Permit C ITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005-00450
°�) 13125 SW Hall Blvd., Tigard, OR 97223 503-639-4171 DATE ISSUED: 7/26/2005
PARCEL: 2 S 104AC -01502
SITE ADDRESS: 13060 SW HAMPTON CT ZONING: R -4.5
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Installation of heat pump.
CLASS OF WORK: OTR 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: 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIN: •
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: •
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS:
> 10000 cfm:
•
Owner: FEES
LEPIRE, ERIC + ELIZABETH Description Date Amount
13060 SW HAMPTON CT
TIGARD, OR 97223 [MECH] Permit Fee 7/26/200f $72.50
[TAX] 8% State Surcha 7/26/200f $5.80
Total $78.30
Phone: 503 - 524 -4672
Contractor:
OREGON HEATING + A/C INC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Phone: 503 -538 -2953
Reg #: LIC 125815
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: 2Z r ll Permittee Signature: r� A
Call 503 - 639 - 4175 by 7:00 a.m. for inspections that business da .
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.
•
Jul 25 05 04:12p Oregon Heating and Air 503-537-2172 P.
4- I.
Mechanical Permit AppliPatio,n, ,, FOR OFFICE USE ONLY
City of Tigard A" .ut u v E DA Received
Date/By: --- ( 79 1 Permit No.: \ 6
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.19.60juL 2 5 2 ,,„ ,,,,„wirk Date/By: Other Permit:
Inspection Line: 503.639.4175 Un 4141. Date Ready/By: El See Page 2 for
haternet: www.ci.tigard.or.us . Notifies/Method: Mill Supple mental Information
CITYOFTIGARD
...,,,..„
.. . . ..
• . • . • .
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. . . ' - ... • • -: . ..,' . ' ' : to.LyittorG1 ;.: • z : :: .:..:::: :''...::-:::;. -...: ..... :-Cot S CHEDULE -L: USE COECkLIST
. . .
• - Mechanical permit fees* are based on the value of the work
D New construction additionlalteration/replacement
performed. Indicate the value (rounded cc the nearest dollar) of all
D Demolition El Other: mechanical materials, equipment, labor, cverhead, and profit.
- - - •
...:::':.• . . .• : • - .CATEGORY :OP s.CONSTPLCTION ' ,: • - • '-'''., ' Value: S '......; ' l':• •
EQUIP tyw
RESIDENTIAL 31P isi f.::. YSTEMS FEW
' al/ and 2:-famil;dvelling D Comm rnercial/industrial 0 A cces;ory building .. . . . „ .. . „ . ....
For special information us, checklist.
111 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
- • . . • ,. , . . • - : • - , - __ - - • •
,.: .:.. :: f ;,...',...,'„': •. ..1011. SITE INFOItION AND .:.: • -:' - ,:i• ;'.:',..• , ,,:.; Heating/cooling
. . . . . . , . .. . ... . .
Job site address: D.)69 . ,I■ -1 0.4-- Air conditioning or heat pump
(requires site plan showing pbcement) 14.00
City/State/ZIP:' \ 2.1 OlkA' . '4-173 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90 i .
Suite/bldg./apt. no.: Project name: Gas heat pump _ t 14.00
Cross street/directions to job site: . Duct work 14.00
Hydronic hot water system 14.00
•
Residential boiler (radiator or .
bydronic) 14.00
Unit heaters (fuel-type, not electric),
in-wall, in-duct, suspended, etc. 10.0{)
' Flue/vent for any of above 10.00
Subdivision: Lot no.:
Other. 10.00
_
Tax map/parcel no.: _ Other fuel appliances
DESCRIPTION 0F ,...,,,:zi•....-, • ,. Water heater 10.00
'
' Cras fireplace 10.00
( 41 ,5) hp.-a./t Clit/YLf . Flue vent for water laeater or gas
fireplace 10.00
Log lighter (gas) 10.00
WootVpellet stove 10.00
Wood fireplace/insert 10.00
4
-- f.:!::?; .,:,„,...-.••-- : : : ,,,,,‘, L ,.',,T e .t....1.?v Chimney/liner/flue/vent 10.00
.. ..r...„: ..-L, ,... , . . ... . . ....... 1' ....!,.., ;,.:1.:!: , :`,' ..f. :•.::',: :., ...:7:, -:Afi:'-:' Oth 10.00
Name: 4.4i ) ,s i i v<0.._
& 0
Environmental exhaust and ventilatio,i
Address: i,3bik O 9/6 /t1P 03) Ojr Range hood/other kitchen
equipment 10.00
City/State/LIP: q ''.+Z,-/-.5 Clothes dryer exhaust _ 10.00 .
