Permit CTY OF TGAI: D
MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00049
A! 13125 SW Hall Blvd., Tigard, OR .97223 503 - 639 -4171 DATE ISSUED: 1/26/2006
PARCEL: 2S 113AD -01700
SITE ADDRESS: 16920 SW 72ND AVE ZONING: C -G
SUBDIVISION: ROSEWOOD ACRE TRACTS LOT: 030 JURISDICTION: TIG
Project Description: Replaceing duct to existing units. Relocate existing unit heater. Install and vent bathroom exhaust and
demo water heater. NO WORK ON NEW 5 TON UNIT.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: 1 VENT FANS: 1
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 0
FURN > =100K BTU: < =10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
BRIDGEPORT LAND LLC Description Date Amount
3939 NW ST HELENS RD [MECH] Permit Fee 1/26/200€ $359.75
PORTLAND, OR 97210 [TAX] 8% State Surchar€ 1/26/200€ $28.78
Phone: 503 224 - 2676 Total $388.53
Contractor:
PROTEMP ASSOCIATES INC
9788 SE 17TH AVE REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97222
Contact #: PRI 503 -519 -6199
FAX 503- 238 -9767
Reg #: LIC 38868
Th is permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and
all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires
you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1- 800 - 332 -2344.
Issued By: � Permittee Signatur �.
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business day.
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.
. . . . . , :. ..... ...
!ani Permit \I E.�--t FOR OFFICE USE ONLY - -
City of Tigard p Rec — Permit No.:
13125 SW Hal] Blvd., Tigard, OR 97223 1 JAN 2 6 y' �b -o 6 Sao — ODs
2006 Plan Review
Phone: 503.639.4171 Fax: 503.598.'.960 D ate B y: Other Permit:
Inspection Line: 503.639.4175 r �j g 1 i
�CIT 1 OF 1 J . Note Ready/By: : J E See Page 2 for
Internet: www.ci.tigard.or.us r��' ter. Notified Method: Supplemental Information
RITIT,DTNG DT\ITSTOly
":.. -.:TYPE':OF WO ::- '.... C,OMMERCIAI. FEE *::SCHEDUI;E - 'ESE' CHECKLIST
. . Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
❑ New construction
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF•:CONSTRUCTION $ / y
;" -;. ;, r.._. _ .. ,.. ., - . .r. - O . , Value
RESIDENTIAL E QUIPIYIEN.T / SYSTEMS FEES*
❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi family ❑ Master builder ❑ Other:
Description I Qty. Ea. I Total
;,i 3OB;SITE INFORMATION AND LOCATION Heating/cooling
/� Z s � �� Air conditioning or heat pump
Job site address:
/ U ,p (requires site plan showing placement) 14.00
City/State/ZIP: /`� s f Zt 1 y Fumace 00,000 BTU (ducts /vents) 14.00
S r ��� 1-e-50 ‘,..• Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name: b.GI 5494cs Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00 •
Hydronic hot water system I 14.00
Residential boiler (radiator or
t,1 st hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: Lot no.: Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
k '. ' g :: DESCRIPTION' OF $WORK , 1';. , i. Water heater 10.00
"(� 1 f T t s � L
_ Gas fireplace 10.00
I eftjk,_ /;as AD 4JC -� T[? Zx/ f / //4( L ij4)i &( )0 ijoitic 5 J Flue vent for water heater or gas
4 fireplace 10.00 - S 1 (f,Ji /) &Loc t r 1S / A 5 r3- " /yC �.c..7J ,ems -- - or•�+icA/., Log lighter (gas) 10.00
iitis miser As'✓ J I 2 LOO,,.. ,i,„,4,0---
.tC w { f ,f D„ - v e 2. , c ty 4 ,J / Wood /pellet stove 10.00
�/." /��/ fi� Wood fireplace/insert 10.00
I �,. y- � r • : . Chimney/liner /flue /vent 10.00
/ ® PROPERTY OS .',1:14::.:M: , ,; t t.
? ,..1; , n ®TEN'4.
r . ,
Other: 10.00
Name: Environmental exhaust and ventilation
Address: Range hood /other kitchen
equipment 10.00
City/State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
I,-, i` t T �' &PPL`�CANT ,:-:,..1i,.:,,,:,::7 : " 'ICONTAC PE "` " '1 Attic /crawlspace fans 10.00
Other: I 10.00
Business name: AR D /6„4.7c. AJ,,S ec / � o f - iJ e /
Fuel piping
P
Contact name: /3 U C 4 !2 yv , ti $5.40 for first four; 51.00 for each additional
Address: 4Jg .y e_ /, / �t 4� Fumace, etc.
