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Permit
Rai CITY OF TIGAR® MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit: MEC2009-00521 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/06/2009 Parcel: 2S 101 AD03200 Jurisdiction: Tigard Site address: 12909 SW 68TH PKWY 150 Subdivision: TIGARD TRIANGLE CENTER Lot: 0 Project: Schuller Financial Project Description: Relocate ducts for new floor plan. Owner: FEES PACIFIC REALTY ASSOCIATES Description Date Amount 15350 SW SEQUOIA PKWY #300 Permit Fee 10/06/2009 $133.53 PORTLAND, OR 97224 12% State Surcharge - Mechanical 1 0 /0612 00 9 $16.02 PHONE: 503-624-6300 Contractor: PROTEMP ASSOCIATES INC 9788 SE 17TH AVE PORTLAND, OR 97222 PHONE: 503-233-6911 FAX: 503-238-9767 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Occupancy Load: Stories: Fuel Air Handlers Fuel Types: Units < 10000 cfm: Gas Pressue: 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 $149.55 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 952-001-0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: Permittee Signature: Call 503.639.4175 by 7:00 a.m. for an inspection 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. • MECHANICAL PERMIT �_ CITY - OF TIGARD ' 'COMMUNITY DEVELOPMENT Permit#: MEC2009 00521 Date Issued: 10 /06/2009 TIGARD 13125 SW Hall Blvd., Tigard OR.97223 503:639.4171 Parcel: 2S101AD03200 Juristlictioni'., Tigard Site address: 12909 SW 68TH PKWY 150 Subdivision: TIGARD TRIANGLE CENTER Lot: 0 Project: Schuller Financial Project Description: Relocate ducts for new floor plan. Owner: FEES PACIFIC REALTY ASSOCIATES Description Date _Amoiint 15350 SW SEQUOIA PKWY #300 PORTLAND, OR 97224 Permit Fee 10/06/2009 $133.53 12% State Surcharge - Mechanical 10/06/2009 $16.02 PHONE: 503 - 624 -6300 Contractor: PROTEMP ASSOCIATES INC 9788 SE 17TH AVE PORTLAND, OR 97222 PHONE: 503- 233 -6911 FAX: 503 - 238 -9767 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Occupancy Load: Stories: Fuel Air Handlers Fuel Types: Units < 10000 cfm: Gas Pressue: 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 $149.55 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 follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. • Issued By: _4% 0 . ( ( 14._ Permittee Signature: / CaII 503.639.4175 by 7:00 a.m. for an inspection 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. Fnp?_009-00 2z Mechanical Permit Application City of Tigard REC71- IV eceived Pe<rait No.: o 13125 SW Hall Blvd., Tigard, OR 97223 DateBy. Phone: 503.639.4171 Fax: 503.598.1960 V Plan Review Other Permit: Inspection Line: 503.639.4175 Date/By: Internet: www.tiand-or. ov CITY OF 1 IGAHD DateReadylBy: huffs: Pagel for 0 See g g G F , Notified/Method: ` Supplemental Intormadon BUIILD:NGA ©IVI,,s01 TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ❑ 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, a ui ment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ $2,600.00 I- and 2-family dwelling ®CommerciaUindustrial ❑ Accessory building ❑ Multi-family ❑ Master builder ❑ Other: For special information use checklist. Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Hex coolie Job site address. 12909 SW 68TH PKWY Air conditioning or heat pump (requires site plan showing placement) 14.00 City/State/ZIP: TIGARD OREGON 97223 Furnace 100,000 BTU (ductsNents) 14.00 Furnace 100,000+ BTU ducts/vents 17.90 Stute/bldg./apt. no.: Project name: Scheller Financial Gas heat um 14.00 Cross stnxt/directions to job site: Duct work 10.00 H drone hot waters stem 14.00 Residential boiler (radiator or h ydronic 14.00 Unit heaters (fuel-type, not electric), in-wall, induct, sus ded, etc. 14.00 Subdivision: Lot no.: Flue/vent for an of above 6.80 Other: 10.00 Tax map/pal no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas RELOCATE DUCTS FOR NEW FLOOR PLAN fireplace 10.00 Flue vent for water heater or gas fireplace 10.00 Lo lighter (gas) 10.00 Wood/ pellet stove 10.00 Wood fir lace/insert 10.00 ❑ PROPERTY OWNER ❑ TENANT Chinn /liner/flue/verdm 10.00 Other: 10.00 Name: Environmental exhaust and ventilation Address: Range hood/other kitchen equipment 10.00 City/State/ZIP: Clothes dryer exhaust 10.00 Single-duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utilit rooms) 6.80 ® APPLICANT ® CONTACT PERSON Attic/crawls ce fans 10.00 Business name: PROTEMP ASSOCIATES Other: 10.00 Fuel piping Contact name: BRUCE BUTNER $5.40 for first four; $1.00 for each additional Address: 9788 SE 17TH AVE Furnace, etc. Gas heat um City/State/Z]P: PORTLAND OREGON 97222 Wall/sus L)ended/unit heater Phone: (503) 519-6199 I Fax:: (503) 238-9767 Water heater Fireplace E-mail: bruce0aprotmp.com Range CONTRACTOR Barbecue Business name: SAME AS ABOVE Clothes dryer (gas) Other: Address: MECHANICAL PERMIT FEES* City/Stare/ZIP: Subtotal Minimum permit fee ($72.50) Phone: ( ) Fax: ( ) Plan review (25% of permit fee) CCB lic.: 38868 State surcharge (12% of permit fee) (Q .Q Z TOTAL PERMIT FEE Tq79, _1S5 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. a~-53