Permit CITY OF TIGARD
lr� DEVELOPMENT SERVICES MECHANICAL PERMIT
PERMIT #: MEC2006 -10059
n- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/13/2006
PARCEL: 2S109DA -13000
SITE ADDRESS: 12996 SW BIRCH HILL LN ZONING: R -7
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT: 119 JURISDICTION: TIG
Project Description: Installation of 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
REGENCY PROPERTY MANAGEMENT Description Date Amount
PMB 11575 SW PACIFIC HWY
TIGARD, OR 97224 [MECH] Permit Fee 6/13/200E $72.50
[TAX] 8% State Surcha 6/13/200E $5.80
Total $78.30
Phone: 503- 670 -7739
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: `� Permittee Signature: ��"-C., 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.
PAGE 01
06/12/2E106 1 1 : 25 5 kci:;‘) eceived THERMAL FLO
Mechanical Permit A licatirin\V ' . , FOR OFFIC.:L USIL ONLY
t. 0 • t. .
• t City of Tigard ,,, r R ._ , , „.
DotelByi i /j —66 7 101 Permit No, ■ ....„.... i d(
13125 SW Hall Blvd., Tigard. OR 9722A%r J
Plan Review
Phone: 503.639,4171 Fax: 503.59R.1960 - ,A \..- I- t Date/Byi Other Permit:
inspection T_ine 503.639.4175 •
tnternet: www.ci.tigard.or -
us V '• ' - ' ..41' - .1 "'t 14
rup
...8,. 0 ,..c, '',"
VP' , cv
--.-,--„
7Tpt.i5 . ,,..,..,..........•,,,,. , ....: ,co w ootit aL . ,: # 0 ,,, ,: ., :§oitgiioir.4.,;.on: , ,0*ttliist
‘
El New construction 51-Addition/digati Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
ID Demolition 0 Other:
mechanical materials, cgui .ment, labor, overhead, and rofit.
'''' ."''''...:. •::..: . '''::::*: :.'CAt.E.601.0?.... $, , CONSTift:Utt:/0".....! ..... :::• : .: : :: .: . '::'''':::::::::' : ..,.. Value: $
. :::*•.i'.•: * iri.EI . L-811E 4 14 0.*? :: O.rg*i . EitO.,.": : :
j.1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building
Far special iRforotation use checklist
El Multi-family D Master builder 0 Other:
Dmription Qty. Pa, Total
- ...... .—
'.!!i.i!"::ii:. . ...r ':' . .. '..:. !'.''.. 7 Heating/cooling
_ .... . .
Air or heat pump
Job site address: aiCgo ,,5L3 'EA (c\ \ \\ ..r‘„.
i s showiri! mccment 1111 34.00
...-.
City/State/ZIP: N • e- Furnace 100.000 BTU (duets/vents) MI 14,00
Furnace 100,0004- BTU (duets/vents) 17.90
Suitc/bldgJapt. no.: Project name:
Cias heat •1.1 . 14.00 11.11111
Cross street/directions to job site:
Duct work 14.00 ila
H dronic hat water .- stem 14.00
Residential boiler (radiator or
It . runic 14,00 1111
Unit heaters (fuel-type, not electric),
in-wall, in-duct, au • ended. etc. 10.00
Flue/vent for an of above IIIII 10,00 Mil.
