Permit ipq CITY OF TIGARD MECHANICAL PERMIT
• it
• • COMMUNITY DEVELOPMENT Permit #: MEC2011 -00216
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/18/2011
Parcel: 1S126BC01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD 350
Project: Primary Residential Mortgage Subdivision: ONE EMBASSY CENTRE Lot:
Project Description: Relocate grilles for new tenant space.
Contractor: PROTEMP ASSOCIATES INC Owner: WISCO REAL ESTATE EQUITY FUND I
9788 SE 17TH AVE 1501 SW TAYLOR ST STE 100
PORTLAND, OR 97222 PORTLAND, OR 97205
PHONE: 503 - 233 -6911 PHONE:
FAX: 503 - 238 -9767
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/18/2011 $84.41
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 05/18/2011 $10.13
Occupancy Grp: Occupancy Load: Plan Review 05/18/2011 $21.10
Stories:
Project Valuation: $989.00
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressure: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0 -3 HP:
Furnaces >= 100K BTU: 3 -15 HP:
Floor Furnaces: 15 -30 HP:
Unit Heaters: 30 -50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $115.64
Hoods: Comm Incinerators:
Required Items and Reports (Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire /Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, • State of OR. Specialty Codes and all other
applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility No : ion Cente . Tho u are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or dire questions to OUNC b ailing 56..232.1987 or 1.800.332.2344.
Issued By: J\ � � Permittee Signature:
I `
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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 ,( FOR OFFICE USE ONLY
`J Tigard
of Ti and P E I y D ReceiveDate /By: d Permit No.:
- 13125 SW Hall Blvd., Tigard, O 9 g223,�
Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Review.
�Ap pp Date /By: Other Permit:
TIGARD Ins Line: 503 MAY g O 2011 Date Ready /By: Juris' RI See Page 2 for
. Internet: www.tigard - or.gov Notified /Method: Supplemental Information
CITY OF TIGARD
TIDE O �I I.v CpMM)RG1�1 FEE -SGF[EDUGE USECEIECKliIST:
�- .rte -:.
❑ 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 El Other: mechanical materials, equipment, labor, overhead, and profit.
'''CATEGORY =OF, GONSTRUCuT ON., F - - -
Value: $ 989.00
.. ;r•.'<..
� ...s «r.., <.,,,,,� n . - - • : - • : , . • ams",- u ^n,.,s• �ntt>ar•,:a °.•-
r;, ItESIDJ FIA.LL EQUIPMEN / S,YSTEMS "
1=1 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building "�'
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description I Qty. Ea. I Total
" TUB %SITE INFQR iION'AND LOCATION <„ s ' : ' -" Heatin
Job site address: 9020 SW Washington Square Rd Air conditioning
(requires site plan showing placement) 46.75
City /State /ZIP: Tigard Oregon 97224 Furnace 100,000 BTU (ducts /vents) 46.75
Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: #350 Project name: One Embassy Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Flue /vent for any of above 23.32
Subdivision: Lot no.:
Other: 23.32
Tax map /parcel no.: Other fuel appliances
'. " � - F "' Water heater 23.32
" DESCRIPsTION: (lE WORD.` _ <
Gas fireplace 33.39
Relocate grills for new tenant pace Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood /pellet stove 33.39
Wood fireplace /insert 23.32
;.,; >r• ,.:.. . Chimney /liner /flue /vent 23.32
P- IYOPEI OWNER IENAIYT.<' x
_ >,�...,�,�r�, -.. -�; ,,,,✓ �,- -.. - -. ,, .. .......,,,.,..<,...._ \ �� Other: 23.32
Name: Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 33.39
City /State /ZIP: Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
��, A � -� `° `��: Attic /crawlspace fans 23.32
u. -
��� •,,,, < - : ®:: PPL <,.•a?:� �a�i "fir' � � ®�.
Other: 23.32
Business name: Protemp Associates Fuel r m
P g
Contact name: Bruce Butner $14.15.for first four; $4.03 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: brtice @protmp.com Range
g Barbecue
Business name: same as above Clothes dryer (gas)
Other:
Address: iii - _ MECIIANICA PERMIT FEES.*.:
City /State /ZIP: Subtotal O q, c0
Phone: ( ) Fax: ( ) Minimum pennit fee ($90.00) ------
Plan review (25% of permit fee) Ai. to
CCB lie.: 38868 State surcharge (12% of pennit fee) / 6 , f 3
TOTAL PERMIT FEE it ea* t,p ,
Authorized signature:jC This permit application expires if a permit is not obtained within 180 tit
days after it has been accepted as complete.
Print name: Bruce Butner Date: 5/18/11 * Fee methodology set by Tri- County Building Industry Service Board
1 :\ Building \Permits \MEC- PermitApp.doc 10/01/09 440 -4617T (1 I /02 /COM /WEB)