Permit C ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00576
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/24/2008
PARCEL: 2S 111 AD - 19400
SITE ADDRESS: 14953 SW 88TH AVE ZONING: R -4.5
SUBDIVISION: LADY APPLE LOT: 018 JURISDICTION: TIG
PROJECT: BEACON HOMES
Project Description: A/C installation.
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
BEACON HOMES Description Date Amount
12703 SW 67TH AVE.
TIGARD, OR 97223 [MECH] Permit Fee 11/24/200 $72.50
[TAX] 12% State Surch 11/24/200 $8.70
Total $81.20
Phone: 503 - 570 -8828
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 �� Permittee Signature: 75
/ 503.639.4175 by 7:00 a.m. for inspections that business d.y.
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.
NOV24/20 0 8/MON 08 : 40 a THERMAL FLO< FAX N. 5036709064 P. 0 0 2
, . .
Mechanical Permit A licati . • . FOR OFFICE USE ONL\' • . •
II " City of Tid ,.&%et)
, th.v 0 kaismtirmsee. 7c,
. . 13125 SW Hall gar Blvd„ Tigard, • .0 '1. ., 1 \ 14 r Av . k 110 an Review
I a . Phone: 503.639.4171 Fax: 50 • • ; ' 60 c A i(N,N „7 t e4s, Date/Sy; MIMI OtherPermit
•
TitiARD inspection Line: 503,639.4115 \\`'' 4( N;4,V Date Ready/By: BM g See Page 2 for
liner:lei: www.tigard-or,gov
ec" Notified/Method: . Supplemental Information
_
- .,* •,40,•;eill iii ;;ii7CiitZWii;liiitili?hkk'llipv" ' g,!Ils )-A
: 1 ;:
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lvjechanieal perrnit fees* are based en the value of the work
%New construction 0 Addition/alterationi;
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: . . • mechanical materials, equipment, labor, overhead, and profit
• Value $
1, t:404g _ ...... , .., ..„. , .. ,.. ..„, , . ,.. . ....,..„ .,...., ..,. • '
,_ ,.,! :,,,,,,,,,,,, ... . • --• - ..• ,..,. ,..,...• ,•,,.,: • , .:. • , .•'•,,, - ..,.. ., .., •,':-.' -....-- .. ' - . . .: , 15T;;i4itEgio*opp,4410 , 400 , ,isiii2048 : 0Egti4i i
- and 2-family dwelling CI Commercial/industrial 0 Accessory building •
For special Information um checklist
0 Multi 0 Master builder 0 Other:
Description Qty. I Ea. 1 Total
■i ijsAillizsmung,
Job site address: 1 4-q 0 SW tier 6. Air conditioning or heat pump
(requires site plan showing placement) I 14.00
Furnace 100,00013TU (ducts/vents) 14.00
City/State/ZIP: "779a,ret..' 0 , e q72 , 4 ..
, Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: Project narne: 14c, 4...Li..0 Gas heat pump • 14,00
..._
Cross street/directions to job site: . , Duct work.
. ......4---
. Hvdronic hat water system 14.00
0
Residential boiler (radiator or
---
- rheinaFaul de- 033----k. hydronic)
Unit heaters (fuel-type, not electric), 14.00
• in-wall, in-duct, suspended, etc. 14.00
Flue/vent for any of above 6.80
Subdivision: Lot no.:
Other: 10.00
Tax map/parcel no.: • Other fuel appiia aces
Rtighilik Water heater
!
