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Permit .. ;,, CITY OF TIGARD MECHANICAL PERMIT ' -! f' COMMUNITY DEVELOPMENT Permit #: MEC2011 00305 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/29/2011 Parcel: 2510 1 AD01100 Jurisdiction: Tigard Site address: 6745 SW HAMPTON ST 200 Project: Pacific Four Sales Subdivision: WEST PORTLAND HEIGHTS Lot: 2 -28, PL Project Description: Replece existing 4 -ton gas pack and install economizer. Contractor: JACOBS HEATING & AIR CONDITIONING Owner: J &M HAMPTON LLC 4474 SE MILWAUKIE 6745 SW HAMPTON ST #100 PORTLAND, OR 97202 PORTLAND, OR 97223 PHONE: 503 - 234 -7331 PHONE: 503 - 620 -4500 FAX: 503 - 808 - 9108 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 06/29/2011 $191.86 Class of Work: ALT Type of Const: Plan Review 06/29/2011 $47.97 Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 06/29/2011 $23.02 Stories: Info Process /Archiving - Sm Sheet (up to 06/29/2011 $6.50 11x17) Project Valuation: $4,465.00 Fuel Air Handlers Fuel Types: Natural Gas Units < 10000 cfm: Gas Pressure: Units > 10000 cfm: Furnaces Boilers & Compressors Furnaces < 100K BTU: 0 -3 HP: Furnaces >= 100K BTU: 3 -15 HP: Floor Furnaces: 15 -30 HP: Unit Heaters: 30 -50 HP: Vents w/o Appliances: 50 or Greater HP: Air Conditioning: Heat Pump: Appliances Vent Fans: Vent Systems: Total $269.35 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: Fire /Smoke Dampers: 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 N. ication - - 'ter. Tho - les are set forth in OAR 952 -001 -0010 through OAR 952 - 001 -00•a. • -y obtain a copy of the rules or dire' questions to O C b, allin._'50 3'.1987 or 1.800.332.2344. dr Issued :y: ` / Permittee Signature: ■ or" - ,besdr© `V • Call 503.639.4175 by 7:00 a.m. for the next available inspection date. 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. Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard _ CEIVED Received ® 111 "I i i Permit No.: 13125 SW Hall Blvd., Tigard, OR 9 P a n Re / � ( /'Go j o. Phone: 503.639.4171. Fax: 503.598.1960 Plan Review Other Permit: Date/By: memo T I G A RD Inspection Line: 503.639.417 JUN 1 2011 Date Ready . orris: El See Page 2 for Internet: www.ti or. gov Notified/Method: Supplemental Information , x '4":4' C.1 Ill r ._ ? a 1 " r . a? I„ - / r'k i g ib x. *' F f 6 Yr E � r G I 0 Wi ❑ New construction ddition/alteration/re a Ent Mechanical permit fees' are based on the value of the work V performed: Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. p s� > �, g �°4 `s r ?� �; . Value $ =f - - • . - .. : grCom mercial/industrial € t _ €3 r� l • 5 v ` X11 _ x ` 0 building builder For special information use checklist. ❑ Multi - family ❑ Master b ❑ Other: Description I Qty. I Ea. I Total � t ; t it. t ���g �� i' ; . a Heating/cooling Job site address: 0 -�s� + _a_ Air conditioning (requires site plan showing placement) 46.75 City /State /ZIP: p ,,,,- + t Q `-7 ,2 (1_3 Furnace 100,000 BTU (ducts/vents) 46.75 � t Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: I ® I Project name: ac, t . - . r l zs Heat pump 61.06 Cross street/directions to job site: Duct work 23.32 Hydronic hot water system 23.32 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Subdivision: I Lot no.: Flue/vent for any of above 23.32 Other: 23.32 , Tax map /parcel no Other fuel appliances w� ,« TM 771 t ` to $ 43031%,,j, s, ` z' W heater 23.32 Gas fireplace 33.39 Flue vent for water heater or gas P ` GLC� C9 a-- S pck-c_ K fireplace 23.32 l SA GI., t_ Log lighter (gas) 23.32 4- SAGI., V1 6_ Coln 0-. t Z e-( Wood/pellet stove 33.39 _ Wood fireplace/insert 23.32 a ¢ s - 7. Chimney/liner /flue /vent 23.32 Name: Other: 23.32 TtU I v L2- Environmental exhaust and ventilation Address: Range hood/other kitchen equipment 33.39 City/State /ZIP: _Clothes dryer exhaust 33.39 Single-duct exhaust athrooms, Phone: (503) (D - 4.4S Fax: ( ) toilet compartments, utility rooms) 23.32 � a '' Attic /crawlspace fans 23.32 Business name: Other: 23.32 Contact name: Fuel piping $14.15 for first four; $4.03 for each additional Address: Furnace, etc. City/State /ZIP: Gas heat pump Wall/suspended/unit heater Phone: ( ) I Fax: : ( ) Water heater E -mail: Fireplace r o , a, ... k" :s ' ,, �,�� � at� il i 1 ,, . 0t t a i m ,, ; • = .. Range � r . .e Barbecue Business name: Jacobs Heating & Air Conditioning Clothes dryer (gas) • Address: 4474 SE Milwaukie Ave Other: City /State/ZIP: Portland, OR 97202 "41:L.' 1111651..., Subtotal Phone: (503) 234 - 7331 I Fax: (503) 808 - 9108 Minimum permit fee ($90.00) Plan review (25% of permit fee) CCB lic.: 1441 State surcharge (12% of permit fee) TOTAL PERMIT FEE Authorized signature: i This permit application expires if a permit is not obtained within 180 r days after it has been accepted as complete. Print name: __, I`u , Date: • I ( • Fee methodology set by Tri- County Building Industry Service Board : Building \Permits\MEC- PermitApp.doc 10/01/09 440.46 7T (1 1 5g9s e