Permit (39) CITY OF TIGARD MECHANICAL PERMIT
.111 COMMUNITY DEVELOPMENT Permit#: MEC2018-00230
T[GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/23/2018
Parcel: 2S113AB01201
Jurisdiction: Tigard
Site address: 16505 SW 72ND AVE
Project: Spec Space Subdivision: None Lot: None
Project Description: Bathroom exhaust hook duct to 7.5 ton unit for future tenant TI.
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 04/20/2018 $176.51
Class of Work: ALT Type of Const: VB Plan Review 04/20/2018 $44.13
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 04/20/2018 $21.18
Stories: Info Process/Archiving-Lg$2.00(over 04/20/2018 $4.00
11x17)
Project Valuation: $4,000.00 Info Process/Archiving-Sm$0.50(up to 04/20/2018 $15.50
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: Vent Systems: Total $261.32
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
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 1:. .. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are -t forth in OAR 95 -;91-0010-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or .:�i.- . -
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 Applicati j �` 4,' 1, FO1z()I.[1( I; I SF: ON l,1
City of Tigard " _“_,.,.µ ,. Received
, /4 !r Permit No../i ley t2)2
1111111 I • 13125 SW Hall Blvd.,Tigard,OR 97223 PlanRe Date/By: v/ !!/1 �r/�
Li
Phone: 503.718.2439 Fax: 503.598.1960 < Plan Review
r Date/By: Other Permit:Inspection Line: 503.639.4175 �� ! `S�Ooo
T 1 G A R D Ins p Date
Ready/By: Juris: See Page
2 for
Supplemental Info
rmationInternet: www.tigard-orgov N� fiedMethod: (/�//t ggt
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.
Value $
j i.:0.,.'!'', OkR :
��� � SB 11 .,t . iiti
o 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For spedal information use checklist
❑Multi-family 0 Master builder 0 Other: DescriptionI Qty. I Ea. I Total
,fin m .1oo1 ��N t ocxn Heating/cooling:
°a Air conditioning 46.75
Job site address:16505 SW 72 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:PBC 196
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: I Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
ON O�` Gas fireplace/insert 33.39
' - '-'1''' t o s: `.,"`" ' Flue vent for water heater or gas
Relocate '{kexisting 7.5 tonr�7'V . T 2 and duct 4 7-, 0,� ^� `�� fire lace 23.32
0 6 0 ri i-4 1b Af l f'., Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
-J llfi,... Other: 23.32
' Environmental exhaust and ventilation:
Name:Pactrust 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
A P ;i AIS ,.` ❑ ±l l l ' Ir <; Other: 23.32
Business name:
Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Bruce Butner Furnace,etc.
Address: Gas heat pump
WalUsuspended/unit heater
City/State/ZIP: Water heater
Phone:( ) I Fax::( ) Fireplace
Range
E-mail:bruce@protmp.com Barbecue
. ,. Clothes dryer(gas)
Business name:Protemp Associates Other:
Address:9788 SE 17th Ave
Subtotal
City/State/ZIP:Portland 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 lit.: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:
L._i?,, „�.r;.l:.A..._,,— Fee methodology set by Tri-County Building Industry Service Board
Print name:Bruce Butner Date:4/9/18
I:\Building\Pennits\MEC PermitApp_040113.doc 440-4617T(11/02/COM/WEB)