Single-duct exhaust (bathrooms,
Phone: q 3) 1 , e r __A Fax: ( ) toilet compartments, utility moms) 6.80
• , :, ,' , • ',-., APPLICANT .1.:.!'n.:CdNiAQT:PERSON. :•,-:,, ::::‘, Attic/crawlspace fans . 10.00
Other. 10.00
Contact name
Business name6)/Ir e8.1. ,, ,,,_ 6 ,..„, 1 .,,,,
:
• r ) ( 1--e-3 j Fuel piping •
$5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: er # i ll , &qv) .
Gas heat pump
City/State/ZIP: d i 41 , - On II S Wall/suspended/unit heater
Plume :!:SEMIERIMI- I: 11315 - 7 Z/ -4-7-- Water heater
Fireplace . _
E -mail: • Range .
:::..,.... : . ;,....:.- .:- , ::":.:,,: .::,ri '-:: Barbecue
Business name: ' . 4/' / Pd• :Y1 t\1 --- 0.-11;)". Clothes dryer (gas)
Address: kl,
6 %, 1 1 _
. . . .
..-„,.•.,._•-•,....::-MECHANICAE.PERNITPFEES"' . : , -• .:. :,-,' ..- -
City/State/Z1P: r ,i (IA 1 Ls . Subtotal Iq ..--
, -.) c- . Eros - 7 zi 7 2- Minimum permit fe ($72.50)
Phone:
4 ,e17 Plan review (25% of :permit fee)
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CCB lie.: - • I State surcharge (8% of ?errnit fee) WirMil
- . TOTAL PERMIT FEE Billen,
1 , .
,!.
• ' • • :. i .. II . / 4L, ' ' .-- This permit application expires if a perm A is not obtained withint 180
Authorized s ature
days after it has been acceptid as complete.
Print name: — is .• ., 1171170,111.1. Da . /711MI •
' ''' 411
- --TIFAAll Fee methodology Set by Tri-County Buil dng Industry Service Board
103uildine \Pcrmits\MEC-PermitAvo.doc 12/03 440 (I 1/02/COMN/EB)
. , I
Jul 25 05 04:12p Oregon Heating and Air 503 - 537 -2172 p.3
Site plan for : t Back
9A) 17J-tiAmmo
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CITY OF TIGARD. i
BUILDING 'DIVISION PERMIT #: MEC2005•00450
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/28/2005
Phone: (503) 639 -4171 /�ninin4Ptp�� "�l
Inspection Requests (24 Hrs.): (503) 639 -4175 °'__.-
INSPECTION WORKSHEET FOR DATE: 8/1712006 TIME: 7:05AM PAGE: 94
SITE ADDRESS: 13060 SW HAMPTON CT CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE: •
PROJECT NAME: LEPIRE
DESCRIPTION: installation of heat pump.
OWNER: LEPIRE, ERIC + ELIZABETH, PHONE #: 503 - 524 -4672
CONTRACTOR: OREGON HEATING + NC INC PHONE #: 503.538 -2953
Inspection Request Scheduled For: Date: 8/17/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 013663-0/ 603 -638 -2953 V 'tl
Corrections /Comments /Instructions:
t /do LA- .---7 I -z'7
. MED
wary
Z] PASS a PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL % .LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
■ g , /7,05
Inspector: Date: Phone #: (503) 718-