Permit CITY OF TIGARD
MECHANICAL PERMIT
: In
' • COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00596
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/15/2007
PARCEL: 1 S134CB -08300
SITE ADDRESS: 11135 SW 124TH PL ZONING: R -7
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SUBDIVISION: ANTON PARK LOT: 045 JURISDICTION: TIG
PROJECT: VAN LIEU
Project Description: Replace furnace and heat pump.
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
SHERYL VAN LIEU Description Date Amount
11135 SW 124 PL.
TIGARD, OR 97223 [MECH] Permit Fee 10/15/20C $72.50
[TAX] 8% State Surcha 10/15/20C $5.80
Total $78.30
Phone: 503 -319 -2006
Contractor:
THERMAL FLO
7236 SW DURHAM RD. STE 100
PORTLAND, OR 97224 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 670 -8343
FAX 503- 670 -9864
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.
1
Issued By: �: ` ,. ..0 �� (9 ,-- 71 � � A Permitte e Signature: 6 " Y [ ,.
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.
10/15/2007 11:34 5036709064 THERMAL FLO PAGE 01
Mechanical Permit Applicatio 1 m' I,ISIC.1 ONLY •
ii
i Received C'1 OF Tigard /O Permit
' oRteiF3y: �o �g 14/1‘4. .1 - p12.
liii a 13125 SW Hall F31vd„ Tigard, OR 97223 P lan Review r
• to Phone: 503.639,4] 71 ray: 503.598,1960 0 C T ZOO De, /By; Other Penult.
't' I C MU) Ins C.inc: 50:3.629.4.175 Date Reedy/tiy: .hir y Et See Page 2 tar
Internet www.tigard- or.gnv rlYOF F'GR'r® ® Notified /Method: �7 Supplemental information
_ BUVL hNGDIV'aISI®t�
TYPE OF 'WORK :COMMERCIAL TEE:. .9CHEDU E . -'.USE C1-IECKL.1ST
• Ell New construction Mechanical permit fees* are based on the value of the work
Addition/alteration/replacement performed, Indicate the value (rounded to the nearest dollar) or all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, o vcnccad, and profit..
CATEGORY OF - .CON.5TRUCTlON Value: $
F RESIDENTIAL EQUIPMENT /SYSTEMS , � ES*
- I.. tend 2- family dwelling ❑ Colntncrcial /iridustrial 0 Acce:isory build
For speoia/ in/'hrmntio,, 7.1,•0 checklist,
7 it'ii.iIli ❑ Master builder 0 Other, Description ' Qty. Ea Total
JOB SITE INVOR'E1AT1On AND LOCATION . llentinWeooling
S11.0 address: ,t oh "��l Air conditioning or heat pump
_.. ) (135 co t I I .. ...,Lakj .. _. - _ (requires Site plan shewin�ptancmcat) i 14,00 1 q
City /Slate /ZIP: T 1 C C) ( 'R 72 3 Furnace 100,000 13 (duets/yews) L I <1,00
� Furnace 100,000+ ETU ((inertavents) 17.9(1
Siiite. /hlydE.fapt, no.; [ Project name: Y n (1 P .�._ ,.
Gas beset pump 14.00
(•r ,sx sired /directions to job site: Duct work 14,00
Hydros ie hot water sygt,em 14.00
__ Residential boiler (radiator or
— dmnie) _ 14,00
Unit heaters (I'cl - type, not electric),
in -wall, in -duct, suspended, etc, 10.00
Flue /vont for any of above 10.00
Suthdivision: Lot no.: -
_ _, -, Other: 10,00
1'11x map /parcel no.: Other fuel appliances
•
DESCRIPTION OP WORK Water heater 10,00
Gas fireplace 10.00
-
[_q C-Q e +.( CNC&( ±-- P. Flue vent for water heater or gas ,
fireplace .
10
- - Lo9lighteras) _ 10.00
Wood/pellet stove ' 10.00
Wood fireplace /insert 10,00
_ I
- - -- - -- -- . Chimney /lincr /fiuc /venr 10,00
El 'PROPERTY OWNER ❑ TENANT
- -- .._,,... _ Other: 10.00
•
-
i.:lo a,, • , v . _ A Environmental exhaust and ventilation w
—
Range hood /outer kitchen
Address: «, I -.� Q LQ. - equipment 10.00
City/,Late/ZIP] I f 1 • 4 f s 7 Clothes dryer exhaust. 10.110
- -- •- . - - - -•- � _ Single -duct exhaust ("bathrooms,
Phone: ;53 ) 3 t Z (0 � • Fax: ( ) toilet compartments, utility rooms) 6,80 -
❑ APPLICANT El CONTACT PE12SON Attic /crawlspncc fans 1 0,00
--- ............._ ._ -- Other: 10.00
Itl,:;ines' name; Fuel ern � ��
( '■IlulrI name; $6.40 for first fnnr; $1.00 for each additional
lultlrc: ,i, Furnace, etc.
