Permit CIT OF- TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00232
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/26/2007
PARCEL: 2S112BC -08600
SITE ADDRESS: 14796 SW 81ST AVE ZONING: R-4.5
SUBDIVISION: RAZE MEADOWS LOT: 009 JURISDICTION: TIG
PROJECT: WHITE
Project Description: Install furnace
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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:
REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
WHITE, RODNEY P AND GAIL T Description Date Amount
14796 SW 81ST AVE
TIGARD, OR 97224 [MECH] Permit Fee 4/26/2001 $72.50
[TAX] 8% State Surcha 4/26/2001 $5.80
Total $78.30
Phone: 503- 684 -9578
Contractor:
THERMAL FLO
7236 SW DURHAM RD. STE 100
PORTLAND, OR 97224 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 670 -8343
FAX 503- 620 -1953
Reg #: LIC 151847
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: g 25t Permittee Signature: /L,
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
04/25/2007 12:54 5036709064 THERMAL FLO PAGE 01
n.�::.
chances! Permit A.. I licat" ta aco - eo �
� Pero „t N�,:
1,1 City of Tigard” ` ` ala/Ey _.
' � 13125 SW [Tall C31vd „'I'i�ard. OR 9 27..'� ` - �'pinn Review Othc, Pcnnit:
e . • Phone: 307.639,4171 Pax.: 503.593.1 Date/By: J uri ^ c r'ngc 2 rnr
Inspection l..ine: 503.634.4175 APR 2 5 200 l0atc Rcady/riy: Z Se mute Infirmnt;nn
TIt.:ARI� f ((�� I NoIificd.Mclhod:
1 11[CrnCl wH'W,1'i�aTCl- or.LOV .__
TY F.. OT • • e .1 '
Me chanical permit fees' are based on the value of the work
U New constnicti0n .Addition:.. tt�a s 1O
ionl j n$ent • ' ' performed. Indicate the value (rounded to the nearest dollar) of
, all
iii Other: J mechanical materials �Uipmcnt. labor. overhead, and profit.
0 Demolition iii 5
C ATEGORY (IF CONSTRticT1ON _. RESIDENTIAL >E0!Liif'PW�E1�T i S ,,, 1. .Z�,J4te3 ls` i b ,4,_ :
® 1 -and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building
F'or special information use checklist.
❑ Multi-family
❑ Master builder ❑ Other: Description I Qty. Ea. J Total_
.10B SITE INFORMATION AND LOCATION _ eea _
__ e y -- air conditioning nr h pu 14.00
lo� I site address: 9(0 Sal 1'S�,4 _equires site plan showing placement)
heat pump
14,00 Ll.
Furnace 100,000 BTU (ductJvcnts) � 1
- to -- --: T N y O �_ � �. 4 Furnace 100,000 � 1 TU (ductv'cnts) ' - 17.90
i t Prciec; name: Gas 14.00 _-
Suite/bldg./apt. n0•: 14.00
Duct work —
Cross sleet /directions to jab site: r 1ivdronic hot water, system 14.0[1
Residential hailer (radiator or -
hydronic) 14.00
lJnit:heaters (fuel -type, nntelectric),
- -- - -” in -wall, in -duct, suspended, etc. 10.00
• flue /vent for a n y of shave 1 0.00
-- � I LAt •
no.: Other 10.00 Subdivision: —
.' —. - Otltcr fuel appliances
Tax map /parcel no.: -_ Water heater V 10.00
_^---
DESCRIPTION OF WORK Cray fireplace 10.00
Flue vCIll'Ii r water heater or gas 10,00
T�� ��t t'1Ca -`T fireplace - --
Log Ii I 0 -00
—'— wood /pellet stove 10,00
1 t1.00
_ _ °' Wood fireplace/insert
Chimney /liner /floc /vent 10.00
1 ❑ TENANT Other: 10,00
0 PROPERTY OWNER � - j.
Environmental exhaust and ventilation
Name: t �- �) - - Range hi od /Other haus
10.00
5 R ange h nt _
l Q G - f r, / � - Clothes dryer exhaust City /State!7.1P: T\ CLI 0 ?� '1l`l Single -duct exhaust (bathrooms,
t oilet compartments,
Phone _ T a.. ( ) • 10.4 utility rooms) 6.80 !1
0 Q CONTACT PERSON AtticlCrOWlspacc •
F_811s
APPLICANT _ - ---- Other: I 10,00
Business name: p piping
- 55 -40 for first four: 51.00 for each additional
Contact name: Pomace, etc. ,
Address: . __- - Gas heat pump
Wall/suspended /unit heater
City/State/ZIP: - Water heater
Phone: ( ._ -) f I T ax' : ( ) Fire lace
Range . -
E-mail:
- CONTRACTOR _ Y^ _ Barbecue
. - C:lolhe dryer !Ras
Business name: THERMAL FLO iNC: w. Other _
MECHANICAL I'1✓'ix11c1i1:'E'`�' Fi�S't _ ........._ •
nadr��s: 72345 SW Orrrxrrn�4 RD STE 100 - - -- - Subtutnt
City/State/ZIP: itv /Sra.tc /711': POlil'L ANI ?. OR 97224 Minimum permit fee (572.50) "72,
Phone: (503) 670-8343 — FI:ax: (503) 620.1953 — Man review (25% of permit fee)
��� State surcharge (8% of permit fec) 5_
CCI3 Be.: 151847 _ TOTAL. 'PERMIT FEE 1
(// /��/J
734 . Phis permit applicntimt expirnn if n permit is not ofimined whin 1511
Authorized signatures days afar it has been nompt'ed aR complete.
• Print name: BRENDA BURTON Date: 9
2 . • FCC n,cthnrtoingy SCI by TH. County $gilding Irdc�.ctry Scrvicc TlMrd
CITY OF TIGARD
BUILDING DIVISION -r - PERMIT #: MEC2007 -00232
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2642007
Phone: (503) 639 -4171 Alb
� �� lc
Inspection Requests (24 Hrs.): (503) 639 -4175 =.3* ":_..
INSPECTION WORKSHEET FOR DATE: 5/21/2007 TIME: 7:02AM PAGE: 48
SITE ADDRESS: 14796 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: RAZE MEADOWS LOT #: 009 TYPE OF USE:
PROJECT NAME: WHITE
DESCRIPTION: Install furnace
OWNER: WHITE, RODNEY P AND GAIL T, PHONE #: 503 - 684 -9578
CONTRACTOR: THERMAL FLO PHONE #: 503-670-8343
Inspection Request Scheduled For: Date: 5/21/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 048655 -01 503-670-8343 Y
Corrections/Comments/Instructions:
4 , Itl
l e . i
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V j''v Date: A Phone #: (503) 718- _2, e i 3J
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