Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00375
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/16/2011
Parcel: 1S126BC01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD 120
Project: Server Logic Subdivision: Lot: 0
Project Description: Add (1) VAV with duct, relocate duct and add (1) ductless split system.
Contractor: PROTEMP ASSOCIATES INC Owner: WISCO REAL ESTATE 'EQUITY
9788 SE 17TH AVE 1501 SW TAYLOR STREET, SUITE 100
PORTLAND, OR 97222 PORTLAND, OR 97205
PHONE: 503 - 233 -6911 PHONE: 503 - 294 -0400
FAX: 503 - 238 -9767
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/16/2011 $322.42
Class of Work: ALT Type of Const: Plan Review 08/16/2011 $80.61
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 08/16/2011 $38.69
Stories: Info Process /Archiving - Lg Sheet (over 08/16/2011 $2.00
11x17)
Project Valuation: $9,100.00
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 $443.72
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports (Conditions)
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 Notifi r. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct estions to OU C b ailing 503.232.1987 or 1.800.332.2344.
Issued y: / • !, d Permittee Signature: k — eci2S/
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 Applic EIVED FOR OFFICE USE ONLY
Received l JGA ��
City of Tigard Date /By: D (� Permit No.: , (t,( ,r/ 7 5"
-
I I 13125 SW Hall Blvd., Tigard, OR 972' 1 2011 K
Plan Review !L
Phone: 503.639.4171 Fax: 503.598.0610 Date /By: Other Permit: 6 itPa
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready /By: Juris: ® See Page 2 for
Internet: www.tigard or.gov Notified /Method: Supplemental Information
BUILDING DIVISION
Feb MIVIERCIAL'fliFEE ,bGI-tEDUrg,,tISEGHECKLISTk
❑ 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.
Value: $ $9,100.00
��� CATEG DR� 0 CONS; RUCTION
RESIDENT JAL EQ 1P TENT / SYSTEMS TEES ...
❑ 1- and 2- family dwelling ® Commercial /industrial El Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description Qty. Ea. Total
JB SITEINTORIVIATION AND LtOCATIOI! _ a i
Heating/cooling
Job site address: 9020 SW Washington Sq Rd Air conditioning
(requires site plan showing placement) 46.75
City /State /ZIP: Tigard Oregon 97223 Furnace 100,000 BTU (ducts /vents) 46.75
Furnace 100,000+ BTU (ducts /vents) 54.91
Suite /bldg. /apt. no.: #120 Project name: Server Logic 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
Subdivision: Lot no.: Flue /vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances
DESCR O F WO Water heater 23.32
Gas fireplace 33.39
Add 1 Trane VAV with duct, relocate duct and add 1-Ductless a/c Split system 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
Chimney /liner /flue /vent 23.32
A., O ERTY.DWSO to ❑ TEIlAI�1T u
�� P _�... � , 6 � .....- � _ - a� , .,�,.. _ 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
F ®APPLIOANT ®011,1700 ERSON Attic /crawlspace fans 23.32
Other: 23.32
Business name: Protemp Associates
Fuel piping
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: bruce@protmp.com Range
Barbecue
•
Business name: same as above
Clothes dryer (gas)
Other:
A ddre ss : MECHANICALER'MIT FEES# '6
City/State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum pennit fee ($90.00)
Plan review (25% of pennit fee)
CCB lie.: 38868 State surcharge (12% of permit fee)
TOTAL PERMIT FEE V3 .7 2-
Authorized signature: i � This permit application expires if a permit is not obtained within 180
r t days after it has been accepted as complete.
Print name: Bruce Butner Date: 8/15/11 * Fee methodology set by Tri- County Building Industry Service Board
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