Permit (154) CITY OF TIGARD MECHANICAL PERMIT
N . .7
COMMUNITY DEVELOPMENT Permit#: MEC2017-00138
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/02/2017
Parcel: 2S 112DA01400
Jurisdiction: Tigard
Site address: 6650 SW REDWOOD LN
Project: PacTrust Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Building 240-Common area update:Install WSPH,replace with all new ducts/grills in three hallways.
Contractor: PROTEMP ASSOCIATES INC Owner: PACIFIC REALTY ASSOCIATES
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 03/02/2017 $566.15
Class of Work: ALT Type of Const: IIB Plan Review 03/02/2017 $141.54
12%State Surcharge-Mechanical 03/02/2017 $67.94
Occupancy Grp: B Occupancy Load:
Stories: 3 Info Process/Archiving-Lg$2.00(over 03/02/2017 $8.00
Project Valuation: $18,550.00 11x17)
Info Process/Archiving-Sm$0.50(up to 03/02/2017 $1.00
11x17)
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
Hoods: $784.63
Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: 2 water
Duct Work: 1 source heat
Fire/Smoke Dampers: 6
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 1.800.332.2344.
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 Alicatio 3 l ,' ` , � �' FOR OhhlCl: l SF. ON EN
City of Tigard
1114
Received
13125 SW Hall Blvd.,Tigard,OR 97223 C 2 t' Date/By: / Permit No.:�/�r��
mai
0 ` Phone: 503.718.2439 Fax: 503.598.1960 ) Z��1� / TDo�3,
Plan R
T 1 G A R D Inspection Line: 503.639.4175 6--
Date/By: 0 1 Other Permit:
Internet: www.tigard-or.gov ( e _ Date Ready,y:
e -�I for 7 6'
lotified/Method3� ® See Page 2
�/y �/ Supplemental Information
tM i Millri7�
TYPE OF WORK COMMERCIAL FEE* SCHE
❑New construction SCHEDULE— IJSE't:ti>CHECKLIST
®Addition/alteration/replacement Mechanical permit fees*are based on the value ar the work
0 Demolition 0 Other: performed.Indicate the value(rounded to the nearest dollar)of all
mechanical materials,es ui•ment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$$18,550.00
❑ 1-and 2-family dwelling ®Commercial/industrialRESIDENTI`LEQUIPMENTIS�"SIEM; FEES*
0 Accessory building For special information use checklist
❑Multi-family 0 Master builder
0 Other: Description
JOB SITE INFORMATION Qty Ea. Total
ANIIt LOCATION Hin_coolin :
Job site address:6650 SW Redwood Ln Air eatconditionin_
_ 46.75
City/State/ZIP:Tigard Or Furnace 100,000 BTU(ducts/vents) 46.75
97224 Furnace 100,000+BTU(ducts/vents)
Heat.um. 54.91
Suite/bldg./apt.no.:
Project name:240 Building /4-e--72414-r— 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23,32
Residential boiler(radiator or
h dronic) . 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,sus r ended,etc. . 46.75
Subdivision:
Flue/vent for any of above 23.32
Lot no.: Other: 23.32
Tax map/parcel no.: Other fuel a lienees:
Water heater 23.32
DESCRIJ"'TON OF WORK' Gas fireplace/insert
Install-WSIP replace with all new duct,grills in all thee hallways Flue vent for water heater or gas 33.39
fire•lace 23.32
Lo• li' ter :as 23.32
Wood/,ellet stove 33.39
Wood firer lace/insert 23.32
Chimne /liner/flue/vent 23.32
CIPROPERTY OWNER 0 TENANT Other:
23.32
Name: Environmental exhaust and ventilation:
Address:
Range hood/other kitchen
e I ui r ment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms,
Phone:( ) toilet corn s artments,utili rooms) 23.32
Fax:( )
Attic/crawls s ace fans 23.32
1:3 APPLICANT 0 CONTACT.PERSON Other:
Business name:Protemp Associates 23.32
Fuel tisin!:
Contact name:Bruce Butner $14.15 for first four;$4.03 for each additional
FurAddress:9788 SE 17"'ave Gas heat eat etc.
Gas �um
City/State/ZIP:Portaland Wall/sus I ended/unit heater ==
Phone:(503)519-6199 Water heater
Fax::(503)238-9767 Fire s lace =-
E-mail:bruce@protmp.com Ran.e
Barbecue
CONTRACTOR
Business name:Same as above Clothes d er _as
Other:
Address: MECHANICAL P FEES*
City/State/ZIP: Subtotal
Minimum permit fee($90.00)
Phone:( ) 1111 Plan review(25%of permit fee)
CCB lic.:38868 State surcharge(12%of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature: Air days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry Service Board
Print name:Bruce Butner
Date:2/22/17
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