Permit is
C ITY OF TIGARD MECHANICAL PERMIT
� DEVELOPMENT SERVICES PERMIT #: MEC2005 -00816
s�� II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 12/27/2005
PARCEL: 2S 112 D D -00701
SITE ADDRESS: 15800 SW UPPER BOONES FERRY RD A -300 ZONING: I -P
SUBDIVISION: OREGON BUSINESS PARK II LOT: JURISDICTION: TIG
Project Description: TI Project Value: $6200
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT-FANS: 2
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: 1 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: 150 BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: < = 10000 cfm: 1 OTHER UNITS:
> 10000 cfm:
GAS OUTLETS: 1
Owner: • FEES
•
PACIFIC REALTY ASSOCIATES Description • Date Amount
15350 SW SEQUOIA PKWY #300 -WMI [MECH] Permit Fee 12/27/20( $163.10
PORTLAND, OR 97224 [MECPLN] Plan Rev 12/27/20( $40.78
[TAX] 8% State Surchar€ 12/27/20C $13.05
Phone: Total $216.93
Contractor:
PROTEMP ASSOCIATES INC
9788 SE 17TH AVE REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97222
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: � �u � Permittee Signature: 6#
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.
•
•
•
1 Sap veer torQs'
Mechanical Permit Application FOR OFFICE USE ONLY
Rec eived
of Tigard City No. }. �
...,. i ) 1312 SW Hall Blvd , Tigard, OR 97223 1 r Date /By � . �` v , Pe t o e . �0io
\ l'- - IA i� A 'A 1eK ' 0
( � 5
Inspection Other Permit:
Phone 503 639 4171 Fax 503 598 1960 ect Li ne 503 639 4175 J I Date/By d `Ally
p Q e' Date Ready . inns El See Page 2 for
Internet www ci tigard or.us & - ( Notified /Method -/9-61 All f a. Supplemental Information
TYPE i OrW WOW
r' T -{U COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
El New c onstruction i t rdt�� pp75
®Addltton a era I Mechanical permit fees* are based on the value of the work
r co��tfld�l performed Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit
CATEGORY OF CONSTRUCTION
Value. $ $6,200.00
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ I - 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: 15800 SW UPPER BOON ES FERRY RD Air conditioning or heat pump
(requires site plan showing placement) 14 00
City /State /ZIP. TIGARD OREGON 97035 Furnace 100,000 BTU (ducts /vents) 14 00
Furnace 100,000+ BTU (ducts /vents) 17 90
Suite/bldg. /apt no. #300 Project name: MATTHHEWS GALLERY Gas heat pump 14 00
Cross street/directions to Job ste Duct work 14 00
1- lydronic hot water system 14 00
Residential boiler (radiator or
hydronic) 14 00
Unit healers (fuel -type, not electric),
le /7 in -wall, in -duct, suspended, etc 10 00
Subdivision: Lot no. Flue /vent for any of above 10 00
( � lir Other 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
I -OWNER SUPPIED 4 TON PACKAGE ROOF TO UNIT, WITH DISTRBUTION Gas fireplace 10 00
DUCT AND GRILLS ,AND LOW VOLTAGE THERMOSTAT 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 Wall /suspended /unit heater
Water heater
Phone: (503) 519 -6199 Fax: • (503) 238 - 9767 Fireplace
E -mail: BRUCE@PROTMP PROTMP Range
CONTRACTOR Barbecue
Business name SAME AS ABOVE Clothes dryer (gas) •
Other:
Address MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal
Minimum permit fee (572 50) 1 , Phone: ( ) Fax ( ) Plan review (25% of permit fee) , 78-
CCB he 38868 State surcharge (8% of permit fee) i ,Q5
- TOTAL PERMIT FEE /�, / Q3
n This permit application expires if a permit is not obtained within 180
Authorized signature: , ��� 7 � r �! days after it has been accepted as complete.
Print name: BRUCE BUTNER KK ~~ Date: 12/13/05 • Fee methodology set by Tn- County Budding Industry Service Board
1 \Iluddutg \ Permits \M EC- PernutApp doc 12/03 440 -4617T (11 /02 /COM /WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: M; C2005- 00316;
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/27/200. /�
Phone: (503) 639 -4171 1
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' I �..
