Permit C ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00093
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/23/2007
PARCEL: 2S 113AD -01800
SITE ADDRESS: 16650 SW 72ND AVE B12 ZONING: I -L
SUBDIVISION: OREGON BUSINESS PARK I LOT: 011 JURISDICTION: TIG
PROJECT: JOHNSTONE SUPPLY
Project Description: TI JOHNSTONE SUPPLY Value:$68,000 New rooftop unit and interior ductwork.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 4
OCCUPANCY GRP: S2 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: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 8 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: 3 <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS: 11
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 -WMI
PORTLAND, OR 97224 [MECH] Permit Fee 2/12/2007 $996.50
[TAX] 8% State Surcha 2/12/2007 $79.72
[MECPLN] Plan Rev 2/12/2007 $249.13
Phone:
Total $1,325.35
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: e ^ Permittee Signature. /L At
CaII 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.
Mechanical Permit App cilitio> '
F(:)K OFI ICI: liSl: (VIN Received 4
City of Tigard LL t � ;. 2001 Date n3 ' . 3 -/ 7-P 7 _ Permit N _ _ • 7 0'00. '
1 3125 SW Hall Blvd., Tigard, OR 9722D LD -} Plan Review
' C Phone: 503.639.4171 Fax: 503.598.1960 Other Permit:
L, a A Date/By.
T 1 c: A R I) Inspection Line: 503.639.4175 , .1 i y o • i .Jf 'tb� B Date Ready/By: s S5 See Page 2 for
Internet: www.tigard- or.gov y /.4 Y� T � * �� Notified/Method: Supplemental Information
-I l:t F
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction [ ddition/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, andZofit.
CATEGORY OF CONSTRUCTION Value: $ 6$,600 ,
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1 - and 2 family dwelling J Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description 1 Qty. 1 Ea. 1 Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: ` 66 1-00 1-00 S IA -7,2 ■,,,(/(----/ ( p
conditioning or heat p pump
requires site plan showing placement) 14.00
City /State/ZIP: Furnace 100,000 BTU (ducts/vents) 14.00
- Furnace 100,000+ BTU ( ducts/vents) 17.90
Suite/bldg./apt. no.: Project name ii Gas heat pump 14.00
V t� �. Sl,.e
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
SOD � C\ f , (.,- r tik L , / Gas fireplace 10.00
f 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 1 ❑ 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:
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address:
Gas heat pump
City /State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax:: ( ) Water heater
Fireplace
E-mail: Range
CONTRACTOR Barbecue
Business name: ' P ,csr*- ? L' Clothes dryer (gas)
t �cti3e5 (/�t�. Other:
Address: thus 5 1 ei 46,1,4.. MECHANICAL PERMIT FEES*
City /State/ZIP: . 7bgT - 1 .. ."4,..1Q ell la,"?..--. Subtotal
/ Minimum permit fee ($72.50) 90 C ,
Phone: 61)3) Z33. Gg t ( Fax:) Z SS '11
Plan review (25% of permit fee) ,,z_."4./el , / 3
CCB lic.: s e$IN ( State surcharge (8% of penult fee) '1.9 . 7.2_,
TOTAL PERMIT FEE J,3 `j,3,,/
Authorized Si lure: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name. te: t02_. 0 07 • Fee methodology set by Tri- County Building Industry Service Board
I :\Building\Permits \MEC -P 'lApp.doc 04/06/06 440-4617T(I1 /02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information <
Commercial Fee Schedule:
Total Valuation: Permit Fee:
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
•
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
1:1Building\Permits \NEC- PermitApp.doc 12/30/05 2
A
CITY OF TIGARD
BUILDING DIVISION i _ PERMIT #: MEC2007.00093
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/23/2007
Phone: (503) 639 -4171 ifrligi ' tl�
Inspection Requests (24 Hrs.): (503) 639 -4175 "'IL .
