Permit 'i CITY OF TIGARD MECHANICAL PERMIT
. COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00657
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/8/2007
PARCEL: 2S 101 AB -01607
SITE ADDRESS: 07540 SW HERMOSO WAY ZONING: MUE
SUBDIVISION: HERMOSO PARK LOT: 009 JURISDICTION: TIG
PROJECT: LUBY
Project Description: Install furance, ductwork, a /c, gas piping and fan venting.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS: 2
OCCUPANCY GRP: R3 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:
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: 2
> 10000 cfm:
GAS OUTLETS: 3
Owner: FEES
KEVIN LUBY Description Date Amount
7540 SW HERMOSO WAY
TIGARD, OR 97223 [MECH] Permit Fee 11/8/2007 $77.00
[TAX] 8% State Surcha 11/8/2007 $6.16
Phone:
Total $83.16
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.
Issu d By: • /# / Permittee . r ��I'
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.
Mechanicpl Permit Application FOR OFFICE USE ONLY
City of Tigard
� E 13125 SW Hall Blvd, Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1960 4 , 1;/.p i lti' , t\ Date /By: Other Permit:
Inspection Line: 503.639.4175 j,1, I II) I Date Ready/By: ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method. r Supplemental Information
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Mechanical permit fees* are based on the value of the work
❑ New construction g] Addition /alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and
i n w - r „ ' . ,:3 , :� :. _ " ' p` t Value: 3r (.1 6 a k.A-)
: ."�'�" �.: �•�,- boy -.� �, <,. 5 "�"�`, "•' , :El � . �
ia. )
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❑ 1 -and 2- family dwelling Commercial /industrial ❑Accessory building ittom E' Towcr t a sx ' tto ty a mi
M builder For special information use check list.
M ulti -famtl
❑ Multi-family ❑ ❑ Other:
:x, ::�:.w: ,tea: :,�,:,. esc Ion Qty. Ea. Total
D ripC y t
tRa° ,�. S - s;"wZ,i'�; ,1. ".: �'. � f 4..Ef.+ ".Y:�..,... YyF+i: .�., .. Y.i� '2.:: r�:X,'+
_ ,- ,;' „ 'F; ', .1 I� : r �s Heatin
.7��` -..:." J� ;y O 1T"E .U R MATION i{ ';O 'I U ��y. "'� �: '�'�. n cooling
'
i51` SP. K` 1P. s1" �. Ca"... 3..: �rtt- �_:.: SYP. 'ra'!4,�.,ni:,x%!.T.�4,v- >. ° :�:xa .,,, n ;T- �:fSX:!k.,.:kl.�? =�.�x v= 18.-:> .:TIQ��vSt:"G^3'O:Yn�fdi�.•F�.. 't:"S'::�i.,:. - .�:.gf.�`�Y �'1
Job site address: 4-75 (� V (51» r oS �� �� Air conditioning or heat pump J 14.00 �! (;'° (requires site plan showing placement)
City /State /ZIP: I n' C; r ot OR 1 9-7 4- Furnace 100,000 BTU (ducts/vents) f 14.00 A(.° G
Suite/bldg. /apt. no.: U Project name: Furnace 100,000+ BTU (ducts/vents) 17.90
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
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in- duct, suspended, etc. 10.00
Subdivision: Lot no.: Flue /vent for any of above ( 10.00 /0. co
Other: 10.00
Tax map /parcel no.: Other fuel appliances
' "` �"' %A CT a Water heater 10.00
( x' sth t wr ..` ,Y ...;; q ON O. RK . o ' u � a s z
SnG
T . Gas fireplace 10.00
r " P , Jcz � y` W Flue vent for water heater or gas
l ( t Qui- K J '� C fireplace 10.00
Q 1 Q l 5 ` - e�h v�4 �� Log lighter (gas) a 10.00 Zo 00
V Wood/pellet stove 10.00
Wood fireplace/insert 10.00
:•"'s.r ,. rr' °rs Chimney /liner /flue /vent 10.00
tiM ®PROEEItY . �7�J�7ER: . " :MNI " t, ® 'r i .�;c ;.
