Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2010 00435
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/31/2010
Parcel: 1S126BC01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD 150
Subdivision: Lot: 0
Project: Embassy Suites
Project Description: Moving ductwork.
Owner: FEES
WISCO REAL ESTATE EQUITY Description Date Amount
FUND I LTD PARTNERSHIP, BY WYSE
Permit Fee 08/31/2010 $130.46
INVESTMENT SRVS CO, 1501 SW TAYLOR ST 12% State Surcharge - Mechanical 08/31/2010 $15.66
PHONE:
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 $146.12
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: Permittee Signature: . � / . - - I
—
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 ------1— ( ,1-_(,Fllc f =1 tii ch\1 = —_- -_ -=
___ __ _ City of Tigard �1�,1' Received // / Perm
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' F ° , `�. , DDate/By: . g1 3 Permit No.: r `. ((� —a)
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• 13125 SW Hall Blvd., Tigard, OR 97223 ( z _ Plan Review
'� Phone: 503.639.4171 Fax: 503.598.19K t �,�_. -: O'\Q Date/By: Other Permit:
T I G A R I Inspection Line: 503.639.4175 n` \( 1 Date Ready /Ity: 0 see Page 2 for
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Internet: ww.tigard- or.gov A Notified/Method: UUUUUUUUU'UUUUUUor
TYPE OF WORK � o 7' ,: r t,)t�'� - `` t "' COMMERCIAL FEE* SCHEDULE – USE CHECKLIST
`'- Mechanical permit fees are based on the value of the work
1:1 New construction ®Addition / alteration / cement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ .SQD
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ['Master builder ❑ Other:
Description 1 Qty. 1 Ea. 1 Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 9020 SW Washington Square Rd Air
(requifires res ir site plan
showing placement) 46.75
City/State/ZIP: Tigard Oregon 97223 Furnace 100,000 BTU (ducts/vents) 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: 150 Project name: One Embassy Suites 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
Flue/vent for any of above 23.32
Subdivision: Lot no.:
Other: 23.32
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33.39
Move duet 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 Other
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. 514.15 for first four, $4.03 for each additional
Address: 9788 SE 17` Ave Furnace, 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: bruceipprotmp.com Range
CONTRACTOR - - - - - Barbecue
Business name: same as above Clothes dryer (gas)
Other
Address: MECHANICAL PERMIT FEES*
City/ State/ZIP: Subtotal 1 i. `( I,
• Phone: ( ) Fax: ( ) Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lic.: 38868 State surcharge (12% of permit fce) (S'. 6060
TOTAL PERMIT FEE 1 Lt6, 1 )-
Authorized SI�r�,aturC: This permit application expires if a permit is not obtained within 180
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