Permit CITY OF TIGARD MECHANICAL PERMIT
0 • COMMUNITY DEVELOPMENT Permit #: MEC2012 -00178
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/09/2012
Parcel: 2S110DCO2200
Jurisdiction: Tigard
Site address: 15660 SW PACIFIC HWY A -1
Project: Petco Subdivision: 1997 -016 PARTITION PLAT Lot: 2
Project Description: Mechanical for TI.
Contractor: PROTEMP ASSOCIATES INC Owner: TRC MM LLC
9788 SE 17TH AVE 5973 AVENIDA ENCINAS STE 300
PORTLAND, OR 97222 CARLSBAD, CA 92008
PHONE: 503 - 233 -6911 PHONE:
FAX: 503 - 238 -9767
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/09/2012 $1,712.31
Class of Work: ALT Type of Const: VB Plan Review 05/09/2012 $428.08
Occupancy Grp: M Occupancy Load: 12% State Surcharge - Mechanical 05/09/2012 $205.48
Stories: 1 Info Process /Archiving - Lg $2.00 (over 05/09/2012 $10.00
11x17)
Project Valuation: $64,000.00 Info Process /Archiving - Sm $0.50 (up to 05/09/2012 $24.00
11x17)
Fuel Air Handlers
Fuel Types: Units < 10000 cfm: 1
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: 1 •
Heat Pump:
Appliances
Vent Fans: 6 Vent Systems: Total $2,379.87
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: registers
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 otification enter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or dir ct questions to OUNC ailing 503.232.1987 or 1.800.332.2344.
Issue By: k Permittee Signature: y'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
r te ' A `— Received
City of Tigard ‘‘ ‘ Date/By: y �� �t Permit No.: V
11
• 13125 SW Hall Blvd., Tigard, OR 9 � R r
Ill Phone: �a l" Plan Review
Phone: 503.639.4171 Fax: 503.598'-' O \'� D
T I G n R D p I S Other Permit: , C I 1 _ �
Inspection Line: 503.639 \ ® Date Ready /By: Juris: la See Page 2 for
Internet: www.tigard or P9' 1 � Notified/Me ..:_5 9 / j .�r v I ' I Supplemental Information
TYPE OF WORT t � p\ COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction ® Addition/alteratioi ement 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: $ $64,000.00
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ 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: 15660 SW Pacific HY Air conditioning
W
(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.: I Project name: Petco 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
5 -New RTU Units,duct,grills,exhaust fans 1 -split a/c unit,gas pipping 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 I ❑ 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
® APPLICANT ® 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 I 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: MECHANICAL PERMIT 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 permit fee)
TOTAL PERMIT FEE
Authorized signature: This p ermit a expires if a permit is not obtained within 180
1 days after it has been accepted as complete.
I Print name: Bruce Butner I Date: 4/9/12 • Fee methodology set by Tri -County Building Industry Service Board
I: \BuildingWermitsUMEC- PamitApp.doc 10/01/09 440-4617r (I 1 /02/COM/WEB)
•
This form is recognized by most Building Departments in the Tri -County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
: 11 q City of Tigard
Buildin g Division
TIGARD
TRANSMITTAL LETTER
TO: DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
MAY - 2 2012
FROM: CITY OF TIGARD
COMPANY: BUILDING DIVISION
PHONE:
RE: Al p 1`l/Co Y1C3f7g ress (Permit Num e r
�1��Tc •
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: I Description: I Copies: Description:
Additional set(s) of plans. Revisions: .
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. j( Engineer's calculations.
Other (explain):
REMARKS:
FOR OFFICE USE ONLY
•
Routed to Permit Technici Date: '5 3 t2 . Initialsa
Fees Due: ❑ Yes [1].'o , Fee Description: Amount Due:
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
•
I: \Building\ Forms \TransmittalLetter - Revisions.doc 02/08/2011