Permit CITY OF TIGARD MECHANICAL PERMIT
! COMMUNITY DEVELOPMENT Permit#: MEC2017-00868
Date Issued: 11/27/2017
TfAT D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112DC00500
Jurisdiction: Tigard
Site address: 15895 SW 72ND AVE
Project: Pac Trust Subdivision: FANNO CREEK ACRE TRACTS Lot: 40
Project Description: Replace 40-ton RTU on existing curb.
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 11/09/2017 $1,791.99
Class of Work: ALT Type of Const: IIIB Plan Review 11/09/2017 $448.00
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 11/09/2017 $215.04
Info Process/Archiving-Sm$0.50(up to 11/09/2017 $21.50
Stories: 11x17)
Project Valuation: $67,125.00
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 $2,476.53
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 OUNC by calling 503.232.198/or 1.800.332.2344.
Issued B A4
ermittee Signature: 404
/7
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 Holz orClcL 1 sly 0y1.1
City of Tigard El I Received -7 �
Permit N9/4&77a20/7----61,7 �'��
e Date/By: 1/ , // ►
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revi- llir
= Phone: 503.718.2439 Fax: 503.598.1960 N O V 2 2017 DateBy: /►,��' 46 WIWA Other Permit:
T 1 G A R D Inspection Line: 503.639.4175 Date Ready •: Juris: El See Page 2 for
Internet: www.tigard-or.gov
err)/ 4 r, • y r Notified/Method:/ 1 7 r Supplemental Information
'J� I I C,Z,M ,) l d71Y
fat r-
�E. woRK W COQ FEE* $ U a,wr ''
Mechanicalermit fees*are based ed on the value of the work
p
❑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.
Value $$67,125.00
l A Y. .. ,, ., 1 EsI '1A 1 1'Li:m w
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist
❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
Heating/cooling:
• ._. .... Air conditioning 46.75
Job site address:15895 SW 72"Ave i‘441--eGE- >,3,-e(/C.6 jh/er-'Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:tigard Or 97224 Furnace 100,000+BTU(ducts/vents) 54.91
n Heat pump 61.06
Suite/bldg./apt.no.: I Project name:Building 215 RTU jrGt t: J(1 .* 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
Other: 23.32
Subdivision: I Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
* l`_ 0416,.; Gas fireplace/insert 33.39
-_'•_ Flue vent for water heater or gas
Replace 40 ton RTU on existing curb 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
I ROP1RI1 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
ra® .11rF1' 02 CONTACT tp% Other: 23.32
Fuel piping:
Business name:Protemp Associates $14.15 for first four;$4.03 for each additional
Contact name:Bruce Butner Furnace,etc.
Gas heat pump
Address: ,
Wall/suspended/unit heater ,
City/State/ZIP: Water heater ,
Phone:( ) I Fax:: Fireplace
( ) Range
E-mail:bruce@protmp.com Barbecue
�"I7tAc Clothes dryer(gas)
Other:
Business name:Protemp Associates
AifI1�>PE1�>�'EES*
Address:9788 SE 17`s Ave Subtotal
City/State/ZIP:Milwaukie Or 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
6/2-44-4-fr-13-44:4-- 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:11/2/17
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)