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Permit ill .� CITY TY TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00259 TIGARD 13125 SW Hail Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/22/2008 PARCEL: 25101 AD - 03000 SITE ADDRESS: 06969 SW HAMPTON ST ZONING: MUE SUBDIVISION: WEST PORTLAND HEIGHTS LOT: 031 JURISDICTION: TIG PROJECT: PETERSEN KOLBERG & ASSOCIATES Project Description: Replacing ground level gas pack. NO PLAN REVIEW REQUIRED. CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 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: 1 > 10000 cfm: GAS OUTLETS: Owner: FEES KF LLC Description Date Amount 7407 SW HUNT CLUB DR PORTLAND, OR 97223 [MECH] Permit Fee 5122/200€ $175.70 [TAX] 12% State Surch 5122/200€ $21.08 Phone: Total $196.78 Contractor: SPECIALTY HEATING & COOLING 7500 SW TECH CENTER DR #130 TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS Contact #: FAX 503 -598 -0718 • PRI 503- 620 -5643 Reg #: LIC 66578 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: Permittee Signature: ,r' «7$ C4 Call 5 . 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. MY /21/2008/WED 06:48 PIS FAX N o, P. 001 Mechanical Permit App .�r> EIV E GoR OFFICE usr,oNI A' City of Tigard Received ?3, � A Y 2 22008 Date/By: t , •ermitNo.: friEc 40 $ , 11 - - 4 13125 SW Hall Blvd., Tigard, Oft 97 MY Review Phone: 503.639.4171 Fax: 503.598,1960 Ot4erPermit: Date/By: 1'ttiAECU Inspection Line: 503.639 C OF TIGARD Dato Re ady/$y: 7uris: gl See Page 2 for In[emeL WWW.tigatd Or.goV BUILDING DIVISION Notified/Method; Supplemental Information TYPE OF WORK COMNIE4CtAI F$E'; • CBEDITI E. USE CKL IST . ❑ New construction Addition /alteration/repiaccmcnt 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 ' • T RE , SIIWET/3YSTEh 3S,4 [' 1- and 2- family dwelling I:1 Commeroial /industrial I: Accessory building NTIAI 0 *,MEN ForspecfaCinformaltan use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea, ] Total • JOB SITE INFORMATTON..AND LOCATION Heating/cooling Job site address: 1 O (e, 1 CL,O l Oti f S Air conditioning or heat pump P"� A er (requires site flan showing placement) 14.00 City /State/ZIP; f ;,„, u \& • f � CI Z' .. j Furnace 100,000 ETU (ducts/vents) 14.00 _ Suite/bldg. /apt. no.: Project name: I4 � ' 'Cr Gas l hea 100.000+ BTU (ducts/vents) 17.90 Gas eat pump 14.00 - Cross street/directions to job site: i ASV( ; l . Duct work 10.00 Hydronic hot water system __ - 14.00 Residential boiler (radiator or /„ A) / \ C �� , _ e hydronic) 14.00 nI I(/�/ /"'°' Unit heaters (fuel -type, not electric), , zi in -wall, in -duct suspended, etc. 14.00 Subdivision: Lot no.: Flue/vent for any of above 6.80 Other: [`, &. r'a I 10.00 _ Tel, J ) Tax map /parcel no.: Other Lae! appliances DESCRIPTION OF WORK • Water heater _ 10.00 �/� Gas fireplace 10.00 1 .Q f \ `" l'rb `1l LI- tar -r? (. c Flue vent for water heater or gas 9 L3 1 , - 1.13 -- fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 t„.) G o Wood fireplace /insert 10.00 • ❑ PROPERTY OWNER © TENA.NT Chimney/liner/flue/vent 10.00 Other: 10.00 Name; P Q t/;s o „_\ t 1—Q ( A ,I./ 75 d[' - Environmental exhaust and ventilation i Range hood /other kitchen Address: equipment • 10.00 City/State /ZIP: Clothes dryer exhaust 10.00 Phone: ( ) 9 ( . k C1 Fax: ( ) t t ilet corn [ rtme is (bathrooms, partments, utility rooms) 6.80 ❑ APPLICANT . 0 r CONTACT PERSON Attic /crawlspace fans 10.00 Other: 10.00 l3usiness name; Fuel pipin,g Contact name: 55.40 for first four; $1.00 for eachaddition_ al Address: Furnace, etc. Gas heat pump City /State/Z1P: Wall/suspended/unit heater Phone: ( ) Fax; ; ( ) Water heater _____ E -mail- Fireplace — Range rnNVTa arTnu Barbecue Clothes dryer (gas) Business name: Specialty Heating & Cooling Other: Address: 750Q Tech Center Drive #130 MECFL4NTCAI pE iITPEES* City/State /LIF: Tigard, Oregon 97223 Subtotal (503) 620 -5643 Minimum permit fee ($72.50) f 23 ,, X Phone: ( ) 1. ^v, Plan review (25% of permit fee) I CCB lie.: �5 y Y � l.` i State surcharge (12% of permit fee) _ �- 1 TOTAL PEkiVIIT TEE ` T 7( Authorized signature: (10 • - 1 `” U rQ /} This permit application expires if a permit is not obtained sJn'tbn tau days after it has been accepted as complete. Print name: ,e 01�'res Date: T /,) / 0 v • F ee methodology set by Tri -County Building Industry Service Board I:\auitdingwcrreieO. C.FttmiiApe,doe 51 /19(07 4554617'1' (I2 /Ot/COb1MWEB) 91 : 1: C 1 4 -1 -TV -F Flnf(d r i-lat, 6 15Ai vc T(or4ab '7? 3 ---- S (4) 1 r14. P TON �T — , • z 14 t WNCsS Qecz . � 0 • xi 511 19 [9 h5 /6/X:cY+?-4c u+iir f 'eT 5("1 VoL5L - 121w "ro fag ref. - tkc.Et W 54114E (A S of ar4llrtpTon( (C5 koala i-4.& L. .1 i 6, ark q i»3 / t , �• lb i t- CoE11i 1' u.i T ry+ ag5d -E 5 c � Ar • ' CITY OF TIGARD BUILDING DIVI iON PERMIT #: MEC200a•00259 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/22/2008 Phone: (503) 639 -4171 a�mr r`l Inspection Requests (24 Hrs.): (503) 639 -4175 1. if INSPECTION WORKSHEET FOR DATE: 5131 ' 108 TIME: 7:01A1Vi PAGE: 30 0. 17 ovz • Pte! - -yzrt ] SITE ADDRESS: 06969 SW HAMPTON ST CLASS OF WORK: SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 031 TYPE OF USE: ' PROJECT NAME: PETERSEN KOLE3ERG & ASSOCIATES DESCRIPTION: Replacing ground level gas pack. NO PLAN REVIEW REQUIRED. OWNER: KF LLC, PHONE #: CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503- 620 -5643 Inspection Request Scheduled For: Date: 5/30/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 070588 -01 503 - 730 -8077 N Corrections /Comments /Instructions: • PASS PARTIAL APPROVAL n CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED y) Inspector: — Date: • - ° Gtr Phone #: (503) 718 -Z--C