.�. Cias heat pump _ W_
(.' it \. /L IItc /ZI P: Wall /suspended /unit: hcal:cr-
- " F ( ) Water heater -
I'hun 1 ) ,_.,.
____ _____ . - Fireplace
F.-limil: Range
CONTRACTOR Barbecue
iin:, ii :ss name: Thermal Flo, Inc. Clothes dryer (was)
-
-.. _.,.. Other:
Al,: rlr,. 7736 SW Durham Rd NIECFIANI At.. PERMIT FEES*
C:
C.il t /tut(; /7_1l': Portland, OR 97224 Subtotal
i'I ru+.,; (>i13) 670 -(3343 fax: (503) 1520.1953 Minimum hermit fcc; (572.50) 7 .
. —m. - --.-- Plan review (25% of permit fcc)
1 ('l: i ic, 151$47 Clare curchnrPe ($% o permit fee S. �}
-- '- -' TOTAL PERMIT FEE -' 713.1. �7rj--
This pgprail app1ie1tinn expires if n permit is nor netninrtl althln 1$11
/\,rlh , rivcd 5ig+lntlll'C; y _ _ etnvx niter Ir has been accepted ns complete.
Print. name: Brenda Estes Date: . /C/ 15 - 1 " Ircc methodology set hy'r'ri.0 catoty Buildlnt; truh e+n• Scrvicc BOMB
10/15!2007 09:49 5036709064 THERMAL FLO PAGE 03
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Site Plan
Prepued by: D c,J i5 Date:
SH ef‘4L.
CLlstom er ,Ad dress: i as 4t).) 4,1-1
Customer Phat7 °) 6 19 - 693(is Qr
1
144 Property Boundary Line
•
to Pi Re,05e fA.tsr
House
w ( .0 C ... ) �T
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CITY OF TIGARD
, .
BUILDING DIVISION PERMIT #: MEC2007-00596
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/15/2007
Phone: (503) 639-4171
.1,0
Inspection Requests (24 Hrs.): (503) 639-4175 ."...._. .......
INSPECTION WORKSHEET FOR DATE: •11/6/ $07 TIME: 7:00AM PAGE: 81
N.lo 2–rft- -. 0 _ , .. )4 _
SITE ADDRESS: 11135 SW 124TH PL CLASS OF WORK:
SUBDIVISION: ANTON PARK LOT #: 045 TYPE OF USE:
PROJECT NAME: VAN LIEU
DESCRIPTION: Replace furnace and heat pump.
OWNER: VAN LIEU, SHERYL PHONE #: 503-319-2006
CONTRACTOR: THERMAL FLO PHONE #: 503
Inspection Request Scheduled For: Date: 11/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 058850-01 50:3-670-8343 0 la_
Corrections/Comments/Instructions:
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FC-111... r; - 1?- 1.=0 2 i iq'S
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6 ;;Ass_A) ra PARTIAL APPROVAL I] CANCEL 74 NO ACCES
";:.-- -:-.-.-------
ALL OR 0 ADDITIONAL FEES ASSESSED
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A .
_
Inspector: Date: libA P Phone #: (503) 718-
,, • • , - - ..
CITY OF TIGARD
BUILDING DIVISION , -r
PERMIT #: MEC2007-00596
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1011512007
Phone: (503) 639-4171 iftsogolie?\
Inspection Requests (24 Hrs.): (503) 639-4175 ...A■ ti.'
INSPECTION WORKSHEET FOR DATE: 10/3012007 TIME: 7:02AM PAGE: 61
SITE ADDRESS: 11135 SW 124TH PL CLASS OF WORK:
SUBDIVISION: ANTON PARK LOT #: 045 TYPE OF USE:
PROJECT NAME: VAN LIEU
DESCRIPTION: Replace furnace and heat pump.
OWNER: VAN LIEU, SHERYL. PHONE #: 603-319-2006
CONTRACTOR: THERMAL FLO PHONE #: 503-670.83,43
Inspection Request Scheduled For: Date: 10/30/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
609 Mechanical final 059509-01 503 Y .
Corrections/Comments/Instructions:
'1 .-- '4 - --- . v--17 - 7: - , - = e — - s 7 .4.• ,%41 •
-e.,,,, CL. _ . "ze /2, ■ ,, /.., .ff i 4 3 7 1, ,6 ,. , , e . ,,,, -
&/A14e-6 / / t-t■ A
,.,..-
- ri P 0 PARTIAL APPROVAL El CANCEL
/6 NO ACCESS
FAIL I l CALL FOR INSPECTION
J n ADDITIONAL FEES ASSESSED
'-
Inspector: , Date:16 > Phone #: (503) 718-