Permit (37) CITY OF TIGARD MECHANICAL PERMIT
a'' COMMUNITY DEVELOPMENT Permit#: MEC2017-00304
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/02/2017
T t Oa g Parcel: 2S112DD00701
Jurisdiction: Tigard
Site address: 15824 SW UPPER BOONES FERRY RD
Project: Spec Space Subdivision: None Lot: None
Project Description: Replace all grills and registers;raise duct for new ceiling height.
Contractor: PROTEMP ASSOCIATES INC Owner: PACIFIC REALTY TRUST
9788 SE 17TH AVE ATTN: N PIVEN
PORTLAND, OR 97222 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-233-6911 PHONE: 503-624-6300
FAX: 503-238-9767
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/02/2017 $288.70
Class of Work: ALT Type of Const: Plan Review 05/02/2017 $72.18
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 05/02/2017 $34.64
Stories:
Project Valuation: $7,850.00
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 $395.52
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to UNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: , Permittee Signature: a J(67
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit ApplicatiECEIVED FOR OFFI( I t 'F Oyl.,
City of Tigard 2 2017 Received S /� /.TA -.,,,,itNn.l�?._Ci
13125 SW Hall Blvd.,Tigard,OR 97223 MAY Date/By: / ��—�Q "
_ Plan Review
Phone: 503.718.2439 Fax: 503.598.1960
Other Permit:
Inspection Line: 503.639.4175 CITY OF TIGARD DateBy:
TIGAR D
Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TxP W C(Jtt4f 1 C1 Fes*S II DUi E-USE + l S y ''
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OP CON I ICUO$
Value:
ri t
building special information.
❑ 1-and 2-family dwelling ®CommerciaUindustrial 0 AccessoryFor use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
= ":IOB B[TE itiR14iAiON APITI l::t)CATI<ON
Heating/cooling:
Job site address:15824 SW Upper boones ferry Rd Air conditioning 46.75
Furnace 100,000 BTU(duets/vents) 46.75
City/State/ZIP:Tigard Or 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:Spec Space 15824 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
rvision:
Other: 23.32
Other fuel appliances:
ap/parcel no.: Lot no.: Water heater 23.32
l It OF,��' Gas fireplace/insert 33.39
Flue vent for water heater or gas
Replace all grills and registers Raise duct for for new ceiling height 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
O RTY:OAR' ❑ Ti lAl
Environmental exhaust and ventilation:
Name:Pactrust 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
APPLI l 0 COMA&10. Other: 23.32
Fuel piping:
Business name:
$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:( ) Fax::( ) Fireplace
Range
E-mail: Barbecue
CO/sri`t nk, Clothes dryer(gas)
Business name:Protemp Associates Other:
h dwricAL PERMIT
Address:9788 SE 17`h Ave ) *
Subtotal ,,-76
City/State/ZIP:Milwaukie Oregon 97222 Minimum permit fee($90.00)
Plan review(25%of permit fee) 7,2./f'
Phone:(503)519-6199 Fax:(503)238-9767
State surcharge(12%of permit fee) 3`fir 6
CCB lic.: 3c:Fce6 e TOTAL PERMIT FEE -395-, S
This permit application expires if a permit is not obtained within 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:5/2/17
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(1 l/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15824 SW UPPER BOONES FERRY RD, LAKE
OSWEGO, OR, 97035
Record Type: Record ID:
Commercial - Mechanical MEC2017-00304
Inspection Type: Inspector:
699 Mechanical final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor