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Permit CITY TIGARD MECHANICAL PERMIT � i ;� DEVELOPMENT SERVICES PERMIT #: MEC2005 -00817 I- ' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 12/27/2005 PARCEL: 2S 113AA -00600 SITE ADDRESS: 16126 SW 72ND AVE B1 ZONING: I -L SUBDIVISION: OREGON BUSINESS PARK I LOT: 00B JURISDICTION: TIG Project Description: TI Project Value: $4600 CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: 1 OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: 1 BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: ELE 3 - 15 HP: COMML. INCIN: MAX INPUT: 18 BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: 1 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 [MECH] Permit Fee 12/27/20C $132.30 PORTLAND, OR 97224 [MECPLN] Plan Rev 12/27/20C $33.08 [TAX] 8% State Surchar€ 12/27/20C $10.58 Phone: 503- 624 -6300 Total $175.96 Contractor: PROTEMP ASSOCIATES INC 9788 SE 17TH AVE REQUIRED ITEMS AND REPORTS PORTLAND, OR 97222 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: � t�� Permittee Signature: 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. Me Permit Applicati 1 ` 4 FOR OFFICE USE ()NIA City of Tigard • �/ ��!'ceived r� p r rate /By: /p /5 Q� � Permit No.: Ee 'd aog77 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review BSt Date/By: I � I 1 Phone: 503.639.4171 Fax: 503.598.1960 / Other Permit: L i Ready/By: 12I See Page 2 for ° j Inspection Line: 503.639.4175 n 14,. or 5 Date Read /B mr Internet: www.ci.tigard.or.us �l g CITY OF TIGARD Notified/Method:/ 7 a' OS ;/� 1 0- - Supplemental Information B UILDIN B UILDING Dg1f6Sivi -- z.rso .c" ' ` rt.. TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees* are based on the value of the work N ew construction ❑ Z Addition/alteration/replacement. performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ $4,600.00 ❑ I - and 2- family dwelling ® Commercial /industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES* For special information use check list. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. I Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: 16126 SW 72 AVE Air conditioning or heat pump (requires site plan showing placement) 14.00 City /State /ZIP: TIGARD OREGON 97035 Furnace 100,000 BTU (ducts /vents) 14.00 Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: BLDG 1 Project name: CONNECT AIR Gas heat pump 14.00 Cross street/directions to job sie: 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 INSTALL OWNERS 1 1/2 TON ROOF TOP UNIT,WITH DISTRBUTION DUCT, Gas fireplace 10.00 GAS PIPEING, AND CONTROLS ALSO VENT RESTROOM FAN. 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 Wall /suspended /unit heater Water heater Phone: (503) 519 -6199 Fax: : (503) 238 -9767 Fireplace E -mail: BRUCE @PROTMP Range CONTRACTOR Barbecue Clothes dryer (gas) Business name: SAME AS ABOVE Other: Address: MECHANICAL PERMIT FEES* City /State /ZIP: Subtotal 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: days after it has been accepted as complete. * Fee methodology set by Tri- County Building Industry Service Board Print name: BRUCE BUTNER Date: 12/13/05 is \ Building \ Permits \MEC- PermitApp.doc 12/03 440 -4617T (I I /02/COM /WEB) CITY OF-TIGARD BUILDING DIVISION PERMIT #: M ;s 1(�[I %:,.6Gi�17 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/77/2006 p� Phone: (503) 639 -4171 a ,� Inspection Requests (24 Hrs.): (503) 639 -4175 - -- INSPECTION WORKSHEET FOR DATE: 1126!2006 TIME: 7 :03AM PAGE: 66 SITE ADDRESS: 16126 SW 72ND AVE B1 CLASS OF WORK: SUBDIVISION: OREGON BUSINESS PARK I LOT #: 008 TYPE OF USE: PROJECT NAME: CONNECT -AIR DESCRIPTION: TI Project Value: $4600 OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 -624 -6300 CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503 61 9 9-6199 Inspection Request Scheduled For: Date: 1126/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 02671 603 - 619.6199 N