Permit 0.
CITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00580
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1211/2008
PARCEL: 2 S 113AA - 00400
SITE ADDRESS: 16260 SW 72ND AVE B2 ZONING: I -L
SUBDIVISION: OREGON BUSINESS PARK I LOT: 018 JURISDICTION: TIG
PROJECT: AMSOIL
Project Description: 14 - ton RTU duct, grilles, gas piping & 2 exhaust fans. Project Value: $11,200
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 2
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: 1 COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 -WMI
PORTLAND, OR 97224 [MECH] Permit Fee 12/1/200E $247.70
[MECPLN] Plan Rev 12/1/200E $61.93
[TAX] 12% State Surch 12/1/200E $29.72
Phone: Total $339.35
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• /! ` Permittee Signature:
Call 50 - . 175 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.
gECEIVED
Mechanical Permit Applicati - F012 OFFICE USE ONLY
3 .af Tigard N 0 V 2 5 2008 De may ft/ dt Permit No.: ed... •�} O
: ■ 13125 SW Ilan 131'vd., Tigard, OR 97223
Plan Revie
Phone: 501639.4171 Fax. 503.598:1960, y J' ( (' Other Permit:
nspec Line: Ins Li 503.639.4175 CIT 0� TIG �RD Date/B: J,,f7B: See gage 2 for
i 11''" Internet: www.tigard- or.gov BUILDING DIVI ed/M hod: / / ��0 ! � /1► , Supplementatinformation
TYPE OF WORK R e tE "' SCHEDULE — USE CHECKLIST
❑ New.construction ® Addition /alteration/.replaeement Mechanical permit fees * - are•basedon the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition. ❑ - Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY Ole' CONSTRUCTION Value: $ $11,20090
❑ 1 - 2 dwelling. RESIDENTIAL EQUIPMENT 1 SYSTEMS FEES*
y g ® Commercial/industrial ❑ Accessory building For rpecial information use checklist.
❑ Multi- family ❑ Masterbuilder ❑ Other:
Description I Qty. I Ea. [ Total
.JOB .SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 16260 SW 72 AVE Air conditioning or heat pump
(requires.site plan showing placement) 14.00
City/State/ZIP: TIGARD OREGON 97224 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ Tall (ducts/vents) 17.90
Suite/bldg. /apt. no.: I Project name: AMSOIL (rashest pump 14.00
Cross street/directions to job site: Ductwork 10.00
I-Iydronic hot watt? system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: I Lot no.: event for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
1 4 -TON RTU WITH DUCF, GRILLS, AND GAS PIPING,2- CEILING RESTROOM Gas fireplace 10.00
EXHAUST Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00..., ,,,
Wood/pellet stove 10.00
Wood fireplacermseit 10.00
Chimney/liner /flue /vent 10.00
❑ PROPERTY OWNER ❑ TENANT Other: 10.00
Name: Environmentalexluw.st and ventilation
Range hood/other kitchen
Address: equipment 10.00
City / State/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ). toilet compartments, utility rooms) 6.80
{ APPLICANT 0 CONTACT PERSON Attic/craw}space fans 10.00
Other: 10.00
Business name: PROTEMP ASSOCIATES F pipi
Contact name: BRUCE BUTNER $5,40 for first fear; 51.00 for each additional
Furnace, etc.
Address: 9788 SE 17 AVE eras hat pump
City/State/ ZIP: PORTLAND OREGON 97222 Wall/suspended/unit heater
Water heater
Phone: OW) 19 -6199 I Fax: : (,5fxi) 23$ -9'767 Fireplace
E - mail: Range •
CONTRACTOR Barbecue
Clothes dryer (gas)
Business name: SAME AS ABOVE Other:
Address: MECHANICAL PERMIT FEES"
Subtotal
City/ State/ZiP: Minimum permit fee (572.50)
Phone: ( ) Fax: -( ) Plan review (25% of permit fee)
CCB lic.: 38868 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180 S Authorized signature: ," / /- 2- �- a days after it has ,t .axepted.uacomptete.
• CITY OF GARD 0-
BUILDING DIVISION PERMIT #:
ler9EC200 -00 80.
