Permit IN q CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00116
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/12/2007
PARCEL: 2 S 112 D D - 00200
SITE ADDRESS: 15862 SW 72ND AVE 200 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG
PROJECT: NATIONAL MORTGAGE
Project Description: Distribution duct, volume air dampers & controls. Valuation $35,000.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: 1 VENT SYSTEMS:
STORIES: 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: REPAIR UNITS:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 -WMI
PORTLAND, OR 97224 [MECH] Permit Fee 3/12/2007 $569.00
[MECPLN] Plan Rev 3/12/200i $142.25
[TAX] 8% State Surcha 3/12/2007 $45.52
Phone: Total $756.77
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: -1 Permittee Signature: inZa-Z-c....--"fX
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.
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Mechanical Permit Apptication FOR OFFICE USE ONLY
City of Tigard ./13 00i Received ei I - I Permit No. �,c(' DO —ad //
13125 SW Hall Blvd., Tigard, OR 97223 1.1.:•"' Da R �,,,`
Phone: 503.639.4171 Fax: 503.598.1960 Plan Re f / l Other Permit•. • D ate/B: ...di tiaa A e Date/By: jiff/ ` „`”] / l l
-
Inspection Line: 503.639.4175 k S l 'Y UI — j .
- .. l V I I I
' _ Date Rea•y : lcrh ® See Page 2 for ( '
Internet: www.ci.tigard.or.us �INGPI " " :7 Notified/Method:3' I —17 p Supplemental Information \
fe ,, � I.
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST q
❑ New construction ® Addition/alteration/replacement Mechanical permit fees are based on the value of the work J
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ $35,000.00 v)
RESIDENTIAL EQUIPMENT / SYSTEMS FEES* °6
❑ 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 .0
JOB SITE INFORMATION AND LOCATION Heating/cooling
ND Air conditioning or heat pump
Job site address: 15862 SW 72 AVE (requires site plan showing placement) 14.00 E
City /State /ZIP: TIGARD OREGON 97224 Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90 d
Suite/bldg. /apt. no.: SUITE 200 Project name: NATIONAL MORTGAGE Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00 F
Hydronic hot water system 14.00 n
Residential boiler (radiator or (b
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
DISTRUBTION DU VOLUME AIR DAMPERS,AND CONTROL / Gas fireplace 10.00
* z . - Flue vent for water heater or gas
fireplace 10.00
J 1 A/Z likir Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
• - El PROPERTY OWNER I Chimney/liner /flue /vent 10.00
❑ TENANT Other: 10.00
Name: Environmental exhaust and ventilation
Address: Range hood /other kitchen
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 S5.40 for first four; $1.00 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: 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 ($72.50)
Phone: ( ) Fax: ( ) Plan review (25% of permit fee)
CCB lie.: 38868 State surcharge (8% of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature: ' 5` days after it has been accepted as complete.
Print name: BRUCE BUTNER Date: 2/16/07 • Fee methodology set by Tri -County Building Industry Service Board
i:\Building'Permits\MEC- PermitApp.doc 12/03 440- 4617T(11 /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00116
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/12/2007
Phone: (503) 639-4171 N% li t t �'
Inspection Requests (24 Hrs.): (503) 639 -4175 'I �..
INSPECTION WORKSHEET FOR DATE: 3/30/2007 TIME: 7:OOAM PAGE: 20
SITE ADDRESS: 15862 SW 72ND AVE 200 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: NATIONAL MORTGAGE
DESCRIPTION: Distribution duct, volume air dampers & controls. Valuation $35,000. •
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503. 51%6199
Inspection Request Scheduled For: Date: 3/30/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Messa•e
699 Mechanical final 045756 -02 50351E 1 -6199 '
Corrections /Comments/ Instructions:
V( PASS El 'ARTIAL APPROVAL El CANCEL El NO ACCESS
,
111 FAIL V4 'ALL FOR INSPECTION ❑ ADDITIO AL FEE ASSESSED
Inspector: Date: 0 Phone #: (503) 718- G,
CITY OF TIGARD
BUILDING DIVISION 1 PERMIT #: MEC2007 -00116
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/12/2007
Phone: (503) 639 -4171 _� �'
Inspection Requests (24 Hrs.): (503) 639 -4175 `'il..
•
INSPECTION WORKSHEET FOR DATE: 3/15/2007 TIME: 7:O1AM PAGE: 38
SITE ADDRESS: 15862 SW 72ND AVE 200 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: NATIONAL MORTGAGE
DESCRIPTION: Distribution duct, volume air dampers & controls. Valuation $35,000.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503 - 519
Inspection Request Scheduled For: Date: 3/15/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Mes
615 Mechanical rough -in 044873-01 503- 519 -6199
Corrections /Comments/ Instructions:
r
1 i
1; PASS A 7 IAL APPROVAL ❑ CANCEL 111 NO ACCESS
❑ : L L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
�J/' yy
Inspector: --- _ � _.....p. � Date: - 0 Phone #: (503) 718- G i�►