JUL /30/2008 /WED 04:54 PM THERMAL FLO FAX No, 5036709064 P. 002
s M� chanical Permit Application 9 FOR OFFICE IISF ONLY
o, Received p
City of Tigard ., ! ' �i Dete/By �� �O / A/ ,�
III (
- a 13125 SW Hall Blvd., Tigard. OR 97223 O Plan Review
Phone: 503.639.4171 Fax: 503.598.19.1 �Q Dat& )': Other Permit,
T 1 GARU Inspection Line' 503.639,4175 \ \ \` 3 Date Ready /By: Juris ® See Page 2 for
Internet www.tigard- or.gov r(� • � •tified/Method 2 � ' SupplemeatalInformation
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Mechanical permit fees* are based on the value of the work
1:3 New construction gAddition/slteratio acemenY performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition m [] Other: mechanical materials, equipment, labor overhead, and profit.
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l 'and 2 - family dwelling Ej Commercial/Industrial ❑ Accessory building
For special information use checklist.
171 Multi - family ❑ Master builder ❑ Other:
". ^�I J �� � Iy, I, ,y Description I Qty. I Ea I Total
!i -:; �" „ 'xk,,, t " °; ^_7 :�S1TE dint ' {FJON,A i!;t1f,k ; Ii hl:: „^ :, Hentl /coolln
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Job site address: 'rt Y` dolt* sc. Air conditioning or heat pump
f wires site , Ian showin, lawman 14.00
`
City /State/ZIP: 7,j,' / 462/f 071. Furnace 100,000 BTU (ducts/vents A 14.00
Furnace 100,000+ BTU (duets/vents) 17.90
Suite/bldg. /apt. no.: Project name: 0/ 1.■ to( - Gas heat pump 14.00
Cross streeUdirections to job site; Duct work 10.00
Hydronic but water system 14.00
Residential boiler (radiator or
hydronic) 14.00
rho nd 0 ' f fa€ 00 � CIO in-wall, -wa ll, in-rd uc(ct, suspended, ,not electric)
N. ll, in -dt, sus ended, etc. 14.00
Flue/vent for any of above ! 6.80 (1•!yp
Subdivision: 1 Lot no.:
Other; 10.00
Tax map /parcel no.: Other fuel appliances
r� ,,.' rvm, m �,l, "� "� n•' , d6lhT id7 69':nJIYmG" ' I °-•' "•"' +'
I null FL a ir I "'° :i o l � *,••• :l I "N ik °I. ai a 2il "I 111 ' 2' ' ' " :9' 4 ,,, .1 ' ^a 7,.." W lrv•�! 10,00
i, Wa ter heater
1? �A S C Iiti PT l � ' I ,
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_Meta ( Z� mr,i z 1�Y�a� Gasf 10,00
� Flue vent for water heater or gas
. gerh Log
fireplace 10.00
�/ Log lighter (gas) 10.00
Wood /pellet stove ' 10.00
Wood fireplace/insert 10.00
;;;',D w w ^t � I I ,, ,,, ,, :ra I,;II °' ' °;I;Ilala a "u" y l, ,I „I,, y1N Nl Yllltl. {'.1 Chimne /liner /flue /vent
'''; r : „ � ' 'x 1(VN'ER ... ,,,,,,, yy'' A 77.�77��++ I ., 4 � ,.,.. " ?,.
9 1tnu " "'idi ^a; :r,� .' •' ,,. T �.. ..., 4�C!�;�Y:lE'.'!litaaw. G� I ;�I� �j�1!H ;,II�YY,i,tr•"i .I, ,J,i``'�
77 �/ Environmental exhaust a nd ventilation , Otl ler ; 10.00
Name: Rag (! ea Ili
,,ff Range hood /other kitchen
Address: a equipment 10.00
City /State/ZIP: jainD 40 Zh) C Gle Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: cfia) 084- ..- ./ y Z7 Fax: ( ) toilet comparmrents, utility roo 6.8
,in4,1,1 , al nd I,r,,a'•d 1., 5uMR Y. n' m L I +nI: a , ",�,I� " °�. m .l,.,u n r ic/C 1O
„�I•, " � r tl i I 5 .�ry ii 4 du Y r ,I»iYa',nl�:'iLitli ' }. 1 :70 y�y �" „ Tam ':. a {' ;[ :.: I� { rawtspace fans �Q
"a, „ ., a�! , �" '41'! �In!:» I °6 �I! i: 9� "9: " L..... ;:!q �,, ; , , ,, ip n Yt 3;fiT, Y`A,I'.fl' � ' • .,.I ,,'�u. "i1.1 „L,:(i,4,�
Business name: Other: 10 00
r Fuel piping
Contact name: / 55.40 for first four; 51.00-for each additional
�}
vi Furnace, etc.
Address: Safi(
LA
Gas heat pump
City /Stale/ZIP: Wall /suspended /unit heater
Phone: ( ) F ax; : ( ) water heater
(�_ /G ye There/a/40 �I Range
B-rrrsil� Jlr j•T"°'V� "l� • ✓1��� RB
°i,,;� ''Y I , u.. � . � «.. ,. a,al lar • a {, .,.L, . e
ti,M" 'I 'r _ y .xa I. ',,
=1 :1. �rii•F'1 �; 1 '^' dN I]R4 �,r,� ;al:ti • ,I:':ja :,'. �a: yY..l l V l �, a ; Barbecue
,'.; I.i;.,, Fi9 %,,,4 ,,G'r,M ....m, r l`;, "G:.2 , .• ,. x - II'11!� ,' '"�,� ° 5 w '' ' -
T m rm / r ' j am , Clothes dryer (gas)
Business name: J "' J•IrJ
I /fj (► Q a �% /� Other
Address' '` Y V r 47,4 "0" tat ^;u W ":
. r r.~ ,a P7I 1 L TEaR'7�I17ii)�EE ' ''
City /State /ZIP:id rt 41 41 2 S btoral ` 2n•0 1 0
Phone: el).13, 40 Faxg )b10- 9 '4 Minimum permit fee ($72.50) 72. 5Q
P lan review (25% of permit fee)
CCB tic.: /6, State surcharge (12% of permit fee) ►f3.'7O
TOTAL PERMIT FEE _ g/.20
r
Authorized signatur / ' i This permit application expires if o permit is not obtained within ISO
days after it has been accepted as complete.
Print name: . .. I # ' I Date: 7f ' 0 . A Al ` Fee methodology set by In- County Building Industry Service Board
CITY OF TIGARD
•
BUILDING DIVISION PERMIT #: MEC2008 00401
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/31/2008
Phone: (503) 639 -4171 ik
Inspection Requests (24 Hrs.): (503) 639 -4175 , "LL
INSPECTION WORKSHEET FOR DATE:' 9/30/2008 TIME: 7:00AM PAGE: 16
SITE ADDRESS: 07275 SW VARIVS ST CLASS OF WORK:
SUBDIVISION: ROLLING HILLS LOT #: 001 TYPE OF USE:
PROJECT NAME:
RUSK
DESCRIPTION: Installing gas furnace and replacing vent for water hater.
OWNER: RUSK, RAYMOND & PATRICIA PHONE # : 503.6134 -9722
CONTRACTOR: THERMAL FLO PHONE #: 503.670 -8343
Inspection Request Scheduled For: Date: 9 Pour Time:
. Code # Inspection Description Confirm # Contact # Message '
699 Mechanical final 076092 -01 503 - 670.0343 Y
Corrections /Comments /Instructions:
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se-- R \
"PAss ❑, PARTIAL APPROVAL . ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ai' Date: f 7Se-roe Phone #: (503) 718- .C- 3
.