Permit '''''•::'''' - '1 ITV OP TIGARD
lii MECHANICAL PERMIT
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COMMUNITYDEVELOPMENT PERMIT #: MEC2oo7 -00602
TIGARD DATE ISSUED: 10/17/2007
13125 SW Hall'Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112DA,01400
SITE ADDRESS: 06650 SW REDWOOD' LN 370 ZONING: I -P
. SUBDIVISION: PACIFIC CORPORATE CENTER LOT: 002 JURISDICTION: TIG
PROJECT: CSB SYSTEMS
Project'D"escription: Relocate ducts and grilles for TI. Project Value: , $1,200
,, CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: .
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: . 15 - 30 HP:
FIRE DAMPERS ? 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN >=100K BTU: < =•10000 cfm: OTHER UNITS:
. > 10000 cfm - •
GAS OUTLETS:
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 -WMI
PORTLAND, OR 97224 [MECH] Permit Fee' 10/17/20C $72.50, •
• [TAX] 8% State•Surcha 10/17/20C $5.80
Total $78.30
Phone: -
• 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.
Issu By: /�r V / . Permittee Signature: k ,
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.
Mech'a`nic l Permit, Application FOR OFFICE. USE ONLY
CI of Tiand Received t ® P ennitNo .;� / �p y
`J g Date /By: �� / ' r' et�, /o/ "(:)o
13125 SW Hall Blvd., Tigard, OR. 97223
Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 / �ih`� Other Permit: Date /By: ,
Inspection. Line: 503.639.4175 67). Date- Ready /By; ®'See Page 2
Internet: www.ci.tigard.or.us - - Notified /Method: Supplemental' Information
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, ' ! ,, p @11 9, : 1 1 .L . 4 . 1j t '' °, .. • ^" "W, Tt . � " " * , 9 't ° +:'' � COMMERCIAL'''FEE *;I'SCHEDULEc �." 17SE -HECKI IST
�, . ,ti i . � r� r� � " .P, � . ���s .1;7.v w �., w. ta� -'�. � �VJtie,L'�... _ . ,...x" i.,w� . � ,,.: ,r.. . , h � . ,^ " " ` I�. N1 " � �, ,., a,�„� "�k '1 r � w �- a .,u , .. /�
❑ 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 ,
❑ Demolition. ❑ Other-: mechanical materials, equipment, labor, overhead, and.profit.
" `*` i"' ° '
4 ',CATEGORY OF54CONSTRUCTION ° i. ' " ," , i 'Y ' i ,_ s Value: 1 ,,-. $ �. )O 0 el' O
. ai t MI '
0 " y dwellin 4m th g u " ® Commercial /industrial ❑ Accessory g ",RESIDENT1AL S YS TE MS FEES* y
1- and 2-family building
For special info malion use checklist.
E Multi- family 111 Master builder ❑ Other: Description Qty. Ea. Total
t' i „ + i i ! "i" i 4 t; JOB' SITE INFORMATION ' AND„ LOCATION 4 1; , t t' l � y "ri, Heating /cooling
bsite address: 6650 SW REDWOOD LN Aiq ste p n showing heat
Jo
(requires site plan showing placement) 14 "00
City /State /ZIP: TIGARD OREGON 97224 Furnace. 100,000 BTU (ducts /vents) 14:00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no. :" 3%7T) . Project name: CSB SYSTEMS
Gas heatpump 14:00
Cross street /directions to job site:'. Ductwork 14.00
Hydronichotwater system 14.00
Residentiafboiler (radiator or
hydronic)_ 14.00 •
Unit; heaters(fuel -type, not electric),
in- wall, in -duct, suspended, etc. 10.00
Subdivision: Lotno.: Flue /ven(forany of above 10.00
Other 10.00
Tax . fisap /parcel no.: Other: fuel; appliances
Y
. a t} n? '% t . - DESCRIPTION OF WORK " h „w taw $ , ' .6 Water heater. 10.00
Gas fireplace 10.00
MOVE GRILLS AND DUCT FOR,NEW FLOOR PLAN Flue ventfor water heater or gas
' fireplace 10.00
Loglighter(gas) 10.00
Wood /pellet "stove 10.00
Wood fireplace /insert 10.00
�Mt w rcii +'1w �PROPERTYtOwNER� 1 �a �`�: Chiinneyliner /flue /vent 10.00
« r, i, ,' 1 , 1 ®,r e 1 . a " u . �,��Y ., w , �, ' b i P,1tu i � ' , ' , TENANT, %. Y
id t"d „ €1 �ri�. �,., �r, a u il.> a a, Other: 10.00
Name: Environmental exhaust and ventilation
Rangy hood /other.
