Permit a CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00438
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/19/2007
PARCEL: 2S 112AB - 02300
SITE ADDRESS: 14150 SW MILTON CT ZONING: I -
SUBDIVISION: BONITA INDUSTRIAL PARK LOT: 005 JURISDICTION: TIG
• PROJECT: MEDICAL TEAMS INTERNATIONAL
Project Description: (2) swamp coolers. No water. $12000
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
SHEININ - MENDENHALL LLC I Description Date Amount
BY PARROTT PARTNERHIP
12725 SW 66TH AVE #202 [MECH] Permit Fee 7/19/2007 $258.50
PORTLAND, OR 97223 [TAX] 8% State Surcha 7/19/2007 $20.68
[MECPLN] Plan Rev 7/19/2007 $64.63
Phone: Total $343.81
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: 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.
L
Mechankal PermRel FOR OFFICE USE ONLY
City cif Tigard Dateiv d
b ro , •� �:•
13125 SW Hall Blvd., Tigard, OR 97223 JUL 19 2007 Plan ' evt !TIM
Phone: 503.639.4171 Fax: 503.598.1960 boa , 'i +n Dat Other Permit:
Inspection Line: 503.639.4175 y j i t Date I el See Page 2 for
Internet: www.ci.tigard.or.us CITY OP 1 i Notified/Method: Supplemental Information
BUMD DIVISION _
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — 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
I ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION - Value: $ $12,000.00
dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2-family g ® CommerciaUindustrial ❑ Accessory building
For special information use checklist.
® Multi- family ❑ Master builder ❑ Other:
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 14150 SW MILTON CT. 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
Project name: MEDICAL TEAMS Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: INTERNATIONAL 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
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
'INSTALL TWO SWAMP COOLERS NO WATER TWO RELIEF VENTILATOR 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
❑ PROPERTY OWNER ❑ TENANT 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
® APPLICANT ® CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00 _
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 WalUsuspended/unit heater
Water heater
Phone: (503) 519 -6199 Fax: : (503) 238 -9767 Fireplace
E -mail: BRUCE @PROTMP.COM Range
CONTRACTOR Barbecue _
Clothes dryer (gas) _
Business name: SAME AS ABOVE
Other:
Address: MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal
Minimum permit fee ($72.50) Z5i3 ,
Phone: ( ) Fax: ( ) Plan review (25% of permit fee) GA. ( _
CCB lic.: 38868 State surcharge (8% of permit fee) 20 . GS
/ TOTAL PERMIT FEE 3/
T his permit application expires if a permit is not obtained within 180
Authorized signatur :��� days after it has been accepted as complete.
I Print name: BRUCE BUTNER Date: 7/19/07 • Fee methodology set by Tri -County Building Industry Service Board
i:\Building\PermitsVMEC- PermitApp.doc I2/03 440 4617T /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION A PERMIT #: MEC2007 -00438
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/19/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 �.'- !�i'I�—
INSPECTION WORKSHEET FOR DATE: 8/20/2007 TIME: 7:02AM PAGE: 52
SITE ADDRESS: 14150 SW MILTON CT CLASS OF WORK:
SUBDIVISION: BONITA INDUSTRIAL PARK LOT #: 005 TYPE OF USE:
PROJECT NAME: M b1CAL TEAMS INTERNATIONAL
DESCRIPTION: (2) swamp coolers. No water. $12000
OWNER: SHEININ- MENDENHALL LLC I, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503-519-6199
Inspection Request Scheduled For: Date: 8/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Ma - f
699 Mechanical final 054276 -01 503-519-6199 ?kJ °�
Corrections/Comments/Instructions:
PASS (/ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL %CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: - Date: 8 i d Phone #: (503) 718 - 0
7