Permit ,`- CITY OF TOGARD
MECHANICAL PERMIT
V
-` . 4 COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00380
fT GARD DATE ISSUED: 6/22/2007
M1 ,_i 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S103DA 04103
SITE ADDRESS: 13335 SW 107TH AVE ZONING: R - 3.5
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: KRAFT
Project Description: Install furnace and 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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
KRAFT, CARY RAY AND Description Date Amount
JANET INEZ
13335 SW 107TH [MECH] Permit Fee 6/22/2007 $72.50
TIGARD, OR 97223 [TAX] 8% State Surcha 6/22/2007 $5.80
Total $78.30
Phone:
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 ;/ / I A_. I / Permittee Signature: Q fipe ( ( -1 O
Call 503.639.4175 by 7:00 a.m. for inspections that business d4.
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.
:96/22;2007 09:13 5036709064 THERMAL FLO PAGE 01 • Mechanical Permit Application , i ;, � ?!� -= 'l ()It ()i l' ic 1:-11`1 r)r , ' r t;tsw ,,
I C l of Tigard , Received ,
�}�1 � � ��; li`IDatelBy: , ZZ 6- � .. � �;t o
� 13125 SW Hail Blvd., Tigard. OR 97223 t n �� -- .'♦ Review
..41 s ' Phone: 503.639.4171 Fax: 503.598,1960 Oilier Permit: DatrlByPlan .
, r i Inspection Line; 503.639.4175 JUN 2 2 2007 Date Ready/ 0 See Page 2 for
e t 1 - -,. e, Internet: www.figard- or.gov Notifiied/metha& lin Supplemental Information
CITY OFTIGA D
''a, iA i , ' s
TYPE OF WO' COMMERCIAL 1 E" SCHEDULE — USE CREC:1 L IST
± ' .
Mechanical pcnttit fees' are bascd on the value of the work
❑ New construction .Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, an profit.
CATEGORY OF CONSTRUCTION value: $
--- RF8IDENTI,AL'EOUTp MENT:iS I STEMS PEES*
g}.1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For specia i use checklist,
❑ Multi - family ❑ Master builder ❑ Other Description 1 Qty, Ea Total
1108 SITE INFORMATION AND LOCATION Heating/cooling
� Mr conditioning or heat pump
Job site address: 1?j3 C � (_,) �(7, m / f �� . (requires site pthn showing placement) 1 14.00 1 y
city /State/ZIP: � Cam Oc. q-7 223. Furnace 100,000 BTU (duets/vents) i 14.00 14
^ � Furnace 100,000+ BTU (ducts/vents) 17,90
Suite/ bldg. /apt. no,: Prglcct name: r C - (iav heat pump 14.00
Cross street/directions to jolt 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, ctc, 10.00
—
Subdivision: I Lot no : Flue/vent kw any of above 10,00
_ J Other: 10,00
Tax map /parcel no.: Other fuel appliances
DESCRIPTTOlc1 OF WORK Water heater 10.00
_ � �(( Gas fireplace 10.00
��1 ak.A t }—u( I�a Ct� 'T t ( C.ot c T l � ��- Flue vent for water heater or gas
fireplace 10.00
-. — Llo, lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace/insert _ 10.00
Chimney/liner/flue/vent 10.00
El PROPERTY OWNER ❑ TENANT • Other. 10,00
Name: Cal- 1(0 Environmental exhaust and ventilation
Range hood /othcr kitchen
Address: V2 2, 1-.' 6") 1( 4.02 , equipment 10.00
City /State /71P:1 ' t -7223 C1othag dryer exhaust 1 0, 00
Phone: (60 & 1 �j Sinelc o p rt exhaust (bathrooms, rooms) s,
Fax: ( ) toilet compartments. utility rooms) 6.80
❑ APPLICANT 0 CONTACT PERSON AttiGcrawlspace fans , 10.00
Other; 10.00
Business name: _ Fuel piping
Contact name: 55.40 for first four, $1.00 for each additional
Furnace, etc,
Address: Gas heat pump
City /State/ZIP: Wall /suspended/unit heater
Phone: ( ) 1 Fax ' ( ) Water heater _ r
Fireplace
E -mail: Rangj: _.
CONTRACTOR Barbecue
Business name: Thermal Flo, inc. Clothes dryer (gas)
Other;
Address 7236 SW Durham Rd MECHANTCAI., PERhffT FEES*
City /State/ZIP: Portland, OR 97224 - Subtotal
620 - 1953 Minimum permit fee ($72.50) �",Z.S�
Fhonc; (503) 670-8343 Fax: 503 3 3 _ (503) Plan review (25% of permit fee)
C C: B [lc.: 151847 State surcharge (8% of permit fee) 540
TOTAL PERMIT FEE -- g.& -
Thin p ermit application expires if a permit B not obtained within ISO
Authorized signature: . days after it hag been accepted as complete_
Print name: Brenda Estes Date: ( 0 — ;22 „ c7 • Fee methodology set by rn.Counly Building Industry Service Board
,06/242007 09:13 5036709064 THERMAL FLO PAGE 03
•
_ _. Akti.■ ta) q -(9 oW) .
.,,.. Site Plan
,. ‘ ,,
Prepared by ., Date, :;�
Cre (14
Customer Name Address. i_�T�'�n a
e Phot ';.�
Customer a � ' '`- 9 - 7 2.
Property Boundary Line
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ex .
. ....,.....„
4
. . i House
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(,... 1 off
30 FT
Street
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00380
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/22:2007
Phone: (503) 639 -4171 Ab
Inspection Requests (24 Hrs.): (503) 639 -4175 ' At
INSPECTION WORKSHEET FOR DATE: 7/10/2007 TIME: 7 :00AM PAGE: 80
SITE ADDRESS: 13335 SW 107TH AVE CLASS OF WORK:
SUBDIVISION: • LOT #: TYPE OF USE:
PROJECT NAME: KRAFT
DESCRIPTION: . in:.tall furnace and a/c unit.
OWNER: KRAFT, CARY RAY AND, PHONE #:
CONTRACTOR: THERMAL. FLO PHONE #: 503 670 - 8343
Inspection Request Scheduled For: Date: 7/10/2007 Pour Time:
Code # Inspection Description Confirm # Contact # - r. -n•t;
699 Mechanical final 051600-01 503-670 -8343 7
Corrections /Comments/ Instructions:
IR PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
T
• FAIL /j CALL FOR INSPECTION I I ADDITIONAL EES ASSESSED
I AlOP t-6/- Inspector: Date: D Phone #: (503) 718 -
N