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Permit 11111 CITY OF TIGARD MECHANICAL PERMIT = COMMUNITY DEVELOPMENT Permit#: MEC201500055 T(GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/04/2015 Parcel: 2S112AB02300 Jurisdiction: Tigard Site address: 14150 SW MILTON CT Project: Medical Teams International Subdivision: BONITA INDUSTRIAL PARK Lot: 5 Project Description: Gas piping for generator. Contractor: PROTEMP ASSOCIATES INC Owner: MEDICAL TEAMS INTERNATIONAL 9788 SE 17TH AVE PO BOX 10 PORTLAND,OR 97222 PORTLAND, OR 97207 PHONE: 503-233-6911 PHONE: FAX: 503-238-9767 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 02/04/2015 $112.04 Class of Work: ALT Type of Const: Vg Plan Review 02/04/2015 $28.01 Occupancy Grp: S-1 Occupancy Load: 12%State Surcharge-Mechanical 02/04/2015 $13.44 Stories: Info Process/Archiving-Lg$2.00(over 02/04/2015 $4.00 11x17) Project Valuation: $1,900.00 Fuel Air Handlers Fuel Types: Natural Gas Units< 10000 cfm: 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: Heat Pump: Appliances Vent Fans: Vent Systems: Total $157.49 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: 1 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 direct questions to OUNC by calling 503.232.1987 or 1.800 .2344. 41111111111k Issued By: � ittee 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 I oR 01.1.1( f 1 I. ON l.\ City of Tigard -Nk Received © _ Date/By: a = Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 �{ Plan Re �� V� •f 5- fi Phone: 503.718.2439 Fax: 503.598.1 S! '9. Other Permit: Inspection Line: 503.639.4175 Date/By. G��is—UCb 11(, 1Rl) DateR .r' :i: 1 s: ® See Page 2 for Internet: www.tigard-or.gov 1� t IA�Q Notified/Method:� // ��a ,� Supplemental Information N 7 TYPE OF WORK oVii 0� COMMERCIAL FEE* SCHEDULE– USE CHECIa�r ��vv Mechanical permit fees*are based on the value of the work ❑New construction ®Addition/alteratiotlilI9crelpg ,Q performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: OW mechanical materials,equipment,labor,overhead,and profit. V Value:$$1,900.00 CATEGORY OF CONSTRUCTION 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: ✓D Air conditioning 46.75 Job site address-,-I41150-SW Milton Ct Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard Oregon 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: I Project name:Medical Team Duct work 23.32 Cross street/directions to job site:bonita 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 Flue/vent for any of above 23.32 Subdivision: I Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas Install New gas piping for Genrator fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 ❑ PROPERTY OWNER ❑ TENANT Environmental exhaust and ventilation: Name: Range hood/other kitchen equipment 33.39 Address: Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) I Fax:( ) Attic/crawlspace fans 23.32 ❑ APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name: Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) I Fax::( ) Fireplace Range E-mail:bruce @protmp.com Barbecue – CONTRACTOR Clothes dryer(gas) - Business name:Protemp Associates Inc. Other: MECHANICAL PERMIT FEES* Address:9788 SE 17th Ave Subtotal City/State/ZIP:Portland Oregon 97222 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)519-6199 Fax:(503)238-9767 State surcharge(12%of permit fee) CCB lic.:38868 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 �j days after it has been accepted as complete. Authorized signature: ` wC * Fee methodology set by Tri-County Building Industry Service Board Print name:Bruce Butner Date:2/2/2015 1.1Buildingt Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) F._ Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 14150 SW MILTON CT, TIGARD, OR, 97224 Commercial - Mechanical 699 Mechanical final PASS - No C of O MEC2015-00055 Chip Barnett Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 12010 SW NORTH DAKOTA ST, TIGARD, OR, 97223 Residential - Mechanical 699 Mechanical final PASS - No C of O MEC2015-00558 David Young Corrections done. Violation Summary: Inspector Contractor