INSPECTION WORKSHEET FOR DATE: 5/18/2007 TIME: 7:0 2AM PAGE: 61
SITE ADDRESS: 16650 SW 72ND AVE B12 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: 011 TYPE OF USE:
PROJECT NAME: JOHNSTONE SUPPLY
DESCRIPTION: TI JOHNSTONE SUPPLY Value:$68,000 New rooftop unit and interior ductwork.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503-519-6199
Inspection Request Scheduled For: Date: 5/18/2007 Pour Time:
Code # Inspection Description Confirm # Contact # M sage `
699 Mechanical final 048540-01 503. 519 -6199 Y 7
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Corrections /Co ments /Instructions:
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► as ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: AA Date: s,/ Phone #: (503) 718 - 6 I
CITY OF TIGARD ... . -: BUILDING DIVISION PERMIT #: MEC2007 -00093
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/23/2007
Phone: (503) 639 -4171 4 5' ��
Inspection Requests (24 Hrs.): (503) 639 -4175 jl.—
INSPECTION WORKSHEET FOR DATE: 6/17/2007 TIME: 7:00AM PAGE: 37
SITE ADDRESS: 16650 SW 72ND AVE B12 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: 011 TYPE OF USE:
PROJECT NAME: JOHNSTONE SUPPLY
DESCRIPTION: TI JOHNSTONE SUPPLY Value:$68,000 New rooftop unit and interior ductwork.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503-519-6199
Inspection Request Scheduled For: Date: 5/17/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 048508"01 503- 519.6199 N
Corrections /Comments/ Instructions: .
(L) 4/
1r 7 0
0 ' Id'
17 ❑ PASS ❑ PARTIAL APPROVAL y CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:
\--?_, , U/ v ✓ Date: `/ /i VA Phone #: (503) 718- 2.-2("(
P f
CITY QIGARD r --
BUILDINe PERMIT #: MEC2007-00093
13125 SW ,J Blvd., Tigard, OR 97223 DATE ISSUED: 2/23/2007
Phone: (50r 639- 4171euf ��`I
Inspectio iequests (24 Hrs.): (503) 639 -4175
INSPEO ION WORKSHEET FOR
r DATE: 4/26/2007 TIME: 7:OOAM PAGE: 3
+ /SITE ADDRESS: 16650 SW 72ND AVE B12 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: 011 TYPE OF USE:
PROJECT NAME: JOHNSTONE SUPPLY
DESCRIPTION: TI JOHNSTONE SUPPLY Value:$68,000 New rooftop unit and interior ductwork.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503- 519 -6199
Inspection Request Scheduled For: Date: 4/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message Fla() Ci=
615 Mechanical rough -in 047204 -01 503-519-6199 Y
Corrections /Comments /Instructions:
IU tUG CcV
A li1
1 ( IL l $ � ,,
E PA SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI•NAL FE. S ASSESSED
Inspector: Ar Date: .• 410 Phone #: (503) 718-
CITY OF TIGARD . Y . •'
BUILDING DIVISION PERMIT #: MEC2007 -00093
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 212312007
Phone: (503) 639 -4171 /an, ed
Inspection Requests (24 Hrs.): (503) 639 -4175 '+- " I
INSPECTION WORKSHEET FOR DATE: 4/26/2007 TIME: 7:OOAM PAGE: 63
SITE ADDRESS: 16650 SW 72ND AVE B12 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: 011 TYPE OF USE:
PROJECT NAME: JOHNSTONE SUPPLY
DESCRIPTION: TI JOHNSTONE SUPPLY Value:$66,000 New rooftop unit and interior ductwork.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503 - 5196199
Inspection Request Scheduled For: Date: 4/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 047161 -01 503 -307 -2105 N
Corrections /Comments / Instructions:
( C5C ' .417. .----
if. _........
A ,
..... Jr '. A r II A) !
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL 111 CALL FOR INSPECTION ❑ ADDIT •NAL F.ES ASSESSED
Inspector: 4 ? V' D ate: 2 Ir Phone #: (503) 718- ,V,G;,_
.--
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00093
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 2/2312007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 'i I •
i ..
\ INSPECTION WORKSHEET FOR DATE: 4126/2007 TIME: 7:OOAM PAGE: 62
SITE ADDRESS: 16650 SW 72ND AVE B12 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: 011 TYPE OF USE:
PROJECT NAME: JOHNSTONE SUPPLY
DESCRIPTION: Ti JOHNSTONE SUPPLY Value:$68,000 New rooftop unit and interior ductwork.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503 - 5136199
Inspection Request Scheduled For: Date: 4/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
625 Duct work 047162 -01 503 - 307 -2105 N
Corrections/Comments/Instructions:
OrdinEgg ' M —
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR IN PECTION ❑ ADDITI NAL F S ASSESSED
____ :_.(.6.7
Inspector: Date: ' G-(e) 07Phone #: (503) 718 -