Permit - A
CITY TIGARD MECHANICAL PERMIT
tit l �" DEVELOPMENT SERVICES PERMIT #: MEC2005 - 00600
r' I II DATE ISSUED: 9/23/2005
13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171
PARCEL: 1S134CA-00703
SITE ADDRESS: 11895 SW SUMMER CREST DR ZONING: R - 4.5
SUBDIVISION: BURLWOOD NO.3 LOT: 038 JURISDICTION: TIG
Project Description: Replace furnace.
Du er lA)DR4( , PIP /NG — "g F k "
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: O
FUEL TYPES 0 - 3 HP: 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
MIKE COROWLEY Description Date Amount
11895 SW SUMMER CREST DR
TIGARD, OR 97223 [MECH] Permit Fee 9/23/200: $72.50
[TAX] 8% State Surcha 9/23/200E $5.80
Total $78.30
Phone: 503- 268 -1093
0
Contractor:
THERMAL FLO
7236 SW DURHAM RD STE 100 •
TIGARD, OR 97224 REQUIRED ITEMS AND REPORTS
Phone: 503- 670 -8343
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: pJ ��� Permittee Signature: _ik,e,
Call 503 - 639 - 4175 by 7:00 a.m. for inspections that business llay.
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.
09/21/2005 11:52 5036709064 THERMAL FLO
. a PAGE 02/03
o .. .
FOR 011;1 1•3:CE.:. i'.I'.E. ri•riE.,•Y
-‘
MedI.k-W. H.ni212---------lit A liCatiOn
City of Tigard RECEIV •ito - Received -1 _ er „.
Date/By. Remit No -e.
• L) 0 4 96 00
11125 SW Hail Blvd., Tigard, OR Onn Flan Review Other Permit:
Phone: 503.539 1 7 I Pax: 503.5g/1.1960 r.q i Drite/By: • 14 1 :_ i,„ I. In 21 See Page for
Inspection Line: S03.639.417 SEP 2 12 .I...: Date Rcady/By.
I II Notlfled/Method: supsatorotal Inform eritIn
Internet; www.ci,tigard.nr.us 1
— . . 1 4;,,..r, et . i - • .
___ . . • . • ••
• • • .: .;
.
. . ,......., _.__...-- - , • 1 -------- ' ---
work
Mechanical permit fee
D New construction
XI Addition/alteration/rep neement s* are based on the value of the
performed. Indicate the value (rounded to the nearest. dollar) of nil
mechanical materials, cgtitt, lahnt, overtica42rld profit.
0 DcinOlition
. • - 0 Other:
,
—
. 1 - and 2-family civeelli:17.6Ettf(Co:Vv1:17re. 7 0 Accessory bnildin g . Value; $
' ' :'': ..7' t'...4'.': :'..v:. titii,:t.
''. :.. '.' - :pLi rd tn !
0 Multi-family 0
Master builder 0 Other: Description Qty. ta. Total
.—.
• • "Alt '. stet rii 01PI • . ...- ...;. . . - ...: Hearin:, cooling
.• . Air conditioning or heat pump
Job site address: 1 I t ,5 Dr. re•tlina RitC OM 9110Vait i .Incomelit' 14.00
Furnace 00 • U it • vents 14.00
Cityt:M
/Sc/V C,
P: 1‘ ,....f CS._ . CDC C I `3 ?...1:
—____ Furnace 100,000+ 13711 jacta/venu 17.90
Suitabldg./pt. no... i Project name: Cras hat pump 14.00
--. 14.p0 .
Duct work 1 .
Cross street/directions to lob site:
------------ ------- H dronie hot water system 14.00
Residential boiler (radiator or
. —
-------.
—
h dronic) 14 00 -
. .--- - —____. Unit heaters (Riel-tyise, not. electric),
. in-wall in-duct, sus tended etc. 10.00
_ --_---/-----. _Flue/vent for any of above, 10.00
Sttbdivision: i Lot no.: - Other 10.00
---1 -----, - _
Tax map/parcel no.: Other Net applItnem
-----__-.
