Permit CITY OF TIGARD
SERVICES MECHANICAL PERMIT
PERMIT #: MEC2005-00242
Ali' CITY
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/16/2005
PARCEL: 25101 AB -01501
SITE ADDRESS: 07555 SW HERMOSO WAY 120 ZONING: MUE
SUBDIVISION: HERMOSO PARK LOT: 021 JURISDICTION: TIG
Project Description: Relocate ducts & grilles. Valuation: $2200.
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: •
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 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:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
JOENS, JOHN D MARJORIE A Description Date Amount
7545 SW HERMOSO WAY
TIGARD, OR 97223 [MECH] Permit Fee 5/16/200E $76.10
[TAX] 8% State Surcha 5/16/200E $6.09
Total $82.19
Phone:
Contractor:
FAITH HEATING & AIR COND. INC
15167 NW VANCE DRIVE
PORTLAND, OR 97229 REQUIRED ITEMS AND REPORTS
Phone: 503- 356 -8686
Reg #: LIC 133911
•
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: 1 1> Permittee Signature: ' ,e „
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.
. \Tilt, `•Mech nica1 Permit Application 44 - FOROFFICEUSE;ONLY -
City of Tigard RECEIVE* Date/B y 7 6 Q, " e /- Permit No.: Z ,i1/05'2,769 7.2
13125 SW Hall Blvd., Tigard, OR 97223
Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 // �i Date/By Other Permit: _ _
Inspection Line: 503.639.4175 MAY 16 20 L .. I'„, Date Ready/By: Fill 13 See Page 2 for
Internet: www.ci.tigard.or.us - Notified/Method: Supplemental Information
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Mechanical permit fees* are based on the value of the work
❑ New construction ❑ Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
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�i5:`�' < , � z � ;� � R�.Ia Value: $ i7 ' C �Q
ter �= ' * •# :����. �EGORY "OF�CONS�RUCTtIO� -
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❑ 1- 2-family dwelling �����, ���DEI�TTAL�E° QL?� ;7?P�1VI�ENT /�S1T'S�FMS�IEEES*
y g ❑ Commercial /industrial ❑ Accessory building
❑ Multi- family ❑ Master builder For special information use checklist.
❑ Other: Description Qty. Ea. Total
MN ;.t -' � ,° �u <= �rxz2i+.&�i:%^ ' e;Je'a'% �:`". °.s r . s, ^'rs
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s f 1. �; . „; J -SITE¢ INS O 4 TON''°1V3D ;O.�TIOI�t', "` ` - i'. ,l
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Job site address: " 5 5"" /5 /141) Co 6.44 7' Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State /ZIP: 7764,40 J Ok 7 9 a .23 Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: / ( 9,..c) Project name: P &ridgy /'7,� /161-?"64CE Gas heat pump 14.00
Cross street/directions to job site: '7 ; z Ai d 7`-e) 4EvE (Q • t jc_r, -- c ./ Duct work 14.00
t ) Hydronic hot water system 14.00
/J Q L VEL / L) (64t L-.&5 S) To /fiE2 t 0 At Gt"P Residential boiler (radiator or
1
[ 0
GW7O /Y-+}ItiO-r0 /e- /1iQ(V€t ffY A[ . 6 Unit heaters 14.00
j I Unit heaters (fuel -type, not electric),
/ C. M (A/C _ M 4A1 ,AES.f /70\4_ / -ccElc ' in -wall, in -duct, suspended, etc. 10.00
Subdivision: Lot no.: Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: • Other fuel appliances
%M�'' = 'aft ° «"at"a�,r:;', .', _.;a^a:.s'.s��:s-s:xw -.�.t. M v?ta�'rm "-
