Permit 4
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00322
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/7/2007
PARCEL: 2S 102AA -01200
SITE ADDRESS: 11895 SW GREENBURG RD ZONING: C -P
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: NON - PROFIT ORGANIZATION
Project Description: Install a /c, furnace and gas line.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: 1
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
LUKE -DORF INC Description Date Amount
11895 SW GREENBURG
PORTLAND, OR 97223 [MECH] Permit Fee 6/7/2007 $72.50
[TAX] 8% State Surcha 6/7/2007 $5.80
Total $78.30
Phone:
Contractor:
SPECIALTY HEATING & COOLING
7500 SW TECH CENTER DR #130
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503 -598 -0718
PRI 503- 620 -5643
Reg #: LIC 66578
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: // /11.4 .L Permittee Signature: 3.et 0/ 6Gt l37l
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.
1,JUN'06 /2007 /WED 04:28 PM FAX No, P. 002
Me' hanical Permit AP lliCation •. FOR ()FFlCE USE, ON Lv___ . . -- -- _ T
.�- R eceived
City of Tigard y Ao 0 Permit No.: M G 441 -
tra i f
13125 SW Hall Blvd., Tigard, OR 97223 REC �D Plan Review
Phone: 503.639.4171 Fax: 503,598.1960 aa ' \` Datiai - Other Permit
Inspection Line 503.639.4175 JUN 0 6 i '1.J Date Read /B Sea Pa 2 for
Internet: www.ci.ti ard .or.us '' -" ° Ready /By
S Notified/Method: , a Supplemental Information
CITY c.:;-- iaARD _
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❑ New construction Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (roundcd to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor overhead, and profit,
e:;y;,z %`'rGi Sill`" 9is (;tCCta �. - r _ FFi7'CiF- a� ,r - 5, .fet, .: , e �••� i• " i .''•.71.1 :H' Value. � /
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111 I- and 2- family dwelling [�tommcrcial/industrial LI Accessory building + t -Lu=ia t 7 i err _rri 1 4r
7 Par special information use Checklist.
❑ Multi - family ❑ Master builder ❑ Other: '
Description j Qty. I Ea. 1 Total
.aM3,"!t ;.:,17.'YPtii . `w`?r�r,.w7'^ 2:�' n� " „ Ri c�.��i�"A�c:ti,r'I�fN•N "+ ,fit ,, M. .rys;::lrc�-liiigP'
a i• i�'_ii'± H„%� i1; ;•,4.::; D 0:11. 0) 1 u' :7 ,'�ag �,' o,# ,� n;.. ,j r t. o p '" r . F t F i Heatin coolin
m+ a� �, F� , .,dr'e .�.C_...• itl'c�1:��✓ .,Nli iW r ,1sv. la;,s� � R
l C Air conditioning or heat pump
lob site address:
l 1 e• `2 S S (•,,) LAiv_e-- k-o4--. (requiref site plan showing placement) ( 14.00 1'4.0D
City/State/ZIP: Furnace 100,000 BTU (ducts/vents) 14.00 14-CD
Furnace 100,000+ BTU (duets/vents) 17.90
Suite/bldg./apt. no.; I Project name:
Gas heat pump 14.00
Cross street/directions to job site: Duct work 14,00
Hydronic hot water system . 14 -00
Residential boiler (radiator or
moronic) 14.00
Unit heaters (file! -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: l Lot no,: Flue/vent for any of above 1 10.00 to. CO
Other: 10,00
Tax map /parcel no.: Other fuel appliances _
_... LCD , l , 7,0�e P7i.f l;$ 7IF' ,r :J]i�c {1'�t���,y-Cr io 6}.' A' tW ( 4 t,.. ,!77{ 1 ,.. y 7 ' ",�'� ' it �:'� "r ,.,. t' „,. ,, ,: " � •zr,1• +, ,,, , , "r " , Fi,` Water ater heaur 10.00
, . Cn tart/ J 1 1 2 : 1. y,L� ^ 1, ' :::i � l " ^ t.ti:L'tl �4` /. : " 1 .y„ \ .. 1 �r T: 2. -u . , . , .i.
txllr d en ?1� r r cii 3 5a1 c �x tw a ice' i „r. ”6:1,.... L ^ f r.: r m ti 4 . �us:., s M. 1s ..6, 10.00
� Gas fireplace
gl - i 61/
4_ i4 Flue vent for water heater or gas
f fireplace 10.00
J .- Log lighter (gas) 10.00
., {�.c I-c --U /Q. I ; / ,1 4„,..,�".� Z b L l�t.,s Wood/pellet stove 10,00
N v l /' J � Wood firepiace/insert 10.00
n ^t . , r. ,7,.i w .r` s ^ -•. Chime /liner /flue /vent 10,00
, p rr ;i tt q 3:js ir ,., �.. : a t t4- ` i t y - N__ I r i ...1u,;;&'! ^ ,' cY
�'p t Y iji l ��. `��r1„�St Y:110�),� c 1 � n� :,
1 ...,. I5,''�� �i i s I rr lt� ` ,N � , y'Y • ^ � 6 o ����
n 6r i r....' R i a• 16 , Otl]t:r: 10.00 ,
Name: Luke -Dorf Inc. R07234 Environmental exhaust and ventilation -
Address: 11895 SW Greenburg Rd.
