Permit C ITY OF TIGARD MECHANICAL PERMIT
i DEVELOPMENT SERVICES PERMIT #: MEC2006-00109
� II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/21/2006
PARCEL: 1S126BC-01506
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 300 ZONING: C -G
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Add (11) grills, relocate (8) grills to house management system. Add (1) exhaust fan. Valuation: $6,200.
CLASS OF WORK: OTR 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
WYSE INVESTMENT SERVICES CO Description Date Amount
111 SW 5TH AVENUE #1100
PORTLAND, OR 97204 [MECH] Permit Fee 2/21/200E $163.10
[TAX] 8% State Surcha 2/21/200E $13.05
Total $176.15
Phone: 503- 294 -0400
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: , J(�p / 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.
Mecil'anical Permit • ® FOR OFFICE USE ONLY
City of Tigard
Date/By PemutNo i66-661
13125 SW Hall Blvd , Tigard, OR 97223 �ooe Plan Review
Phone 503 6394171 Fax: 503.598.1W6�, , 0 Date /By Other Permit
Inspection Line. 503 639.4175 • i /1 Date Ready /By. J uns ® See Page 2 for
Internet: www.cl tigard or us CITY OF TIGARD Notified/Method T x,- Supplemental Information
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE* SCIIEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
111 New construction ® Addition /alteration /replacement
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 Qty. Ea Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address 9020 SW WASHINGTON ST Air conditioning or heat pump
(requires site plan showing placement) 14 00
City /State /ZIP: TIGARD OREGON 97007 Furnace 100,000 BTU (ducts /vents) 14 00
Furnace 100,000+ BTU (ducts /vents) 17 90
Suite/bldg /apt. no.: #300 Project name: AEROTEC Gas heat pump 14 00
Cross street/directions to job ste: 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
ADD 11 SUPPLY GRILLS /AND RELOCATE 8 SUPPLY GRILLS THESE ARE Flue vent for water heater or gas
ADDED TO HOUSE MANAGEMENT SYSTEM ALSO ADDING 1 EXHAUST FAN fireplace 10 00
Log lighter (gas) 10 00
TO EXISTING DUCT RUN Wood /pellet stove 10 00
Wood fireplace/insert 10 00
❑ PROPERTY OWNER Chimney /liner /flue /vent 10.00
❑ TENANT 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 Attic /crawlspace fans 10.00
Other 10.00
Business name: PROTEMP ASSOCIATES
Fuel piping
Contact name: BRUCE BUTNER $5.40 for first four; $I.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
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 /63/a
Phone. ( ) Fax: ( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee) '
CCB lie.: 38868 State surcharge (8% of permit fee) /7. DJ
TOTAL PERMIT FEE / 7(
Authorized signature: eruAz4__e/O&-- This permit application expires if a permit is not obtained ssithin 180
days after it has been accepted as complete.
Print name: BRUCE BUTNER Date: 2/21/06 • Fee methodology set by Tn -County Building Industry Service Board
i \ Building \ Permits \MEC- PermitApp doe 12/03 440 - 4617T ( I I /02 /COM /WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200& -00109
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/21120W
Phone: (503) 639 -4171 tl
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/11/2006 TIME: 7 :07AM PAGE:
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 300 CLASS OF WORK: E
SUBDIVISION: LOT #: TYPE OF USE: ���0
PROJECT NAME: AEROTEK
DESCRIPTION: Add (11) grills, relocate t6) grills to house management system. Add (1) exhaust fan. Valuation:
$6,200.
OWNER: WYSE INVESTMENT SERVICES CO, PHONE #: 503.294 (1400
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503 - 519.6199
Inspection Request Scheduled For: Date: 4/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanic :al final 027721 -01 1 501- 10E1.3211 N
Ovre_.
Corrections /Comments /Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL f , CALL FOR INSPECTION ❑ ADDITI NA FEES ASSESSED
Inspector: • A dif Date: k/ ( ' i ®( Phone #: (503) 718-
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: 206 -6.o/a f
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 agpq
Inspection Requests (24 Hrs.): (503) 639 -4175 'I 11 ..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
cv �� S �.
SITE ADDRESS:' U �- Q ` + ' SS OF WORK:
SUBDIVISION:
�, :,_s; � � -- TYPE OF USE:
PROJECT NAME: 14. ,_„ <0 . 7 1_, e
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 — I S 0 4 Pour Time:
Code # Inspection Description Confirm # Contact # Message
((o3) 319 —&/9.9
Corrections /Comments /Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FO' INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Ai O
� ,� Date: 3/ 4 0 Phone #: (503) 718 - �7,
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