Permit CITY OF TIGARD MECHANICAL PERMIT
°= COMMUNITY DEVELOPMENT Permit #: MEC2009 -00124
Date Issued: 03/25/2009
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503.639.4171
Parcel: 2S110BD05600
Jurisdiction: Tigard
Site address: 11904 SW VIEWCREST CT
Subdivision: Lot: 0
Project: Osterman
Project Description: Install gas furnace
Owner: FEES
OSTERMAN LIVING TRUST Description Date Amount
BY EDWARD J & M LYNNE OSTERMAN TRS, Furnaces < 100K BTU 03/25/2009 $14.00
11904 SW VIEWCREST CT 12% State Surcharge - Mechanical 03/25/2009 $8.70
PHONE: Minimum Fee Adjustment - Mechanical 03/25/2009 $58.50
Contractor:
THERMAL FLO INC
7236 SW DURHAM RD 100
PORTLAND, OR 97224
PHONE: 503 - 670 -8343
FAX: 503 - 598 -6746
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressue
Total $81.20
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Noti ion Ce r. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
Issued y: 6LA41ij Permittee Signatu •
Call 503.639.4175 by 7:00 a.m. for an inspection that busines- day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
.03 15 53 5035986746 ECE'VED THERMALFLO #0122 P 002/002
Mechanical Permit Apjlicati i'n FOR OFFIC F. USE ONLY
City of Tigard MAR 2 4 2009 �a/ 09 4 H �r 06 i
Tigard Perm No.: 1
mi I I 2 13125 Sw Hall Blvd.. Tigard OR 97223 Plan Revien
Phone: 503.639.4171 1-ax; 503.598.196CM OF TIGAR D
D,tcilly Other Permit.
7 tC A),D inspection Lind 503.639.4175 BUILDING DIVISION ;,$,e Resav/B, Page 2 for
• Internet, www.tisard- or.gov Notified/Method. Supplemental Information
- - eQOMAMERCI4L °.FERN °SQHEDLLE.- TJSE`CHECia.:ISJ -
L ` Mechanical permit fees' are based on the value of the well:
0 New construction 1 DCI Addition/alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of an
0 Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
.._ 'I' _ "' ' CAT.ES+GURX OF • • Value. $ .,
R SIDEN'T ALEQT1IPMENE I SXSTF,IMS.1 EES* •
X1- and 2- family dwelling ❑ C /industrial 0 Accessory building
For special information use checklist.
Multi- family 0 Master builder 0 Other: Description j Qty. i Ea '1 otal
' ' - :JOB ' WAND L0f 4'f101+; Heatig /cooling
/J
Air conditioning or heat pump W �
Job site address: / I Si r e 4 e K e r (requires sue plan showing placement) _ I 4.00 ,�
City /State/LlP: r� r- , a q/224. I+urnace 100.000 BTU (duct.rvenN) _ i 14.00 IT
/ � Furnace 100.0004 BTU (ducWvente) 1 7.90
Suite/bldg./apt. no_. Project name: / 2 4 W Gas heat pump 14.00
Cross street/directions to job sac: Duct work 10.00
Hvdronic hot water system I 14.00 1
Residential boiler (radiator or
h 00]
Unit heaters ydronte) (filet -type, not electric), 14.
in - wall. in -duct. suspended. etc I 14.00
Flue/vent for any of above I 6.80
Subdivision: Lot no.:
J
Other. 10.00
Tax map/parcel no.: Other fuel appliances
�IESORIPT?ION';OF I.''... ... ., ,, .
••. •• Wazerheatcr 10,00 - - - " "' ." fireplace _ 10.00
a Flue vent for water heater or gas
Q/ 40 W nd® fireplace 10.00
Log iighter (gas) 1(1.00 1
Wood /pellet stove I 10 00
i Wood fireplace/insert 10.00 1
' `
Chimney /finer /flue/vent I 10.00
.i, .i, fROI'RRTY'-l1WAEi2. ; :1%.;;- - .EI 1rk b AN'T :... a Other. 10.00
Name: ° or ' L IZlil. if j - /i i Environmental exhaust and ventilat
Range hood/other kitchen I
Address: r equipment • 10.00 I
City /State/ZIP: + � � r'/ Or / 1 e , ' Clothes dryer exhaust 10.00 I
Single-duct exhaust (bathrooms, { I
Phone 'i x j 4P 2 / 4 1 I Fax: ( ) toilet compartments. utility rooms) 6. I
10.00
_''r. -AP RI:ICi4i�1I -- - • 'CON ACT E12SON Attic/OrawIspace f ans
_ - - I. - Other 10.00
Business name. a 1 T Hurl piping
Contact name: 6 4_ 'E + $5.49 for first four; $1.00 for each additional
/ �/f Furnace. etc.
Address. O _ Y Gas heat . um
4 Wall/suspended/unit City'State /LIP T heater
Fax:: ( ) Water heater
Phone: ( ) - Fn lace .a
E-mail. . Y � ? 1�7+ QiILL • i/+iII(rr Rani — I
. ':...' CONTRACTOR Barbecue
l/
Business name: V
�� _ trip $lee — Clothes dNef (as)
� f/� I I
� 'r 4 � + LOO U __ _
Address: � � �'�(.� _
. ,_. , MECIIN IC IRERIVI •f Fly` s.
City /State DP: �'^' �s' i � � c� � �I /[�d d� f-4 -1 Subtotal 1¢ OO _1 I
� //jj Mmimum permit fcc ($7_.50) /2 -,040
Phone: xx. ✓ 40 j Fax' �/^ /J (_ �! / - Plan review (25% of permit lee)
_
i
CC[3 Its.: Il ((
f / 1 34 . V — State surcharge (12% of permit fee) q, 0 O iI,
E3 f
TOTAI. PERMIT FEE i T� o ? OJ
�, / / _ This permit application expires ir a permit is not obtained within 180
Authorized s / days after it has been accepted as complete I
/�
/ I /� / • Fe_ methodsslogv set by Tri- County Buiidin Industry Service hoard
Pant name: it re C,ea �f oley Dot • - (/ ..,......_.,. I