Permit 1 -1 , 444* g■ CITY TIGA t6? i , MECHANICAL PERMIT
' ' ° . ` ` -- COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00443
"^, . DATE ISSUED: 7/19/2007
t G id 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25111 DD -14900
SITE ADDRESS: 15675 SW 87TH AVE ZONING: R -7
SUBDIVISION: MILLMONT PARK LOT: 026 JURISDICTION: TIG
PROJECT: PEREZ
Project Description: Install furnace and a/c units.
CLASS OF WORK: OTR 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
SERGIO PEREZ Description Date Amount
15675 SW 87TH AVE.
TIGARD, OR 97224 [MECH] Permit Fee 7/19/20W $72.50
[TAX] 8% State Surcha 7/19/20W $5.80
Total $78.30
Phone: 503- 620 -2911
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.
7 / Permit Si Signature: / `
Issu > : By: J g S � /� / /caT
CaII 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.
07/19/2007 13:52 5036709064 THERMAL FLO PAGE 01
1!'F chanica� Permit ARpbc 1, t _ „L^,,,',`4"-^',:. , •
� 7 � J � l r = ' ''4 , ,': : - - ,.'''' - ;1 1 i . ; , ' , � . !., ,, 'd)h1 tr t li � :•_, 1 r „.:1„r• l gi ra
t C a of Tigard
, � i lieeelvad
13125 SW Hell 131.1(1„ Tigard, OR 97223 ' �""` "° MSG Oc�3
t ', 03.639,4171 Fax: 503.598.1960
, Phone; 5 1 2007
PI Ra v l ew
Inspection ; 5 Linc: 103.639.4175 JUL L 1 9 200 Defe/B Other permit:
p p c n r� ri Dm Rcad /i3 Fits ° a; Internet: www,tigard- or -gov I -,-•, F _., Y Y, Nett RI See Para 2 for
CITY >' 1 s , D Noti0 d/MCthod:
81113 G' ?`,
' . I_i IB . , j 6 ' Supplemental laformat
S.r te p ,
Th'PE OF WORK . COMMERCIAL •PEW” 61CHED -E -::USE CHECKLIST
❑ New construction ` 8- , Addition /alteration /replseement Mechanical permit fees" are based on the value of work
❑ Demolition performed. indicate the value (rounded to the nearest dollar) of all
❑ Other: mechanical materials, a ui merit, labor. overhead, and rofit.
CATI.(ORY OF :CONSTRUCTION Value: $ " —
}-and 2 family dwelling ❑ Commercial/industrial RESiDENTIAL EQUIPMENT' /SYSTEMS FEES*
-
❑ Accessory building
0 Multi-family ❑Master builder ❑ Other: For special irtfamotion use checklist,
Description Q.
Ea Total
JOB SUE iNFOIOIAT1ON AND LOCATION _ _ Heating /cooling
Job site address: i 5(75 15 , Air conditioning or m7 heap rip
✓K , (requires Rile o showing, placement) l 14 ' t!
1
City/State/ZIP: I.Ll f O r li Zz Furnace 100.000 BTU (di,crsAtents) 14.00
Suite /bldg. /apt. no.: Project name: - Furnace 100,000+ BTU (duets/wow 17,90
��� Q Gas heat pomp 14.00 J
Cross street/directions to, job site: _
Duet work 14.00
H dronic ho wate . stem 14.00 -"`
Residential boiler (radiator or
h dronic) 14,00
Unit hearers (fuel type, not electric),
in-wall, in -duct, suspended, etc, 10.00
Subdivision: Lot no.: Flu /vent fp r anv of above 10.00
Tax map /percc) no.: (?then. _ 1 0.00
Other fuel appliances
t DESCRIPTION OF WORK Witter c�otcr '_ 1000
1 Gas fi lac 10,00
i �� i I I T 1 _ ( Flue vent for water heater or gas
fireplace 10.00
i „og lighter (gas) _10.00
Wood /pellet stove 1 0.00 —
Wood fircplace/insett 1000 -
Chimney/liner/flue/vent Io.00
❑ PROPERTY OWNER D TENANT
Other; 10.00
Name: 1 '0 _ Environmental exhaust and ventilation
Address: 1 51 ' _. 4; 4fr) ., y� Range hood /other l:itohcn
l� equipment 10.00
City /State/ZIP :7 I cc f i / 97 ZZy 10.00
� Clothes dryer cxhaaa
Phone:3) �, Pax; ( } Single•duct exhaust (bathrooms,
toilet comportments, utility rooms) 6.B0
0 APPLICANT 0 CONTACT PERSON - Attic/cmwtspacc fans
10.00
Business name: Other; 10.00
Fuel piping
Contact Warne; $5,40 for first four; $1.00 for each additional
Address; Furnace, ere,
Gas heat pump
Cily /StateJ7_1P; Wall/suspended/Linn heater
Phone: ( ) Fax:: ( 1 Water heater
C - mail: Fireplace
Range
CONTRACTOR i3arbecue
Rosiness name: Thermal Pin, Inc. C1othe5 dryer (gas)
Address: 7.2.36 SW Durham Rd Other;
MECHANICAL PJ;RMiT FEES* J- 1
City /State171P: Portland, OR 97224
- Subtotal
i'honc (503) 670 8 343 Fa x; (503) 620 1453 Minimum permit fee ($72.50) - 7Z s0
1 Plan review 25% of permit fec)
CCR lie. 151847 State surcharge (tt° /, of permit fee) [•
TOTAL PERMIT FEE allIS,_41 erm
nulhorizcd signature: e; Tills permit Application expires it a pit Oa not ebtalned within in
t iny% a fter it has bean aeCeptcd as complete.
Print, name; Brenda Estes _ Date: ' 7 - , 1 G _ 0 7 1 - tee melhadcing). Wt Ity Trr- Cnan1Y Swirling indhittY Service Bnard
W
C
14// ,
ITY OF TIGARD R #
BUILDING DIVISION 8117/1 PERMIT #: MEC2007 -00443
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1812007
Phone: (503) 639 -4171 kr:p t , ICI I
Inspection Requests (24 Hrs.): (503) 639 -4175 . SEC go 0 7 _ D ®fy3
INSPECTION WORKSHEET FOR DATE: 10/1/2007 TIME: 7:00AM PAGE: 40
SITE ADDRESS: 15675 SW 87TH AVE CLASS OF WORK:
SUBDIVISION: MI3-LMONT PARK LOT #: 026 TYPE OF USE:
PROJECT NAME: PEREZ
DESCRIPTION: Install furnace and a/c units. •
OWNER: PEREZ, SERGIO PHONE #: 503-620 -2811
CONTRACTOR: THERMAL FLO PHONE #: 503 - 5•0.8343
Inspection Request Scheduled For: Date: 10/1/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final - 056520 -01 503-670-8343 Y 41v3
Corrections /Comments/ Instructions:
l I r /' ,
I 14 . t/ / l i/ 1'T ),Lid ,
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•
•
PASS n PARTIAL APPROVAL I I CANCEL ❑ NO ACCESS
FAIL K CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
1,
Inspector: lit • Date: l Phone #: (503) 718-
•
1912007 13:52 5036709064 THERMAL FLO PAGE 03
Lec. - cx-Y-N3 •
Site Plan
Prepared by: Da ()cot Fos-ter Dale: 7— 15-07
Customer Name] Seig`a 'Perez_ Address. 1 5675 SG,1 g7 e _
T a
Customer Phone 503 - SZz 7.5 q 7 ZZ
Property Boundary Lune
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House
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Street .
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