Permit CITY OF TIGARD MECHANICAL PERMIT
` a'= COMMUNITY DEVELOPMENT Permit #: MEC2010 -00104
Date Issued: 03/11/2010
[GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S 112 DB00300
Jurisdiction: Tigard
Site address: 7233 SW KABLE LN 500
Subdivision: Lot: 0
Project: Nuance Systems
Project Description: Relocate duct for new floor plan.
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97224 Permit Fee 03/11/2010 $221.26
12% State Surcharge - Mechanical 03/11/2010 $26.55
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 $247.81
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 -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: /j 1/Y I ll �� ��IV
r' /I �/J � G Permittee Signature: � . �Xjl Ww
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 Application FOR OFFICE USE ONLY
Received
City of Tigard Date/By: � Permit No. ` `,'
II
1 3125 S W Hall Blvd., Ti ard, OR 97223, �� L� I n11, � y
g t ( Plan Review .O.0
a Phone: 503.639.4171 Fax: 503.598.1960 ' -- _ !
I Other Perini +
Date /By: (fl Q •
TIGARD Inspection Line: 503.639 Date Ready /By: Fin El See Page 2 for
Internet: www.tigard - or.gov MAR 11 2013 Notified /Method: 0000000000000000or
TYPE OF WORT ` `' t` COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
' ` IV:(3 Mechanical permit fees* are based on the value of the work
❑ New construction ® Addition /alteratid /replaCe
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ $5,500.00
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ® 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 Heating/cooling
Job site address: 7233 SW KABLE LANE Air conditioning
(requires site plan showing placement) 46.75
City/State /ZIP: TIGARD OREGON 97224 Furnace 100,000 BTU (ducts /vents) 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: #500 Project name: NUANCE SYSTEMS INC Heat pump 61.06
Cross street/directions to job site: 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
Subdivision: Lot no.:
Flue /vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33.39
RELOCATE DUCT FOR NEW FLOOR PLAN
Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert 23.32
❑ PROPERTY OWNER ❑ TENANT Chimney /liner /Flue/vent 23.32
Other: 23.32
Name: Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 33.39
City/State /ZIP: Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
® APPLICANT ® CONTACT PERSON Attic /crawlspace fans 23.32
Other: 23.32
Business name: PROTEMP ASSOCIATES
Fuel piping
Contact name: BRUCE BUTNER $14.15 for first four; $4.03 for each additional
Address: 9788 SE 17 AVE Fumace, etc
Gas heat pump
City /State /ZIP: PORTLAND OREGON 97222 Wall/suspended/unit heater
Phone: (503) 519 -6199 Fax: : (503) 238 -9767 Water heater
Fireplace
E -mail: bruce @protmp.com Range
CONTRACTOR Barbecue
Business name: SAME AS ABOVE Clothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES*
City/State /ZIP: Subtotal
Minimum permit fee ($90.00)
Phone: ( ) Fax: ( ) Plan review (25% of permit fee)
CCB Iic.: 38868 State surcharge (12% of permit fee)
TOTAL PERMIT FEE .9.t-1,7 _V,1
Authorized signature: This permit application expires if a permit is not obtained within 180
L ��.� days after it has been accepted as complete.
Print name: BRUCE BUTNER Date: 3/11/10 * Fee methodology set by Tri- County Building Industry Service Board
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