Permit .~ CITY OF TIGARD MECHANICAL PERMIT
'` _ COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00522
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/30/2007
PARCEL: 1S136CB
SITE ADDRESS: 10920 SW 83RD AVE ZONING: R-4.5
SUBDIVISION: STEVE + HUGHIE'S PLACE LOT: 023 JURISDICTION: TIG
PROJECT: VASICEK
Project Description: Replace furnace and add a/c unit.
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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
JOE VASICEK Description Date Amount
10920 SW 83RD
TIGARD, OR 97223 [MECH] Permit Fee 8/30/2001 $72.50
[TAX] 8% State Surcha 8/30/200i $5.80
Total $78.30
Phone: 503- 312 -1586
Contractor:
THERMOTECH
26716 S. BOLLAND RD.
CANBY, OR 97013 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 848 -3961
FAX same as above
Reg #: LIC 118695
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 B � / Permittee Signature: A ,, /,
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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.
Aug 29 07 03:24p 503 848-3961 p.1
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City/StatetZIP: - VI Ca,1' A 4 0 R ,, Ran= 100,000 BIU (sscrewass) I KW
Furcate 100,00D+ BTU (Accafverai) 17.90
Sultdaideriela- o0.: I Prid --- eet name: ! Gas Iwo most 14.00
Cress streetfdirections to job slim . . Duct 'wit . 1
, Hydronic *Amster est= 14.00
ttp4 co Te c-- I.- E. itssidartisi Imitrz (radiator or
*drank) 14.00
Ude basun (fizel-type,, nos electric),
iirwalt In-doet, sniansiled. ow 14.00
Elvelron far sae of above 4.$0 ,
Subdivision: 1 Let VD.:
Other - 1 10.00 _
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i GM; fireplace 10.00
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fireplace
es- ili. rNr ‘ 1 1 - 1% ' cs:,..c c.....01-, A: ‘--.V i 10.00
(Thy \e r Lim hotter 05) 10.00
Wood/pellet sOttve 14.00
,tract ficeplacerammt 10.00
.. I . Chimmator/liamithselecat 10.00
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atyrStats/ZIP: - V I c:s.c d ofk aothes thver almost 10.00
Single-duct =digest alt4hcoons.
nun; ( 5G3 ) 5 ( a - 15 5' "G. Fa= ( ) tact caratazonanta, raffity rooms) 45.80
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Other: 10.00
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TOTAL PERMIT ME
Authorized signature OW - ' 41 44 Thla roma aplakafsas claret ifa perattris ast disabled wields ISO
days oneristas bet. StaIdled vs saasidds.
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CITY OF TIGARD
BUILDING DIVISION j PERMIT #: ,1FG20Q7_01 ;522
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8130/2007
Phone: (503) 639 -4171 �,-' rrl�f�l
Inspection Requests (24 Hrs.): (503) 639 -4175 Air
INSPECTION WORKSHEET FOR DATE: 1002007 TIME: 7:00AM PAGE: 99
SITE ADDRESS: 10920 SW 83RD AVE CLASS OF WORK:
SUBDIVISION: SIE=VE + HUGHII'S PLACE LOT #: Q2:.4 TYPE OF USE:
PROJECT NAME: VASICEK
DESCRIPTION: Replace furnace and add a/c unit.
OWNER: VASIGEK, JOE PHONE #: 503 -312 -1506
CONTRACTOR: THERMOTECH PHONE #: 503_8413.396i
Inspection Request Scheduled For: Date: 10/8/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
6 Mechanical final 057027 -02 603.603 -0907 N
Corrections /Comments /Instructions:
V r AJ 0(( L , Cam—_ ( '7 i / 87
4 c �,- ip (✓� f j ' -� ../e'
lb / � Laikf c / A / F'-' L
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Ak„ u At ri 1 .'- /f 4-K-____
1
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PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • C ' LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector: Date: is t° Y Phone #: (503) 718-
,
I'
CITY CARD
1 IL
BUDI wISION: , - PERMIT #: MEC2007 -00522
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/30/2007
Pber e 503) 639 -4171 Ar4 i1;I
Inspection Requests (24 Hrs.): (503) 639 -4175 11.
INSPECTION WORKSHEET FOR DATE: 9/13/2007 TIME: 7:01AM PAGE: 65
SITE ADDRESS: 10920 SW 83RD AVE CLASS OF WORK:
SUBDIVISION: STEVE + HUGHIE'S PLACE LOT #: 023 TYPE OF USE: 1
PROJECT NAME: VASICEK
DESCRIPTION: Replace furnace and add a/c unit.
OWNER: VASICEK, JOE PHONE #: 503- 312 -1656
CONTRACTOR: THERMOTECH PHONE #: 503 - 848.3961
Inspection Request Scheduled For: Date: 9/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 055422 -01 503-312-1586 Y
Corrections /Comments /Instructions:
i e . 9 1 - 0- 7 z . , t I • 0 S 7 — / 3 748?
i �G� e "iewar�cT cv' —9- V6 — 7
. 1 ‘ 3 ,'-;-1-e-- i J '44-re-44(57.C., e.-4." - el'Aie, - 76----
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
IL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
s
Inspector: % Date: �1— Ph one #: (503) 718 - -- 2..51-45.
. ` r. .
IGARD
BUIL I - ISION .. d PERMIT #: MEC2007- 00622
: A
1125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8130/7007
Pane (503) 639 -4171 I
Inspection Requests (24 Hrs.): (503) 639 -4175 ,�'. F:_..
INSPECTION WORKSHEET FOR DATE: 9/20/2007 TIME: 7:00AM PAGE: 42
- - . SITE ADDRESS: 10920 SW 83RD AVE CLASS OF WORK:
SUBDIVISION: STEVE + HUGHES PLACE LOT #: 023 TYPE OF USE:
PROJECT NAME: VASICEK
• DESCRIPTION: Replace furnace and add afc unit.
OWNER: VASICEK, JOE PHONE #: 503. 312 -1586
CONTRACTOR: THERMOTECH PHONE #: 503
Inspection Request Scheduled For: Date: 9/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 056011 -01 503 - 312.1586 N
Corrections /Comments / Instructions:
2
•
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ACCESS
❑ FAIL .n CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED
Inspector: Date: r! — Ze• — o ? Phone #: (503) 718 - ,4-
Aug 29 07 03:24p 503 848-3961 p.3
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THERMOTECH OREGON
26716 S. 7 301..L.AND RD.
cAwav C) 9701"3
553 253 6900
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