Permit CITY OF TIGARD MECHANICAL PERMIT
s COMMUNITY DEVELOPMENT Permit #: MEC2011 -00053
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/08/2011
Parcel: 2S113AC00103
Jurisdiction: Tigard
Site address: 7244 SW DURHAM RD, BLDG# M
Project: RSD Refrigeration Subdivision: PACTRUST BUSINESS CENTER Lot: 0
Project Description: (1) 5 -ton RTU, duct work, gas piping & (3) unit heaters.
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 02/08/2011 $350.25
Class of Work: ALT Type of Const: IIIB Plan Review 02/08/2011 $87.56
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 02/08/2011 $42.03
Stories: 1 Info Process /Archiving - Lg Sheet (over 02/08/2011 $4.00
11x17)
Project Valuation: $10,100.00 Info Process /Archiving - Sm Sheet (up to 02/08/2011 $6.50
11x17)
Fuel Air Handlers
Fuel Types: Natural Gas 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: 2 30 -50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $490.34
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
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
Utilit otification -nter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or rect questions to O. C by • ling '3.232.1987 or 1.800.332.2344.
Iss d By: /, l� / / Permittee Signature: ( Z
Call 503.639.4175 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 FOR OFFICE USE ONLY
City of Tigard i �.�1 VE� Received Date /By: oZ (i Permit No.: C fea 4/ ��i � 3
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review �l
Phone: 503.639.4171 Fax: 503.598.1960 Date /By: t v
- I, (l Other Permit:
TIGARD Inspection Line: 503.639.4175 FEB 3 2011 Date Ready /By: Juris. ® See Page 2 for
Internet: www.tigard - or.gov Notified /Met.od:R f Supplemental Information
CITY OF TIGARD �i•. ■
TYPE OF Vatili.DINQ DIVISION J CO ME CIAL FEE* SCHEDULE — USE CHECKLIST '
El 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: $ $10,100.00
dwelling RESIDENTIAL i UIPMENT / SYSTEMS FEES*
❑ 1 - and 2-family
y g ® Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 7244 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.: #500 I Project name: RSD 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: I Lot no.: Flue /vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33.39
1 -5ton RTU,duct,gas pipping,and three unit heaters 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
PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 23.32
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
Z A ?,'LICANT / P� CONTACT PERSON 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
CONTRACTOR Barbecue
Business name: same as above
' Clothes dryer (gas)
Other:
Address: Z 141F.CIEOSICeT POIMIT FEES* =
City /State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lic.: 38868 State surcharge (12% of pennit fee)
TOTAL PERMIT FEE � f0.3y
Authorized signature: , , „i:f1, �_ yx This permit application expires if a permit is not obtained within 180
L� n L-� ' days after it has been accepted as complete.
Print name: Bruce Butner Date: 2/3/11 * Fee methodology set by Tri- County Building Industry Service Board
C\ Building Tennits \MEC- PmnitApp.doc 10/01/09 440- 46!7T(II /02 /COM/WEB)