Corrections /Comments/ Instructions: Ai I ' 1 . i Milli I Iri 1 f II I - A 1 ., ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDIT NAL FEES ASSESSED 1 Inspector: Date: ( 210 eX Phone #: (503) 718 -wil\- CITY OFTIGARD BUILDING DIVISION PERMIT #: EC2005 -00817 13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 12/27/2005 Phone: (503) 639 -4171 ° °b I+i p��' Inspection Requests (24 Hrs.): (503) 639 -4175 'I �.. INSPECTION WORKSHEET FOR DATE: 1/11/2006 TIME: 7:01AM PAGE: 50 SITE ADDRESS: 16126 SW 72ND AVE 81 CLASS OF WORK: SUBDIVISION: OREGON BUSINESS PARK I LOT #: 00B TYPE OF USE: PROJECT NAME: CONNECT DESCRIPTION: TI Project Value: $4600 OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 - 624.6300 CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503-519-6199 Inspection Request Scheduled For: Date: 1/11/2006 Pour Time: Code # Inspection Description Confirm # Contact # M-- sage ; y g )-� 610 Gas line 024753 -01 503 -519 -6199 y Corrections/Comments/Instructions: / P. r PA ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \/ (1` Date: 0 V Phone #: (503) 718 -2 -(2 CITY OF TIGARD BUILDING DIVISION PERMIT #: ME C 00S -00917 13125 SW Hall Blvd., Tigard, OR 97223 .., DATE ISSUED: 12/27/208 Phone: (503) 639 -4171 A l Inspection Requests (24 Hrs.): (503) 639 -4175 `:_.. V°1 INSPECTION WORKSHEET FOR DATE: 1/10/2006 TIME: 7:00AM PAGE: 8 SITE ADDRESS: 16126 SW 72ND AVE B1 CLASS OF WORK: SUBDIVISION: OREGON BUSINESS PARK I LOT #: 00B TYPE OF USE: PROJECT NAME: CONNECT -AIR DESCRIPTION: TI Project Value: $4600 OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503.624 -630() CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503.619 -6199 Inspection Request Scheduled For: Date: 1/10/2006 Pour Time: Code # Inspection Description Confirm # Contact # M- - • - J.. 4/ 610 W Gat: line 024677 -02 503-619-6199 I i rg - Corrections /Comments /Instructions: I / / . I Na I ees AThs (3 e,--... , .. t.___ , O b Sa q a Dii--7. V, / 4-- ccli p_Ass ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: � Date: I/ ‘ ! Phone #: (503) 718- 242-5/6 CITY OFTIGARD BUILDING DIVISION PERMIT #: MEC2005 UG3'17 13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 12127/2005 Phone: (503) 639 -4171 emo,�� r Inspection Requests (24 Hrs.): (503) 639 -4175 ` :_ INSPECTION WORKSHEET FOR DATE: 1/9/2006 TIME: 7:01Atvi PAGE: 51 SITE ADDRESS: 16126 SW 72ND AVE 61 CLASS OF WORK: SUBDIVISION: OREGON BUSINESS PARK I LOT #: 006 TYPE OF USE: PROJECT NAME: CONNECT-AIR DESCRIPTION: . T - I Project Value: $4600 OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 - 624 -6300 CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503.519.6199 Inspection Request Scheduled For: Date: 1/9/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 024559-01 503-519-6199 N Corrections /Comments/ Instructions: 2 (//VV--41J) ( yetS 8r3LA-A ) Lko CUSS 'A) 7t1A-vel-f 1) Z- 5 1 ,_ _ ,11 ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 1 Phone #: (503) 718- Z� Z CITY OFTIGARD = - BUILDING DIVISION #: MI,=t; ?(')t)� -oG 317 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 12/27/2005 Phone: (503) 639-4171 1 Inspection Requests (24 Hrs.): (503) 639 -4175 `'' . .. INSPECTION WORKSHEET FOR DATE: 1/9/2006 TIME: 7 :01AM PAGE: i SITE ADDRESS: 16126 SW 72ND AVE B1 CLASS OF WORK: SUBDIVISION: OREGON BUSINESS PARK I LOT #: 0013 TYPE OF USE: PROJECT NAME: CONNECT -AIR DESCRIPTION: TI Project Value: $4600 OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 50M24 -6300 CONTRACTOR: PRC /TEMP ASSOCIATES INC PHONE #: 503.619 -6199 Inspection Request Scheduled For: Date: 1/9/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 024559 -02 503619 -6199 N Corre - 'ons /Comments /Instructions: pp AAww / 0..._,,--e_T--- d. II- _ /_ 0 L Q-- 6`�✓t . , _ / • 1d -,7-, > PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS. ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: k- 4.-' 1 Date: /� /� Phone #: (503) 718 - Z T 2