Gas fireplace . 10.00
. • Flue vent for water heater or gas
a. f IP tr ',id itIete. firepiace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
. -
Wood fireplac.e/insert . 10.00
........,,,,„,.,,,,,,,,, , -, , .^ . . • ...:,,, • Chimney/liner/flue/vent 10.00
tt 40 l' '''k#'4111''''Ctiiiiii0... 0,..,N'11;;' other 10.00
Name: 4./, eon? e 17146 AlW" Environmental exhaust and vontilation
Address: / 0 3_ . - ' - Range hood/other kitchen
equipment ., 10.00
City/State/ZIP: art, e-<1 , c.) f - q Clothes dryer exhaust 10.00
7 S .
Single-duct exhaust (bathrooms,
Phone. ' " : ../
. ..i a.f. Fax: ) '
toilet compartments, utility rooms) 6.80
Attic/crawls ace fans
bV,glit iYiii1:)44-#14 P 10.00
Other: 10.00
Business name:
alMilft Fuel piping
Contact name: •
• $5.40 for First foam; $1.00 for each additional
I' ,, f I f . Furnace, etc.
Address:
r - Gas heat pump
Cjty/Stete/ZIP: V Wall/suspended/unit heater
Phone: ( ) Fax; : ( ) Water heater
Fireplace
E-mail: /lfreee Thor/nal-co me . aim,- R ange .
, , , ;! : !!;; , :i,',, : p i,•4 ;;!,ii:i..;4;; ■, •,,:i5 , ::. -, 4i,i, , ,,,; , ,I,i,i!',i'i;!kiji - iiii6,71rNi,lll,' , ::#;;;, :. ;.: , :,t,:,i;,:ii;,4,'Li!:,;•!,:'' , ,.;;;T, Barbecue
Business name: 7/7e,e-mtch, .„v 4,, Clothes dryer (gas)
. .
Other:
Address: // ft oW/&,/7P ,€ F / Z-...;.','.',.,,;110Ll14474111.iirEA101';iFEW.`:;,,;',!!....::47.:;'..
V
City/State/ZIP! p /0,4 , 0 4 470 1z - Subtotal • - 0 5 ?)
Phone: ,,, Faxhb7-ge7e04- • • Minimum permit fee ($72_50)
Plan review (25% of permit fee)
CCB Iic.: . 6/04-1 .„...-• • State surcharge (12% of permit fee) 9.1
C TOTAL PERMIT FEE 91. 1c7
Authorized signatur Ag This permit application expires if a permit accepted is not obtained within 180
e//
days after it has been as complete.
Print rIalTie eee/e0/ell . 13;te: 1114 0 5 . Fee methodology set by Tri-County Building industry service Board
NO'S 24/2008/MON 08:41 ADD THERMAL FLO FAX No, 5036709064 P. 003
SITE PLAN
PREPARED .BY: DATE: ,/ /_ 08
CUSTOMER NAME: &Cr,c c ) 1 ;2/.4t 4. ADDRESS: /Y5S,' �' 11 ' Ai% ,.
CUSTOMER PHONE: �ic,4
W
PROPERTY BOUNDARY LINE
HOUSE
•
STREET
1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MFC'Otlt; 00576
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/24/2008
Phone: (503) 639 -4171 'f" " hlo��ryp ul lP�i�i'll'l \
Inspection Requests (24 Hrs.): (503) 639 -4175 ...,..,-
INSPECTION WORKSHEET FOR DATE: 11/26/2008 TIME: 1 00AM PAGE: 11
SITE ADDRESS: 14963 SW 88TH AVE CLASS OF WORK:
SUBDIVISION: LADY APPLE LOT #: 018 TYPE OF USE:
PROJECT NAME: BEACON HOMES
DESCRIPTION: A/C installation
OWNER: BEACON HOMES, PHONE #: 503 - 570 -8828
CONTRACTOR: THERMAL FLO PHONE #: 503670.8343
Inspection Request Scheduled For: Date: 11/26!21008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 07856001 503407 -0580 Y ,
Corrections /Comments /Instructions:
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f 4501" ,' Ti 4111 N
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
F FAIL ❑ CALL FOR INSPECTION ❑ ADDIT ONA FEES ASSESSED
Inspector: AMP Date: l I �-Ip 0 Phone #: (503) 718 - \
WI" IF