Permit tc ,a,w - CITY OF TIGARD ;f. MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00043
^� , DATE ISSUED: 2/16/2007
A 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 113AA -00100
SITE ADDRESS: 16350 SW 72ND AVE B4 ZONING: I -L
SUBDIVISION: OREGON BUSINESS PARK I LOT: OOA JURISDICTION: TIG
PROJECT: POWER TELEPHONE
Project Description: Power telephone HVAC Value: 10,500
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: C ODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS LO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 -WMI
PORTLAND, OR 97224 [MECH] Permit Fee 2/16/2007 $238.25
[TAX] 8% State Surcha 2/16/2007 $19.06
[MECPLN] Plan Rev 2/16/2007 $59.56
Phone: Total $316.87
Contractor:
PROTEMP ASSOCIATES INC
9788 SE 17TH AVE
PORTLAND, OR 97222 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -519 -6199
FAX 503- 238 -9767
Reg #: LIC 38868
This 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: 44'a Permittee Signature: "r 4
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.
33 c) n hd
: 774 ; °"' FOR OFFICE USE ONLY
Mechanical P rmit Application ,_
Received
City tUI "1'lgard Date /By: 1 `'. -Q. /p'1 Permit Nom et 1 _.O Da4" J
13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1960 { A u aate nRe j. r' Z ( Other Permit:
Inspection Line: 503.639.4175 _ 61).„ t -Re a ; t eris ® See Page 2 for
Internet: www.ci.tigard.or.us o f1 �' Supplemental Information
Print name: BRUCE BUTNER
TYPE OF WORK
❑ New construction ® Addition /alteration /replacement COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ Demolition ❑ Other: Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
CATEGORY OF CONSTRUCTION mechanical materials, equipment, labor, overhead, and profit.
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building Value: $ $10,500.00
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ Multi- family ❑ Master builder ❑ Other:
For special information use checklist.
JOB SITE INFORMATION AND LOCATION Description Qty. Ea. Total
Job site address: 16350 SW 72 AVE Heating/cooling
City/State/ZIP: TIGARD OREGON 97224
Air conditioning heat pump
y (requires site plan showing placement) 14.00
Suite/bldg. /apt. no.: BLDG #4 Project name: POWER & TELEPHONE Furnace 100,000 BTU (ducts /vents) 14.00
SUPPLY. Furnace 100,000+ BTU (ducts /vents) 17.90
Cross street/directions to job site: Gas heat pump 14.00
Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
Subdivision: Lot no.: in -wall, in -duct, suspended, etc. 10.00
Flue /vent for any of above 10.00
Tax map /parcel no.: Other: 10.00
DESCRIPTION OF WORK Other fuel appliances
INSTALL 2 TON ROOF TOP UNIT,WITH DISTURBUTION DUCT,GAS Water heater 10.00
PIPING /CONTROLS& ONE TUBE HEATER Gas fireplace 10.00
Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
❑ PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 10.00
Name: Other: 10.00
Environmental exhaust and ventilation
Address: Range hood /other kitchen
City /State /ZIP: equipment 10.00
Clothes dryer exhaust 10.00
Phone: ( ) Fax: ( ) Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 6.80
® APPLICANT ® CONTACT PERSON Attic /crawlspace fans 10.00
Business name: PROTEMP ASSOCIATES Other: 10.00
Contact name: BRUCE BUTNER Fuel piping
$5.40 for first four; 51.00 for each additional
Address: 9788 SE 17 AVE Furnace, etc.
City /State /ZIP: PORTLAND OREGON 97222 Gas heat pump .g -3 c)-,-S
Wall /suspended/unit heater
Phone: (503) 519 -6199 Fax: : (503) 238 -9767 / Water heater , 0 _ r
E -mail: BRUCE @PROTMP.COM Fireplace 1/4i 5, -j4
CONTRACTOR Range
Barbecue
Business name: SAME AS ABOVE Clothes dryer (gas)
Address: Other:
MECHANICAL PERMIT FEES*
City /State /ZIP:
Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50)
CCB lic.: 38868 Plan review (25% of permit fee)
State surcharge (8% of permit fee) • el
TOTAL PERMIT FEE YO
Authorized signature: � � This pe r mit application expires if a permit is not obtained within 180
��- \���JJ days after it has been accepted as complete.
i:\Building \Permits \MEC- PermitApp.doc 12/03 440 -46t7T (II /02 /COM/WEB)
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CITY_ pf, TIGARD
BUILDIRIG DIVISION
PERMIT #: MEC2007-00043
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3116/2007
Phone: (503) 639-4171 Vit.
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2110/2007 TIME: 7:09AM PAGE: 94
SITE ADDRESS: 16350 SW 72ND AVE 64 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK 1 LOT #: 00A TYPE OF USE:
PROJECT NAME: POWER TELEPHONE
DESCRIPTION: Power telephone HVAC Value: 10,500
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEIVIP ASSOCIATES INC PHONE #: 503
Inspection Request Scheduled For: Date: 2/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 043546-02 503-519-6199 N
Corrections/Comments/Instructions:
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Z PASS PARTIAL APPROVAL 0 CANCEL 1 I NO ACCESS
_
FAIL . — 1 CALL FOR INSPECTION 1 ADDITIONAL FEES ASSESSED
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Inspector: . 1 - v Date: Phone #: (503) 718-2A—Z3'
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2O07.00043
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2//612007
Phone: (503) 639 -4171 'L�
I nspection Requests (24 Hrs.): (503) 639 -4175 „__::_..
INSPECTION WORKSHEET FOR DATE: 20O/2007 TIME: 7 :08AM PAGE: 95
SITE ADDRESS: 16350 SW 72ND AVE B4 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK 1 _ LOT #: 00A TYPE OF USE:
PROJECT NAME: POWER TELEPHONE
DESCRIPTION: Power telephone HVAC Value: 10,501:0
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 501519-6199
Inspection Request Scheduled For: Date: 2/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line O43546.0'1 503. 519 -6196 Y
Corrections /Comments /Instructions:
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0 " i► - ■DI In" .
__ ,..
- - y
. i
P ASS I 1 PARTIAL APPROVAL ❑ CANCEL l NO ACCESS
1 FAIL ❑ CALL FOR INSPECTION 1 ADDITIONAL • EES ASSESSED
.,
Inspector IRAN _ Date: 6 ® Phone #: (503) 718-
; Pi