Permit CITY OF TIGARD
MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00399
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/6/2007
PARCEL: 2S115AD-05900
ITE ADDRESS: 10627 SW TUALATIN DR ZONING: R -4.5
SUBDIVISION: DOVER LANDING LOT: 042 JURISDICTION: TIG
PROJECT: VANDERHEIDEN
Project Description: Install furnace and AC.
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:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
ANN VANDERHEIDEN Description Date Amount
10627 SW TUALATIN DR
TIGARD, OR 97224 [MECH] Permit Fee 7/6/2007 $72.50
[TAX] 8% State Surcha 7/6/2007 $5.80
Total $78.30
Phone: 503- 329 -8168
Contractor:
THERMAL FLO
7236 SW DURHAM 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 OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: c-
Call 503.639.4175 by 7:00 a.m. for inspections that business ddy.
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.
t, 1
07/06/2007 10:47 5036709064 THERMAL FLO PAGE 01
Mechanical Permit Application FOR OFI. .:1 11SE ONLY
City of Tigard „ \, � � A. Permit Nn.M�,6 -u o,�
11111 u 13125 SW Hall Blvd.. Tigard, OR p.M1r.
.�� a plan Ravi v.
Phone: 503,639.4171 Fax: 503.598.1960 Data/By: Other Permit:
TIC ,1 It n Inspection Line: 503.639 JUL 0 6 2001 Date Readykly: Sec ra> e t ter
Internet: www.ligard- or.gov ' ' Notified/Metllnd; �� Supplemental Information
• TYPE�0 g � y L 7 � �COMMERCIAL'FEE* SCHEDULE - USE�CHECIa.IST
El Ncw construction �AdditigislkLe> .l�tlYCWacsm9'�(iS VISION Mechanical permit fees" arc based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
['Demolition ❑ Other: mechanical materials, equipment. labor. overhead. and profit.
CATEGORY OP CONSTRUCTION Value: $
RFSIDENTIAL-EQUIPMENT / SYSTEMS PEES*
xi I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special hl formorion use checklist.
❑ Multi-family ❑ Master builder ❑ Other: Description l Qty. Ea, 1 Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job silo address: 1062.7 0 1 up4 � q . (re q uiress 7 Airessitc p ti in lan sho bewin g pump pump �-
I 14.00 lt'
City / State/ZIP:
5 ho (Z (i •� Furnace 100,000 BTU (ducts /vents) I 14.00 ) 4.w
1 1 ��.� O ►` ` �• / 2....211 Fumacc 100,000+ (3•I'U (ducts/vcnts) 17.90
Suite/bldg. /apt. no.: Project name: Van c .t er 6 ter Gas heat pump 14.00
Cross street /directions to job site Duct work 14.00
Hvdronic hot water system 14.00
Residential boiler (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
Subdivision; Lot no.: -
Other: 10.00
_
Tax map /parcel no.: Other fuel appliances _
DESCRIPTION OF WORK Water heater 10.00
i _ / Gas fireplace 10.00
Slf�, i ♦ '' , • j I 'en Flue vent for water heater or gas
fireplace 10.00
• Log lighter (gas) 10.00
Wand/pellet stove 10.00
Wood fireplace /insert 10.00
. 0 PROPERTY OWNER ❑ TENANT
Other 10.00
10.00
Other: 10.00
T.V.. �n I l Environmental exhaust and ventilation
ry Range hood /other kitchen
Address: I O(, ,i 50 T �,��-;:• equipment 10.00
City /State/ZIP: t r t4 7 22(1 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: 013 tax: ( ) - toilet compartments, utility rooms) , _ 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Other: 10,011
Business name: Fula piping _
Contact name: $5.40 for first four; S1.00 for each a dditional
Furnace. etc.
Address: Gas heat pump
City /State/ZIP: Wall/suspended/unit heater
Phone; ( ) Fax: • ( )
Water hatter
.- Fireplace
E -mail: Range
CONTRACTOR Barbecue .
