Permit CITY OF TIGARD
MECHANICAL PERMIT
� � n
' -1 DEVELOPMENT PERMIT #: MEC2008 -00434
DATE ISSUED: 8/20/2008
G'ARD; 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25111 BC - 01700
SITE ADDRESS: 10265 SW VIEW TER ZONING: R - 3.5
SUBDIVISION: GREENBRIER LOT: 001 JURISDICTION: TIG
PROJECT: STACK
Project Description: Installing gas line to range.
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:
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: 1
Owner: FEES
RICHARD & JUDITH STACK Description Date Amount
10265 SW VIEW TERR
TIGARD, OR 97224 [MECH] Permit Fee 8/20/200€ $72.50
[TAX] 12% State Surch 8/20/200€ $8.70
Total $81.20
Phone:
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: / _- 1 Permittee Signature: Fr/ ,
C . A9.4175 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.
AUG /19/2008/TUE 03:26 PM THERMAL FLO FAX Yo. 5036709064 r, 00 2
.Mechanical Permit Application Fort OFFICE USE ONJ
� � � �
City of Tigard Received
Q Aatdlsy; A • . 6 0 Perm" No.: 1 3 • 9
1 114 " 13125 SW Hall Blvd., Tigard, 0 F j . ' S e � Q 7
Dat elBy' • (� Plan Review
Phone: 503.639.4171 Fax: 503. '�:." '60 1 � Other Penult:
TI Inspection Line: 503.639.4175 \\� Date Ready/By: 0 Sec Page 2 for
Internet: www.tigard-or.gov P" , Notified/Method; Supplemental Information
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E .a ro , --(xc TW pM fah ra 1 4l I ;O 'jaxlT -Aw ,%t' �i1 t) 1 : 'R• k ? .1 m:: w „ fl y , ' ' v'' I a�� rv,n . ••1�" '��'��1%1.W ��pl"J 11+Y W+r�. 5�At \�Llii4.ii11+l,l lb. f
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❑ New construction ► Addition/alte + replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
El Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit,
Ike 4 y % +nn. J . a� . Y li I . `.^ t �� t l4 fl U
t..,:.:'..�?; . r r. " , 1GA; 1EGC7R� ; +t.'C�1�1S't'�t�)GYT+101� : "'xl.' , II IW
, ° ^, tIt>;91 1 ; Ir0CTJIP,14f1.i S ' i i I EB" I , ` i
I1- and 2- family dwelling El Commercial /industrial ❑ Accessory building "'
For special Information use checklist,
0 Multi famtLy _ _ _ _ _❑..Master builder . E] Other - D escr i pt i on ty. e -Q _ E J Total
. .ti - ;.. ;, c bl y.040i1 'T FORM, ,T,.IOP,[ to +"A *0 x 4' ° u , ^. ,;'i Heating /cooling
/ 0 Z-W6 l e 7 (requires s
Air conditioning or n gt pump
Job site address: W iite plan showing placemen 14.00
City /State/ZIP: // e / r/ ,f ,Q� (11.1- 0 0
Pomace 100,000 BTU (Accts /vents) 14.00
Fumace 1000+ BTU (ducts /vans) 17.90
Suite/bldg. /apt. no.: - Project name: / � / " // ' K
Gas heat pump 14.00
Cross streeL/directions to job site: Duct work 10.00 •
Hydronic hotwater system 14.00
Residential boiler (radiator or
=1= PI 1 / / ,, is t J - / n hydronic) 14.00
:/ LEA Unit heaters (fuel - type, not electric),
in -wall, in -duct, suspended, etc. • )4.00,rw
Flue /vent for any of above 6.80
Subdivision: Lot no.: -
Other: 1 10.00
Tax map /parcel no.: Other fuel appliances
: xi : y�}�,/l titbit , : x" ,, � , e i , �r Water heater
. , r . ! 1" 1, :yw'i,„�' I..... ,I Q,.,.., A - .. . .. ;��tj' e �,.� n;. 1... .. . 1, an6ja. :,:
10 00
x,w .. Gas fireplace 10.00
Flue vent for water heater or gas
• fireplace 10.00
] Log lighter (gas) 10 "00
/ Q�f / Ale ... a / u2e' #0 ear? .& Wood /pellet stove 10.00 .
