Permit i- CITY OF TI G® D MECHANICAL PERMIT
,_ `° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00398
lg AF t D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/4/2008
PARCEL: 2S 113AC -00101
SITE ADDRESS: 16655 SW 72ND AVE 800 ZONING: I -P
SUBDIVISION: PACTRUST BUSINESS CENTER LOT: 029 JURISDICTION: TIG
PROJECT: COPYTRONIX
Project Description: Installing (1) two ton and (1) four ton RTU unit with ducts, grills, piping, and controls. Valuation:
$15,800.00
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS:
STORIES: 1 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
NAT 3 - 15 HP: 1 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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 2
> 10000 cfm:
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 -WMI
PORTLAND, OR 97224 [MECH] Permit Fee 8/4/2008 $311.15
[MECPLN] Plan Rev 8/4/2008 $77.79
[TAX] 12% State Surch 8/4/2008 $37.34
Phone: Total $426.28
Contractor:
PROTEMP ASSOCIATES INC
9788 SE 17TH AVE
PORTLAND, OR 97222 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -519 -6199
FAX 503- 238 -9767
Reg #: LIC 38868
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: �j i= Permittee Signature:
Call 503.639.4175 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.
1 L& S 5 StO 12_ � �
Mechanical Permit Applicatio <s FOR OFFICE LSE O\L1
City of Tigard Date/By: Received 7` i VO wj Permit No.: dar.. J ,, • •
131.25 SWIi511 Blvd., Tigard, OR 97223 CSC, O
V Plan Re-vi � � u
Phone; 503.639.4171 Fax: 503.598. O�0 ittr �� DatenY. , � ` ea. Other Perm = / )����
Inspection Line: 503.639.4175 .�
M1' \• - Date Ready': y: )mss: .'. See Page 2 for
Internet: www.ci.tigard.or.us 0' .e v Notified/Method: Supplemental information
�( O� �`�`
TYPE O �� � jpR NJ' COMMERCIAL FEE' SCHEDULE — USE CHECKLIST
• Mechanical permit fees' are based on the value of the work
❑New Construction ®Addition/• : .. • n / replacement pertirrmed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION
Value: $ S15,800.00
dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1 - and 2-family g ® Commercial/industrial ❑ Accessory building
For special information use checklist.
® Multi- family ❑ Master builder ❑ Other:
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION H/cooling
Job site address: 16655 SW 72 AVE Air conditioning or heat pump
(requires site plan shooing placement) 14.00
City/State /ZIP: TIGARD OREGON 97224 Furnace 100,000 BTU (ductslvents) , 14.00
Furnace 100,000+ BTU (ductsivents) 17.90
Suite/bldg. /apt. no.: SUITE 800 BUILD L Project name: COPYTRONIX ��_ _ u -� Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Flydronic hot water system 14.00
Residential boiler (radiator or
hvdronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in- duct, suspended, etc. 10.00
Flue/sent for any of above 10.00
Subdivision: Lot no.:
Other. 10.00
Tax map /parcel no.: Otter fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
1 -2 TON AND 1-4TON RTU'S WITH DUCT,GRILS,GAS PIPPING,CONTROLS Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplacefinsen 10.00
❑ PROPERTY OWNER I ❑ TENANT Other. 'nine /ftuehent 10.00
(Aber 10.00 _
Name: En iromneatal exhaust and ventilation
Address: Range hood/other kitchen
eipmemt 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Single -chart exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet
compartments, utility rooms) 6.80
® APPLICANT ® CONTACT PERSON Attidesawlspace fans 10.00
Other: 10.00
Business name: PROTEMP ASSOCIATES Fuel pipi _ ng
Contact name: BRUCE BUTNER 55.40 for first four; 51.00 for each additional
Address: 9788 SE 17 AVE Furnace, etc.
