Permit v CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2015-00130
TKUARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/12/2015
Parcel: 2S113AB00101
Jurisdiction: Tigard
Site address: 16101 SW 72ND AVE 200
Project: Perlo Construction Subdivision: ROSEWOOD ACRE TRACTS Lot: D
Project Description: Relocate duct for new floor plan
Contractor: PROTEMP ASSOCIATES INC Owner: PACIFIC REALTY ASSOCIATES LP
9788 SE 17TH AVE ATTN: N PIVEN
PORTLAND, OR 97222 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-233-6911 PHONE:
FAX: 503-238-9767
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/12/2015 $105.90
Class of Work: ALT Type of Const: Plan Review 03/12/2015 $26.48
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 03/12/2015 $12.71
Stories:
Project Valuation: $1,700.00
Fuel Air Handlers
Fuel Types: 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 $145.09
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
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 questio• • OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued 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 I SE ONI 1
City of Tigard RECEIVED _ �! �► . Itpos cam •,
- Permit No.:, l
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1 �y Other Permit: 6/ 1 •-
Inspection Line: 503.639.4175iIAR 12 2015 vim- VWI
TIGARD Date Ready/By: Jens, RI See Page 2 for
Internet: www.tigard-or.gov d
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Notified/Meo : Supplemental OF TIGARD "°f°""�°°
SLING DIVISION
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Mechanical permit fees*are based on the value of the work
❑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.
Value:$41.11/7 ca 'el'O
CATEGORY OE COMIIIRICTION R ALIEQBQ7 '1SY'IT R BFIDa
❑ 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For spedal Information use checklist
❑Multi-family ❑Master builder ❑Other: Description 1 Qty. I Ea. I Total
JOE WE IN FORMATION AT4D ILQCATI<ON Heating/cooling:
Air conditioning 46.75
Job site address:16101 SW 72nd Ave Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard Or 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name:Per to Office Yd floor Heat pump 61.06
Duct work 23.32
Cross street/directions to job site: 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: 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
Relocate duct for new floor plan fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0 PROPERTY OWNER 1 ❑ TENANT Other: 23.32
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:( ) Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name:Protemp Associates
Fuel piping:
$14.15 for first four,$4.03 for each additional
Contact name:Bruce Butner Furnace,etc.
Address:9788 SE 17th ave Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Portaland Water heater
Phone:(503)519-6199 Fax::(503)238-9767 Fireplace
Range
E-mail:bruce@protmp.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Same as above Other:
MECHANICAL PERMIT FZPS"
Address:
Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( )
State surcharge(12%of permit fee)
CCB lie.:38868 TOTAL PERMIT FEE /t/5', 9
This permit application expires if a permit is not obtained wi in 180
days after it has been accepted as complete.
Authorized signature: • Fee methodology set by Tri-County Building Industry Service Board
Print name:Bruce Butner Date:3/12/15
1:\Building\Permits\MEC_Permit App_040113.doc 440-4617T(11/02/COM/WEB)