Address: equipment 10.00
City /State /ZIP: Clothesdryer exhaust. 10.00
Single -duct exhaust (bathrooms,
Ph9ne ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
"44 I :r .l' ® APPLI r iG w ' I � �' a p' A l ef4 , ® PERSO " F r .r a ` ; Attic /crawlspace fans 10.00
Business name: PROTEMP ASSOCIATES OtheC 10.00
Euel piping
Contact-name: BRUCE BUTNER $5.40 ,for firstfour; $1.00 for each additional
Address: 9788 SE 17 AVE. Furnace;, etc.
Gas
City /State /ZIP: PORTLAND OREGON 97222 Wall /suspended /unit heater
Phone: •(503) 519 -6199 Fax: > 238 - 9767 Water heater
Fireplace
'
E-mail: . BRUCE@PROTMP.COM Range
., -'11 �r 1p 1M� " i , : a 11' P- -°i' 1 W,1 " M" do a @il r Vr �r I �r V u �� t yv ^°
T �J
.,n" R ".4 t. tlie- "1 „.° :1119 ”. 1r,;. .. TRACTOR " ,, r e t9
a gl . 4 l',$4:1:',1.:,'!.,',11,.. • , 1 ; Barbecue:
„�, i iI�la�� t
Business name: SAME,AS ABOVE Clot dryer (gas)
Other:
Address: .. O = t 1 MECHANICAL PERMIT . 'p'.aarrita J4, ,'
City /State /ZIP: . Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) `7�i -s�
Plan review (25% of permit fee)
CCB lic.: 38868 State surcharge (8% of permit fee) 5 $JC
T PERMIT FEE ?0 -
• T his permit-application expires ifa permit is not obtaine within 180
Authorized signature: days after it has been accepted as complete.
Print name: BRUCE BUTNER Date li . � 7 0 "2 • Fee methodology set by Tri -County Building Industry Service Board
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I:\ Building \Permits\MEC- PermitApp.doc 12/03 4 40- 4617T(11%02 /COM/WEB)
CITY OF TIGARD -410
BUILDING. DIVISION PERMIT; #: MFC2007 -00602
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1
Phone:' (503) 6394171 /idq�m�id I,
Inspection Requests (24 Hrs.) , (503)639-41,75 ° I
INSPECTION WORKSHEET', FOR `DATE:! ,10/18/2007. TIME:° 7, :O1AM PAGE:" 71;
ADDRESS:
CLASS'OF WORK :.
SITE ft�iF�� ,f ? SV?REDi�ta�}I�.l.h.;7f)
• SUBDIVISION: PACIFIO CENTER LOT #`: 002 TYPE OF USE:
PROJECT NAME: CSI3 SYSTEMS
DESCRIPTION: Relocate dtrcte and grilles for TI. Project Value: $1,200
OWNER: PACIFIC REALTY ASSOCIATES', . PHONE' #:
CONTRACTOR: PRC)TCtro9P ASSOCIATES INC PHONE # 503519-6199
Inspection :Request Scheduled For,: • Date: 10/18/2007 Pour Time: „
Code '# Inspection : Descripti`on. . Confirm # Contact ".# Message
E99: Mechanical final ..057817 -01 508:5196199 N
Corrections/Comments/instructions:
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PAS ' - 'PARTIAL. APPROVAL ,17 CANCEL 1 NOS ACCESS' .
17 FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: _ Date: / b Phone # (503) 71 -