Gas heat pump
•
City/State/ZIP: ?i L ,-tip O e ye .72_Z 2 Wall /suspended/unit heater �/ L� i
Phone: (54 3) S 1 - I F ax:: (6-4y) ;1v 9 ;,. Water
Fireplaceater 3
E -mail: •
Range
r° tt' ' l .1
v-• , t ,' CONTRACTOR i ... ' 1
• . .: ,, Barbecue
Business name: "l , Clothes dryer (gas)
.4rz e_ iq_s 4/3 eI r s-! - Other:
Address: MECHANICAL PERMIT FEES*
City/State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic.: 3 y ` State surcharge (8% of permit fee)
TOTAL PERMIT FEE '3
23 J
Authorized signature ,, ti - "''tL This per application expires if a permit is not obtained within 130
= days after it has been accepted as complete.
mplete.
Print name: Y.f S f e /; t ., i �„ „<z_ Date: /... _, ` Fee methodology set by Tri- County Building Industry Service Board
i:\Building \Permits \MEC- PermitApp.doc 12/03 440-46 I 7T I11/02/COM/WEB)
CiT ,r OF-TIGARD i .
BUILDING DIVISION -- -.- PERMIT #a(Z) ('OO 6 el/
13125 SW Hall Blvd., Tigard, OR 97223 -• DATE ISSUED:
Phone: (503) 639 -4171 �"gy
Inspection Requests (24 Hrs.): (503) 639 -4175 `°'
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 8,„ 9 2 U 77 '� CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 — (— 6(.0 Pour Time:
Code # Inspection Description Confirm # Contact # Message
9, 7 `�
Corrections /Comments/ Instructions:
`,-
•
PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL , -1 - 7 CALL F R INSPECTION _ ADDITI3NA FEES ASSESSED
.----- Inspector: Date: Phone #: (503) 718-
c TrO TIGARD
BUILDING DIVISION T PERMIT #: MEIC200 ; tl0N9
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
1 /2rd200(;
Phone: (503) 639 -4171 48. M1 .f et
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2122n00 6 TIME: 7 : 02Am PAGE:
SITE ADDRESS: 16320 : 72ND AVE CLASS OF WORK:
SUBDIVISION: ROSEWOOD ACf:E FRAC LOT #: 030 TYPE OF USE:
PROJECT NAME: DSW Sl 3OFS
DESCRIPTION: he placcing duet to eodst:inq r Ds Reloc t.e exiting ►nit heater. install and vent bathroom o li,; o.st.
and demo water eat.os NO WORK ON NEW 5 TON UNIT.
OWNER: I3R1i.)oEPoR LAND LLC, PHONE #: 603.724 2t,Tr'
CONTRACTOR: PROTEMP ASSOCIATE, "_ti INC PHONE #: 603_5194.; c y
Inspection Request Scheduled For: Date: 2/1J;)t? {36 Pour Time:
Code # Inspection Description Confirm # Contact # Message
62S [)u :t. work 027293-0•1 MQO3- 0 1.314 N
Corrections /Comments/ Instructions:
.m •
AM I W40.
❑ PASS PARTIAL APPROVAL ❑ CANCEL fl NO ACCESS
U FAIL n CALL FOR INSPECTION ❑ ADDITIONAL ES ASSESSED
Inspector: Date: Phone #: (503) 718- v
•
•
C I- OPTIGARD
BUILDING DIVISION - PERMIT #: f: f. t00t -; 0 ` ;
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/ a;d>dyt7c;
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 °_...
INSPECTION WORKSHEET FOR DATE: 2116/2006 TIME: 7.O7/4M PAGE:
SITE ADDRESS: 16920 taw 72ND AVE CLASS OF WORK:
SUBDIVISION: ROSEWOOD ACRE TRACTS LOT #: 030 TYPE OF USE:
PROJECT NAME: DsW sl..loa
DESCRIPTION: Re lcaceinc! duct to misting units. Rela c., to existing unit healer. Install and vent bathroom exhaust
arid demo vbr. =fter heater. NO WORK ON NEW 5 TON UNIT.
OWNER: BRIDGEPORT LAND LLC, PHONE #: 503,224.2676
CONTRACTOR: P!<OTEMFP ASSOCIATES INC PHONE #: s.' IGrt?'1�3D
Inspection Request Scheduled For: Date: 116.120 I( Pour Time:
Code # Inspection Description Confirm # Contact # Message
Ei25 Duch. work 027000.01 503.70 1314 N
Corrections /Comments /Instructions:
C r ( EAZ )
41 4 1 /111111 4111 8 1 ._r
•
•
1
n PASS RTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL F ES ASSESSED
r �
Inspector: Date: Phone #: (503) 718 - ��