INSPECTION WORKSHEET FOR DATE: 1/24/2006 TIME: 6:58AM PAGE: 02
SITE ADDRESS: 15900 SW UPPER BOONES FERRY RD A -300 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK II LOT #: TYPE OF USE:
PROJECT NAME: MATTHEWS GALLERY
DESCRIPTION: TI Project Value: $6200
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: ,03- 519- fi199
Inspection Request Scheduled For: Date: 1/24/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
6D9 Mechanical final 02?i512 -01 503 - 519.6199 N
Corrections/Comments/Instructions:
Lip/
-\II .
IMP If Id
! 4 i AI
i ry '''4 apir
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector: Date: I (t1:3 Phone #: (503) 718- .2-42z3
1
CITY OF TIGARD . .
BUILDING DIVISION PERMIT #: ME C:2(105-00316
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/27/2005
Phone: (503) 639 -4171 '�
Inspection Requests (24 Hrs.): (503) 639 -4175 ..' " --
INSPECTION WORKSHEET FOR DATE: 1/1012006 TIME: 7 :00AM PAGE: 9
SITE ADDRESS: 16000 SW UPPER BOONES FERRY RD A.300 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK II LOT #: TYPE OF USE:
PROJECT NAME: NMATTHEWS GALLERY
DESCRIPTION: TI Project Value: $6200
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIA TES INC PHONE #: 503 51 9- 6199
Inspection Request Scheduled For: Date: 1/10/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 4'Gac Iine 024677 -01 503-519.6199 N
Correctio s /Comments /Instructions: /
1---1/ r
• i _ L / 1
l P ASS El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
/ / / �.' _ El CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED
Inspector: `7//i t I Date: ` /L 0/6 ICS Phone #: (503) 718- ?/4/7
CITY OF TIGARD • -A
BUILDING DIVISION PERMIT #: M 02005.00316
13125 SW Hall Blvd., Tigard, OR 97223 I DATE ISSUED: 12/27/20055
Phone: (503) 639 -4171 • a
Inspection Requests (24 Hrs.): (503) 639 -4175 e I�
INSPECTION WORKSHEET FOR DATE: 1/9/2006 TIME: 7 :0IAM PAGE: 49
SITE ADDRESS: 15800 SW UPPER BOONES FERRY RD A -300 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK II LOT #: TYPE OF USE:
PROJECT NAME: MATTHEWS GALLERY
DESCRIPTION: TI Project Value: $6200
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 50:3
Inspection Request Scheduled For: Date: 102006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 024559 -03 503 - 519.6199 N
Corrections /Comments /Instructions: Q
,14■14 kJ 1.../L-Nr■.,-- a __,..„. a_R___ (2)
U Le_
1)-tAcji .A.,,..‘4.Q ,---- t‹.,,,....P.:
SS _ ❑ PARTIAL APPROVAL ❑ CANCEL III NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \--. () Date: t /q /a Phone #: (503) 718- `12.1
CITY OF TIGARD .
BUILDING DIVISION #:�.c�2()().;_i10316 0:______.
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12.127/20(16
Phone: (503) 639 -4171 �mw
Inspection Requests (24 Hrs.): (503) 639- 4175
INSPECTION WORKSHEET FOR DATE: 1/9/2006 TIME: 7 :p1AM PAGE: 40
SITE ADDRESS: 15000 SW UPPER BOONES FERRY RD A - 300 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK II LOT #: TYPE OF USE:
PROJECT NAME: MATTHEWS GALLERY
DESCRIPTION: 11 Project Value: $6200
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMF' ASSOCIATES INC PHONE #: 50,3 9
Inspection Request Scheduled For: Date: //112006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 0 24559.04 503-519 -6199 N
Corrections /Comments/ nstructions: j ,k _ Arto ._(...:_v‘
(ivt_.-(2._ b ps o (n.2- 1 y ,
\,; --Y mss *-- \ ' U 1 - c‘ E° ff''-‘"-
\r SL AL I
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \'/I‘()-- Date: 1 / (4, Phone #: (503) 718- Z4)-4