:;�:.ik,.,a..a�r..t<:aws:.....� �F", a, �. ror. y,.:. ,a.x�ww:*:;?:.^:'i.,:N._....,. i., Hi"'. we„&' E,$ �r.: �'• ��+ r�.. r. r. al :°r».- ..bY= �i!� s.�;.:'. r.,��� it .
Other: 1 0.00
Name: Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City /State/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) a. 6.80 f3.i 3
#` I t ` x A1' AWIST P101, 0 TAM E R SMII„ 4 Attic /crawlspace fans 10.00
vr,C:�n.1`,'tiiba; r�..@... �... �,. x. n �. �> �':: aaWS�� $l�cx�'3'.�..�,.,'�....:��'�e.. c4��.. 3.... a ^,:..,,.r�,:a..u'sY,RU.ok. -�..: e.,.':v'.::,v .......,. c ^,� I / ,/ (� q ) Other 10.00
Business name:
.�r�eAi al t,4 C1e t• 7 &bf ,t 1t� bid., Fuel piping
Contact name 1 $5.40 for first four; $1.00 for each additional
T Co .h n �
Address: 75 bD Std ^� 4i' Fumace, etc.
� �� Gas heat pump
J
(l
City /State /ZIP: ci 37 3 Wall/suspended/unit heater
5
`
Phone: ( ) 5 AX G� Fax: : ( ) CJp Water heater �
Fireplace
E -mail:
Range
M�C� 5', i � °F.}:�. dz:•�_S�, i'1 '�;,:s"ari+�s�!tt;: -.r. -. 1:.:�.:_ ::'arm -%� .. �,�;,�. �.,
I ; '. E .;. a ill -..i, , ' SAW, RA tAltgl Ka . ; t ;% Barbecue
Business name: . per,lf tW N P tM 4 eobL� 1 re_ Clothes dryer (gas)
"� Other:
Address: � -��;f;�� _': xt� T :�.,_•,�b, � .:
?500 5 (z) Te.�.{� CP.vt �.r . , 134 ' MECA'Al! IGA ER_ 1VII`tEEES � r* ! '; '
City /State /ZIP: ` 9 � I , ./ Ok C�'r3 Subtotal -
"
Phone: 6c3) / . . 1 ,, 4„f Fax: ( 5 g . e n i Q
Plan review (25% permit fe Minimum permit fee ($72.5 fee)
)
) GO LL» �7 e
CCB lic.: 49 6 5 `1 2 State surcharge (8% of permit fee) (4 ./ 4
TOTAL PERMIT FEE ) r
This permit application expires if a permit is not obtaine m 1 8t1
Authorized signature:
rl/' 1�r�� / // / days after it has been accepted as complete.
Print name:N pr -y., c ,^ wzr-tkt s Date: /1. V g- ' Fee methodology set by Tri- County Building Industry Service Board
is\ Building \ Permits \MEC- PermitApp.doc 12/03 440.4617T (I I /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 006"7 . :, 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/8/2007
Phone: (503) 639 -4171 4 i
Inspection Requests (24 Hrs.): (503) 639 -4175 :_..
INSPECTION WORKSHEET FOR DATE: 7/24/2008 TIME: 7:00AM PAGE: 29
SITE ADDRESS: 07510 SW HERMOSO WAY CLASS OF WORK:
SUBDIVISION: I IER OSO PARK LOT #: 009 TYPE OF USE:
PROJECT NAME: LUBY
DESCRIPTION: Install furance, ductwork, a/c, gas piping and fan venting.
For residential use only.
OWNER: ! Ul3Y, KEVIN PHONE #:
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503-620-5643
Inspection Request Scheduled For: Date: 7/24/200 f Pour Time:
Code # Inspection Description Confirm # Contact # Message
608 Mechanical final 07314605 503-620-3342 N
Corrections /Comments /Instructions:
/"
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•
PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
FAIL . ❑ C LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ,\
�j V
Ins ector: Date: t Pho #: (503) 718 - /
p )
, ,.
__ ., -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007- 00657
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/8/2007
Phone: (503) 639 -4171 . uo Illt
Inspection Requests (24 Hrs.): (503) 639 -4175 ..
