Permit L
CITY TIGARD MECHANICAL PERMIT
'� COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00565
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/14/2006
PARCEL: 2 S 113AC -00103
SITE ADDRESS: 07204 SW DURHAM RD Q300 ZONING: I -P
SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG
Project Description: Consumer Cellular - Relocate ducts & grilles. Project Value: $2,700
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 11/14/20C $88.60
[TAX] 8% State Surcha 11/14/200 $7.09
Total $95.69
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 B , �� 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.
Mechanical Permit Application FOR OFFICEUSE ONLY
City of Tigard ,1* C 6e.IV * Received
Date/By: ,� r' .0 PermitNo.: �4�/
13125 SW Hall Blvd., Tigard, OR 972.:
Phone: 503.639.4171 Fax: 503.598.1960 Plan Review
A* +''' Date/By: Other Permit:
Inspection Line: 503.639.4175 �j� •' I IMO
Int rnet: www.ci.ti ard.or.us 14U V 1 4, 20
_ ^ ^' a Date Ready /By: S See Page 2 for
g Notified/Method: Supplemental Information
., OF TIGARD
tttQ:,_ E �-;>3i,»•, 1,04,* Rc4!:; FEE, SCFIEDULE - - ; 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.
Value: $ Strinr
CATEGORY;'`• OFr >GONSTRUCTION "
RESIDENTIAL E PM NT SYSTE FEES
El 1 - and 2- family dwelling ® Commercial /industrial ❑ Accessory buil ding
For special information use checklist.
❑ Multi family ❑ Master builder ❑ Other:
Description Qty. Ea. Total
�.�;: JOBrSITE �INF®RMATION �N "CATION Heatin coolin
<;'�;, + '.' ° ..:.,; •. ' cam., ".. .�,,... " .....,, ,., .. Y,_ .- .:.... .....E...,.��.,,�..,' ":�� "` .., .,.. ... ���i"�e�'`�"'' � P+
Job site address: 7204 SW DURHAM RD Air conditioning or heat pump
(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.: Project name: CONSUMER CELLULAR. 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
Flue /vent for any of above 10.00
Subdivision: Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
;>>. Water heater 10.00
"> DESGRIPTIONI F W(ORI{:,..,, "'` ^":
RELOCATE SUPPLY &RETURN DIFFUSER,S WERE PRIVETE OFFICES ARE Gas fireplace 10.00
DEMO'D 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
Chimney /liner /flue /vent 10.00
PR®PERTY'`,OWER° TENA "NT) y s ;;
�.�,... ,., � . , _.. ,. .. Other: 10.00
Name: Environmental exhaust and ventilation
• Range hood/other kitchen
Address: equipment 10.00
City /State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
} _ q ," ;,, Attic /cra fans 10.00
® ";APPLfeafg °< k. ? %' CONIACTi' <I'E"RSON:" 'biK `,
„�...:�_„ "...... ....' ... ...... �,,.. er 1000
Business name: PROTEMP ASSOCIATES Fuel piping
Contact name: BRUCE BUTNER $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: 9788 SE 17 AVE Gas heat pump
City/State /ZIP: PORTLAND OREGON 97222 Wall /suspended /unit heater
Water heater
Phone: (503) 519 -6199 Fax: : (503) 238 -9767 Fireplace
E -mail: BRUCE @PROTMP.COM Range
Barbecue
,:: �_, . ..- ,: F, ' n ,> ,„ , ?EFL _ ,. ., a� �. ..a,,,v:".ti �... ,.... ,..✓,
fate
E- ti '=: � ° „- .
Clothes dryer (gas)
Business name: SAME S ABOVE Other:
Address: ;;y; \, :, "F ,,ter ;:k �,,
u � µ '' `m'MECEIA1vICAL ,
City /State /ZIP: Subtotal
Minimum permit fee ($72.50) J C� r�
V r `f
Phone: ( ) Fax: ( ) Plan review (25% of permit fee)
CCB lic.: 38868 State surcharge (8% of permit fee) / d'
TOTAL PERMIT FEE 7 z r [Q
This permit application expires if a permit is not obtained within 180
Authorized signature: 4 � days after it has been accepted as complete.
* Fee methodology set by Tri- County Building Industry Service Board
Print name: BRUCE BUTNER Date: 9/12/06
is \Building \Permits \MEC- PermitApp doc 12/03 440 -4617T (I I /02 /COM /WEB)
CITY OF-TIGARD
BUILDING DIVISION
• PERMIT #: MEC2006-00565
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/14/2006
Phone: (503) 639-4171 earloot i
Inspection Requests (24 Hrs.): (503) 639-4175 E.
INSPECTION WORKSHEET FOR DATE: 11/15/2006 TIME: 7:07AM PAGE: 51
SITE ADDRESS: 07204 SW DURHAM RD 0300 CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: CONSUMER CELLULAR
DESCRIPTION: Consumer Cellular - Relocate ducts & grilles. Project Value: $2,700
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503-519-6199
Inspection Request Scheduled For: Date: 11/15/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 039769-01 503-519-6199 Y
BF—OC
Corrections/Comments/Instructions:
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I PASS PARTIAL APPROVAL I I CANCEL I I NO ACCESS
7 FAIL ,. I I CALL OR INSPECTION _ ADDITIO IAL F S ASSESSED
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Inspector: IIII
Date: L/ (...-- a -.• Phone #: (503) 718- ZA
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