Subdivision: Lot no.:
Other: 10.00 Will
Tax map/parcel no.;
Other fuel a lianees
.';,..'.',i'..:; . .:.•T , ':';'.:::: . - 1 •:'''''' ':.:.!':': Water heater 10.00
Cras fi •Iace 10.00
.1.- Ar....xi Act I, . ' Flue vcrII for water heater OT gas
ft - dace
10.00
Co. li . htcr . as 10.00 = -
Wood/ .ellet stove 10.00
Wood fi •acc/insett 1 0 ,0 0 MIN - ".' .."" ''''''' ''''''''' '1''':"`.:!!'!:•.:: !•:.:r!':::.:0' tgr;i:". . .,:..!!!"..: • me /liner/flue/vent 10.00
!: • :. ;-. !: Chi
.! .: .. „;,,:, . , ......!:.:: other
111,00
Name: (,.....,. . „,. ilk A '.. ep • . til .. ik.0 • ..k_a A Environmental exhaust and ventilation
ii"1.A2 NC/ 1 3 )
A I
. mg - -.A _ •u
11 Range hood/other kitchen
. •rnent
Address: 10.00
City/State/ZIP: T C: cie _irk_ OIL ci* v Clothes d er exhaust 10.00
Single-duct exhaust (bathrooms,
toilet com*artments, utili rooms) 6,80
.,,,,:!.,;.:;.;•!;....:,:.„:.;;,:::,;!iv;:-:',;.;t:/:::;1*.ckki44,;;;i•;,; ito Attic/crawls . ace fans 10.00
Other: 10.00
Business name:
Fuel 1, in?
Contact name:
• $5,40 for first four,' MN for end additional
Furnace, etc.
Address:
_ _
.---.. Gas heat .urn. IMMO.”
City/State/Zip:
Wall/sus . ended/unit heater
Phone: ( ) Fax; : ( ) Water heater
MI
Fi lace
E-mail;
IIII
Ran e
■....':' :::::::: '..--.:':!.:::.:"..::`.!:.:
CONTRACTOR '::''',.'.'.:.' 7.... .:: : .:..: .....' ' • ''....,:..:• Barbecue
es M
Business name: Thermal Pio Inc. Cloth d cr •as)
Other; IMMI
Address: 7236 SW Durham Rd STE I 00
.: ....'..:,..•'.-:.•.:...•,. MECHANItAt. P itEE$';:..
City/Stale/ZIP: Portland, OR 97224
Subtotal
SINMI
Phone: (503) 670-8343 I Fax: (503) 670-9064 Minimum permit fee ($72.50)
_
Plan review (25% of permit fee)
CCB tic.: 151847
_____
—. State surch (R°4 of permit fee) ,..5" ao
A uthorizcd signature: '-14. Jig.,-_-. TOTAL PERMIT PEE
This permit appliostIon expires it a permit It not obtained within TAO
days after It has bean accepted as complete.
F'rint tmLI____2
1 E-77.1_,gf, Date: to.--/ 7 _00 1 • Fee itiethotioloLry set by Tri-County Building lodugry Service Board
i:imiiicti \pcmiirovmc..pet...,itAppA 1.-2,0
440-at 17T III mr:,./c0M14,'W.R1
06/12/2006 11:25 5036709064 THERMAL FLO PAGE 03
Site Plan.
Prepared by: Date: e2.4
Customer Name i Address .
jam � _ 54 ,1 c4 1"
Customer Phone. so ?- 7s ..- s3.1
Property Boundary Line
i
3s
House
Ply
11 go
Street
r"
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: MEC2006 -10053
13125 SW Hall Blvd., Tigard, OR 97223 F ► DATE ISSUED: 6/'13/J.006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 Ett
INSPECTION WORKSHEET FOR DATE: 6/23/2006 TIME: 7:16AM PAGE:. 71
12996 SW BIRCH HILL LN
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT #: 119 TYPE OF USE:
PROJECT NAME: REGENCY PROPERTY MANG
DESCRIPTION: Installation of NC unit.
OWNER: REGENCY PROPERTY MANAGEMENT, PHONE #: 503-670-7739
CONTRACTOR: THERMAL FLO PHONE #: 613
Inspection Request Scheduled For: Date: 6/23/2006 Pour Time:
Code # Inspection Description Confirm # Contact #
699 Mechanical final 032035.02 503 -670 -8343
/ 44`1
Corrections/Comments/Instructions:
•
/ 1
Wppir
KPASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: [rte // Date: ‘ ' Phone #: (503) 718-