Permit CITY OF TIGARD
MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00319
TIG,,A D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/6/2007
PARCEL: 1S136DD-04100
SITE ADDRESS: 11850 SW 67TH AVE ZONING: MUE
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT: 007 JURISDICTION: TIG
PROJECT: TIGARD TRIANGLE COMMONS
Project Description: Building 1 - Mechanical Project Value: $330,300
CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS WIO APPL: VENT SYSTEMS:
STORIES: 2 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: L 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: 2 <= 10000 cfm: GAS OUTLETS:
> 10000 cfm: 2
Owner: FEES
PACIFIC NW PROPERTIES Description Date Amount
ATTN: PAUL GRAM
P.O. BOX 2206 [MECH] Permit Fee 6/6/2007 $3,929.80
BEAVERTON, OR 97075 [MECPLN] Plan Rev 6/6/2007 $982.45
[TAX] 8% State Surchar€ 6/6/2007 $314.38
Phone: 503- 626 -3500 Total $5,226.63
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 perrnit 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 OU NC by
calling 503.246.6699 or 1.800.332.2344.
Issued B Permittee Signature:)C
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.
Mechanical Permit Application FOR OFFICE USE ONLY
City of I and Received L OQ permit No.: 4� /
g Date/By: CY
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 A-11 xm � ;� Date/By:
Other Permit:
Inspection Line: 503.639.4175 ell Date Ready /By: Juris i0 See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: ' 6 Supplemental Information
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 ro . • _ : : • - . earest dollar) of all
❑ Demolition ❑ Other: mechanical materials, el '. , •or, overhea• and profit.
-
CATEGORY OF CONSTRUCTION alue: $ 330,300.
RESIDENTIA 1 _ IPu ," STEMS FEES*
❑ 1 - and 2- family dwelling ® Commercial/industrial ❑ Accessory building `'
For special information use checklist.
® Multi- family ❑ Master builder ErOther: • ; Description 1 Qty. 1 Ea. 1 Total
JOB SITE INFORMATION AND LOCATION . Heating/cooling
Tx Air conditioning or heat pump
Job site address: 11850 SW 67 AVE (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.: Project name // 1 I til WO I -C. Gas heat pump 14.00
. r "r _ rvr- •
Cross street/directions to job site: = -.�' , Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: Lot no.: Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
2 -60 TON ROOF TOP A/C UNITS,DUCT,VAV BOXES,h Gas fireplace 10.00
FOR ELEVATORS,CONTROLS AN 0-- CSC t: /N4 Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
(� Wood/pellet stove 10.00
Wood fireplace /insert 10.00
Chimney /liner /flue /vent 10.00
❑ PROPERTY OWNER ❑ TENANT Other: 10.00
Name: Environmental exhaust and ventilation
Range hood /other kitchen
Address: equipment 10.00
City /State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
® APPLICANT ® CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name: PROTEMP ASSOCIATES Fuel piping
Contact name: BRUCE BUTNER $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: 9788 SE 17 AVE Gas heat pump
City /State /ZIP: PORTLAND OREGON 97222 WalUsuspended/unit heater
Water heater
Phone: (503) 519 -6199 Fax: : (503) 238 -9767 Fireplace
E -mail: BRUCE @PROTMP.COM Range
CONTRACTOR Barbecue
Clothes dryer (gas)
Business name: SAME AS ABOVE Other:
Address: MECHANICAL PERMIT FEES*
Subtotal
City /State /ZIP:
Minimum permit fee ($72.50)
Phone: ( ) Fax: ( ) Plan review (25% of permit fee)
CCB lic.: 38868 State surcharge (8% of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized Signature: y days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry Service Board
Print name: BRUCE BUTNER Date: 6/1/07
i:\ Building \Permits\MEC- PermitApp.doc 12/03 440- 4617T(11 /02 /COM/WEB)
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MEC2007-00319
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 646/2007
Phone: (503) 639 -4171 �ll
Inspection Requests (24 Hrs.): (503) 639 -4175 ,41 R '�:�
INSPECTION WORKSHEET FOR DATE: 8/23/2007 TIME: 7:00AM PAGE: 3.4
SITE ADDRESS: 11850 SW 67TH AVE CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE:
PROJECT NAME: TIGARD TRIANGLE COMMONS
DESCRIPTION: Building 1 - Mechanical Project Value: $330,300
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 - 626.3500
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503 -519 -6199
Inspection Request Scheduled For: Date: 8/23 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message /
699 Mechanical final 054525 -01 503- 572 -7305 3.UC
C• Frectio omments /Instructions: VI- 6 PM
, ek TO
O a"
f; SASS P TIAL APPROVAL El CANCEL ❑ NO ACCESS
FAIL 7 LL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-
CITY OF TIGARD .-
BUILDING DIVISION PERMIT #: MEC2007- 00319
13125 SW Hall Blvd., Tigard, OR 97223 ` " DATE ISSUED: 6/612007
Phone: (503) 639 -4171 q ��II�I
Inspection Requests (24 Hrs.): (503) 639 - 4175 : ..: ' : _. . .
INSPECTION WORKSHEET FOR DATE: 6/11/2007 TIME: 7:OOAM PAGE: 6
SITE ADDRESS: 11850 SW 67TH AVE CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE:
PROJECT NAME: TIGARD TRIANGLE COMMONS
DESCRIPTION: Building 1 - Mechanical Project Value: $330,300
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 - 626 -3500
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503-519 -6199
Inspection Request Scheduled For: Date: 6/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 049979 -02 503-572-8347 N
Corrections /Comments /Instructions:
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/ter - 1/' ' 1- 114
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.ice ' .i - _ sii /
❑ PASS p (ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL I'LL F OR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: f Date: .1 Phone #: (503) 718 - 2-4
ilk
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: MEC2007- 00319
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/6/2007
Phone: (503) 639 -4171 r�
Inspection Requests (24 Hrs.): (503) 639 -4175 '_ "f 1
INSPECTION WORKSHEET FOR DATE: 6/11 /2007 TIME: 7:OOAM PAGE: 7
SITE ADDRESS: 11850 SW 67TH AVE CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE:
PROJECT NAME: TIGARD TRIANGLE COMMONS
DESCRIPTION: Building 1 - Mechanical Project Value: $330,300
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 - 626.3500
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503 -519 -6199
Inspection Request Scheduled For: - Date: 6/11/2007 Pour Time:
Code # Inspection Description • Confirm # Contact # Message
610 Gas line 049979 -01 503. 572 -8347 N
Corrections /Comments / Instructions:
-- C _ M,,,'
f ' PASS SI 'A RT I A L APPROVAL ❑ CANCEL ❑ NO ACCESS
1 1 FA % L FOR INSPECTION ❑ ADDITION i FEES ASSESSED
Inspector: ' _ Date: 6 f Phone #: (503) 718 -