Permit IN il CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00602
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/28/2006
PARCEL: 2S1 12 D C -00100
SITE ADDRESS: 15605 SW 72ND AVE ZONING: I -L
SUBDIVISION: OREGON BUSINESS PARK III LOT: 002 JURISDICTION: TIG
Project Description: Extend gas line to be connected to generator. Valuation: $1700.
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:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
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
PORTLAND, OR 97224 [MECH] Permit Fee 11/28/20( $72.50
[TAX] 8% State Surcha 11/28/20( $5.80
Total $78.30
Phone:
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: � %l l - Permittee Signature: 4 503.639.4175 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.
C
Mechanical Permit le t' tt�E® Received
/
FOR OFFICE USE ONLY
City of Tigard Tit V I 7 Permit No.� (. 1 /I
13125 SW Hall Blvd., Tigard, OR 97223 wpv 2 8 2 Date/By: 0 w� -! I .
Plan Review
Phone: 503.639.4171 Fax: 503.598.196 D I f! D ate B y:
Other Permit:
Inspection Line: 503.639.4175 OF TI( ,,.' I
lial VI
Internet: www.ci.tigard.or.us ® ® /� %V S% • `= - Date Ready /By:
Notified/Method: S See Page 2 for
g p U** Supplemental Information
T YPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction ® 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: $ $1,700.00
❑ 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. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 15605 SW 72nd 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+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: Swiftview Gas heat pump 14.00
Cross street/directions to job ste: 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
1 -gas line tied in to existing house line to be connected to generator 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 -6199 Fax: : (503) 238 -9767 Water heater
Fireplace
E -mail: BRUCE @PROTMP.COM Range
CONTRACTOR Barbecue
Business name: SAME AS ABOVE
Clothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal
Minimum permit fee ($72.50) 7
Phone: ( ) Fax:( )
Plan review (25% of permit fee)
CCB lic.: 38868 State surcharge (8% of permit fee) r d
TOTAL PERMIT FEE , ..� c �
This permit application expires if a permit is not obtained within 180
, Authorized signature:
days after it has been accepted as complete.
Print name: BRUCE BUTNER Date: 9/12/06 • Fee methodology set by Tri- County Building Industry Service Board
is \ Building \Permits \MEC- PermitApp.doc 12/03 440 -4617T (1 I /02 /COM /WEB)
CITY-OF TIGARD . -
BUILDING DIVISION PERMIT #: MEC2006.00602
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/28/3006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -417 ill
5
INSPECTION WORKSHEET FOR DATE: 11/30/2006 TIME: 7:0OAM PAGE: 73
SITE ADDRESS: 15605 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK III LOT #: 007 TYPE OF USE:
PROJECT NAME: SINIFTVIEW
DESCRIPTION: Extend gas line to be connected to generator. Valuation: $1700.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503-519-6199
(;to ji
Inspection Request Scheduled For: Date: 11/30/2006 l riA u- Pour Time:
CIO /
Code # Inspection Description Confirm # Contact # ' -ssage
699 Mechanical final 040422 -01 503519-6199 Y
Corrections /Comments /Instructions: Co `r`& 0 -a c.
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❑ ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL a R INSPECTION ❑ ADDITIO AL F , ES ASSESSED
■ 41111T\ v� I I f � Inspector: Date: l 6 - � Phone #: (503) 718- \