Permit !p . CITY OF TIGARD MECHANICAL PERMIT
' ° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00143
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/27/2008
PARCEL: 2S 113AB -01201
SITE ADDRESS: 16575 SW 72ND AVE BLDG F ZONING: I -L
SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG
PROJECT: CONVERGINT TECHNOLOGIES
Project Description: TI - (3) new RTU's, ducts, grilles, gas piping, and bath exhaust.
Project Vaule: $32,500
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 2
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: 2 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
NAT 3 - 15 HP: 3 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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 3
> 10000 cfm:
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 -WMI
PORTLAND, OR 97224 [MECH] Permit Fee 3/27/200E $535.25
[MECPLN] Plan Rev 31271200E $133.81
[TAX] 12% State Surch 3/27/200E $64.23
Phone: Total $733.29
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 y: &-: - G �,dh Permittee Signature "Ae ,
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.
Css ova a (65 i - 7Z
Mechanical Permit Application_ FOR OFFICE USE ONLY n,�
City of Tigard �R EC E 1 E ; - : , � 0 Permit No.: tiecA0 1.00/v3
Iv3
13125 SW Hall Blvd., Tigard, OR 97223 Plan Re
' Ii ' Phone: 503.639.4171 Fax: 503.598.1960. y �i iii,..._ 3 _ �Z Other Permit:
Inspection Line: 503.639.4175 MAR 1 9 200 Date /By:
Rea.)
et
TIGARD p Date e ty: 3of riffli ® PPeP r
Internet: www.tigafd- or.gov ti e „ O , t Su lementalental I nformation
CITY OF TIGAR d /M ��1LC � !
• TYPE OF WO :I I • 1 1 5, i COMM RCIAL 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: $ $32,500.00
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description J Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Air conditioning or heat pump
Job site address: 16575 SW 72 AVE
(requires site plan showing placement) 14.00
City /State /ZIP: TIGARD OREGON 97224 Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: I Project name: CONVERGENT Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
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. 14.00
Flue /vent for any of above 6.80
Subdivision: 1 Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
, DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
3 -NEW RTU'S,DUCT,GRILLS,GAS PIPING,a- BATHROOM EXHAUST,CONTROLS 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
N, PROPERTY OWNER .I. ❑: 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 P ERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name: PROTEMP ASSOCIATES
Fuel piping
Contact name: BRUCE BUTNER $5.40 for first four; 51.00 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: 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 lic.: 38868 State surcharge (12% of permit fee)
�.� TOTAL PERMIT FEE
Authorized si ature:� 1t��4 -+ This permit application e xpires it a permit is not obtained within 180
days after it has been accepted as complete.
Print name: BRUCE BUTNER Date: 3/19/07 • Fee methodology set by Tri - County Building Industry Service Board
1: \ Building \Permits\MEC•PermitApp.doc 01 /19/07 440- 4617T(1I /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MF_C200a.00143
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/27/2000
Phone: (503) 639 -4171 '0
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/1212008 TIME: 7:02AM PAGE: 3
SITE ADDRESS: 16575 SW 72ND AVE BLDG F CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: CONVERGINT TECHNOLOGIES
DESCRIPTION: TI - (3) new RTU's, ducts, grilles, gas piping, and bath exhaust.
Project Vaule: $32,600
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503- 519 -6199
Inspection Request Scheduled For: Date: 6/12/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 071296.02 503320 -8601 N
Corrections /Comments /Instructions:
;w "A i 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL /j CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/ Phone #: (503) 718 -
Inspector: Date: 64 � � e ( ) Z-Z-9/7
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2008 -00143
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/27/2000
Phone: (503) 639 -4171 °I
Inspection Requests (24 Hrs.): (503) 639 -4175 "I -..
INSPECTION WORKSHEET FOR DATE: 6/5/2000 ' ' TIME: 7:OOAM PAGE: 40
SITE ADDRESS: 16676 SW 72ND AVE BLDG F CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
•
PROJECT NAME: CONVERGINT TECHNOLOGIES
DESCRIPTION: TI - (3) new RTU's, ducts, grilles, gas piping, and bath exhaust.
Project Vaule: $32,500
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PRC)TEMP ASSOCIATES INC PHONE #: 503- 519.6199
Inspection Request Scheduled For: Date: 6/5/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 070911 -03 503 -370 -8601 N
Corrections /Comments /Instructions:
T) 1 t 3 'PZtAt �-b C etc, 1<,e b � -
c ArfA
• ' S PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
- 4 FAIL, ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: r, 4.--4>g, Phone #: (503) 718 - 2.9r.
CITY OF TIGARD
s, rf
BUILDING DIVISION PERMIT #: MEC2008 -00143
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/27 /2009
Phone: (503) 639 -4171 Atot I �n
Inspection Requests (24 Hrs.): (503) 639 -4175 ' IL
INSPECTION WORKSHEET FOR DATE: 4/10/2008 TIME: 7:02AM PAGE: 34
SITE ADDRESS: 16576 SW 72ND AVE BLDG F CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: CONVE _RGINT TECHNOLOGIES
DESCRIPTION: TI • (3) new RTU's, ducts, grilles, gas piping, and bath exhaust.
Project Vaule: $32,500
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 50351a -6189
Inspection Request Scheduled For: Date: 4/10/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mochanical rough -in 068132 -01 503.618-6138 Y
Corrections /Comments/ Instructions:
sa ' .&, L, c.. ' L--- i ga)
6T 1.-e9 e./!4
1t, c2 l4L_o — - -- AS Per----- jpz___ - ,
:_ r'+.. I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITION ' L FEES ASSESSED
Inspector: lN_ Date: ; 'b i' Phone #: (503) 718- _
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2008 -00143
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/E /2000
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 87 I L.
INSPECTION WORKSHEET FOR DATE: 4/2/2008 TIME: 7:OOAM PAGE: 50
SITE ADDRESS: 16575 SW 72ND AVE BLDG F CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: CONVERGINT I ECHNOL C DIES
DESCRIPTION: 11 - (3) new RTU's, duds, grilles, gas piping, and bath exhaust.
Project Vaule: $32,b00
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503519.6199
Inspection Request Scheduled For: Date: 4/2!2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gras line 067689-01 503- 519 -6199 N
Corrections /Comments /Instructions: (0416
No cam= L c Z_ - 4A L-1 &k P6 g-- '4"&
t.f r 4
WO i 1 U��..
44 PASS j PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: J Date: 0/ Phone #: (503) 718 - z��y