Business name- Thermal Flo, inc. Clothes dryer (gas)
Other:
Address: 7236 SW Durham Rd AMECHANIr:A1.PERMITFETV*
City / State/ZIP; Portland, OR 97224 Subtotal ZtZ', DO
Minimum permit Ice ($72.50)
Phone: (503) 670 -8343 Fox: (503) 620 -1953
Plan review (25% of permit ice)
•
CCBtic.:151847 State surcharge (R %or permit fee) S, SC)
/� TOTAL PERMIT e n FEE )5r,30
This permit application expires If a permit Is not obtained within 184.
Authorized signature:, days after 1t has been accented as complete.
[ name: Brenda Estes - Dale: 7_ t " lee meltccdology get lay Tri•Counly Building Induury Service Board
07406/2007 10:47 5036709064 THERMAL FLO PAGE 03
"
Site Plan
Prepared by: Aries \1a„ .c -.Q A Date: 4 -s - o}
Customer Name:Uc \ X Address:
Customer Phone 3z * —'Mb% _ ga.2Zse
Property Boundary Line
g 1":
House 0
X
Street
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007-00399
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/6/2007
Phone: (503) 639 -4171 �
Inspection Requests (24 Hrs.): (503) 639 -4175 .. ' ° 'I � ..
INSPECTION WORKSHEET FOR DATE: 7/19/2007 TIME: 7:03AM PAGE: 68
SITE ADDRESS: 10627 SW TUALATIN DR CLASS OF WORK:
SUBDIVISION: DOVER LANDING LOT #: 042 TYPE OF USE:
PROJECT NAME: VANDERHEIDEN
DESCRIPTION: Install furnace and AC.
OWNER: VANDERHEIDEN, ANN PHONE #: 503329 -8160
CONTRACTOR: THERMAL FLO PHONE #: 503.670 -8343
Inspection Request Scheduled For: Date: 7/19/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 052225 -01 503-670 -8343 Y
Corrections/Comments/Instructions:
/1 -27 1 %L ` 4 _ _ .. A/ e
ae: ' ----::. i C\e"..' P' .4......r. --- i 1 ... e___._i,r„0- Zi___
❑ PASS _ ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
r...azz
Inspector: Date: / S' a7 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007-00399
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/6/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/22/2007 TIME: 7:01AM PAGE: 61
SITE ADDRESS: 10627 SWTUALATIN DR CLASS OF WORK:
SUBDIVISION: DOVER LANDING LOT #: 042 TYPE OF USE:
PROJECT NAME: VANDERHEIDEN
DESCRIPTION: Install furnace and AC.
OWNER: VANDERHEIDEN, ANN PHONE #: 5 03 - 329
CONTRACTOR: THERMAL FLC) PHONE #: 503- 670 -8343
Inspection Request Scheduled For: Date: 8/22/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 054270 -01 503-670.8343 N
Corrections /Comments /Instructions:
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL O ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: '1 Date: -6? Z —,a > Phone #: (503) 718- Z�-Q-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00399
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/6/2007
Phone: (503) 639 -4171 A.
Inspection Requests (24 Hrs.): (503) 639 -4175 s 1 111
INSPECTION WORKSHEET FOR DATE: 8/24/2007 TIME: 7:00AM PAGE: 68
SITE ADDRESS: 10627 SWTUALATIN DR CLASS OF WORK:
SUBDIVISION: DOVER LANDING LOT #: 042 TYPE OF USE:
PROJECT NAME: VANDERHEIDEN
DESCRIPTION: Install furnace and AC.
OWNER: VANDERHEIDEN, ANN PHONE #: 503.329 -8160
CONTRACTOR: THERMAL FLO PHONE #: 503 670 - 6343
Inspection Request Scheduled For: Date: 8/24/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 054583 -01 503747 -6252 Y
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL 0 CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: —Z4 Z Phone #: (503) 718- 1_5a