Permit 31 : CITY O F TIGARD MECHANICAL PERMIT
q
COMMUNITY DEVELOPMENT PERMIT #: MEC2009 -00041
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/27/2009
PARCEL: 1 S135AB -01003
SITE ADDRESS: 10300 SW GREENBURG RD 280 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT: JURISDICTION: TIG
PROJECT: SPEC SPACE
Project Description: Relocate grilles for TI. Project Value: $2,100
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:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
SHORENSTEIN REALTY SERVICES Description Date Amount
ONE SW COLUMBIA ST #300
PORTLAND, OR 97258 [MECH] Permit Fee 1/27/200. $74.80
[TAX] 12% State Surch 1/27/200E $8.98
Total $83.78
Phone: 503- 412 -4800
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. t,j �j - k i � 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 Applicatio CAD FOR OFFICE USE ONLY
City of Ti and JAN 2 7 2009 Received l n el permit No.: I
`J g Date /BY: /' / / a{1.6
e 13125 SW Hall Blvd., Tigard, OR 97223
-
Phone: 503.639.4171 Fax: 503.598.196 an Review
�� OF7'�CjA� Dan Other Permit:
TIGARD
Inspection Line: 503.639.4175 D ate Ready /By: ® See Page 2 for
BUILDING DIVISION Internet: www.tigard- or.gov Notified /Method: Supplemental Information
, ,�..T
� YPE;. F;�W RK :-,.;_; _.. � � -. E SCHEDULE USE CIiEC1CtiIS7'
�>::.., ;; � �� ,..� �� � ,. F ��_ � °. °trUM.MERCIAI.r EC
❑ 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.
,:: '' -g," .ems. Ma ::.,. :v:, Value: $ $2,100.00
i ' �: CA EGORir OE Gt1, S' :itLlw9N
RESIDBN`I QUTPMEST§i .. -: EM ES ,
El 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building : - NT-f SY < -' u.:: ..:
For special information use checklist.
Multi -famil
❑ Multi-family ❑ Master builder ❑ Other:
Description I Qty. I Ea. I Total
:; Heating/cooling
Job site address: 10300 SW GREENBURGH 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
cc Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: 280 Project name: tc d PAC 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
Subdivision: Lot no.: Flue/vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
�F ' ' Water heater 10.00
� °. �.. DESCRIPTION OF WORK . :�;e� =:'�
Gas fireplace 10.00
MOVE GRILLS FOR NEW FLOOR PLAN
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
zw* •• < .;,, y x• Chimney /liner /flue /vent 10.00
4 TY :.. 5:<4
Eli= OWNER" - -NANT" : .
A, , ? :.._ 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
; gym AppLIG� `'n Attic/crawlspace fans 10.00
Business name: PROTEMP ASSOCIATES Other: 10.00
Fuel piping
Contact name: BRUCE BUTNER $5.40 for first four; $1.00 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
_ - �;? :sue ^w e, ,, Y> - - '?.
�m , 7 =CONfiI2A Barbecue
Business name: SAME AS ABOVE Clothes dryer (gas)
Other:
Address: � - ::_`MECIi2�1VT� ERMT'T FEES*
City/State /ZIP: Subtotal
Minimum permit fee ($72.50) 7 f . 8o
Phone: ( ) Fax: ( ) Plan review (25% of permit fee) •
CCB lie.: 38868 State surcharge (12% of permit fee) , 9
TOTAL PERMIT FEE R 3 . 7 g
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: BRUCE BUTNER Date: 1/27/09 * Fee methodology set by Tri -County Building Industry Service Board
I:\ Building \Permits \MEC- PermitApp.doc 01/19/07 440- 4617T(II /02 /COM/WEB)
.
-CITY OF v��n wo���mn���
BUILDING DIVISION PERMIT �"°"�"~~"~ #: MEC2009-00041
. 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/2712009
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 =�j . IL
INSPECTION WORKSHEET FOR DATE: TIME: PAGE: i/2�� �O�B � ��O1�K� : 17
SITE ADDRESS CLASS 1��D08V�(�REE WORK:
SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: Relocate riIIes for TI. Project Value: $2.100
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-412~4808
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503-51 ..3-8199
Inspection Request Scheduled For: Date: 1/280009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 080088'01 503-619-6199
0
Corrections/Comments/Instructions:
/ APPROVAL 0 CANCEL r l NO ACCESS
`
li FAIL j r CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
' -..N.. f Inspector: Date: /�-^�/�~' /' Phone (G83\718'^�-1��/'
�m� / y `' ' /~