City/ State/ZIP: PORTLAND OREGON 97222 wallisun-pentkxi/umit
Phone: (503) 519 -6199 Fax: : (503) 238 -9767 Water r he ate r
Fireplace
E - mail: BRUCEnjPROTMP.COM Rarer
CONTRACTOR Barbecue
Business name: SAME AS ABOVE
Clothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES*
City/ State/ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) —
CCB lic.: 38868 I permit Plan review (25% of pit fee)
(25% of permit fee) State surcharge (8% of permit fee)
TOTAL PERMIT FEE
This permit appticatioo empires if a permit it not obtained within ISO'
Authorized signature: da■% after it tun been accepted as complete.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2008-0039B
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0/4/2008
Phone: (503) 639 -4171 Ak,
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/19/2008 TIME: 7:0OAM PAGE: 6
SITE ADDRESS: 'I6666:mil72ND AVE 800 CLASS OF WORK:
SUBDIVISION: PAC;°IRUST BUSINESS CENTER LOT #: 02B TYPE OF USE:
PROJECT NAME: COPYTRONIX
DESCRIPTION: Installing (1) two ton and (1) four ton RTU unit with ducts, grills, piping, and controls. Valuation:
$15,800.00
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503- 519.6199
Inspection Request. Scheduled For: Date: 9/19/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 07570(1.01 503 -519 -6199 `(
Corrections /Comments /Instructions:
A5 o r / 2? VC/el RI iG n .S
l C,r SQ d.
PASS ❑ PARTIAL APPROVAL ❑ CANCEL fl NO ACCESS
FAIL CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: 2 - Date: lg Sorg Phone #: (503) 718- .?`/,23
CITY ���������������
��m x m OF n u�����m�� - ` ` . iiik
BUILDING DIVISION PERMIT #: &4EC2808-00398
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 014/20013
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ^� r � I—
INSPECTION WORKSHEET FOR DATE: 8/2912008 TIME: 7: 00AIVI PAGE: 12
SITE ADDRESS: 16855EW72ND AVE 800 CLASS OF WORK
SUBDIVISION: PACTRU3TBUSINES'S CENTER LOT #: 029 TYPE OF USE: _
PROJECT NAME: COPYTRONIX
DESCRIPTION: Installing (1) two ton and (1) four ton RTU unit with dumts, g^•|u, pipinQ, and controls, Valuation:
$16,800.00
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 5O3-519'6199
Inspection Request Scheduled For: Date: 812EK2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
.`
616 k8�n/mnimdrough-in 074860-01 503-619-6199 '' Y
''__ ________ -_-
Corrections/Comments/Instructions:
Zs •
0 PARTIAL APPROVAL E1 CANCEL 1 1 NO ACCESS
FAIL V J CALL F]R INSPECTION n ADDITIONAL FEES ASSESSED
c� � � ~��
Inspector: � � , d�' � Oate: '— x�~^r -r��^ Phone #: (503) 718- Z4
.
.
CITY OF TIGARD ;a
• BUILDING DIVISION PERMIT #: MEC2008 00398
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/4/20013
Phone: (503) 639 - 4171 `.„•,��,,,����
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8127/2008 TIME: 7:OOAM PAGE: 1
SITE ADDRESS: 16655 SW 72ND AVE 800 CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: 029 TYPE OF USE:
PROJECT NAME: COPYTRONIX
DESCRIPTION: Installing (1) two ton and (1) four ton RTU unit with ducts, grills, piping, and controls. Valuation:
$1 6,800.00
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503-619-6199
Inspection Request Scheduled For: Date: 8/2112008 Pour Time:
Code # Inspection Description Confirm # C.. - - Message
615 Mechanical rough -in 074736-01 503 - 510.6199 Y
Corrections /Comments/ Instructions:
(CA(1 gar _ANI.caAn.k
n PASS ❑ PARTIAL APPROVAL -ANGEL n NO ACCESS
n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: t /... 5 5 Date: 4 Ly 03 Phone #: (503) 718 c--/2