Permit CITY TIGARD MECHANICAL PERMIT
Y COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00339
TIGARD DATE ISSUED: 6/12/2007
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S113AA - 01000
SITE ADDRESS: 16570 SW 72ND AVE B9 ZONING: I - L
SUBDIVISION: OREGON BUSINESS PARK I LOT: OOC JURISDICTION: TIG
PROJECT: SERVICE MASTERS
Project Description: Replace all grills and shorten two runs.
•
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
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:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 -WMI
PORTLAND, OR 97224 [MECH] Permit Fee 6/12/2007 $72.50
[TAX] 8% State Surcha 6/12/2007 $5.80
Total $78.30
Phone:
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.
iv_L Permit A iii;__.,_ I.o,i . . ! FOR OFFICE USE ONLY
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Received �7 G�
City of Tigard Date/By: 4 : 4a 0
t �� � , / -�D33 /
L C q 1 3125 SW Hall Blvd., Tigard, OR 9pm . 2 20 y � � ,�
Permit No.�E20O
Phone: 503.639.4171 Fax: 503.5 0 u Plan Review
Permit
Other Permig(,( "�0, -eoa33
TIGARD
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Inspection Line: 503.639.4 (����
+ - >•1�u Date Ready /By: Juris: See Page 2 for
Internet: www.tigard - or.g Ur ilVL Notified/Method: Supplemental Information
3TDING DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction ® Addition/alteration/replacement Mechanical permit fees' are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ 51,500.00
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ I- and 2- family dwelling ® Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description 1 Qty. J Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 16570 sw 72 ave Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State /ZIP: TIGARD OREGON Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: B -9 Project name: Service Masters Gas heat pump 14.00
Cross street/directions to job site: 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
Gas fireplace 10.00
replace all grills and shorten two runs 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
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
Address: 9788 SE 17 AVE Furnace, etc.
Gas heat pump
City /State /ZIP: PORTLAND ORE 97222 Wall /suspended/unit heater
Phone: (503) 519 -6199 Fax: : (503) 238 -9767 Water heater
Fireplace
E -mail: 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) 7„q , ,/3
Phone: ( ) Fax:( )
Plan review (25% of permit fee)
CCB lic.: 38868 State surcharge (8% of permit fee) S. 4d
TOTAL PERMIT FEE -7,P, 3,
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: BRUCE BUTNER Date: 6/12/07 • Fee methodology set by Tri-County Building Industry Service Board
1:\ Building \PermitsVMEC•PermitApp.doc 04/06 /06 440.4617T(11/02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00339
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/12/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ,7 ..
INSPECTION WORKSHEET FOR DATE: 7/25/2007 TIME: 7:02AM PAGE: 4
SITE ADDRESS: 16570 SW 72ND AVE B9 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: OOC TYPE OF USE:
PROJECT NAME: SERVICE MASTERS
DESCRIPTION: Replace all grills and shorten two runs.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503 -519 -6199
Inspection Request Scheduled For: Date: 7/25/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 052730 -01 503 - 320 -8601 Y
Corrections /Comments /Instructions:
PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL % • ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 7zsc
Phone #: (503) 718 -
CITY OF TIGARD e — -
BUILDING DIVISION PERMIT #: MEC2007- 00339
. A
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/12/2007
Phone: (503) 639 -4171 It
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/16/2007 TIME: 7:O4AM PAGE: 35
SITE ADDRESS: 16570 SW 72ND AVE B9 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: OOC TYPE OF USE:
PROJECT NAME: SERVICE MASTERS
DESCRIPTION: Replace all grills and shorten two runs.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503.519 -6199
Inspection Request Scheduled For: Date: 7/16/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Mes - -.-
615 Mechanical rough -in ° 052031-01 503- 519-6199 e
Corrections /C
7
/nstr ti -
,
- 3KPASS 4
APPROVA ❑ CANCEL ❑ NO ACCESS
❑ FAIL % OR INSPECTION ❑ ADDITI AL FEES ASSESSED
M
Inspector: Date: i
4 e Phone #: (503) 718- _2(:)_7,47-
CITY OFTIGARD
BUILDING DIVISION . ` - PERMIT #: MEC2007 -00339
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1212007
Phone: (503) 639 -4171 �1I�I
Inspection Requests (24 Hrs.): (503) 639 -4175 R -_..
INSPECTION WORKSHEET FOR DATE: 6/13 /2007 TIME: 7:01AM PAGE: .
SITE ADDRESS: 16570 SW 72ND AVE B9 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: OOC TYPE OF USE:
PROJECT NAME: SERVICE MASTERS
DESCRIPTION: Replace all grills and shorten two runs.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503- 519 -6199
Inspection Request Scheduled For: Date: 6/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Me - -
615 Mechanical rough -in 050107 -01 503-519-6199
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Corrections /Comments /Instructions:
v t g ili. r
GP
•
❑ PASS f► / - IAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL a • L FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED
Inspector: Date: / b Phone #: (503) 718-