Wood fire Iaceserc 10.00
,, a Chimney /liner /flue/vent 10.00
n h ERROPEM,„, ? O W N L f I ,� ' x ,,y, .I ; 3 LE IA T ° Other: i
,2.. w,.',�.I'.x .:.H ; ... '; !. � a x. .... ...," .S .. i.. 1 xfru,., u -
10.00
Name: 0 nrrae e y fit' ,fie f a Environmental exhaust and ventilation
�
] •�- Range hood /other kitchen
Address:
* W0/1/6.0 e# equipment 10.00
City /State/ZIP: Clothes dryer exhaust 10.00
Singie -duct exhaust (bathrooms, )
Phone:6 ,Q /-- 9 % Fax: ( ) toilet compartments, utility rooms) 6.80
, 4 ' ;xtit . K. 1,4 0.6, F N1vs , r . . ,. 4,4 1 . : Iw tl s 'CONtrkerr IDRSK A;;; M ' . � ,F" : c aw p 10.00 •
Attic/ r !s ce fans a
Other: 1 1 0.00
11.tclypinp ___
Contact name: a g41111M $5.40 for first four: $1.00 for each additional
Address: /� r Furnace. etc.
ICI /A as heat pump
. Wall/suspended/unit heater
• Phone: ( ) . Fax:: ( ) Water healer
al
w' nA �AIn Fireplace
} am . W -- Range I 4 AO
r ,''"m x,.nw.9:
wv, :P.N MIo 1 ,� i ,$CQII `V.7'QR I ,4.,.,Y .i „ I,I, 6 P:11 W•' ".a Barbecue
Business name: 7 et" / et O Zl C, Clothes dryer (gas) •
Other •
Address: 1 / r . / 1eV w'i,'., yt i, ; l r r11rf (013 7+iICiKC TY1Tt*`1111) C $ jl,,..':.:11i
City /State/ZIP: ', ( / •/ rtt Of 01 Subtotal (5; #L>
Phone: / 71/27 / )b / - " Q� Minimum permit fee (572.50) •42.,, 0t)
Plan review (25% of permit fee)
CCB lic.: j /, • State surcharge (12% of permit fee) 0 70
• TOTAL PERMIT PEE rl` 2_0
Authorized signatu = ir./ This permit appacatton expires Ira permit Is not obtained within 180
/ days after It has been accepted at complete,
Print name: . / % Date: j -19-D • he methodology set by Tri- County Building Industry Service Board
•
CITY OFTIGARD.
BUILDING DIVISION PERMIT #: MEC2000 00434 ,
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/20/2008
Phone: (503) 639 -4171 �I�I+
Inspection Requests (24 Hrs.): (503) 639 -4175 - - --.
INSPECTION WORKSHEET FOR DATE: 9/5/20013 TIME: 7:OOAM PAGE: 15
SITE ADDRESS: 10265 SW VIEW TER • CLASS OF WORK:
SUBDIVISION: GREENBRIER LOT #: 001 TYPE OF USE:
PROJECT NAME: STACK
DESCRIPTION: Installing gas line to range.
OWNER: STACK, RICHARD & JUDITH PHONE #:
CONTRACTOR: THERMAL FLO PHONE #: 5037(8343
Inspection Request Scheduled For: Date: 9/5/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Mess. • -
610 Gas line 075138 -01 503-P0-83 AO 1'A.
Corrections /Comments /Instructions:
z z1 - .g.-. iS M / 4
•
4 ❑ " RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS A i
❑ FAIL OTC ' LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
c
Inspector: ~ Date: 94 he Phone #: (503) 718- Za