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Permit .; ` � , 'q CITY OF TIGARD MECHANICAL PERMIT ° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00152 TIG 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/27/2008 PARCEL: 2S112CD - 15500 SITE ADDRESS: 07990 SW KELSO CT ZONING: R - SUBDIVISION: CHURCHILL WOODS LOT: 006 JURISDICTION: TIG PROJECT: CHURCHILL WOODS Project Description: Installing 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 WILSHIRE HOMES Description Date Amount 10110 SW NIMBUS AVE SUITE B1 [MECH] Permit Fee 3127/200€ $72.50 TIGARD, OR 97223 [TAX] 12% State Surch 3/27/200€ $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: _ ` /r _ Permittee Signature: 9 ,9 c_, c Call 503.63* . • 175 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. j M.AR_ /27/2003/THU 07:22 AM THERMAL FLO FAX No, 5036709064 P, 002 Mechanical Permit Appl _ ., = r` j s ro • . . ... . . • . . roil of i is E us ()No' Cit of Tigard t►'•~`f - - U 6 Received ,¢� LO Date/By: , 0E t /� O) L 13125 SW Hall Blvd., Tigard, OR 972 . t 0 {-\i ' `� II Plan Review ' • 2, :.. Phone; 503.639,4171 Fax. 503.598.1 6 t • 0 `:� 73 Date/By: Other Permit: T I G A RD Inspection Line: 503.639 IC � s ' V r � , ' ' 1 .31 Dare Ready/By: : mri-: IZ See Page 2 for • f� Internet: www.tigard or.gov C A�'t t 4 -' Notified/Method: Supplemental information `kL i . ", ,..! ° ,! 4 ;i ; ir', 1 "'I YPE' bF C :'! : %. , , i ..tl! ', .Fi 1' . I. Ck, r OTY1!0 riP -C)r o` iS010,, T.. STit�IO FItO14#FT i , ... / I i. 91 I h Mechanical permit fees* are based on the value of the work ew construction ❑Addition /alteration /replacement perforated, Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials. equipment, labor, overhead. and rofit. 1 m.r,t, ?CA"I C 11OPtCIONSTtRUCTIOT' !::: :' i l, ! !t TJAIJi Value $ . 4 1J tr,IK,,EM 1 p � ,�, :It�ESC�m; � ;iSY'STFi]yIS`I}I'1C$.1 :.:;u 1- and 2- family dwelling in Commercial /industrial Q Accessory building For special information use checklist ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. ( Ea. I Total i °f.,;.§ ; n. •p r ' 11 40114 SIT. G,i FNBORi10 :i , ,,,, : �'g ' Heating/cooling �/n Air conditioning or heal pump a0 Job site address' / 90 6 �/ t G�j (requires site plan showing placementt _._ 1 14.00 City/State/ZIP: 77' / d_, Ors. 9.. 2j Furnace 100.000 BTU (ducts /vents) 14.00 Suite/bldg. /apt. no.: Project namt ("J 150 2„.„- Furnace 100,000+ BTU (ducts/vents) 17.90 t Gas heat pump 14.00 Cross street/directions to job site: Ft 14—(2 if/ (4 Duct work 10.00 Hvdronic hot water system _ 14.00 �/ r� /' / //� y �� 0 . Residential boiler (radiator or 712! 1 t 1✓l ud e-- &. f P-7 hydronic) _._. 1 4.00 Unit heaters (fuel -type, not electric), in -wall in -duct, suspended, etc. _ 14.00 C hurch, , / L/ / 1 _ /DO /0 Flue /vent for any of above 6.80 _ Subdivision: F7 W GG Lot no.: Other: 10.00 Tax map /parcel no.: Other fuel appliances el -- lit 't.'"2 ''''p i44 "1''' t ESe . ,. �11�'% ,-* �n .,,,..!,,,L.,4:,,,:.,, , N.iii1 , . A� ani , et : 1 e. Water heater 10.00 a / ` y °l i G as fi r ep l ace 10,00 G.s C �® air � mo ©/ G /!Q� ( 1 q Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 • Wood fireplace/insert 10.00 i m .Idly nr �, ;Aw 41,1.E i ,11 � 1.rp., IR u Irl�n 11 �,,r„rr Chimney /liner /flue /vent 10.00 • lRROP.EIt1Lk]`i'Q� �! m m, . 1 N .: t 11 r, t A I ?s ,IR „n, 1 R ,. G, , � : µt., r,,.!1,'s^ ,IM ,,rl' , , r„1, r,,., duv ,I Ar „ rr,r,: r, Other: 10.00 Name: 4 //t'/ %�1�1rneo Environmental exhaust and ventilation C7/ it $ A /� 4u� apt, (c S �� Range hood /other kitchen Address: [� / V i / I Iced equipment 10.00 City /State /ZIP: 7 ne, Q1 1.20 Clothes dryer exhaust 10.00 (,�j .¢-_ /(dog D/� toilet rtments(uilityr Phone : rooms) Fax: (�¢ �!t�t��r toile) compartments, utility rooms) 6.80 ' ,�r. � ! �' .Ap L51Grt1Y$t'i 1, f _ i l ° 1'l. a i , :li: � 't� 440 ,VtirrrJ n ', r t Atticfcrawlapace fans 10.00 ,,.. n . ,. •,a . . . Other 10.00 Other Business name: Fuel piping Contact name: i 1 t 55.40 for first four 51.00 for each additional • Address: r' a', a Furnace, etc. Gas heat pump City /State/ZIP: / Wall/suspended /unit heater Phone: ( ) Fax:: ( ) Water heater �r �I Fireplace &Inatl f, ° 61 Thkr T D in , (/ern... ' Range {:gi ' I . I! - "i;li...0ktsC7i 1 ' Barbecue Business name: 7/ u f,7 ! p7 2 Clothes dryer (gas) AA Jf j/ I �j� /� / //�� Other Address: ! `�£P i� ,C4. !�t'✓ : :;! dV1ECEIATIIC'ALF,Ert.MPJ' FX E /ZIP: Cit /State /�� �/ ‘ 01// Subtotal Od City/State/ZIP: � ` �� � Minimum permit fee ($72.50) 12,0A Phonc;�UV /,, d 1��� � Fax / )b v '4 plan review 25 %of er mit fee ( p ) CCB Iic.: ( r, 94 . 1 State surcharge (12% of permit fee) 8, ?�' ' ++�� _ TOTAL PERMIT FEE g , s Q ~ / / / . / This permit application expires if n permit is not obtained within 180 Authorized signatu : days after it has been accepted ns complete. Print name: y ) 7 7 , c omeo / y Date: ' Fee methodology set by Tri- County Building Industry Service Board MAR /27/2008/THU 07 :22 AM THERMAL FLO FAX No, 5036709064 P, 003 SITE PLAN PREPARED BY: , ` tnl Ye DATE: g . "r2 7- d r CUSTOMER NAME: /4.14A410_ 4, S ADDRESS: 7y ® c 5, 61 a 1tp`4 U Cr CUSTOMER PHONE: e." PROPERTY BOUNDARY LINE 5 HOUSE paiol STREET