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Permit 17 1! CITY OF TIGARD MECHANICAL PERMIT • COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00642 TIGARD DATE ISSUED: 11/2/2007 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S134CB 14000 SITE ADDRESS: 12137 SW ANTON DR ZONING: R -7 SUBDIVISION: ANTON PARK NO. 2 LOT: 067 JURISDICTION: TIG PROJECT: ADAMS Project Description: Install furnace and a /c. 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 DAVID ADAMS Description Date Amount 4851 NW SKYCR EST PORTLAND, OR 97229 [MECH] Permit Fee 11/2/2007 $72.50 [TAX] 8% State Surcharg 11/2/2007 $5.80 Phone: 503- 708 -1667 Total $78.30 Contractor: THERMAL FLO 7236 SW DUR HAM 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 OU NC by calling 503.246.6699 or 1.800.332.2344. Issue By: . - � / / Permittee Sig Call 503.639.4175 by 7:00 a.m. for inspection at 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. 1 1/01 /2007 15:26 5036709064 THERMAL FLO PAGE 01 Mechanical Permit Application ". ,�F 4 r,!Si��: "' Ractriv • City of Tigard LO 0 1 11 rave Blvd„ // / 07 4 / � A�7 - 00 2 Permit No : / ( ee, 111 N 13125 SW Ball Tigard, OR 97223 1 CO .4„ Phone: 503,639,4171 FaX 503.598.1960 NUV + w:7�) ,. Oel+er Permit: TT,c;:n,RL: hlapectirnl Li 503.(+39.4115 `' ncei ., inr ^�.Rendy /By � t3 Set Pate 2 for W Internet: www,tigarri -or.gnv fs_,'`` „14 Nntificd/Mcthod: I ►t om Supplemental locomotion • j TYPE OF WORK CoyiltottC1<AL' 'EEw °BGkiEfueE - ttst 1-1 Nirw construction tg Addit .ion /alteration /rCpIAecmont Mechanical permit fcaaW arc based on the value of the work performed. indicate the value (rounded to the nearest dollar) of 91 [1 1)arnolition © Other: mechanicat materials, equipment, labor, overhead, and profit. 'CATEGORY OF CONSTRUCTION Valr.re: - ;sa Accessory d 2- family dwelling 0 Commercial /industrial D Accesso building RESIDENTIAL 'EQUIPMENT / SYSTEMS TEF.s" For special //promotion use cbec _ I - 1 iviiiII i"farnily ❑ Master builder ❑ Other: 17cscription . ,_.. Qty. Ea. T'ntal JOR SiTE INFORMATION AND LOCATION Heating/coolfng - Air conditioning or heat pump . I 0 1+ s i l o address: t� 0 r , (minim site plan Ehawki placcrncul) i 14,00 _ I t'il,.'•'Stnte /ZIP_ RCC i00,0{1(I (duets/van) I 14.00 1 - e p e - -� � I r°" rurn Furnace i 00,000 BTU (ductsweuta) 1 7.9(1 .. ,n,lc /iiid ../a I.. no.: Pro act name C _ OM h eat pump 1 4.04 t ru <. ,sir )0,10F/site: Duct work - 14.00 .___,,. 1-1 dronlc hot water s stem 14.00 Residential Iscilcr (radiator or _..._.. ... hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10,00 - - - Flue /vent for any of above 10.00 Sub Iivicion: Lot no,: • Other: _ 10.00 0.00 -- Tax It p /parcel no.: Other filet appliances C— _ I?ESCRrMION OF WORK Water heater 10,(10 T' Gas f tcQlace 10.00 i i i.): 5+6 1/ . E 'kI r 4 V n6 ,- C f 7 IO ( 1 - + �t Fit vent for water heater or Sac -""'' i Emplace ti.� 10.00 Loft Iittcras) 10,00 Wood /pellet stove 10.00 Wood fireplace/insert 10,00 .-- - -- --- .. Chimnff/liner /fltie/vent 10.00 ❑ 1P7t01'I RTY OWNER . 0 TENANT Other: 10,00 Now- - , J. v _Fynvlronmental exhaust and ventilation F `` Range hood /other kitchen A;.1,1re, :s: • a l �� C � cx�nipmcnt 10,00 ( - Il y , {I,.tle /ZiP: Cdr .- .-(� � � — q7.2.2. + I Cto 1,,,,St 10. _ / Singglc e -duct exhaust (bathrooms, ,5 no pnc: o ) '7O —I (2'3 Fax: ( ) toilet compartments, utility rooms) - 6.80 ' - ❑ APPt1CANT 0 CONTACT .PERSON Attic /crawispacc Fans , 10.0(1 .... ...._.. _ ._— Other: 10,00 I ;�e;i:i:' S name; .-_, Fuel piping L c'i,l,: nr_I nt1 n1C: 55.40 far first Mtn.. $7.00 for each ?ddltianal — — Furnace, etc, tin re,N: .- - .-- - - CiAC heat pump T• ..•-. � 1 7.:i,r'`.t;.,te/ZFP: _ Wall /suspended /unit heater . J I1,<,,, t Fax: ( ) Water heater_ -- — ..r ,—.. - - Fnrcplacc - Range - - CONTRACTOR Barbecue T" li., name: Thermal Fla, Inc. Clothes dryer (gas) — _ --" Other ,, ,trIrrx,:• 7236 SW Bin-ham Rd -_.. MECHANICAL TiANICAI. PJi.a2lvll f' FEU, ;IO,IC /7_,1P; Portland, OR 97224 - - — Subtotal _�. — ,.... r _.__... r (5031 67,0 -3.953 - ° -- ' Minimum pprmii, fee (9172,50) .,�(� �. — I'h +n.: (503) 670-8343 ! ax: Flap review (25h /n of permit Tcc) State surcharge (8% ofpermit fee) , 1;!I I1.wif.. Signoturc: This remit nppllcaNnn CR piretl it Pcrmit I:; not OhlatnCfl width' IAn IInyA nftnr It 11718 been ACCCptrrt na complete, L . !'-•m; nsine: Brenda Estes I Date' ' a „0/..-0 , Fee,netI+ndekrgy ASS byTrl- Cnurry Building. Induotrt Servicr Board 11/01/2007 15:26 5036709064 THERMAL FLO PAGE 03 i Site Plan Prepared by: 0a0 4 p +.&--- Date: 1 I - (- Customer :flame Dve._ dct.-.s Address: 37 s Czis1:0 667 Property Boundary lb ' o +' House '/ - 1 7 / 1'7 1.,•7 CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2007- 00612 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1//212007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/121/2007 TIME: 7:00AM PAGE: 77 SITE ADDRESS: 12137 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 067 TYPE OF USE: PROJECT NAME: ADAMS DESCRIPTION: Install furnace and air. OWNER: ADAMS, DAVID PHONE #: 503 -700 -1667 CONTRACTOR: THERMAL F1_0 PHONE #: 503 - 670.0343 Inspection Request Scheduled For: Date: 11/21/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 059946 -01 503-670-8343 Y Corrections/Comments/Instructions: !J 1."69 -rz. 4,f4-4 �� # 5— / 4 7 /4 cfrA Cia 2.n 7 ❑ PARTIAL APPROVAL ❑ CANCEL fI NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: C / — —q Phone #: (503) 718- _7