Permit Er CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00422
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/13/2007
PARCEL: 2S 115AA -08800
SITE ADDRESS: 16349 SW 107TH CT ZONING: R -4.5
SUBDIVISION: BERKLEY ESTATES LOT: 020 JURISDICTION: TIG
PROJECT: STONE
Project Description: Replace existing a/c unit.
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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
STONE, MICHAEL A + CARMA J Description Date Amount
16349 SW 107TH CT
TIGARD, OR 97224 [MECH] Permit Fee 7/13/2007 $72.50
[TAX] 8% State Surcha 7/13/2007 $5.80
Total $78.30
Phone:
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 = / Jill & .1/ Permittee Signature: 0_ /pp//cet7C7'/
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.
07/13/2007 07:46 5036709064 THERMAL FLO PAGE 01
• Mechanical Permit Appiicatio i R6.. E i1 � 4 ° c>N ctlz 1 a.
F 1 r is, •),;,.,.
City f Tigard ls DatcIBy . 7 f/3 07- SL etm
A) Pit No.: M
EGZO6�
a 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review / D� • 1 2 ` Phone: 503,639.4171 Pax: 503.598 -1960 JUL 1 .2 2007 dRctiay: Odra Permit:
T r C:A.P, t) Inspection Line: 503.639.4175 Pte Reedy/ily; ]uric: Fil Sec Page 2 far
Internet: www.tigard- cu.gov CITY t, ` i i ciA D Nniificdimelhod, supplemental lnformetien
_ BUILDINe D1111 Q1 — -
TYPE OF WORT{ •COMMERCIAL' FEE" SCHEDULE ' CRECKLiST
❑ New construction Add ition /atteration /replacement Mechanical permit fees' are basccl on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit,
CATEGORY OF CONSTRUCTION
Value: $ —
-
l -and 2- family dwelling El C mrmercial /indusbial ❑ Accessory building :RESIDENTIAL EQUIP,M:EJVT /SSYSTEMS FEES*
I,
For special hrformarii t We Checklist.
Multi - famil ❑ Master builder ❑ Other:
Description p Qty. Ea. Total
.JOB SITE INFORMATION AND LOCATION Henri tig/ holing
Air conditioning, or hear pump
lob site address: 1634q 34q 5 ) `0 i G (requires sire plait skewing placement) I 14,00 l y
City /State /ZiP: Ti Furnace 100,000 BTU (ducts/yams) 14.00
Furnace 100 000+ BTU (ducts/veni 17,90
Suite/bldg./apt. no,: Ci Project name:
Gas heat pump 14.00
Cross street/directions to, job site: Duct work 14.00
-- liydronic hot water system 14.00
Residential boiler (radiator nr
hyclronic) 14,00
-- - — Unit heaters (fuel - type, not electric), "
in -wall, in - duct, suspended, etc. 10.00
• • Flue/vent for any of above 10.00
Subdivision; Lot no,: i
Other 10,00
Tax map/parcel no.: Other fuel appliances
—
DESCRIPTION Or WORK Water hearer 10.00 1
C 1 Cas fireplace 10,00
t1 VT 1 , AC . Floc vent for water heater or gas
,place 10.00
— Log lighter (gas) 10.00
Wood pellet Stove 10.00
Wood fireplace/insert 10.00
❑ PROPERTY OWNER . �� ❑ TENANT
. '-- Chimney/liner /flue /vent 10,06
Other. 10.00
Nam r _ C1 ) vO ._ Environmental exhaust and ventilation
Address: 1 o3t9 (0 C+ Range hod /other kitchen
equipment 10,00
City / State/ZIP; I �� O Clothes dryer exhaust 10.00
—
Single -duct exhaust (bathrooms,
Phone: ((3) ? (00400 , fax: ( ) toi cOr nparumcnts. utility rooms) 6.80 �
❑ APPLICANT ❑ CONTACT PERSON Attie/arawlspace fans 10,00
Businccs name: Other: 10,00
Fuel piping
Contact name: S540 for first four; 51.0 (or each additional
- .- —. — , etc, l
Address: -
Gas heal pump
City/State/ZIP: . Wall/suspended /unit heater•
Phone; ( ) tax; : ( ) Water halter
- --- - --- °-- �--- -- Fireplace
E-mail: Range
CONTRACTOR Barbecue _
.._ Clothes dryer nac) -J, �—
Business name: Thermal Fla, inc. .aS)
Other:
Arlrliccc: 72311 SW Durham Rd iVIECH'AN IpJ R MIT FEES*
City /State/ZIP; Portland, OR 97224 _ - Subtotal
Plx,nc: (503) 670 -8343 �. .. - ,__.� .J Fax: (.5(1 620 - 1453 M_��..w Minimum permit fee (572 -50) `T2. ik}
r _ . Plan review (25% of permit foe) ,
CC13 lie.: 151847 _ _ J _ _ _ State surcharge (8° of penuit fee) S. O
TOTAL PERMIT FEE :7,
_
r This n Permit i tiicnrion cxnireti Ira permit is not obtained within I se
Authorized sig 3 �;� nature, J _ J` -^ d y s after it hes been necepten rte enmpiere.
Print name; Brenda Estes Date: ?-13-0 7 I . Fee mcihndnioRv cep by Tri- County 15uiltliiR Industry Service Board
07/133/2007 07:46 5036709064 THERMAL FLO PAGE 03
Site Plan
Prepared by: ■ t
Customer Name: v Address; 1(6-1c:/. t O1 c r
Customer Phone' � i ` r r V!
Property Boundary Line
vok\-e.
- 1) vc
w
House , l� `1a�
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47;61.7.- If 1 4 —
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Street
CITY Of TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00422
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/13/2007
Phone: (503) 639 -4171
AA Ipkl �i��
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/3/2007 TIME: 7:03AM PAGE: 6%
SITE ADDRESS: 16349 SW 107TH CT CLASS OF WORK:
SUBDIVISION: BERKLEY ESTATES LOT #: 020 TYPE OF USE:
PROJECT NAME: SIONE
DESCRIPTION: Replace existing a/c unit.
OWNER: STONE, MICHAEL A + CARMA J, PHONE #:
CONTRACTOR: THERMAL FLO PHONE #: 50.3 6700313
Inspection Request Scheduled For: Date: 8/3/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 0553226 503 670 -8343 Y
Corrections /Comments/ Instructions:
F�.6 crit1 444, i wiva LA. 1„,--> 4e S i - 2.., ZN 4- -44 iii airr� e__,
v :ss n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL A CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1. Date: 8— 3- '> Phone #: (503) 718 - <