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Permit , O CITY OF TIGARD MECHANICAL PERMIT ° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00358 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/11/2008 PARCEL: 1S133AD-06400 SITE ADDRESS: 10915 SW SUMMER LAKE DR ZONING: R - SUBDIVISION: AMART SUMMERLAKE LOT: 108 JURISDICTION: TIG PROJECT: DROBNER Project Description: Installing 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: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES TERRY DROBNER Description Date Amount 10915 SW SUMMER LAKE DR TIGARD, OR 97223 [MECH] Permit Fee 7/11/200€ $72.50 [TAX] 12% State Surch 7/11 /200€ $8.70 Phone: Total $81.20 Contractor: THERMAL FLO 7236 SW DURHAM RD. STE 100 PORTLAND, 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 t` . �_ Permittee Signature. Call 1 3.639.4175 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. -e 1117!/10 /2008 /THU 09:45 AM THERMAL FLO FAX No. 5036709064 P. 003 1VXe;hanical Permit Application FOR O USE ONLY ` Received City of Tigard 7 ECEWED Da Rn R v ii . _ .: q 13125 SW Halt Blvd., Tigard, OR 9 Phone: 503.639.4171 Fax: 503.598.1960 eview Dote/By: Other Permit: T I C, A R D Inspection Line: 503.639.4175 J U • 10 . p Date /By: ET See Page 2 for Internet www.ti;ard- or.gov • y yy 200t) Notified/Method: Supplemental Information - li••,dW d . 1 � d `>�R '31 : � :� '.�+�+ vo w -u�o-� x�id .. ., q ........�.:.�.. { . ' �..�., , ...,. .. g 0 New construction �Addlti0n/: tern l0 . a t w, vV (M1VaT/1 'y' 6Si-� . - E *: A''E nS'C� f4 Y I �•- ~m�.�"i- ,� t Mechanical permit fees' arc based on the value of the work IL eemen performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition [] Other: mechanical materials, equipment; labor and profit .i:p7'K„ i�t:y;a1�`.'�r'",fet k .., ,� ��+n•i��x;q;0 °h5 - ...�� Value: X1 - and 2 family dwelling ❑ Commercial /industrial El Accessory building For special lnforntallon use checklist. ID Multi ID Master builder ❑ Other: Description • •1 Qty. I Ea. I Total i $ z miwo • Q tilti' Io1 m ` CI ?IO (; " Ta . ; HeatinpJcooling Job site address: /t% 9/� lJ i i t y / � Je,-�Q,,rei p/ • Air conditioning or heat pump I eo requires site plan showing placement) 14.00 I T City / State/ZIP: / a,Y� - , OR j-7.2-1.0 Furnace 100,000 BTU (ducts /vents) 14.00 iJ • `-" Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldgJapt. no.: I Project name: lJC r Gas heat pump 14.00 Cross street/directions to job site: Duct work 10.00 Hydronic hot water system 14.00 D Residential boiler (radiator or • rh)?4 1(/o 0ode - (r0 p 6 i1 - hydronic) 14.00 r /!J� /! �/ J !� Unit heaters (fuel -type, not electric), . in -wall, in -duct, suspended, etc. 14.00 • Flue/vent for any of above 6.80 .Subdivision: I Lot no.: Other. 10.00 • Tax map/parcel no.: . Other fuel appliances - • ^°^ '"m 1 w„r^ " ' : ; ,,,, " 4W,* "' ss" . �""�k Water heater 10.00 �.:� - �.`�;���-" ;�3C�FIP'��il�.:�•`.�1��,, a��� � ,�c� �' Gas fireplace 10.00 / /y �l • Flue vent for water beater or gas - �/i 67a-/ ( • u e- 6O/�GGG,//6n " 4 fireplace 10.00 Log lighter (gas) 10.00 RIM COQ* Line a A' /� Qd7q-e/ Wood/pelletstove 10.00 •J Wood ftreplac /insert 10.00 „ „ , A;s ,:•, „� „,�„ Cb imney/Uner /fiue/vent 10.00 - r. ::' �...� ' = » :a+r+n r t ::_. T v., Other; 10.00 Name: • ret ' 4rObyj� • Environmental exhaust and ventilation • Range hood /other kitchen Address. JJ equipment 10.00 awe,/ .