Permit CITY OF TIGARD MECHANICAL PERMIT
aW TIGARD
' COMMUNITY DEVELOPMENT Permit #: MEC2010 -00657
1 3125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/17/2010
Ti t'►AR D Parcel: 2S113AB01400
Jurisdiction: TIGARD
Site address: 7312 SW DURHAM RD
Project: Protection One Subdivision: Lot: 0
Project Description: Ductless split system and move one supply and one return.
Contractor: PROTEMP ASSOCIATES INC Owner: PACIFIC REALTY ASSOCIATES
9788 SE 17TH AVE 15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97222 PORTLAND, OR 97224
PHONE: 503 - 233 -6911 PHONE: 503 - 624 -6300
FAX: 503 - 238 -9767
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 12/17/2010 $229.69
Class of Work: ALT Type of Const: Plan Review 12/17/2010 $57.42
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 12/17/2010 $27.56
Stories:
Project Valuation: $5,800.00
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressure: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0 -3 HP:
Furnaces >= 100K BTU: 3 -15 HP:
Floor Furnaces: 15 -30 HP:
Unit Heaters: 30 -50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $314.67
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire /Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1 •: • =.
Issued By: / �= Permittee Signature: re _ ^ '^' /G
Call • 75 by 7:00 a.m. for the next available inspection date.
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 Application '; ECFIVE OFFICE USE ONLY .
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City of Tigard Permit No.:
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13125 SW Hall Blvd., Tigard, OR 97223 DEC 1.7 2010 Date /By: Received
Phone: 503.639.4171 Fax: 503.598.1960 Plan R iew a�QQ i 11 11
Date /B : i 1',
T 1 GARD Inspection Line: 503.639.4175 (� y - ® ��
�/ OF �` AR i Date Ready /By: ® See Page 2 for
Internet: • www.tigard- or.gov CI1 I r es. 1 . •tified /Method: js Supplemental Information
BUILDING Div IN Ii
i �� „ F % --. T OF WORkk i y COMMERCIALyFEE* SCHEDULE IIS CHECKLIbT
Mechanical permit fees* are based on the value of the work
❑ New construction ® Addition /alteration /replacement
perfonned. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
.1 i i CAfrTE CONSTRUCT . ` rO Value $ 5800.00
���- , ..�:a Nh, ,,, ,t � h, af .. „., NS,�:s;:a ,.,�. ,� ._��.�::.. ... ..� �� ..... i ,�:. i < -a W � -
- s - .r�y� C ..
RESIDENTIAL EQUIPMENT .4 / SYSTE
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description Qty. I Ea. Total
� ; . g 4 it „ y OB , SITE INFORMA A LOCATION Heating/cooling
Job site address: 7312 SW Durham Rd Air conditioning
(requires site plan showing placement) 46.75
City /State /ZIP: Tigard Oregon 97224 Furnace 100,000 BTU (ducts /vents) 46.75
Furnace 100,000+ BTU (ducts /vents) 54.91
Suite /bldg. /apt. no.: Project name: Protection One Heat pump 61.06
Cross street /directions to job site: Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Subdivision: Lot no.: Flue /vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances
<;ds ° A i ” -_ .. 4 1i4 . DESCR OFr WORK `
Water heater 23.32
Gas fireplace 33.39
1 Ductless split system {Mitsubishi} and move one supply and one return. Flue vent for water heater or gas •
fireplace 23.32
Log lighter (gas) 23.32
Wood /pellet stove 33.39
Wood fireplace /insert 23.32
k:,�, Chimney /liner /flue /vent 23.32
PROPERTY OWNER ' ' . TENANT
4 �..... ,,., „�., �. � � �„ `��_... Other: 23.32
Name: Environmental exhaust and ventilation
Address: Range hood /other kitchen
equipment 33.39
City /State /ZIP: Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
®APPLIGANT ®CO T IOlPERSt Attic /crawlspace fans 23.32
Other: 23.32 '
Business name: Protemp Associates
Fuel piping
Contact name: Bruce Butner $14.15 for first four; $4.03 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 •
•€ .t 1 s i a y.ia � / I, � :: 't u
e
€t;' 1 .,�GONTRACTOR . z .,mo Barbec
.,�• ,w,,,�_, "�, , tea ,,
Business name: same as above Clothes dryer (gas)
Other:
Address: �? ME IANICAL, PERMIT FEES *� %IV, rn
City /State /ZIP: Subtotal
Minimum permit fee ($90.00)
Phone: ( ) Fax: ( )
Plan review (25% of permit fee)
CCB lic.: 38868 • State surcharge (12% of pennit fee)
TOTAL PERMIT FEE
Authorized signature: ,�i>;G( This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Bruce Butn Date: 12/17//10 * Fee methodology set by Tri- County Building Industry Service Board
1:\ Building \Permits \MEC- PermitApp.doc 10/01/09 440 -4617T (I t /02 /COM/WEB)