Permit F , CITY OF TIGARD MECHANICAL PERMIT
- 111 COMMUNITY DEVELOPMENT Permit #: MEC2011 -00409
Date Issued: 09/13/2011
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503.718.2439 Parcel: 1S126BC01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD 450
Project: River City Travel Subdivision: Lot:
Project Description: Relocate duct work for TI
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 09/13/2011 $221 26
Class of Work: ALT Type of Const: Plan Review 09/13/2011 $55 32
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 09/13/2011 $26.55
Stories:
Project Valuation: $5,500 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 $303.13
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 Notification Center 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 q ions o OUNC by calling 503 232 1987 or 1 800 332 2344
Issued (aQ_2 Permittee Signature:
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 ApplicatillA
. CETVED FOR OFFICE USE ONLY
City of Tigard RDate/By' 9ff/re I I I MI . t i •
Permit No.:
1
, q 13125 SW Hall Blvd., Tigard, OR 97223
: II :. Phone. 503.639 4171 Fax: 503.598 1966 F.. P
1 3 2011 Plan Review
Date/By Other Permit
Inspection Line: 503.639.4175
TIGARD Date Ready/By Jul is RI See Page 2 for
Internet' www tigard-or.gov CITY OF TIGARD Notified/Method Supplemental Information
RIR! DING DIVISION
1' ig,':.tatri:WPX."10:NOkk . -1inialifFr.f, ,,,.„:-. EO::O'SOw;4:jdff5:0tEpuL'E::7*We:qEcOs
0 New construction Addition/alteration/replacement
Mechanical permit fees* are based on the value of the work
El
performed Indicate the value (rounded to the nearest dollar) of all
D Demolition 0 Other mechanical materials, equipment, labor, overhead, and profit
r-w7-v* - --wet- - CAYEdotiliV:6,.,V651§TtitictroSti Aiarn,77-T - Value. $ $5,500.00
...,0,.....,......wo-,.........,,, ,, ••,,,Q'o :' ': '-'
M;?",r ittIP'
1:1 1- and 2-family dwelling [X] Commercial/industrial '0 Accessory building
For special information use checklist.
0 Multi 0 Master builder 0 Other: Descnption Qty Ea. Total
,:liWWWWWST*i.INP:01AiloNANDOGATIOlkk Heating/cooling
Air conditioning
Job site address: 9020 SW Washington Square RD
(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.: 95C) Project name: River City Travel
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 electnc),
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
g10,04*TION OF.A. J,' Water 1 ! " 1 " ;„:,i45011,01 Water heater 23 32
Gas fireplace 33 39
RELOCATE DUCT FOR NEW FLOOR PLAN 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
4.116iIERf16,OWARYWPI: " 7'W" iii TENANT :t'''' M
. :e%‘;' -i:- , - ,,: ',--,4n, . ,- „,:, „ . : .,,J.2 ,e,:,, Other: 23.32
Name: Environmental exhaust and ventilation
_
Range hood/other kitchen
Address: equipment 33 39
City/State/ZIP: Clothes dryer exhaust 33.39
Single-duct exhaust (bathrooms,
Phone. ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
EVArip .- ,- d' ' - El ,'CD'AcJ3r1(EiSON.,:414.e4, 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 Fax: : (503) 238 Water heater
Fireplace
E bruce@protmp.com Range
e A
.3,--
p c9NTWTO!';gak'' ''''' " alt: Barbecue
Business name: SAME AS ABOVE Clothes dryer (gas)
Other
Address: ECJOINWAI-6041411a1',0*77,01t4
City/State/ZIP: Subtotal "91. .140
1 %11=1:€M=2c±i () ) . 3 - . 5 0.
Phone: ( ) Fax: ( )
Plan review (25% of permit fee) pep. 55
CCB lic.: 38868 State surcharge (12% of permit MO
efzez4...d_xtZez. TOTAL PERMIT FEE
Authorized signature:
This permit application expires if a permit is not obtained within 18
days after it has been accepted as complete. iO3
Print name: BRUCE BUTNER Date: 3/11/10 * Fee methodology set by Tri-County Building Industry Service Board
i \ Buddineermitg)MEC-PermitApp doc 10/01/09 440-46! 7T (1 I /02/COM/WEB)