Permit V
1,
CITY OF TIGARD MECHANICAL PERMIT
' a COMMUNITY DEVELOPMENT Permit #: MEC2009 -00481
Date Issued: 09/23/2009
.T1G`ARD 13125 SW Hall Blvd., Tigard OR 97223 503639.4171 parcel: 1S126BC01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD
Subdivision: Lot: 0
Project: One Embassy
Project Description: Replacement of RTU with same
Owner: FEES
WISCO REAL ESTATE EQUITY Description Date Amount
FUND I LTD PARTNERSHIP, BY WYSE Permit Fee 09/23/2009 $2,741.80
INVESTMENT SRVS CO, 1501 SW TAYLOR ST Plan Review 09/23/2009 $685.45
PHONE. 12% State Surcharge - Mechanical 09/23/2009 $329.02
Contractor:
PROTEMP ASSOCIATES INC
9788 SE 17TH AVE
PORTLAND, OR 97222
PHONE 503 - 233 -6911
FAX: 503 - 238 -9767
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Occupancy Load:
Stories:
Fuel Air Handlers
Fuel Types: Units < 10000 cfm.
Gas Pressue. 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 $3,756 27
Hoods: Comm Incinerators
Required Items and Reports (Conditions)
Woodstoves Gas Fireplaces
Clothes Dryers Other Mech Units.
Gas Outlets: Other Desc
Duct Work
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 Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503 246 6699 or 1.800.332.2344.
Issued By: (\ n n 1 Permittee Signature:
( � Call 503.639.4175 by 7:00 a.m. for an inspection 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.
MeeI Permit APPlicatiRECEIVED
Received of Tigard Date/By. ? /D e r -+ ��'/ .00 ai h l j � retina NO.: gezke! v 13125 SW Hall Blvd., Tigard, OR 97223 S E P 10 2009
• r D Date/By � l r Q 7 /
P hone: -503.639 4171 Fax 503.598:1960 an Review �/ d /Po d Y(/r , t - other Permit.
"f I C, A it I Jnspection _503.639 Date Ready/By: 4, ^ r -See Page 2-for
Internet: www.tigard-or gov CITY OF TIGARD Notified/Method 7 //f J/� (� Supplemental Information
BUILDING DIVISION """+++�"""'J
TYPE OF WORK 4-2 ZIPMECIA 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
❑ Demolition ❑ Other mechanical materials, equipment, labor, overhead, and profit
CATEGORY OF CONSTRUCTION Value $ $222,275.00
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building •
El ❑ Master builder ❑ Other: For special information use checklist.
Description , I Qty I Ea. .I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 9020 SW WASHINGTON SQUARE DR Air condttiotllag ho beat placement) (requires site plan showing placement) 1400
City /State/ZIP: TIGARD OREGON 97223 Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg. /apt. no.: Project name: ONE EMBASSY 1 unuACS 100 , 000+ BTU (dusts/vents) 17.90
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. - 1400
Flue/vent for any of 'above 6 80
Subdivision: I Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
PUSH PULL ON (1)90 TON ROOFTOP UNIT AND (1)105 TON ROOFTOP UNIT Gas fireplace 10.00
Flue vent for water heater or gas
THESE UNITS ARE LESS WEIGHT AND FIT ON EXISTING CURBS fireplace 1000
Log lighter (gas) 10.00
Wood/pellet stove 10 00
- 1 1 1. - Puryci_EJ-1107 - 1101 - 1 - Ex i1 -e-rz y 7 1 g .�kif. Wood fireplace /insert 10.00
❑ PROPERTY OWNER y ❑ TENANT Chimney/liner/flue/vent 10.00
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
® APPLICANT. ® CONTACT PERSON Atttc/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
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
E -mail: brut Fireplace
e ®p1 otmp.com y _ ` . _ Range .
CONTRACTOR Barbecue
Business name: SAME AS ABOVE - Clothes dryer (gas)
Other: I
Address: MECHANICAL PERMIT FEES*
City/ State/ZIP: Subtotal
Minimum permit fee ($72.50)
Phone: ( ) Fax: ( )
Plan review (25% of permit fee)
CCB lit.: 38868 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not.obtained within 180
Authorized signature: Z 14e— , days after it has been accepted as complete.