Permit 51 �� CITY . OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00364
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/15/2008
PARCEL: 2S 101 AD -03000
SITE ADDRESS: 06969 SW HAMPTON ST ZONING: MUE
SUBDIVISION: WEST PORTLAND HEIGHTS LOT: 031 JURISDICTION: TIG
PROJECT: PETERSON KOLBERG & ASSOC
Project Description: Replacing ground level gas pack. NO PLAN REVIEW REQUIRED.
Project Value: $7,297
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:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
KF LLC Description Date Amount
7407 SW HUNT CLUB DR
PORTLAND, OR 97223 [MECH] Permit Fee 71151200E $182.90
[TAX] 12% State Surch 7/15/200E $21.95
Total $204.85
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:, j� `, `. Permittee Signature: /' c q75er-
Call 9.4175 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.
J :L/14/2008/MON 11:36 AM FAX No, P. 002
'1W Permit : , roI Ol i?li L ii5E ONLY i.. F Nib; { ;t',1 ; ° ; , "
City of Tilga> d Received �w perm tNo,: `
DateBy: 7 r N o f�fX Wee 9 0
q
13125 SW Hall Blvd., Tigard, OR • ,!`r EIVE pR
laneviow I
Phone: 503, 639,4171 Fax; 503,59 ! w t C Dattil13y, Other Permit:
Tic 1 A t n Inspection Line: 503.639.4175 Q Date Ready/By: Ilia - l See Page 1 for
Internet: www.tigard or.gov JUL 1 4 2008 Notified/Method: it C,. Supplemental Information
_ TYPE or�OFTIGAR COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction ❑ Addition/ PI WO ment Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit • CATEGORY OF CONSTRUCTION `Value: $ -2, q ....e.
RESIDENTIAL EQUIPMENT / SYSTEMS FEES'"
❑ 1 - and 2- family dwelling ommercial/industr•ial ❑ Accessory building
For special Pjformatian use checklist,
❑ Multi - family ❑ Master builder ❑ Other:
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Pleating/cooling
/ , r / Air conditioning or heat pump
Job site address:
L ) tr 1 '� 1 — (requires site plan showing placement) i 04.00
City /State/Z1P: Furnace 100,000 BTU ducts /vents 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg /apt, no.; Project name: Gas heat pump I4.00
Cross Street/directions to job site: Duct work 10.00
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. 14.00
Flue/vent for any of above 6
Subdivision: Lot no.: .- -
Other: 10.00 1
Tax map /parcel no.: Other fuel appliances
I-) DESCRIPTION OF WORK Water heater 1 0,00
V7 Gas fireplace 10.00
C( , Flue vent for water heater or gas
8 j2 �` y, fireplace
10.00
�� 1 " ` ' Log lighter (gas) 10.00
r - _ Wood/pellet stove 10,00
OO Wood fireplace /insert 10.00
8 Chimney/liner /flue/vent 10.00
❑ PROPERTY OWNER 0 TENANT Other: 10.00
Name: PL " i I Environmental exhaust and ventilation
L Range hood/Other kitchen
u) Address: r ,,, p A) � , �,{ --
� equipment 10.00
X City /State/ZIP: Clothes dryer exhaust 10.00
o / Single -duct exhaust (bathrooms,
/
Phone: ( ) Ci W 8 -- , s 0 0 Fax; ( ) toilet compartments, utility rooms) 6,80
Business name:
[] APPLICANT 0 CONTACT PERSON Attic/crawlpace fans — 10.00
Other; 10.00
Fuel piping
Contact nuxrte: $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
B fireplace
Range
C(Th5TR ACTOR Barbecue
Business name: Specialty Heating & Cooling Clothes dryer (gas)
Other: I •
ddress: 7500 Tech Center Drive #130 MECI3APIICAL PERMIT FEES*
Subtotal
City /stets /ZIP: Tigard, Oregon 97223
Phone: ( ) ( 620 -5643 Minimum permit fee ( $72.50) / i o { . 90
I _ Plan review (25% of permit fee) �""
CCB lie.: 6 C, 5 A State surcharge (12% of permit fee) , .1,N(. Q
TOTAL PERMIT FEE Aprf. 1 !�
Authorized signature: � This permit application expires if a permit is not obtained within 180
S`� • days after it has been accepted as complete.
—
Print name: A,,,./.„ Date: 11 D 4 w 'ee methodology sot by Tti- County )3Uiidinp, industry Service Board
b1BOi1dtne1P0rmitsIv C- PttteitApp,doc 01/19/07 440- 4617T(11 /02/COM/wBB)
JrJL /14/2008/MON 11 :36 AM FAX No, P. 003
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CITY OF TIGARD
BUILDING DIVISION
PERMIT #: MEC2008-00364
D ATE 13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: 711&200f3
Phone: (503) 639-4171 ,0111T\
Inspection Requests (24 Hrs.): (503) 639-4175 :j41 IL
INSPECTION WORKSHEET FOR DATE: 9/312008 TIME: 7:01AM PAGE: 48
SITE ADDRESS: 06969 SW HAMPTON ST CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 031 TYPE OF USE:
PROJECT NAME: PETERSON KOLBERG & ASSOC
DESCRIPTION: Replacing ground level gas pack. NO PLAN REVIEW REQUIRED.
Project Value: $7,297
OWNER: KF 11,C, PHONE #:
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503-620-fie.43
Inspection Request Scheduled For: Date: 9/3/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 074918-01 503-968-6800 N
Corrections/Comments/Instructions:
( _-
d PASS E PARTIAL APPROVAL 0 CANCEL NO ACCESS
I FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: 735 Date: 5-519 era Phone #: (503) 718- 2c 3