Permit (262) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2016-00835
TEA...R 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/03/2017
Parcel: 2S112DC00500
Jurisdiction: Tigard
Site address: 15889 SW 72ND AVE
Project: Spec Space Subdivision: FANNO CREEK ACRE TRACTS Lot: 40
Project Description: Install 2.5 ton gas pack,modify existing duct,gas lines,exhaust fan
Contractor: PROTEMP ASSOCIATES INC Owner: PACIFIC REALTY ASSOCIATES LP
9788 SE 17TH AVE ATTN: N PIVEN
PORTLAND, OR 97222 15350 SW 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 12/30/2016 $328.04
Class of Work: ALT Type of Const: IIIB Plan Review 12/30/2016 $82.01
12%State Surcharge-Mechanical 12/30/2016 $39.36
Occupancy Grp: B Occupancy Load:
Stories: 1 Info Process/Archiving-Lg$2.00(over 12/30/2016 $6.00
Project Valuation: $9,225.00 11x17)
Info Process/Archiving-Sm$0.50(up to 12/30/2016 $10.00
11x17)
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: 1 Vent Systems: Total $465.41
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: 1 Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may ob,1in a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.3 4.
IPIssued By: Permittee Signature: JJ�
Call 503.. .•.y 7:00 a.m.for the next available inspectron date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicatio FOR OFF ICF t SF OyFI
City of Tigard --4 • Received
III " 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Re �-2 / �� .. Permit N C �6 �
Phone: 503.718.2439 Fax: 503.598.1960Plan Re i CfG/
1OEC s� Other Permit
TIC A K D Inspection Line: 503.639.4175 el Date Re ,Y ( e �G `7/
Internet: www.tigard-or.gov Date Ready/ : kris: H See Page 2 for }U
'�i / Notified/Method:
,�'�� ��� ���It_� la� � / a2g/4 (.342) Supplemental Information
TYPE OF '4$ 11 i ' 0 ®
® ' =
i 't'moi f IAL FEE* SCHEDULE—+USE CIHLCKLIST
❑New construction Mechanical permit fees*are based on the value of the work
®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRIC JOI - - -
Value:$$9,225.00
RESIDEENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling // Commercial/industrial 0 Accessory building For special information use checklist.
o Multi-family 0 Master builder
0 Other: Description
Qty. Ea. Total
JOB SITE INFOIt r1TION AND LOCATION Heating/cooling:
Job site address:15889 SW 72nd Ave Air conditioning 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard Or 97224 Furnace 100,000+BTU(ducts/vents) 54.91
o.:C `�0 L.6. project name:Spec Space
Heat pump 61.06
Suite/bldg./apt.n
14> • I J PDuct 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: I Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPON OF WORK Gas fireplace/insert 33.39
Install 2.5 tongaspack modifyexistingduct modifyFlue vent for water heater or gas
gas lines,exhaust fan 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 Other: 23.32
0 TEn Ar 1,
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
Address: equipment 33.39
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 0 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
E-mail:bruce@protmp.com Range
Barbecue
CONTRACT ORS Clothes dryer(gas)
Business name:Same as above Other:
Address:
MECHANICAL PERMIT FEES*
Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Phone: Plan review(25%of permit fee)
( ) Fax:( )
State surcharge(12%of permit fee)
CCB lic.:38868 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: 0 7 * Fee methodology set by Tri-County Building Industry Service Board
Print name:Bruce Butner Date:12/8/16
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
15889 SW 72ND AVE, TIGARD, OR, 97224
Record Type:
Commercial - Mechanical
Inspection Type:
699 Mechanical final
Result:
PASS- NoCofO
Comments:
Violation Summary:
Inspector
Tel: 503.718.2439
Inspection Date:
Record ID:
MEC2016-00835
Inspector:
Chip Barnett
Contractor