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Permit CITY TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2006 - 00064 °'' II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/14/2006 PARCEL: 2S 113AB - 00600 SITE ADDRESS: 16195 SW 72ND AVE BLD.D ZONING: I -L SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG Project Description: (8) roof top units, (3) exhaust fans, gas piping, grills. Valuation: $71,000. CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: 3 OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: 1 BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: NAT 3 - 15 HP: COMML. INCIN: MAX INPUT: 620 BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: REPAIR GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: 8 OTHER UNITS: GAS OUTLETS: > 10000 cfm: 0 Owner: FEES PACIFIC REALTY ASSOCIATES Description Date Amount 15350 SW SEQUOIA PKWY #300 -WMI PORTLAND, OR 97224 [MECH] Permit Fee 2/14/200E $1,034.00 [MECPLN] Plan Rev 2/14/200€ $258.50 [TAX] 8% State Surcha 2/14/200E $82.72 Phone: 503 624 - 6300 Total $1,375.22 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: %% 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. 6' IS sw Z � o Mec ermit Application �(1 FOR OFFICE USE ONLY City g t� ECE��E of Tigard Received Q !/'a //�/ Permit No 6 1 /� Date/By:/ a. O ��fl�� 13125 SW Hall Blvd., Tigard, OR 97;71. Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Am i t� Date /By: '' a�(, i Other Permit: Inspection Line: 503.639.4175 r dA , tl 0 2006 eT l l Date Rea dyBy/ Juris: H See Page 2 for e I Internet: www.ci.tigard.or.us Notified/Method / / i 1 t Supplemental Information , 2 Print name: BRUCE BUTNER Or New construction ® Addition /alteration /replacement / COMMERCIAL FEE* SCHEDULE — USE CHECKLIST ❑ Demolition ❑ Other: Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all CATEGORY OF CONSTRUCTION mechanical materials, equipment, 1. overhe. •, and profit. ❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building Value: " x.71,000.00 ❑ Multi- family ❑ Master builder ❑ Other: RESIDENTIAL EQUIP ► : 'STEMS FEES* For special information use checklist. JOB SITE INFORMATION AND LOCATION Description 1 Qty. I Ea. I Total Job site address: 16195 SW 72 Heating/cooling City/State/ZIP: TIGARD OREGON 97224 Air conditioning or heat pump Cit Y (requires site plan showing placement) 14.00 Suite/bldg. /apt. no.: blgd. D Project name: OPTION CARE Furnace 100,000 BTU ( ducts/vents) 14.00 Furnace 100,000+ BTU (ducts/vents) 17.90 Cross street/directions to job ste: Gas heat pump 14.00 Duct work 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), Subdivision: Lot no.: in -wall, in -duct, suspended, etc. 10.00 Flue /vent for any of above 10.00 Tax map /parcel no.: Other: 10.00 DESCRIPTION OF WORK Other fuel appliances ( 8) NEW ROOF TOP UNITS /DISTRBUTION DUCT/ 3 NEW BATHROOM Water heater 10.00 EXHAUST FANS / GAS PIPEING /RETURN &SUPPLY GRILLS Gas fireplace 10.00 . (1 )- DUCTLESS SPLIT SYSTEM Flue vent for water heater or gas COMPOUNDING ROOM ( 1) -5TON PACKAGE ROOF TOP UNIT. 3 FAN fireplace 10.00 POWERED HEPA FILTERS Log lighter (gas) 10.00 (.1 ) ROOF TOP EXHAUST( OWNER SUPPLIED (2) MANOMETER Wood /pellet stove 10.00 Wood fireplace /insert 10.00 ❑ PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 10.00 Name: Other: 10.00 _ Environmental exhaust and ventilation Address: Range hood/other kitchen City /State /ZIP: equipment 10.00 Clothes dryer exhaust 10.00 Phone: ( ) Fax: ( ) Single -duct exhaust (bathrooms, ® APPLICANT ® CONTACT PERSON toilet compartments, utility rooms) 6.80 Attic /crawlspace fans 10.00 Business name: Protemp Associates Other: 10.00 Contact name: BRUCE BUTNER Fuel piping $5.40 for first four; $1.00 for each additional Address: 9788 SE 17 AVE Furnace, etc. City /State /ZIP: PORTLAND OREGON 97222 Gas heat pump Wall /suspended /unit heater Phone: (503) 519 -6199 Fax: : (503) 238 -9767 Water heater E -mail: Bruce @protmp.com Fireplace