INSPECTION WORKSHEET FOR DATE: 5/14 /2008 TIME: 7:04AM PAGE: 16
SITE ADDRESS: 07640 SW HERMOSO WAY CLASS OF WORK:
SUBDIVISION: HERIVIOSO PARK LOT #: 009 TYPE OF USE:
PROJECT NAME: LUF3Y
DESCRIPTION: Install furance, ductwork, arc, gas piping and fan venting.
For residential use only.
OWNER: LUI3Y, KEVIN PHONE #:
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503- 620 -5643
Inspection Request Scheduled For: Date: 5/14/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
6'15 Mechanical rough -in 069875 -01 503 - 6205643 N
Corrections/Comments/Instructions:
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL pi CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �'
p Date: 5 --;- 7 - / ---0 8' Phone #: (503) 718- ��
CITY OF TIGARD
BUILDING DIVISION 4 PERMIT #: MEC2007-00657
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/61200'
Phone: (503) 639 -4171 z°« pig iii�l
Inspection Requests (24 Hrs.): (503) 639 -4175 ..:' W
INSPECTION WORKSHEET FOR DATE: 12/3/2007 TIME: 7 :00AM PAGE: 53
SITE ADDRESS: 07540 SW HERMOSO WAY CLASS OF WORK:
SUBDIVISION: HERMOSO PARK LOT #: 009 TYPE OF USE:
PROJECT NAME: LURY
DESCRIPTION: Install furance, ductwork, a/c, gas piping and Fan venting.
For residential use only.
OWNER: LUI3Y, KEVIN PHONE #:
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503-620-5643
Inspection Request Scheduled For: Date: 12/3/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
60S Post/beam mechanical 060613.02 503-620-5643 Y
Corrections /Comments /Instructions:
ri, r — ' 111LA11...4 IA ).12 : C t( 97 °
■
yi 4 PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
A � ° 1 718-
Inspector: Date: ��� Phone #: (503) 718
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CITY ���������������
��mm w ��n mn���mn���
BUILDING DIVISION ~�~°"~~u�o""~� ~�,°,~,,~~,~ pERM|T#: h4EC200700657
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1102807
Phone: (503) 639-4171
|napecdunRequea�C24Hmj:C5O3 639-4175 .
INSPECTION WORKSHEET FOR DATE: 12/312007 TIME: 7:00Ah8 PAGE: 54
SITE ADDRESS: O764D0WMERhA0S0WAY CLASS OF WORK:
SUBDIVISION: HERK8O8ApARK LOT #: 009 TYPE OF USE:
PROJECT NAME: 0UBY
DESCRIPTION: Install fu/ence, doxhxork, a/u, gas piping and fan venting.
For residential use only.
OWNER: LAM, KEVIN PHONE #:
CONTRACTOR: SpEC)A]]YHEATING & COOLING PHONE #: 503-620-5643
Inspection Request Scheduled For: Date: 12/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 060813-01 503-620'8643 N
Corrections/Comments/Instructions:
~�z:�� ii--- ^ ? ] ^ ��
�� �i | . ���� �� m- (aqq_9j5s ~~~�'
k PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS
I I FAIL CALL FOR INSPECT ADDITIONAL FEES ASSESSED
� �
Inspector: t� Date: \ �1�/ w / Ph #' (5D3) 718-
. ` ' ' � � � ' �` '
'CITY OF TIGARD
1 ,r, BUILDING DIVISION PERMIT #: MEC2007 -00667
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
9 111812007
Phone: (503) 639 -4171 r aot,r ( +�
Inspection Requests (24 Hrs.): (503) 639 -4175 ... ' I..
INSPECTION WORKSHEET FOR DATE: 11/29/2007 TIME: 7 : 00AM PAGE: 62
SITE ADDRESS: 07640 SW HERMVIOSO WAY CLASS OF WORK:
SUBDIVISION: HERM0 O PARK LOT #: 009 TYPE OF USE:
PROJECT NAME: LUfY
DESCRIPTION: Install furance, ductwork, a/c, gas piping and fan venting.
For residential use only.
OWNER: LUIBY, KEVIN PHONE #:
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503. 620 -5 &43
Inspection Request Scheduled For: Date: 11/2912007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 060437 -01 503 - 620.5643 Y
Corrections /Comments /Instructions:
r ' l
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
_ FAIL n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: Date: 14 1 i Phone #: (503) 718-