13125 SW Hall..Blvd., Tigard, OR 97223 DATE ISSUED: 12f1/3008
Phone: (503) 639 -4171 0011 400%
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION, WORKSHEET FOR DATE :.. 1/9/2009 TIME: . '7'01AI +f PAGE: 2
SITE ADDRESS: 16260 S 17 ND AVE B2 - -- CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: TYPE OF USE:
PROJECT NAME: AMSOIL
DESCRIPTION: 44.t RTU duct, grilles, gas0ping & 2 exhaust fans. Project Value: $11,200
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 603..j19 -`0199
Inspection Request Scheduled For: Date: 1/9/2009 Pour Time:
Code # Inspection Description Confirm .# . Contact, # Message
it. C 90 lNcrhnical. 07956 3-01 603-519 -6199
Corrections/Comments/Instructions:
, R
, . S C //
•
'NC NO ACCESS
1 "
/PARTIAL APPROVAL ❑ CANCEL E
I I FAIL 4 CALL FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED ,
Inspector: .' : bate: `' . P hone # :, (503) 718-
9
1
CITY OF TIGARD ,410 : -, IIP .
BUILDING ,DIVISION- PERMIT #: MEC'008 -00 580
13125 SW Hall Blvd., Tigard OR 97223 DATE ISSUED:' 171 fI2C1i;t
Phone (503) 639-4171 u°ir p__g81 I i'
Inspection Requests (24 Hrs) ,(503) 639 -4175' I 'f `:
INSPECTION WORKSHEET FOR DATE: 12/g/7008 TIME 7:O2AM PAGE: 17
SITE ADDRESS: 16260 SW 72ND AVE B2 CLASS OF WORK:
SUBDIVISION;, OREGON'.BUSINESS PARK 'I. LOT #: •. TYPE OF USE:
PROJECT-NAME:. AMSOIL .
DESCRIPTION':' 14 -ton RT3 duct, griller, gas "piping•& 2 exhaust fans. Project Value $11,20,0
OWNER: PACIFIC REALTY ASSOCIATES, ' ' PHONE #
CONTRACTOR:, PROTEMP ASSOCIATES INC . PHONE #: 5Z- 519.6199
Inspection Request. Scheduled For: Date: 12/9/2008 Pour Time:
-" Code # Inspection Description Confirm # Contact # Message ,
61 Mechanical rough -in 078093-01 503. 519-6199 ' Y
•
Corrections/Comments/ Instructions: -
. v cam - ,tjac) - -'%C v ,' _, ;._..___
•
P� °,, m . TIAL APPROVAL - CANCEL U NO ACCESS
■ ❑, FAIL l ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date ::! 1, Phone # (503) 718' _ _
CITY OF TIGAR ' •
BUILDING - DIVISION , . 5 . ; PERMIT # MEC2000 -005e0
13125 SW, . Hall Blvd., Tigard; OR 97223 DATE ISSUED: 1211/200
n spectiono ansnuul Reques s (24 Hrs.)� (503) 639 =4175 - ' itl�ff�ll
INSPECTION WORKSHEET FOR DATE 12/212008 TIME 7 :00Am PAGE: 1q
' SITE ADDRESS: 16260 >W 72ND AVE B2 CLASS OFWORK:
SUBDIVISION: OREGON "BUSINESS PARK I • LOT #: 018' TYPE OF USE:
' PROJECT NAME: AMSOIL
DESCRIPTION: 14 -ton RTU duct', 'grilles, gas piping & 2 exhaust fast's; Project Value: $.11.,200
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE # 503.519-6199
'Inspection' Request` Scheduled For:. Date: /2/212008 Pour Time:-
Code # Inspection Description Confirm ## Contact . #. Message
• 610 Gas line 078684-01 503-619-6199 dip :
Corrections /Comments /Instructions:
b c 30 i • I,44,4of 4,,` 0 1 0 0 - la `. c....___6:1:4.___,
. •
■
II
6:31. / n CANCEL
._ �--" � %� PARTIAL APPROVAL n NO' ACCESS
Mi / CALL'FOR INSPECTION n ADDITIONAL FEES ASSESSED .
.Inspector: . Date: / t _ �`" Ph one #: 503 71;8- 2 _
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