Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00546
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/30/2011
Parcel: 2S112AD01000
Jurisdiction: Tigard
Site address: 7007 SW CARDINAL LN 185
Project: Cricket Communications Subdivision: PACIFIC CORPORATE CENTER Lot: 1
Project Description: Relocate (1) duct for new tenant.
Contractor: PROTEMP ASSOCIATES INC Owner: PACIFIC REALTY ASSOCIATES LP
9788 SE 17TH AVE ATTN: N PIVEN
PORTLAND, OR 97222 15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 233 -6911 PHONE:
FAX: 503 - 238 -9767
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/30/2011 $115.11
Class of Work: ALT Type of Const: Plan Review 11/30/2011 $28.78
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 11/30/2011 $13.81
Stories:
Project Valuation: $1,940.00
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 $157.70
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
Utility : 'cation : ter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or dirt t questions to O C • .Ilin , 503.232.1987 or 1.800.332.2344.
Issueo By: I /4/i Permittee Signature:
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 F. eceived ,,
I • . ' II ate/By: if ffir Permit No.tite 5 6
. . 13125 SW Flail Blvd., Tigard, OR 97223
- 2 Phone: 503.639.4171 Fax: 503.598.1960
N
NOV 3 0 2011 Plan Review
Date/By: ,
Other Permit: 41u,e2,1)//00ea.57
Inspection Line: 503.639.4175
TIGARD " • • Date Ready/By: luris: 0 See Page 2 for
Internet: www.tigard CITY OF TIGARD Notified/Method: Supplemental Information
B UILDING D1VI '
itfagl„NO ''s,.:ii;;445:, 'A: liteigkA .-',CPNI,IrPtc!:f-4,F**V:,§0
Mechanical permit fees* are based on the value of the work
0 New construction Z Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
*Mr " Ar1:40 irkari ddilV OF iaii.igtiitierfola Op r4iili4::';-4, :',:,,, Value: $ $1,940.00
-,'''''' :' ' ' - ' '' ''''' ' 44." RES INT7SYSTilg
Li 1- and 2-family dwelling Z Commercial/industrial 0 Accessory building
For special information use checklist.
0 Multi 0 Master builder 0 Other:
Description I Qty. Ea. Total
.r.-,,,,-- 77 - Heating/cooling
Air conditioning
Job site address: 7007 SW Cardinal Ln
(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.: 185 Project name: Cricket Communications
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
Flue/vent for any of above 23.32
Subdivision: Lot no.:
Other: 23.32
Tax map/parcel no.: Other fuel appliances
Water heater 23.32
, ,-;,--,',,,i,- 4,4=- m iti*-:. , ,l,e, t k i : , , , ,,,,k, , ,,:::011, jt v i ew * ,:i tt iA, :„
- — Gas fireplace 33.39
relocate duct for tentant inprovement 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
it fie
ioRiol"v1411:-'',- Chimney/liner/flue/vent
- -70 ',..= :,;z .= = , _ „ l„ 7. . - :',,'',''..1M1:1 :"..:. ? 23.32
Other:
23.32
Name: Environmental exhaust and ventilation
Range hood/other kitchen
Address:
equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
„ -
W 1:8PiILICANt,-',- ' ' - ' - ,:', '- - - -. --n-aictixerickgagooN.-.1 Attic/crawlspace fans 23.32
Other: 2332
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 Fax: : (503) 238 Water heater
•
Fireplace
E bruce@protmp.com Range
'' .?,t1;1 : 2601,MSLUQ.ONTJZA,C2,91;k:;::,„,,,? ;. .- - •7,7*?!4 Barbecue
Business name: same as above Clothes dryer (gas)
Other:
Address: '- - '- IMECAN ci! RM1T-FEitr 2
City/State/ZIP: Subtotal 7/6. f/
Minimum permit fee ($90.00) ----•-•
Phone: ( ) Fax: ( )
Plan review (25% of permit fee) ,..,2 g. 78
CCB lie.: 38868 State surcharge (12% of permit fee) / 3 .8/
TOTAL PERMIT FEE /6 70
Authorized signature: erk nee..._ 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: 11/30/11 * Fee methodology set by Tri-County Building Industry Service Board
1: \ BuildingWermits\ MEC-PermitApp.doc 10/01/09 440-4617T (11/02/COM/WEB)
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