' »�r� ,tit;- ��;;;; It rfi „ ";`NI DES�RIPT�I01V CORS'' �i M
::n"�,..' � � G,.:m•.'^ �= *�.�,. ssaaizz�as�:,�nz a: ` e ate- .. ,. .. +�.'�'. ""`.". r Water heater 10.00 ':
/2�oC.( OGCCrS � -- A /I /../- c Gas fireplace ent 10.00
,;, /C ���Y� Flue vent for water heater or gas
TEA M/4 ' 4iF( ZA-( M--611E/Lt .(r -s.., L l igh 10.00
Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
=•a w; '> :. = .k .,. 5
w �:;c » k ; I , - --- -- -',tii. tc r , ; � r :- Chimney/liner /flue /vent 10.00
OSIC 'ROPrERTY 447 A' l ; .rh.. 3 �- 0141. ° `TENA , at. b
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Other: 10.00
Name: 4 / L 1 L.LC. (Midtiateit 4Ar /` Environmental exhaust and ventilation
Address: `� 5 S- s (.J /'(&`- M a L 4 > s-Ct f Range hood /other kitchen
r 1 U equipment 10.00
City/State /ZIP: '77 4,,) a '%9 I a_ 3 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (5 ) 67„,20._ a J Fax: (03) 6 a.0 - , 3 0 3 toilet compartments, utility rooms) 6.80 _
,s;;Z , t'.%:`; h,n4<& yr • »'S "..�n;5:: -A ^d .. r Ili , }ai<:3^;,�a�+� tvd_,;Ee. :.:ar -
�� PL11�A1v1I`� � M�'�q ';� \, nx � "�'` �; ti��r�` ',; Attic /crawlspace fans 10.00
,��,�x ;If; 4 ;$'hamt:4 �,.-.r'-��.: �:;.�;t% Hear. �.. n�:. �:.��Fx „�r�s»aua;�t^.'.��:�?,�a
Business name: Other: 10.00
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City/State/ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater •
Fireplace
E -mail:
Range
f 3 =. '744-:-4'..'.' 0 1CONT C;ItO '' t ..e lit Barbecue
Business name: 61/ tli , ;77/t- 4- ¢ A/C Clothes dryer (gas)
Other:
Address: / J =; 4 ; : .-,� *r 1;ni-
S E N, GW. � �� a/ / (/� ,., a. Y - cg-vrc P,4 in? FE s„ ,t:: . • City /State/ZIP: /d,,` . 4 v 4/v J dA 7 71 a / Subtotal
Phone: ( .5 - 03) 6 If _ 7 7 Fe Fax: (Sr/ ) 6/ -7_ 7 y 7 Minimum permit fee ($72.50) -%
CCB lic.: / 3 / r J • /j 4 9 State surcharge (8% of permit fee) >< , ag
i / f' s' TOTAL RM IT _ /9
Authorized signature: This permit application expires if a permit PE is not obtained within 18
days after it has been accepted as complete. FEE
Print name: Aagek - C. 04 V/ Q Date: /6 M4 Y ' Q _s' * Fee methodology set by Tri- County Building Industry Service Board
i :\Building\Permits \MEC- PcrmitApp doc 12/03 440 -4617T (11/02 /COM/WEB)
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CITY,OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005 -00242
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/16/2005
Phone: (503) 639 -4171 7 111 l l ' �Inspection Requests (24 Hrs.): (503) 639 -4175 __..
INSPECTION WORKSHEET FOR DATE: 6/8/2005 TIME: 7:12AM PAGE: 79 •
SITE ADDRESS: 07555 SW HERMOSO WAY 120 CLASS OF WORK:
SUBDIVISION: HERMOSO PARK LOT #: 021. TYPE OF USE:
PROJECT NAME: PRESIDENTIAL MORTGAGE
DESCRIPTION: Relocate ducts & grilles. Valuation: $2200.
OWNER: JOENS, JOHN D MARJORIE A, PHONE #:
CONTRACTOR: FAITH HEATING & AIR COND. INC .. PHONE #: 503. 356.8686
Inspection Request Scheduled For: Date: 6/8/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message ;3013 0AilI0- )
699 Mechanical final / /7C L' c 4) i•A 008680 -01 603.620 -5203 Y
Corrections /Comments/ Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
.. Inspector: Date: Phone #: (503) 718-