Permit (59) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2018-00583
Date Issued: 07/31/2018
T I
t;A R 1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S101AD00400
Jurisdiction: Tigard
Site address: 6665 SW HAMPTON ST
Project: HAMPTON OAKS Subdivision: WEST PORTLAND HEIGHTS Lot: 31
Project Description: Replace roof top HVAC units.
Contractor: D&R HEATING&AIR Owner: HAMPTON OAKS LLC
12220 SW GRANT AVE 6665 SW HAMPTON ST, STE 200
TIGARD, OR 97223 PORTLAND, OR 97223
PHONE: 503-678-2517 PHONE:
FAX: 503-387-5827
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/31/2018 $728.71
Class of Work: ALT Type of Const: Plan Review 07/31/2018 $182.18
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 07/31/2018 $87.45
Stories: Info Process/Archiving-Sm$0.50(up to 07/31/2018 $70.00
11x17)
Project Valuation: $25,000.00
Fuel Air Handlers
Fuel Types: 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 $1,068.34
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 Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: �� Permittee Signature:
.L<<� ��i ✓Iii i-_
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.
tv)Exalav,`441
Permit Application
Commercial FOR OFFICE USE ONLY
Cityof Tigard '. 1
,,----t Received �7 �� I Permit N9�j/J�j��/�G�`ws .f+ 7
- PDanne ` ""6 (/ ''V" J
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review /
Phone: 503.718.2439 Fax: 503.598.1960 a i`'" Date/By'
Other Permit:
.�u L y: �J 7 30%
TI G A R D Inspection Line: 503.639.4175 Date ReadyBy: / Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified Method7/.�.h'l/ Supplemental Information
TYPE OF WORK'
E aft REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ V " A
❑ 1-and 2-family dwelling V‹ommercial/industrial ,
Accesso buildin Number of bedrooms:
IDry g ❑Multi-family
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATI N Total number of floors:
Job site address: i)I r 5 + New dwelling area: square feet
_S\g'
City/State/ZIP: UT -- C l t al 1 )1-1 7 3Garage/carport area: square feet
Suite/bldg./apt.no.: \ I Project name: ,1�/ - „4) G'�� Covered porch area: square feet
Cross street/directions to job site: ] �P ►/��"" Deck area: square feet
(:X`7!ki 4f/C`, Other structure area: square feet
VY REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
w,. equipment,materials,labor,overhead,and the profit for the
',4``. DCRIPTION OF WORK work indicated on this application.
(1\ a C,e , -�. � Valuation: $ � �
J
AIV n C J V) r) S Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: c7�
�/-./t;,.tet ir. 0/,, z_L..�- Type of construction: C'Q
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( )
New:
APPLICANT 0 CONTACT PERSONFEES*
ti,. , BUILDING PERMIT
Business name: (Please refer to fee schedule)
Contact name: D & R Heating & Air Structural plan review fee(or deposit):
FLS plan review fee(if applicable):
4Address: 12220 S Vv Grant Ave
Total fees due upon application:
City/State/ZIP: Tigard, OR 97223
Phone:( ) Fax: :( )
Amount received:
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
S''' Business name: D & R Heating & Air Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 12220 SW Grant Ave Solar Installation Specialty Code checklist.
City/State/ZIP: Tigard, OR 97223 Permit fee(includes plan review $180.00
and administrative fees):
Phone:�('�Loi - 1 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: 1 C).-1 `l 1 Total fee due upon application: $201.60
Authorized signature:
This permit application expires if a permit is not obtained
r within 180 days after it has been accepted as complete.
Print namec(I,-.a_ Date-..) \ato i * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
6665 SW HAMPTON ST, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2018-00583
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor