Permit III 4 CITY OF TIGARD MECHANICAL PERMIT
°'' COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00538
TIGARD DATE ISSUED: 9/17/2007
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S113AD -01900
SITE ADDRESS: 16640 SW 72ND AVE B10 ZONING: I -L
SUBDIVISION: OREGON BUSINESS PARK 1 LOT: 009 JURISDICTION: TIG
PROJECT: VERIS
Project Description: RTU with duct and grills Value: $19500
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: 1 COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 -WMI
PORTLAND, OR 97224 [MECH] Permit Fee 9/17/2007 $359.75
[MECPLN] Plan Rev 9/17/200i $89.94
[TAX] 8% State Surchar€ 9/17/200i $28.78
Phone: Total $478.47
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 dired questions to OUNC by
calling 503.246.6699 or 1.800.332.2344.
Is ued By: , _t .<<.A, , / Permittee Signature: ( /24.64
- ---N. 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.
Mechanical Permit Application b ,o FOR OFFICE USE ONLY
tY Tigard %,
City of Ti and ,r p� Recei Permit No ;I i '4 .0 _ •i —tom 5
q 13125 SW Hall Blvd., Tigard, OR 97223 k' r t•� _By: 1 d • r I an Review
r
.
• I 0 Phone: 503.639.4171 Fax: 503.598.1960 Date/By: ` ' I `� Other Permit:
TIGARD Inspection Line: 503.639.4175 J Date Rea ' ` Jul • ® See Page 2 for
Internet: www.tigard - or.gov a Nptifig' - /7A ) I Supplemental Information
-4
. "? v
TYPE OF WORK C a MERCIAL FEE* SCHEDULE USE CHECKLIST
•
•J s-' Mechanical permit fees* are based on the value of the work
El New construction ® Addition /alteration/rep{attment performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION .
Value: $ $19,500.00
❑ 1- 2-family dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
y g ® C ommercial /industrial ❑ Acc essory buil
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: 16640 SW 72 AVE Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State /ZIP: TIGARD OREGON Fumace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name: VERIS INDUSTRIES 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: I 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
ADD ONE 7 1/2 TON RTU WITH DUCT AND GRILLS Gas Flue vent fireplace vent 10.00
for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
El 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
• 0 APPLICANT 0 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; 51.00 for each additional
Address: 9788 SE 17 AVE Furnace, etc.
Gas heat pump
City /State /ZIP: PORTLAND ORE 97222 Wall /suspended/unit heater
Phone: (503) 519 -6199 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 9:75
Minimum permit fee ($72.50)
Phone: ( ) Fax: ( ) Plan review (25% of permit fee) Sq. 9'>/
CCB lic.: 38868 State surcharge (8 %ofpermitfee) A5.7$
7� TOTAL PERMIT FEE 5178 . yy 2S
Authorized signature: /f /� - /J`L 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: Mir 7-7-67 • Fee methodology set by Tri -County Building Industry Service Board /3,
t:' Building \Permits\MEC- PermitApp.doc 04/06/06 440.4617T(1l/02/COM/WEB) 1
CITY OF TIGARD
BUILDING DIVISION • . PERMIT #: MEC2007 00
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/17/2007 38
Phone: (503) 639 -4171 AfriNli
Inspection Requests (24 Hrs.): (503) 639 -4175 4 _:.
INSPECTION WORKSHEET FOR DATE: 10/22/2 TIME: 7.0)AM PAGE: 18
SITE ADDRESS: 16640 SW 72ND AVE 610 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS' PARK I LOT #: 009 TYPE OF USE:
PROJECT NAME: VERIS
DESCRIPTION: RTU with duct and grills Value: $19500
OWNER: PACIFIC REALLY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503513.6199
Inspection Request Scheduled For: Date: 1Q/22/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 068046 -01 503.519.6199 0
Corrections /Comments /Instructions: Tee r" 10 Kc `mac=1 � -)t? S 1
• L V t t v V`-(=( CA (_/
4� L ' J PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
MI FAIL ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 10 Zv 0 7 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION , PERMIT #: MEC2007 -00538
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/17/2007
Phone: (503) 639 -4171 w ' f
Inspection Requests (24 Hrs.): (503) 639 -4175 ' I I ..
INSPECTION WORKSHEET FOR DATE: 9/26/2007 TIME: 7:01AM PAGE: 72
SITE ADDRESS: 16640 SW 72ND AVE B10 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: 009 TYPE OF USE:
PROJECT NAME: VERIS
DESCRIPTION: RTU with duct and grills Value: $19500
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503519 - 6199
Inspection Request Scheduled For: Date: 9/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 056334 -01 503 - 5136199 N
Corrections /Comments /Instructions:
Ci'■ < V f — m____(____
K. et ", S • _ .1 ----7----- �rl^l ,_—
❑ PASS ei PARTIAL ' - 1 . ❑ CANCEL ❑ NO ACCESS
❑ FAIL // , ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
■
Inspector: Date: Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION = PERMIT #: MEC2007- 00538
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/17/2007
Phone: (503) 639 -4171 4740,1111
Inspection Requests (24 Hrs.): (503) 639 -4175 F_
INSPECTION WORKSHEET FOR DATE: 9/18/2007 TIME: 7:OOAM PAGE: 49
SITE ADDRESS: 16640 SW 72ND AVE B10 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: 009 TYPE OF USE:
PROJECT NAME: VERIS
DESCRIPTION: RTU with duct and grills Value: $19500
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503
Inspection Request Scheduled For: Date: 9/18/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Me = =
695 Mist. inspection 055847 -02 503-519-6199
Corrections /Comments /Instructions:
FF A - 1'- 1 (t'/( F ob X/ 4 eJ A Pc'`12 A-P Pi v �(_
It `# - ', L " oa 1-- TO I
/ PASS ❑PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ,' �,❑ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: �i( Date: )? Phone #: (503) 718- %
r
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007- 00538
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/17 /2007
Phone: (503) 639 -4171 11 "
Inspection Requests (24 Hrs.): (503) 639 -4175 � JJ' Ill..
INSPECTION WORKSHEET FOR DATE: 9/18/2007 TIME: 7:OOAM PAGE: 50
SITE ADDRESS: 16640 SW 72ND AVE B10 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: 009 TYPE OF USE:
PROJECT NAME: VERIS
DESCRIPTION: RTU with duct and grills Value: $19500
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES'INC PHONE #: 503 - 519 - 6199
Inspection Request Scheduled For: Date: 9/18/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 055847 -01 503.519 -6199 N
Corrections /Comments /Instructions:
e ,q C_J N (' (o O t/ >\r�
ZLPASS j] PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL MI CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � AMP Date: 9 f 8 O� Phone #: (503) 718- 2/