Permit III CITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00339
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/30/2008
PARCEL: 25101 AD - 03200
SITE ADDRESS: 12909 SW 68TH PKWY 170 ZONING: MUE
SUBDIVISION: TIGARD TRIANGLE CENTER LOT: JURISDICTION: TIG
PROJECT: COMMON CONFERENCE
Project Description: TI. Valuation: $5,200.00
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: 4 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: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS:
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 -WMI
PORTLAND, OR 97224 [MECH] Permit Fee 6/30/200€ $145.10
[MECPLN] Plan Rev 6/30/200E $36.28
[TAX] 12% State Surch 6/30/200E $17.41
Phone: Total $198.79
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 ' ��1 //� i � 1 Permittee Signature: . ,641 -----,,
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.
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Mec Permit Application ® F r , r, O F F � t F F S ONLY - =
City Tigard Received
131 Ball Blvd, Tigard, OR 9722 � P � _ , Y47, 4=1 . _ —� . • �r � g
Phone: 503.639.4171 Fax: 503.598. �� O Datedl ./' m h � i1 OthetPamn -� .. g (�co A. y-
.,. t c; A - l) Inspection Line: 503.639.4175 �. lie • - : y: Ii! See Page 2 for
Internet: www.tigard-or.gov \�N Dare
.• Malted: , ff,ffliEl !a Supplemental Information'
�J` � '���I , ;.#1t% Aai
• T YPE OF W ORK. �` CO]1RI�d C IAL * SCHEDULE USE [ CfO,ISr
El New construction ® Addition/ahetatio - neat Mechanical permit fees* are based on the value of the work
D vv�"' - �
performed. Indicate the sabre (rti>ud to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit
. .CATEGORY OF CONSTRUCTION
Value: S 55,200.00
RESIDENTIAL EQUIPMENT % SYSTEMS FEES*
❑ 1 and 2 family dwelling ® Commefcialfmdustrial ❑ Accessory building
For special information use checklist
❑ Multi - family ❑ Master builder ❑ Other: Description I cMy. j >a. j coral
JOB SITE INFORMATION AND LOCATION Hadingi oarmA
Job site address: 12909 SW PAIne. AAY .tom FK1M y Air conditioning or heat pump
(requites sane Am showing plaoemmt) 14.00
City/State/ZIP: TIGARD ORE 97223 Furnace 100,000 BTU (doashcais) 14.00
Furnace 100,000+ BTU (doashems) 17.90
Suite/bldg. /apt. no.: /7/�) I Project name: TIGARD TRIANGLE CONFERE111C ( �► pt i 14.00
Cross street/directions to job site: Duct sale 10.00
Hydronic had water system 14.00
Residential boiler (radiator or
hv-dremic) 14.00
Unit heaters (fuel-type,. not electric),
is -wall, in-duct, seed, etc. 14.00
Subdivision: I Lot no.: Fluchvnt for any of above 6.80
Other 10.00
Tax map /parcel no.: Other Ebel a threes
DESCRIPTION OF WORK Water heater 10.00
Gas 10.00
1- WATER SOURCE HEAT PUMP,DUCT WORK,GRILLS, CONTROLS
Fhhe veld. for w� heater or gas
Lreplace 10.00
LoR tigbda (pas) 10.00
Wood/pellet stone 10.00
Wood fireplacclinsest 10.00
❑ PROPERTY OWNER f . ❑ .ANT .. • Ot1 10.00
l}ther. 10.00
Name: Fasi>rvtnnenmf exhaust sand ventilation
Address:
Range hood /other kitchen
equipment 10.00
City /State/ZIP: Clothes thl r exhaust 10.00
S(hrooms,
Phone: ( ) I Fax: ( ) toilet ors, utility rooms) 6.80
❑ APPLICANT ' 0 CONTACT PBRSON, • . • Aniclaawlspaoe fans 10.00
i)Jher 10.00
Business name: PROTEMP ASSOCIATES Fad piping
Contact name: BRUCE BUTNER SS.mm for first tons; 51.00 for each additional
Address: 9788 SE 17 AVE Furnace, etc.
Gas hem pump
City/ State/ZIP: PORTLAND OREGON 97222 WaWsumpeadeditmit heater
Phone: ( ) 503 -519 -6199 Fax: : ( ) 503 - 238-97 Water hearer
Fireplace
E -mail: BRUCE@PROTMP.COM Range •
CONTRACTOR Barbecue
Business name: SAME AS ABOVE
Clothes (km (pas)
Other:
Address: • MECHANICAL PERIKIT FEES* .
City/ State/ZIP: Subtotal
Minimum permit fee (572.50)
Phone: ( ) Fax: ( )
Plan review (25% of permit fcc)
CCB lic.: 38868 State surcharge (12% of permit fee)
TOTAL PERMIT WE
Authorized signature: This permit app_catim empires if a permit is not obtained within 180
.�.�iC tags alter h has been accepted as complete.
CITY OF TIGARD
BUILDING DIVISION _ PERMIT #: Mr_2o0 oo33y
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/30/2000
Phone: (503) 639 -4171 Atu o) it
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/30/2008 TIME: 7:01AM PAGE: 62
SITE ADDRESS: 12909 SW 68TH PKWY 170 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE CENTER LOT #: TYPE OF USE:
PROJECT NAME: COMMON CONFERENCE
DESCRIPTION: TI. Valuation: $5,200.00
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503 - 519 -6199
Inspection Request Scheduled For: Date: 7/30/ ?008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 073416 -01 503 - 519 -6199 Y
Corrections /Comments/ Instructions:
� �
I ` is - ❑ PARTIAL APPROVAL 111 CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 7 �� d Phone #: (503) 718- r
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MEC2008-00339 0/7 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/30/2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ' W �'I I �
INSPECTION WORKSHEET FOR DATE: 7/8/200f3 TIME: 7:00AM PAGE: 4
SITE ADDRESS: 12909 SW 68TH PKWY 170 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE CENTER LOT #: TYPE OF USE:
PROJECT NAME: COMMON CONFERENCE
DESCRIPTION: TI. Valuation: $6,200.00
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503.519 -6199
Inspection Request Scheduled For: Date: 71f3/2008 Pour T' e:
Code # Inspection Description Confirm # Contact # Mes g 6 O pie (i
615 Mechanical rough -in 072331 -01 503-519-6199 Y
I o ld
Corrections /Comments /Instru ions: Q /
rf2 __ 8 ___
36 4 7 -- , (..)„..1.,t4
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ei?_/ --e 1.6-- 07/4ce C..evJZsz.„.kse2J
'6 - ta-f/ -- t--rt_<..__r-1/4__, 1(--e 7
❑ PASS PARTIAL APPROVAL 111 CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
� d 0 Ins
Inspector: ��� I✓� Dat e: Phone #: (503) 718- Z�
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