Permit CITY OF TIGARD MECHANICAL PERMIT
s COMMUNITY DEVELOPMENT Permit #: MEC2012 -00620
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/09/2013
TIGARD Parcel: 25101 AD00400
Jurisdiction: Tigard
Site address: 6665 SW HAMPTON ST 100
Project: Hampton Oaks Subdivision: WEST PORTLAND HEIGHTS Lot: 14 -31, P
Project Description: Replace rooftop unit with like kind.
Contractor: AMERICAN HEATING INC Owner: HAMPTON OAKS LLC
1339 SE GIDEON ST 6665 SW HAMPTON
PORTLAND, OR 97202 2ND FLOOR
TIGARD, OR 97223
PHONE: 503 - 239 -4600 PHONE:
FAX: 503 - 239 -7038
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/09/2013 $423.91
Class of Work: ALT Type of Const: VB Plan Review 01/09/2013 $105.98
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 01/09/2013 $50.87
Stories: Info Process /Archiving - Sm $0.50 (up to 01/09/2013 $13.00
11x17)
Project Valuation: $13,000.00
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 $593.76
Hoods: Comm Incinerators:
Required Items and Reports (Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire /Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of th rules
or direct questions to UNC by calling 503.232.1987 or 1.800.332.2344. � �/ Q�
Issued By: Permittee Signature: �/'/
C o VY
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
RCE WED
Mechanical Permit Applti.c FOR OFFICE U$EONLY - •
City of Tigard DEC () 3 212 Permit No.: 1`1E Cao %� -D��j
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13125 SW Hall Blvd., Tigard, OR 9722 {�� � "�
= . � T�' °� °�y� Plan Re . ���� 510 Other Permit:
Phone: 503.639.4171 Fax: 503.598
TIGARD Inspection Line: 503.639 u' 1 �G D'1 "- " Date Ready/q: J kris: la See Page 2 for
Internet www.tigard or.gov L Notified/Method: 1 r 1 (3 '..1 Supplemental
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❑ New construction ~ [� Addition /alteration/replacement ' 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
� A 3} i ! yi',.',.`.; • � 2,4' :'zip .t.;: ti::ca :5:�ir - -. { :: _ ?- bR::d3'�-.x - �i _ _ ✓:•'". ^- _ ?'Y;: ": =5; Value: S 1 3 t70 c)
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❑ 1 - and 2- family dwelling Commercial/industrial ❑ . cess .._ E 1 ue
Accessory building f ..
❑ Multi family ❑ Master builder For special information use checidir[
❑ Other: Description I Qty. I Ea. 1 Total
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Air conditioning
Job site address: N
(requires site plan showing placement) 46.75
City /State/ZIP: 7 j q G / - c i O R '7223 Furnace 100,000 BTU (duets/vents) 46.75
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Suite/bldg./apt no.: I Project name: Floc) Oct k Furnace 100,000+ BTU (ducts/vents) 54.91
5 Heat pump 61.06
Cross street/directions to job site: /7 I rep /4 c e h1 e n ' 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
Flue/vent for any of above 23.32
Subdivision: l Lot no.:
Other: 23.32
Tax map /parcel no.: Other fuel appliances
. n..- - _ _ ::k': nri_: �`':: `.5.: -- _ - _ _ __.u ^c`r -`rt Jrt:: - rs:�`?;M•: -''
'i; p�p ` " ., - : : ;- Water heater 2332
- .'.E SY r D :,. C�tIPTIO 7 �} .0E= , O r , .�'�`c ..4s(�:;°::
.: r : _ / C :e',; � / • e . V r .. � .. ',,: Gas fireplace 33.39
P I e Flue vent for water heater or gas
rO(7 -, --/ O P (in / / L l igh 23.32
Log lighter (gas) 23.32
Wood/pellet stove 3339
- • Wood fireplace/insert 23.32
•
' _ : E. s =::: a_n = _- Q :.__ Chimney/linerlflue/vent 23.32
__. . _ _ . _ .� . Other. 233
Name: Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 33.39
City/ State/ZIP: Clothes dryer exhaust 33.39
• Phone: ( ) Fax: Single -duct exhaust (bathrooms,
( ) toilet compartments, utility rooms) 23.32
:, =; __ _ ; .r.::v^ _ -mac. r ' ; :Tv`'2'= V.` , ;-- c"#". Yo _ ..tri: : -r. : i-
�.• `• ,.' .' =5 °"� ' � ''�:� x�;:;- E' -_.� Attidcrawls ace fans 2332
r s ,c4 :;l., l .... A. 3lCAk�tI' (• = - _ : • r,� .: z ^ p 01Y _ .- • P
Business name: A rn e I C 07� f-1 e g f- i � `• Fuhlr. I I 23.32 I
► " � Fuel piping .
Contact name: gref ci M.!) r) G 4 e S - 1- C - $14.15 for first four; $4.03 for each additional
/ Furnace etc.
Address: / 3j 3 7 5 (p 1 c! C o r7 5- 1
Gas heat pump •
City/ State/ZIP: PO r•f- la -7 cl d 77202_ Wall/suspended/unit heater
Phone: (5o3 )Z3 °1-- q(', 0 0 I Fax: : (So 3) 23 -70 g Water heater
Fireplace
E -mail:
^`_ Y; x;� = ��•s:E- - - _ - _ :- - - Barbecue
- age
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Business name: A 1•yl C r I C or,.) ! J e1 T' 1 1 Clothes dryer (gas)
Other
Address: /336i SE f c./ e O n S r v .,.:. ,,-..: -.1., ... ...,. -. -.K _.:,-.:_ _ -
City/ State/ZIP: PO (-I- 1,,, 0 / 17202 �.._a Subtotal
Phone: (50 3) 2 sq_ 11600 Fax: (503 ) 2 37 -703 8 Minimum permit fee ($90.0
Plan review (25% of ;permit fee)
)
. CCB lic.: 3'3 136 State surcharge (12% of hermit fee)
�J�J �J {/I TOTAL PERMIT FEE
• Authorized signature: /'u / ` G ' "�-( r Thi permit application expires if a permit is not obtained within 180
•
_ days after it bas been accepted as co mplele.
Print name: grge/ ngi7G A C S 4- G,-- . Date: 12 , 3 /a
• Fee methodology set by Tri�ounty Building Industry Service Board
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uildin a\PermitsV.C- Permitkop.doe 10/01 /09 440 -4617T I1 /OV