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Permit
1 CITY TIGARD MECHANICAL PERMIT i� DEVELOPMENT SERVICES PERMIT #: MEC2005 -00514 n ' I I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/23/2005 PARCEL: 2S101 AD -03200 SITE ADDRESS: 12909 SW 68TH PKWY 450 ZONING: MUE SUBDIVISION: TIGARD OFFICE BUILDING LOT: JURISDICTION: TIG Project Description: Demo duct & diffusers & re - duct. Add: (1) 3 - ton H/P w /duct & controls. Valuation: $10,250. 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: 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: FURN > =100K BTU: < =10000 cfm: GAS OUTLETS: > 10000 cfm: Owner: FEES PACIFIC REALTY ASSOCIATES Description Date Amount 15350 SW SEQUOIA PKWY #300 -WMI [MECH] Permit Fee 8/23/200; $235.55 PORTLAND, OR 97224 [TAX] 8% State Surchar€ 8/23/200: $18.84 [MECPLN] Plan Rev 8/23/200: $58.89 Phone: Total $313.28 Contractor: PROTEMP ASSOCIATES INC 9788 SE 17TH AVE REQUIRED ITEMS AND REPORTS PORTLAND, OR 97222 Phone: 503 -519 -6199 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 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. i 9 Mechanical Permit Application . It O r r (_ I: I s �: (►,v I .\ City of Tigard neeY Permit No. \ _ / / 13125 SW Hall Blvd., Tigard, OR 9722R ECE1VE DA Plan Revi Phone: 503.639.4171 Fax: 503.598.1960 ,,r �eRY 7 G) j J3 \ Other Permit: Inspection Line: 503.639.4175 ' ! J AUG 2 3 200 I "•I I Date Ready/By El See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information tifF4 RON COMMERCIAL FEE* SCHEDULE – USE CHECKLIST ❑ New construction Er Addition/alteration/replacement Mechanical permit fees* are based on 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 OF CONSTRUCTION Value: S 10 ❑ 1 and 2 family dwelling Commercial/industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES* For special information use checklist. ❑ Multi - family Master builder ❑ Other: Description 1 Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: /',Z 50 5 S f VrG1 Air conditioning or heat pump (p (requires site plan showing placement) 14.00 City / State/ZIP: `�^� ©��_ Z 2 Fumace 100,000 BTU (ducts/vents) 14.00 J / Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg./apt. no.: S y$ I Proj ect name :� / �, / s � - Gas heat pump 14.00 riir 7 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 Flue/vent for any of above 10.00 Subdivision: I Lot no.: Other: _ 10.00 Tax map/parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 / Gas fireplace 10.00 De- v lid c_i ir O/f`U.Iew f /,ry 1 g.,k7 ..0 '( Flue vent for water heater or gas fireplace 10.00 /1.1 -ic . 'cs Li 7 /4 Re..I.J. / e ms. I'¢ /L7 nn Log lighter (gas) 10.00 — .3 1A� WA-��., .Ca.,, /f/. G (* /..> a err 6¢c*..L Wood/pellet stove 10.00 e..o /w L l Wood fireplace/insert 10.00 ❑ PROPERTY OWNER I ❑ 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 jEt CONTACT PERSON Attic/crawlspace fans 10.00 Other: 10.00 Business name: R?o 1 t,,,,,t7,4, /c.5g o C 4 l p" C Fuel piping Contact name: A /4x , 4,1 e_ ti 55.40 for first four; $1.00 for each additional Furnace, etc. Address: , 7 $"8' S' ( /7/4 Av/.,L Gas heat pump City / State/ZIP: fo, j O,s+ d-J ?7.222— Wall/suspended/unit heater Phone: ) f ,c/ , 9 Fax: : (603) 23g ?74. Water heater Fireplace E -mail: Range CONTRACTOR Barbecue Business name: 5A "e_ 4� /9.604,–C___ Clothes dryer (gas) Other: Address: MECHANICAL PERMIT FEES* City /State/ZIP: Subtotal 2? 15Y Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) Plan review (25% of permit fee) g� 131 CCB lic.: \ 3 co•g !P Er State surcharge (8% of permit fee) / x • J y TOTAL PERMIT FEE , Authorized signature: This permit application expires if a permit is not obtained within 180 7 li days after it has been accepted as complete. ? J3. y' I Print name: R r e . A — Date: 2A _a s • Fee methodology set by Tri- County Building Industry Service Board i:\ BuildinglpemiibNEC- PumitApp.doc 12/03 440- 4617T(11 /02/COM/WEB) t � Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. i:\Building\Permits\NEC- PermitApp.doc 12/03 2 CITY OF TIGARD , BUILDING DIVISION PERMIT #: MEC2005 -00514 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8!23!2005 Phone: (503) 639 -4171 4 014j Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/26/2005 TIME: 7:12AM PAGE: 67 SITE ADDRESS: CLASS OF WORK: SUBDIVISION: 12909 SW 68TH PKWY 450 LOT #: TYPE OF USE: PROJECT NAME: TIGARD TRIANGLE CENTER DESCRIPTION: TRINITY UNIVERSAL INSURANCE Demo duct & diffusers & re -duct. Add: (1) 3-ton H/P wlduct & controls. Valuation: $10,250. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503 -519 -6199 Inspection Request Scheduled For: Date: 9126!2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 016600 -01 503 -619 -6199 N ections /Comments /Instructions: I ail/ C c.�2 C-41 `�..-■-. 4_ K J° 12.4, --- .- 12....e_c____,,,, 1 O X • it . /!/ PASS ❑ PARTIAL APPROVAL 111 CANCEL ❑ NO ACCESS ` k. 1 ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �` Date: q / Z #: (503) 718-