CONTRACTOR Range Barbecue Business name: SAME AS ABOVE Clothes dryer (gas) Address: Other: City /State /ZIP: MECHANICAL PERMIT FEES* Subtotal Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) /054; 1 02- CCB lic.: 38868 Plan review (25% of permit fee) olA. sp State surcharge (8% of permit fee) Q^J 7 o `Z 1 —d� TOTAL PERMIT FEE I 3 ? �� 22 Authorized signatures This permit application expires if a permit is not obtainet1 within 180 JR�) / ' �� / days after it has been accepted as complete. ;Building \Permits \M EC -'P rmi pp.doc 12/ 0�� � 11) - 44 0 -0617T(I I /OJCOM /WE6) CITY OF TIGARD --::- BUILDING DIVISION PERMIT #: MEC200€ 00064 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2J16a12(10`3 Phone: (503) 639 -4171 40 Inspection Requests (24 Hrs.): (503) 639 -4175 . -'!� �'I I.. INSPECTION WORKSHEET FOR DATE: 4/24/2006 TIME: 7:02AM PAGE: 23 SITE ADDRESS: 16196 SW 72ND AVE BLD.D CLASS OF WORK: SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: OPTION CARE DESCRIPTION: (t3) roof top units, (3) exhaua fans, gas piping, grills. Valuation: $71,000. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 5036246300 CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503-519-6199 Inspection Request Scheduled For: Date: 4/24/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 028559 -01 503513.6199 Y ./i/o 14 j . e 5 Corrections /Comments /Instructions: 4,.\ i.i i� \ 4 ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL r CALL OR INSP, CTION ❑ ADDITI NAL FEE ASSESSED r e p Ins ector: ` Date: O 6XPone #: (503) 718 - ' CITY( OF TIGARD ., BUILDING DIVISION PERMIT #:/►1 C)-80 ( — 6 06 13125 SW Hall Blvd., Tigard, OR 97223 411, DATE ISSUED: Phone: (503) 639 -4171+ 1I�I Inspection Requests (24 Hrs.): (503) 639 -4175 'LL. INSPECTION WORKSHEET FOR DATE: TI e. - ^: f PAGE: t " SITE ADDRESS: I ID I q S 7 � , ►v e CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE 4 D3)5 i ,-Gicq CONTRACTOR: PHONE #: e - 7 -- D C O n Request Scheduled For: Date: � Pour Time: 2 0 Code # r I nspect i on Description Confirm # Contact # Message L &I b Y c-ILN •_n Corrections /Comments/ Instructions: C i __L too-6- Co-c / - 7z ------ 4. v ,. ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO AL F S ASSESSED Inspector: Date: L' • 6 Phone #: (503) 718- CITY. i° TIGARD BUILDING DIVISION PERMIT #:MSC,2pD(p - 2 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 ApaNilil Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: r (0(Ci 5 P—L Ave- CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #6�3)J' 6/95 CONTRACTOR: 16 vl 02._ PHONE #: Inspection Request Scheduled For: Date: 3 ---/ —0 c Pour Time: Code # C Inspection Description Confirm # Contact # Message Corrections /Comments /Instructions: • - P4sF CALL (Pi F (m6--- f, U Pee___ 7 ) ci2_ H S 0 pe r t Go i. z -- ©o es MI 1 r ■ .'I . '. ' _ ❑ PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector Date: 3 1Z( 1 ° ( Phone #: (503) 718- Z Z ■ CITY OF TIGARD BUILDING DIVISION PERMIT #: Mt.t'211OC� 00t1(i4 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: M {10 a Phone: (503) 639 -4171 .. i � ( i' EC2 Inspection Requests (24 Hrs.): (503) 639 -4175 . "' ! INSPECTION WORKSHEET FOR DATE: 2/23/2006 TIME: 7:01AM PAGE: 91 SITE ADDRESS: 16196 SW 72ND AVF BLF).D CLASS OF WORK: SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: OPTION CARE DESCRIPTION: (t3) roof top units, (3) exhaust fans, gas piping, grills. Valuation: $71,000. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 603- 6- )�j -63 {)0 CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 60:- 61 lqc� 1 Inspection Request Scheduled For: Date: 2/23/200E; Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 027352 - 01 503 - 619.6199 Y Corrections /Comments / Instructions: Fel)G&-' . a 1 lipa '`k (j � r7 i Mt 0 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CAL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED el k /. ' a 4 Inspector: ► Date: Phone #: (503) 718- z 2-3