Permit C ITY OF TIGARD MECHANICAL PERMIT
��� DEVELOPMENT SERVICES PERMIT #: MEC2006-00332
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 7/21/2006
PARCEL: 2 S 112AD -01000
SITE ADDRESS: 07007 SW CARDINAL LN 145 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG
Project Description: Add new register & cap off other duct. Valuation: $1,100.
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:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 -WMI
PORTLAND, OR 97224 [MECH] Permit Fee 7/21 /200€ $72.50
• [TAX] 8% State Surcha 7/21/200E $5.80
Total $78.30
Phone: 503- 624 -6300
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: Permittee Signature: <
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.
Mc% hanical Permit Application FOR o1 i ICC USE' ONLY
City of Tigard B � Received Date /Date/By. i QO ` i L ,
'� Permit No. , G)
13125 SW Hall Blvd., Tigard, OR 9. § A , ��` t
. Plan Review w
. II ' ' Phone: 503.639.4171 Fax: 503.598.1' . aW' D ate/By �J' Other Permit.
TI G A R D Inspection Line: 503.639 Date Ready/By: ® See Page 2 for
Internet: www.tigard or.gov JUL 21 2006 Notified/Method: EN Supplemental Information
. . , TYPE OF( W jU / of, 4 i k pi it l ; ' COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction 52,Additio •r • i T Mechanical permit fees* are based on the value of the work
; �_ r "'1� I performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY 'OF' CONSTRUCTION Value: $ /
RESIDENTIAL EQUIPMENT /.SYSTEMS FEES*
❑ 1- and 2- family dwelling - 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: �+ Air conditioning or heat pump
P/ f t i 2 7 SGt/ G._4/J7/ L 1 4 s'C(requires site plan showing placement) 14.00
City /State/ZIP: rl �jA,LU O/l. F ! , 2i y Furnace 100,000 BTU ( ducts/vents) 14.00
j Furnace 100,000+ BTU (ducts/vents) 17.90
/
Suite/bldg. /apt. no.: Project name: yPX 0 Le.,tJ� L 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
Flue /vent for any of above 10.00
Subdivision: Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
A "1-e__ t-,1 £j" ,d Gas f 10.00
t �_/1�� O�, Flue vent for water heater or gas
fireplace 10.00
Li tJ C t - Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
Chimney /liner /flue/vent 10.00 ,
'" ❑, PROPERTY OWNER 1° - 0. TENANT'
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
' il- APPLICANT , CONTACT PERSON ' - Attic/crawlspace fans 10.00
`� ^ ,, Other: 10.00
Business name:
2/14;) t / ���t %C fwd ' Z r Fuel piping
Contact name: `\14,,,G e LL_ ( , - t� C $5.40 for first four; $1.00 for each additional
Address: 9 1 r ' S e_ / 7 n., A vim( Furnace, etc.
/ Gas heat pump
City /State /ZIP: 7 t9._ ( 9' ) a 2 Z Wall /suspended/unit heater
Phone: 603) .-- _G ( C I 9 Fax: : (fi9) 2 . ?f _ 9 ,‘ ? Water heater
Fireplace
E -mail: Range
' . - `. CONTRACTOR ' Barbecue
Clothes dryer (gas)
Business name: _C-'441.-.,..,e /4. f )4 012(.41_ Other:
Address: _ MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic.: 3 '5v. fr 6 State surcharge (8% of permit fee)
TOTAL PERMIT FEE '7 ,(, 3v
Authorized signature: This permit a pplication expires if a permit is not obtained within 180
/`) 7 days after it has been accepted as complete.
Print name: , JI,vU.{. 8, 'r - A A - G 2 Date: , >/z/A,S ' Fee methodology set by Tri- County Building Industry Service Board
I:\ Building \Permits\MEC- PermitApp.doc 04 /06/06 440 -46I7T (I I /02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total Valuation 1 `.. - Permit Fee:
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
1:\Buildin g \Permits\MEC- PermitApp.doc 12/30/05 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEi.2006 -00332
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/21/ :)006
Phone: (503) 639 -4171 /�u� �� ���,'
Inspection Requests (24 Hrs.): (503) 639 -4175
P
INSPECTION WORKSHEET FOR DATE: 0/1/2005 TIME: 7:02ANi PAGE: . 73
SITE ADDRESS: 07007 SW CARDINAL LN 145 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: PRUDENTIAL NW
DESCRIPTION: Add new register & cap off other duct. Valuation: $1,100.
-- OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503.6245300
CONTRACTOR: PIROTEMP ASSOCIATES INC PHONE #: 503.519.6199
I I
Inspection Request Scheduled For: Date: 8/1/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 034123 -01 503-619-6199 N
Corrections /Comments/ Instructions:
A A.
a,..r, _ is i
JAW ,...it '
•
I P ASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
. I I FAIL IN CALLiOR I' . PECTION n ADDITION et FEE • ASSESSED
Inspector: � �)! ( Date: l v 4hone #: (503) 718 - " '7