%7 �7,e. ,City / State/ZIP: t awe,/ a-0 (/(�i( Clothes dryer exhaust 10.00 ��� Single -duct exhaust (bathrooms, • Phone: irp?0) - /W Fax: ( ) toilet compartments, utility rooms) 6.80 F w w w t dtc � -' I v ; � , S r © w+54 , li Attidcrawlspace fans i 0.00 t • .. _. 2 "d� `. ,ate "' ;5� .;:'A: ,,... . , •. ,,' , .... _. "ti: ".. xd1 Business name: f Other:. 10.00 Fuel piping Pomace Contact name : . $5.40 for first four: $1.00 for each additional Address: /j a 0 t I - . Gas heat pump City /State/ZIP: . Wall /suspended/unit heater • T Phone: ( ) Fax: ( ) Water heater • �/er � r,y� yy Fire ' lace E-mail; g t rniagi 4t , Le . Coral- Range . milli ?gip wi ,a ,a `r,- 5 . 7 4� ^ . :'.�'M, .... i 'Pt'o �� r +: a !7 , 4r , ,- - - - 4 , . :,,.- „„1.� tn n: a" w C ,�",x:,.•CI�N�'Ij • rh'. �: �: r? � w•. ,,.;r> Barbecue o Business name: T erm / 1la Ja ,,. Cl othes d er ;as • Address: 1/ V ioi €64' lde � mesa a ?m ii ...,_ ..,., -. ANT/0/4, .6 41 ZAP Subtotal / i, ^ � Minimum permit fee ($72.50) Phone:���/ �4� Fax Q ��afJ Platt review perm of permit fee) _ CCB lie.: I gel . State surcharge (12% of permit fee) e.7 TOTAL PERMIT FEE F . Z Ff. Authorized signs This permit Application expirts if n permit is not obtained within 180 `, /� e- y: e . , opted ns complete. Print name: y�/e /r� ewieo /C(1' Date: 7 -/0 -O W 5 . F y: .+' , OR ' in5 industy Service Board • `♦' 7UL /10 /2008 /THU 09:46 AM THERMAL FLO FAX No, 5036709064 P. 004 • Site Plan Prepared by; Date: . oa Customer Name; 2.‘- . AddI'ess . ''1 `5`� ► °v` Customer Phone' spa.- Vate Properly Boundary Line • . W s I Der J . House • A • • • ,_0. X ~ f G C.JdG . • street r r .;. _ CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2008- 003513 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 7/11/2008 Phone: (503) 639 -4171 avid +� Inspection Requests (24 Hrs.): (503) 639 -4175 "'I I INSPECTION WORKSHEET FOR DATE: 10/7/2008 TIME: 7:00AM PAGE: 16 SITE ADDRESS: CLASS OF WORK: 108M SW SUMMER LAKE DR SUBDIVISION: AMART SUUMMERLAKE LOT #: 108 TYPE OF USE: PROJECT NAME: DROBNER DESCRIPTION: Installing NC. 7121/08 ADDED (1) gas outlet. OWNER: DROBNER, TERRY PHONE #: CONTRACTOR: THERMAL. FLO PHONE #: 503- 670 -8343 Inspection Request Scheduled For: Date: 10/7/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 076386.01 503 - 670.8343 Y Corrections /Comments/ Instructions: 0 . - < .e . - -, - - s- 64 6.6 I C - . g gy %, ei PASS ❑ PARTIAL APPROVAL 111 CANCEL ❑ NO ACCESS 0 FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: JG -- 7 - IJ ?? Phone #: (503) 718- ''___ciLep5/ OrTIGARD - A f r 14 6 . F- 00,3 iING DIVISION PERMIT #: SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: . ; 7 1 . •':'u2 , :0:3 (503) 639-4171 k erligitv'r action Requests (24 Hrs.): (503) 639-4175 • 3PECTION WORKSHEET FOR DATE: - 1':).'i:"111-7.18 TIME: ;J:ilvi, PAGE: 6: 11 3 .4661314114 fC 1‘2A SITE ADDRESS: CLASS OF WORK: SUBDIVISION: LOT #: 130• TYPE OF USE: PROJECT NAME: DESCRIPTION: ;ro?.1; OWNER: PHONE #: CONTRACTOR: !' t PHONE #: InspeCtion Request Scheduled For: Date: YOlariA Pour Time: Code # Inspection Description Confirm # Contact # Message 6:7Pr5Ift / 603.-c7 Corrections/Comments/Instructions: ?Ces ; 4A, • • • • • PASS PARTIAL APPROVAL El CANCEL El NO ACCESS FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 135 Date: 5u1V6`4 Phone #: (503) 718:),Y):3