Permit r
v CITY Y OF TIGARD MECHANICAL PERMIT
i : COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00631
TI 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/13/2006
PARCEL: 1 S125DC -03500
SITE ADDRESS: 07071 SW BARBARA LN ZONING: R -4.5
SUBDIVISION: THE RAZBERRY PATCH LOT: 028 JURISDICTION: TIG
Project Description: Replace furnace & A/C.
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
SCOTT JACKSON Description Date Amount
7071 SW BARBARA LN
TIGARD, OR 97223 [MECH] Permit Fee 12/13/20C $72.50
[TAX] 8% State Surcha 12/13/20C $5.80
Total $78.30
Phone:
Contractor:
THERMAL FLO
7236 SW DURHAM RD STE 100
TIGARD, OR 97224 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 670 -8343
FAX 503- 670 -9064
Reg #: LIC 151847
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: j."./.1 Permittee Signature: . ..o -e Q
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
12;'08x'2006 08:55 5036709064 THERMAL FLO PAGE 01
. MechanicaI Permit Application
ha il oFF�c Lt,:O L ga 131,25 SW 1{il Blvd Tigard, OR 97223 fl Re, C '". ) ° Permit N G -ad (s/
.Phone; 503.6: 9.4171 Fax: 503.598.1960 V D
Inspection Line: 503.639.4175 �" • Dom/Ely! Othcr Pormit;
Internet: cvww,ci.tigard.ar.uS • __y Drift Rcedy;8y; ®See Page 2 for
DEC 0 (1 Notl(ied /N)cihod: Suppir"mcntal information
.:,:•.:•.,,,,!'
New co ..:T 1 ■'•`
�i'.?►. i ,. . .. COMNiE11�C . .
nstruction t] „• E� " . „ t951 CHEC.t'i I:
r<li t a l N g �� Mechanical Permit fees* are based on the value of the work
performed, Indicate the value (munded to the nearest dollar) of all
❑ Demolition ❑ Other:
mechanical ma labor, overhead. CATEGORYr,:O
F.'C4i�(ST1tUCT10l� .:.:
materials, equipment 1a r o 1 and proflt.
value:
dwelling Co ... I2`L`+S.I.$IVTj I 'E:
gl
1 - and 2 du �] Commercial/industrial 0 building
QUrPNIE:
D Multi - family 0 Master builder 0 Other: For special forma /on useChecklisl,
Dose ri p t /
, : ,, . .: Sim ;7NFORMATiON ANY]) '�LOCATIO.N - :... Iii atin g! eooling Q_ L a Total
1
Job site add ress: . _�� i f� � Air conditioning or heat pump
� tcqulrec site ptnn showing placement) 1 14.00
CiCity/State/ZIP: .Ti er G` � ` Of, 9-7;,..23 Fumnoe 100,000 BTI J �
tductt�nts) _ , 14,00
Suite /bldg, /apt- no,: Project name; Fnrnacc 100,000+ BTU (doer /vents) 17,90
Gas heat pump 14.00
Cross street /directions to job site: Ductwork
14,00
Hydmnic hot water system 14.00
Residential hailer (nsdiator or
hvdronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc, j 10,00
Subdivision: -( Lot no,; _ Flue/vent for any of above 10.00
1
Tax map /parcel no.:
Wither 10,00
Other map/
,..,.,.- .. : appliances
fuel
_.. ... .. . .......'- , heater 1000
�t� I'i?t�N „OF
. ... , W ater ier
_lan'O` k--` ` "t Ai r Crasfrcplace 10.00
Flue vent for water or gas
(replace _ 10.00
Log lighter (gas) 10.00
Wood /pellet stove 10,00
Wood fireplace /insert 10.00
''.1* ttfr : Chimney/liner/flue/vent
., , a '�NATV 'T : 10 04
Name: , Other 10 -00
_ Environmental exhaust and ventilation
Address: l� I Range hood /other kitchen
V * n , equipment 10.00
City /State/ZlP : f •
Clothes — Clothes dryer exhaust 10.00
Phone: (SCR) C �� Fa x: ( $ Ingle -duct exhaust (bathrooms,
P :
,,,,,;,, �„,.,, •., .. , utility rooms) ,
D ;:XiiPLIC,4) �
iii ..., 1. '�..... i .
, �'CO.iV`�'': ft; ";: AttiekrawisPace fans
10.00
Business name: Other: 10.00
Contact name: Fu in g
$5.40 for first four; $1.00 for each additional
/Address: Furnace, etc.
CitylState /ZIP: -- Gas heat pimp
Wall /suspended /unit heater
Phone: ( ) Fax: :
( ) Water heater
E-mail; Fi ce
Range
,... CI'VTR •. : • ,: , Barbecue
Business name: Thermal Flo inc. Clothes dryer (gas)
Address: 7236 SW Dorham Rd STE 100 Other.
1 vfEiHA'IYICAI..rERM1T F> es *:
City/State/ZIP: Portland, Olt 97224
Phone: (503) 670 -8343 I Fax: (503) 670 -9064 pemttt fee($72.50) Subtotal _ -. .00 ( Minimum -12
CCB lie 151847 Plan review (25% of permit fee)
_ . u
.
—
State surcharge (R% of permit foe) @�•IM�
TOTAL PERMIT FEE _ W,
Authorized signature; 0. This prrmlt application rxpires If n permit Is not obtained within 180
days after It has been accepted as complete"
Print namer I Darc;
�- _� FCC methodology Fcl by Tri- C.'et1N,y Building Industry Service Board
i:\ ae laing Permitnood I,2a 4 -'alrr tr:ro2'Cona'wen,
12!08/2006 08:55 5036709064 THERMAL FLO PAGE 03
w
Site Plan
Prepared by: D. d J s-{�g Date; /g. f 06
Customer NamejSca ' �a��s� Address. 7071 5L) Q�
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Customer Phon .50.3 '�l -77
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Property Boundary Line
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House crawl
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•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006-00631
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12//312006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/2/2007 TIME: 7 :03AMVl PAGE: 83
SITE ADDRESS: 07071 SW BARBARA LN CLASS OF WORK:
SUBDIVISION: THE RAZBERRY PATCH LOT #: 028 TYPE OF USE:
PROJECT NAME: JACKSON
DESCRIPTION: Replace furnace & NC.
OWNER: JACKSON, SCOTT" PHONE #:
CONTRACTOR: THERMAL FLO PHONE #: 503-670-8343
Inspection Request Scheduled For: Date: 2/2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
600 Mechanical final 042818 - 01 503 - 670 - 8343 N
Corrections /Comments /Instructions:
• OP AJL Z O ' -4/ ,
Uv2 T t✓ /T&Pev4-C.--S
PASS PARTIAL APPROVAL n CANCEL NO ACCESS
FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: r Date: Phone #: (503) 718- 2