Permit CITY OF TIGARD MECHANICAL PERMIT
a • COMMUNITY DEVELOPMENT Permit #: MEC2013 -00138
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/12/2013
Parcel: 1 S126BC01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD 220
Project: Southwest Business Corp Subdivision:: CONDO, THE SUPPLEMENTAL PLAT Lot: 25 -4
Project Description: Install (1) split system A/C for server room.
Contractor: PROTEMP ASSOCIATES INC Owner: WISCO REAL ESTATE EQUITY FUND I
9788 SE 17TH AVE 1501 SW TAYLOR ST STE 100
PORTLAND, OR 97222 PORTLAND, OR 97205
PHONE: 503 - 233 -6911 PHONE:
FAX: 503 - 238 -9767
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/12/2013 $299.94
Class of Work: ALT Type of Const: Plan Review 03/12/2013 $74.99
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 03/12/2013 $35.99
Stories: Info Process /Archiving - Lg $2.00 (over 03/12/2013 $2.00
11x17)
Project Valuation: $8,250.00
Fuel Air Handlers
Fuel Types: Units < 10000 cfm: 1
Gas Pressure: Units > 10000 cfm:
Furnaces Boilers 8 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: 1
Appliances
Vent Fans: Vent Systems: Total $412.92
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
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 -0090. You may obtain a copy of the rules
or dir questions to C by ' g 503.232.1987 or 1.800.332.2344.
i
lss ed By: Permittee Signature:
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 K! USE ONLY .. 2 • n
Ili City of Tigard Ce � / .- Permit No.: Y t �(� - cet J?3
° 13125 SW Hall Blvd., Tigard, OR 97223 RECEW • i
P hone: 503.718.2439 Fax: 503.598.1960 D Other ' h € 0 ( Permit: e 'l0 ( .1 j
TI G A R D Inspection Line: 503.639 MA 2 2 013 Date Ready/By: luris: El See Page 2 for
Internet: www. tigard- or.gov Notified/Method: Supplemental Information
CITY OF
TYPE OF WORK M �`r± t i GiAR V � W l COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Wt Mechanical permit fees* are based on the value of the work
❑ New construction ® Addition/alteration / re placem 1Y NG ent T(D performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit
. .. Value: $ $8,250.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ I - and 2- family dwelling ® Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description 1 Qty. 1 Ea. 1 Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: 9020 SW Washington Square Rd (requires site plan showing placement) 46.75
Furnace 100,000 BTU (ducts/vents) 46.75
City /State /ZIP: Tigard Oregon 97224 Furnace 100,000+ BTU ( ducts/vents) 54.91
Suite/bldg. /apt. no.: #220 Project name: One Embassy Heat pump
(requires site plan showing placement) 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: 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
install 1- split system A/C for server room Gas fireplace /insert 33.39
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 ❑ 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
Phone: ( ) Fax: ( ) Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 23.32
• • • ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Business name: Protemp Associates Other: 23.32
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: Milwaukie Or 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/Z1P: 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 permit application expires if a permit is not obtained within 180
�( �� days after it has been accepted as complete.
Print name: Bruce Butner Date: 3/11/13 • Fee methodology set by Tri -County Building Industry Service Board
I: \Building\Permits\MEC- PermitApp.doc 03 /07/12 440 -4617T (I I /02/COM/WEB)
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9020 SW WASHINGTON SQUARE RD 220,
TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
03/25/2013 00:00
MEC2013-00138
PASS - No C of O
Violation Summary:
Inspector Contractor