Permit CIT OF TIGARD MECHANICAL PERMIT
r DEVELOPMENT SERVICES PERMIT #: MEC2006 -00433
p1' II DATE ISSUED: 9/18/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 2S113AB
SITE ADDRESS: 16535 SW 72ND AVE BLDG F ZONING: I -L
SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG
Project Description: Demo (2) gas packs & all ducts. Install (4) roof top units w /ducts, grills, piping, controls, smoke detectors &
(1) restroom exhaust. Valuation: 21,200.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: 4
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: 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:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: 4 OTHER UNITS: 1
> 10000 cfm:
GAS OUTLETS: 2
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 -WMI
PORTLAND, OR 97224 [MECH] Permit Fee 9/18/200E $382.70
[MECPLN] Plan Rev 9/18/200E $95.68
[TAX] 8% State Surcha 9/18/200E $30.62
Phone: 503 -624 -6300 Total $509.00
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: /l O 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.
i(, S3 5 - ) r r JVD
. Mechanical Per Pp ONLY icati0il FOR OFFICE USE ONLY
City of Tigard SEP Received
!: 2006 Date /By: 9 g- • IF Permit No.M cs C DO a4 vil
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 , Ao� ,,*(� A Dace /B : 0 g Other Permit:
Inspection Line: 503.639.4175 A S• 11 t r eTf 1 Da te Read /B: turis ► ® See Page 2 for Internet: www.ci.tigard.or.us 3y ?� i ;� Notified/Method:0 - /V - e) ( .j .l / (i Supplemental Information
Print name: BRUCE BUTNER
TYPE OF WORK
❑ New construction ® Addition /alteration /replacement COMMERCIAL FEE* SCHEDULE — USE CHECKLIST (6
❑ 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, labor, overhead, and profit.
12 1 - and 2 family dwelling ® Commercial /industrial ❑ Accessory building Value: $ ? .,Op c.
❑ Multi - family 0 Master builder 0 Other: RESIDENTIAL EQUIPMENT / SYSTEMS FEES* a
For special information use checklist.
JOB SITE INFORMATION AND LOCATION Description I Qty. I Ea. 1 Total 6
Job site address: 16535 SW 72 AVE Heating/cooling
City /State /ZIP: TIGARD OREGON 97224
Air conditioning or heat pump
(requires site plan showing placement) 14.00
Suite/bldg. /apt. no.: BLDG F Project name: OCE IMAGISTICS
Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90 ^ /I
Cross street/directions to job ste: Gas heat pump 14.00
work 14.00
Hydronic hot water system 14.00 —�
Q Residential boiler (radiator or
Yv - ` c � hydronic) 14.00
V� 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
DEMO EXISTING TWO GAS PACKS AND ALL DUCT,INSTALL FOUR NEW Water heater 10.00
ROOF TOP UNITS WITH ALL DUCT.GRILLS,GAS PIPING.CONTROLS,SMOKE Gas fireplace 10.00
DETECTORS,AND ONE BATHROOM EXHAUST 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
❑ PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 10.00
Other: _ 10.00
Name: Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City /State /ZIP: Clothes dryer exhaust 10.00
Phone: ( ) Fax: ( ) Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 6.80
® APPLICANT ® CONTACT PERSON Attic /crawlspace fans 10.00
Business name: PROTEMP ASSOCIATES • Other: 10.00
Fuel piping
Contact name: BRUCE BUTNER $5.40 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
.
Phone: ( ) Fax:( ) ig- Minimum permit fee ($72.50) '1, (q -7p Plan review (25% of permit fee)
CCB lic.: 38868 State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within
after it has been accepted as complete.
i:\ Building \Permits \MEC- PermitApp.doc 12/03 • 440- 4617T(II/02/COM /WEB) 5 -G9- r�
CITY OF- TIGARD
BUILDING DIVISION
PERMIT — ems
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 1 �
. Inspection Requests (24 Hrs.): (503) 639 -4175 !+� °'I ..
INSPECTION WORKSHEET FOR DATE: (u(3( 10.6 TIME: PAGE:
SITE ADDRESS: «3 5 . .ti 7z- RlJ CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: G
DESCRIPTION: DCL-
OWNER: PHONE #:
CONTRACTOR: The T[ c> PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message 10 30
6 ii irAL t� 037' -Z1 -O (
Corrections/Comments/Instructions:
44101
I alliffffair
A f IV IIIA ►' _-,
_ ,
M
ce
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION El ADDIT'SNAL ' EES ASSESSED
_ , ,.
Inspector: Date: 8 w - Phone #: (503) 718 - 24----1
CITY-OF TIGARD
BUILDING DIVISION PERMIT #: MEC200€ 00433
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11312006
Phone: (503) 639 -4171 A
Inspection Requests (24 Hrs.): (503) 639 -4175 �'!+� `'I�..
INSPECTION WORKSHEET FOR DATE: 10/3/2006 TIME: 7:06AM PAGE: 55
SITE ADDRESS: •16635 SW 72ND AVE BLDG F CLASS OF WORK:
SUBDIVISION: PAGfRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: OCE
DESCRIPTION: Demo (2) gas packs & all ducts. Install (4) roof top units w /ducts, grills, piping, controls, smoke
detectors & (1) restroom exhaust. Valuation: 21,200.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503- 624..6300
CONTRACTOR: _ pROTEMP ASSOCIATES INC PHONE #: 503 - 519.6199
• Inspection Request Scheduled For: Date: 10/3/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message E3QJJ 615 Mechanical rough-in 037521 -01 503 - 519-6199 Y
Corrections /Comments /Instructions:
n ..tifie R T L 6 _ n
....a A
C, __ 7 \ ' - 1 ■110 &VI
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL iji�LL FOR INSPECTION ❑ ADDITIO AL F. ES ASSESSED
Inspector: re r�l Date: 1 0 1 Phone #: (503) 718 -
�il/
CITY OF T,IGARD GUEc
BUILDING DIVISION PERMIT #: 2 - 09433
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 'I I
INSPECTION WORKSHEET FOR DATE: £ ' tzA TIME: PAGE:
SITE ADDRESS: 16,6 F CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments /Instructions: •
%MIMI/or 0111MIS 7
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDIT ONAL FEES ASSESSED
1
Inspector: 41 e� ( � Date: Phone #: (503) 718-742.-