Permit CITY TIGARD MECHANICAL PERMIT
4s� '.a r si� DEVELOPMENT SERVICES PERMIT #: MEC2006 - 00306
au- L �� I- � 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 7/7/2006
PARCEL: 25101 AD - 03200
SITE ADDRESS: 12909 SW 68TH PKWY 410 ZONING: MUE
SUBDIVISION: TIGARD TRIANGLE CENTER LOT: JURISDICTION: TIG
Project Description: Relocate 2 water source heat pumps. Value: $2300.00
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: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 2 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO 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 7/7/2006 $74.80
[TAX] 8% State Surcha 7/7/2006 $5.98
Total $80.78
Phone: 503- 624 -6300
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: 134 , _ Permittee Signature: _ /0,. ,„__ •
•
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.
Meck nicil Permit A F OFFICE USE ONLY � E D Received �� r /
City of Tigard Date/By: li /�' Permit No
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie
Phone: 503.639.4171 Fax: 503.598.1960) UL 0 7 2006 Aar a�t IT Date/By:
Permit:
Inspection Line: 503.639.4175 . - 27 Date Ready /By: RI See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TIGAR 0 " - Notified/Method: 1 ' Supplemental Information
BUILDING DIVISION •
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
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 ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ .2300
❑ 1 - and 2 dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
y g .® Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 12909 sw 68 ave Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State /ZIP: Tigard oregon 972333 Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: 140 Project name: National Title Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
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
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
Relocate two water soruce heat pumps and reduct and rewater pipe 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
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
® APPLICANT ® CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name: Protemp Associates
Fuel piping
Contact name: Bruce Butner $5.40 for first four; $1.00 for each additional
Address: 9788 SE 17` Ave Furnace, etc.
Gas heat pump
City /State /ZIP: portland Oregon 97222 Wall /suspended /unit heater
Phone: (503) 519- 6199503 Fax: : (503) 238 -9767 Water heater
Fireplace
E -mail:
Range
CONTRACTOR Barbecue
Business name: Same as Above Clothes dryer (gas)
• Other:
Address: MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) "7'7 • 0 o
Plan review (25% of permit fee)
CCB lic.: 38868 State surcharge (8% of permit fee) S•94
TOTAL PERMIT FEE 96,7
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Bruce Butner Date: 7/7/06 * Fee methodology set by Tri- County Building Industry Service Board
i:\ Building \Permits \MEC- PermitApp.doc 12/03 440-461 7T (1 1 /02/COM/WEB)
CITY OF TIGARD
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BUILDING DIVISION PERMIT #: MEC200&.00306
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 717/20Q6
Phone: (503) 639 -4171 u ��ip ,$ �
Inspection Requests (24 Hrs.): (503) 639 -4175 "'I I..
INSPECTION WORKSHEET FOR DATE: 7/27/2006 TIME: 7 : 03AM PAGE: 99
SITE ADDRESS: 12909 SW 68TH PKWY 410 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE CENTER LOT #: TYPE OF USE:
PROJECT NAME: NATIONAL TITLE
DESCRIPTION: Relocate 2 water source heat pumps. Value: $2300.00
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503.624 -6300
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503 -519 -6199
Inspection Request Scheduled For: Date: 7/27/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 033810 -02 503 -519 -6199 N
Corrections /Comments/ Instructions:
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m / ' / AIM' - .
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDIT ONA FEES ASSESSED
i i Inspecto ' Date: �( Phone #: (503) 718--
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006 00306
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 7/7/2006
Phone: (503) 639 -4171 4,00,00,1,1't,
Inspection Requests (24 Hrs.): (503) 639 -4175 • `'__..
INSPECTION WORKSHEET FOR DATE: 7/27/2006 TIME: 7:03AM PAGE: 99
SITE ADDRESS: 12909 SW 68TH PKWY 410 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE CENTER LOT #: TYPE OF USE:
PROJECT NAME: NATIONAL TITLE
DESCRIPTION: Relocate 2 water source heat pumps. Value: $2300.00
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503.624-6300
CONTRACTOR: pROTEMP ASSOCIATES INC PHONE #: 503 -519 -6199
Inspection Request Scheduled For: Date: 7/27/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 033810.01 503-519 -6199 Y
Corrections/Comments/Instructions: 92U
orrections /Comments/ Instructions:
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TV.—IThs PRc - r ► A —t 1
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL r II CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED
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Inspector: Date: 7 Z 7 CL Phone #: (503) 718 -74Z3