Range hood /other kitchen
g equipment 10.00
City/State/ZIP: Tigard, Or. 97223 . Clothes dryer exhaust - _ 10.00
503 726 -369$ . Single -duct exhaust (bathrooms,
Phone: ( ) toilet compartments, utility rooms) 6.80
y " ;.;`��t .K Sy q'4i;? "raL_; i i,.•n r +l 'o-'' ,: =,t.tx, ;i•i h`:Mavt a. '41ti.. 'I y1 4�)a `as t,ly +F�;P `1 Attic/crawls ace fans 10.00
Yf:.r: �w"�t l ..�:: °C�I.t 1 11.1- c�.:s I•.ntnie;t•r tf.lr ; :.iL. : :5' .... _ 1: i.0-'
• Other: 10.00
Business name: . - • t , t A ' I I' t P i Fuel piping _ _
Contact name , -1 55.40 for first four; $1.00 for each additional
Address: 7 5 bb 5L) T i eo. -� `3 Furnac etc. I 1.00
LG( � � Gas heat pump
City /State/ZIP: a or d . a�3 Wall/suspended/unit heater ( C� Water heater
Phone: ( ) 5 61,/lira i Fax:: ( ) Ca
Fireplace
E -mail: Range
b3"� r4�15 r. {{. a:t, ..t6 t a s,n t, rrr i i ti„i ::. TCJ : wtt
ii L ''S;•P,60� 1 a 1. ,il itYp'j; . 9°ir'i 7a-i.-•,....; lly '` /,a ti i,..1..,.,..,?;,:.;- , , t c r i, I 1 � 1 ; ) - , I J( Tw . , Barbecue
. ,.13v1,F,f5 z,..u,.It,:, : 1.. `.=' r qT n : . : 4 ra.. ,- - 3.77,,x,,;.:,' t,u- iv,:v..o.. f. ,.0
Business name: SpO� � t �e.�t.o • 4 C..01;1141.4 � CClothrsd er(_
Address: vl5a0 S - re 4, dL°.Y4r tX' Me, • 3b ;S '''j " , 4.7 i�ttr �.., ; � `w f` - A
City /Stnite/ZIP: ' �1„ ft O� 9 /./...1.3 Subtotal 39.00
AA ' ` F es; �C C g 407 �y Minimum permit fbe ($72.50) T2_ ,St)
Phone:
6e+3) to - ie 'f I 4� e7 Q 4 � R Plan review (25% of permit fee)
CCB hio.: 6 to 5'1 it State surcharge (8% of permit fee) ,
TOTAL PERMIT FEE
Authorized signature: This permit application ys after it has 6 n if 11 permit is not accepted es complete.
within 180
Print name: j-- ~r J Date: 4 b 7-- • Fee methodology act by Tri- County Building Industry Service Board
i aBuildie$\f t eretta\ C- PermMWpp.deo 12/01 4494dt1T(I j /02/COM/W6n)
,�f JJN /06 /2007 /WED 04:28 PM FAX Igo, P. 003
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STREET
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NOTE — Please show the following on the site plan: j
+ Location of Indoor Unit and Outdoor Unit W _.� F
+ Indicate how the flue will be run (thu the roof — out the sidewall — etc)
Indicate with dotted line how the lineset will be run and approx. distance f
• Indicate how the condensate will be run
S
SHC 7500 SW Tech Center Drive
SPECIALTY Suite #130
- EATING Tigard, OR 97223
O L I N G (503) 620 - 5643 Fax: (503) 681 -0793
• N • c www.specialtyheating.com
I
CITY OF TIGARD ,
4,. A .
BUILDING DIVISION' PERMIT #: MEC2007-00322
13125 SW Hall Blvd., Tigard, OR 97223 S 1 1 DATE ISSUED: 6/7/2007
Phone: (503) 639- 4171 1
Inspection Requests (24 Hrs.): (503) 639 -4175 __.1
INSPECTION WORKSHEET FOR DATE: 7/31/2007 TIME: 7:07AM PAGE: 85
SITE ADDRESS: 11895 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: LUKE - DORF INC
DESCRIPTION: Install a/c, furnace and gas line.
OWNER: LUKE -DORF INC, PHONE #:
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503 -620 -5643
Inspection Request Scheduled For: Date: 7/31/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 05287941 503-620-5643 N
C e / s rvie_a, . i4e,,,d, _,_,,- (S-
Corrections /Comments /Instructions:
(AA/■Pc Lo-L2- 3 - ) f (+14/4/1
c /Afiez_t_ke.._7(...., .
AAA,. .0 k • 0 a
r - pr:41.- It
0 - S.c? `l writ,- --,
v '- 0 9
( - Ar-VC2.) ) k' e
I 1 PASS f 0 1 I PARTIAL APPROVAL 1 1 CANCEL n NO ACCESS •
FAIL n CALL FOR INSPECTION [ ADDITIONAL FEES ASSESSED
Inspector: • Date: 7/ 3/1/6) Phone #: (503) 718 -
CITY OF TIGARD y
r
BUILDING DIVISION - PERMIT #: IMMEC2007 -00322
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/7/2007
Phone: (503) 639- 4171bNlu�ii ���
Inspection Requests (24 Hrs.): (503) 639 -4175 ..:'
INSPECTION WORKSHEET FOR DATE: 6/19/2007 TIME: 7:01At PAGE: 80
A r J
SITE ADDRESS: 11895 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: LUKE -DORF INC
- DESCRIPTION: Install a/c, furnace and gas line.
OWNER: LUKE -DORF INC, PHONE #:
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503.620.5643
Inspection Request Scheduled For: Date: 6/19/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line - 050435-01 503-969-8946 N
Corrections /CQomrents /Instructions:
l �� v _ L
f '
t4S6 41 1 / 01 7‘ 72— .
I PASS w PARTIAL APPROVAL CANCEL n NO ACCESS
n FAIL II - L FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED
41 /
Inspector: Date: Phone #: (503) 718 - ‘e7