• Tire5tAIPTI6ON 'O *YR*, *: . • ; . • ' ...r.:,.:.:,:i.:?;:... Water heater 10.00
_____•, • • , _______________.----...- Gas fireplace 10,00
"-
Vi.ALC-n-C-Q--------..------- Flue vent for water heater or gas 10
-
fireplace 10.00
..---
--- -- - 19,e, lighter fps) - 10.00
Wood/ eller stove 10.00
. ...---- — Wood fire lace/insert 10.00 .
Chht•L_,Iodiner/flue_i__vent ________1(LL_X_r_
El PROITATV ---- TA 1 0 4 1ER ----- •••■IZ"----1-...1-----'f.R.N.ANT . . 1 • • .
• 10.00
Nttn_fin
EnVitntlInent I 11 t 8
a el 9115 an ventilation -
_, Rang hooct/other kitchen
Addrc=5S: 1 I 4.5_1),.)._..0.5-tAtan-Maf Ci- 0 - 1 - , Or. equipment 10.00
City/StatcarP: 1 i9CA. I f CX. 0 r • Clotier exhaust 10.110
- --- _ . Single-duet exhaust (bathrooms.
Phone: (50) zo cg-_ /c.fi3 Pax: ( ) .....-___ toilet WM aprtt nerds ,Aivroonts 6.80
.
,,....
El APPLICANT' 7 ,
7.1,•, Acr . . 6. 0* .:,• • , .... • Artiderawlspace firs 10.00
, ..1 . . . . ,
. _ Other: 10.00
. Business name: a 21
Cyntiact name:
'
')r 7 C* piping
.. $5.44 for Orst four. $1.00 for each additional
1 kddrcsri: 72.312_4.53 100 Furnace_ etc.
Gas heat pump
City/StnteJZI P: % f , ;Ar , l_ c ? Z zq ___
wall,suspendavoit imam). ... ....._
• _.
mom: (s(4.3 ) b. - S'3 9.3 I Fax: : ( a45 ) b - 9Ct2Y--- Water heater .
Eirylace
E-rnail:
_ j _Range
• • . CONlibittrkt . • . ...:.. - • ..... .
• .. ''''' r • • 'E Barbecue .,----
..,.. ... _ 1 .
, — ... -.
SUMAC:SS name: — Clothes dryer (gas)
:_l — I
. Other;
. Addruis:
- __ . — -- .
CiLy/State/Z1P: — Bilheotai
—
Phone: ( ) ..... ruz:( ) Minimum permit fee ($72.50) 22 5(...)
-- .
. Plan review (25% of permit fee)
J State surcharge (8% of permit fcc)
,
1 CCE3 lie.: is
_,....
I .:1416 u
Authorized signature: .--- _. 7 This permit a pplienuan expire, if a permit hinnt °Wriest within IN'
, days after it ban been accepted as cempletc.
F T;ir:1 name. 7-3 r ,encia_l_6:3 +4),...), Dote: 7 21 -0 . 5 .11 -i . r ea Tnethrldetlagy flts by Tri-ermnty RI:ming Ineettrry 5ftivito Board
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005 -00600
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/23/2005
FShone: (503) 639 -4171 ,u l
Inspection Requests (24 Hrs.): (503) 639 -4175 ., F 'I �..
INSPECTION WORKSHEET FOR DATE: 10/7/2005 TIME: 7:05AM PAGE: 79
SITE ADDRESS: 11895 SW SUMMER CREST DR CLASS OF WORK:
SUBDIVISION: BURLWOOD NO.3 LOT #: 038 TYPE OF USE:
PROJECT NAME: CROWLEY
DESCRIPTION: Replace furnace. 10/6/05: Added duct wor , range hood, piping for furnace.
OWNER: CROWLEY, MIKE PHONE #: 503- 268.1093
CONTRACTOR: THERMAL FLO PHONE #: 503 670.8343
Inspection Request Scheduled For: Date: 10/7/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 017674 -02 603- 670.8343 Y /W
Corrections /Comments /Instructions:
d` 44 -4-c=- - , /5 //
1.10 , re. Ni Q f 6- - ( 71ft,s T 11 1 t.
C,.
` (PASS II 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
111 FAIL .t L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ffallailibt MOW Date: Phone #: (503) 718-