Permit w CITY O F TIGARD MECHANICAL PERMIT
' COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00216
TiGARlY 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/30/2008
PARCEL: 2S112CD -15900
SITE ADDRESS: 07981 SW KELSO CT ZONING: R -12
SUBDIVISION: CHURCHILL WOODS LOT: 010 JURISDICTION: TIG
PROJECT: CHURCHILL WOODS
Project Description: Installing gas line to barbeque.
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: DOMES. INCIN:
NAT 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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
WILSHIRE HOMES Description Date Amount
10110 SW NIMBUS AVE STE B -1
TIGARD, OR 97223 [MECH] Permit Fee 4/30/200E $72.50
[TAX] 12% State Surch 4/30/200E $8.70
Total $81.20
Phone: 503- 624 -1600
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: J Permittee Signature:
Call l' 39.4175 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.
i
P,PR /28/2008/MON 02:16 PM THERMAL FLO FAX No. 5u36709064 P, 002
4.4ec anical Permit A u .ligation _ • FOR OR O U . '
1.
n t, Received 4, Ml'LZ" //I a/r/v,
City 0f Tigard Aatel6 Permit No.: , /_
n 13125 SW Hall Blvd., Tigard, OR 9732:3 ' ,, Plan Review lam/
e Phone: 503.639.4171 Fax: 51 08 4961f? Other Permit: _
,`
f1CiAN.I) Inspection Line: 503,639,4175 s C fY ,lO� n Date/By:
o DateReady/By; luris: H Seerage2for ` '
Internet: www.tigard-or.gov \'` �L (� ) Notified/Method; Supplemental Information
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.u . -i i mCOMlviE'{� �y �, , ?i F' )I�. 'i 'd#b� SDcNEG 76T
Mm 45. � , ¢ f Y { , D 0 _:, *. 'N17! l: y .01 , „-..1 .a y,w., a .,. I �'. ",' 1 .^ :;�. 1 ,„ . 1 : . . !. h,{
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„ .,,, Mechanical permit fees' arc based on the value of the work
'New construction ❑ Addition /altera to /replacement
..,`r , performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
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A 1 - and 2 - family dwelling ❑ Commercial /industrial ❑ Accessory building "'
rrllly 0 Forspcoral information use checklist.
❑Multi fa
❑ Master builder O ther: Description 1 Qty.
Ea. Total
' .&; " +�' B JO t.51iC O1IiMr A+D s icier liio .. • : ft r ,... , . y ,, , Hearin • /moil .
�( / �I /1/ €. I / Air conditioning or heat pump
Job site address: 74? -/ (requires site plan Showing placement) 14.00
City/State /ZIP: Tigard_ / 04 � z . Furnace 100,000 BTU (ducts /vents) 11
�� // vc .. r Furnace 100,000+ BTU (ductstvents) • r
Suite/bldg. /apt. no.: Project name: :ire /
/ CY N/ Gas heat pump 14.00
Cross streel/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
o Residential boiler (radiator or
7L. 2ma Y�[�! ( alfz � 7 o - /fi V hydronic) 14.00
�L / Unit heaters (fuel -type, not electric),
• in -wall, in -duct, suspended, etc. 14.00
/ r) Flue /vent for any of above 6.80
Subdivision: Lot no.: [ 1 Other: 10.00
Tax map /parcel no.: Other fuel appliances
awl a., b 1, ,m. 4 ,? n "11i 'E5 rq IOl� OF °WORK t.E . Y 1 l i ,u' •Hill r ,∎ , Water heater 1 1
Gas fireplace 1 t 1
,/ / �} Flue vent for water heater or gas
add 6 G ✓ may/,, L1'iz / JU & fireplace t t f
Log lighter (gas) 11
Wood /pellet stove 10.00
• Wood fireplace/insert I 0.00
i - u u l 7 i I h .�, J 1 6I1 rlw �" v rr,.a a., I -4��7�7 ,1*z, , �„,, t Chimney /liner /fiuc/vent 10.00
w a,. T. L, , k �,i r ,.,Sa,F,ts 4.12'l,�nq,. 1',j T,a>u.x.. ,.,+o; /e., 1. ., ...z..J�„�,� v,uv :s��iu '
1 �4]� Other: 10.00
Name: �0 t I '€ Environmental exhaust and ventilation
Address: 1 J# 6 �� / � a/�G� �'r Range hood /other kitchen
equipment "I r 10.00
City/State/ZIP: $p � o -� �.e Oi , _._ Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: 17 ) 10 p0,7 Fax: ( • ) toilet compartments utility rooms) • 6.80
. 7, T , 1 , , •
( p ' , A� / + .t .. pit ry 4M co /� y T }� ir Attic/crawls ace f arts
.. -.. . � W 9i.? rj '21O AG la• t. 'd W M l g« 7A ❑ . ncoi 4 c g PERS t oI\ ...+r r i ' ,..' p I O.00
Other: 10.00
Business name: Fuel piping
Contact name: - SS.40 for first four: 51.00 fo r each additional •
Furnace, etc.
Address: a ♦7 n I v
V/ f ` Gas heat pump
City/Slate/ZfP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
,y
n /I Fireplace
Email yiar e 'j� / erealIatize • Corn-- Range
''.:i:i w i x. i 4 $®Nx'R$O7tOR y. I � o � Barbecue n
! t B8 UC
Business name: T err t Pp .z c' Clothes dryer (gas)
/j� /I �j�� �% I/� Other
Address: ? �� J[E/ r�/�� w // K/ /ft �y�r" /(/O " MEGHr17d1CA1rPERM1T:F,EE.s. ,
City /State/ZIP:port / 44, 04' l f-9 Subtotal 6o
j i6 J� A� - 0 )b7O -qO0 - Mmlmunt permit fee ($72.50) 7x-,00
Phone: J �` �'! Fax 7 Plan review (25% of permit fee)
•
CC13 lic.: 1 809.7 State surcharge (12% of permit fee) &
TOTAL PERMIT FEE 5/ i 1)
This permit npplication expires if a permit is not obtained within 180
Authorized siignnatur days after it has been accepted as complete.
Print name; y`/e�� / - /� p f ai Date: ,.4c.1/.0-11:70 a Fee methodology act by Tri- County Building industry Service Board
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEc::200O -0U216
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4 /30/2008
Phone: (503) 639 -4171 ICI
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/1/2008 TIME: 7:OOAM PAGE: 27
SITE ADDRESS: 07981 SW KELSO CT CLASS OF WORK:
SUBDIVISION: CHURCHILL WOODS LOT #: 010 TYPE OF USE:
PROJECT NAME: CHURCHILL WOODS
DESCRIPTION: Installing gas line to barbeque.
OWNER: WISHIRE. HOMES, PHONE #: 503 - 624.1600
CONTRACTOR: THERMAL. FLO PHONE #: 503 - 670.8313
Inspection Request Scheduled For: Date: 5/7/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 069498 -01 503 - 670.8343 Y
Corrections /Comments /Instructions:
Ij PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ACALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: S --- 7— U 2 Phone #: (503) 718 - x#-45