Permit n CITY OF TIGARD MECHANICAL PERMIT
t il
• l 7 2 COMMUNITY DEVELOPMENT Permit #: MEC2009 -00305
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/24/2009
Ti CiARL3, Parcel: 2S110DCO2300
Jurisdiction: Tigard
Site address: 11555 SW DURHAM RD A -4
Subdivision: Lot: 0
Project: Oregon Music Academy
Project Description: Instal new grills and move duct for TI.
Owner: FEES
HIP WILLOWBROOK LLC Description Date Amount
BY TAX DEPARTMENT, PO BOX 2708
Permit Fee 06/24/2009 $161.30
PORTLAND, OR 97208
12% State Surcharge - Mechanical 06/24/2009 $19.36
PHONE:
Contractor:
PROTEMP ASSOCIATES INC
9788 SE 17TH AVE
PORTLAND, OR 97222
PHONE: 503 - 233 -6911
• FAX: 503 - 238 -9767
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Occupancy Load:
Stories:
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressue: 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 $180.66
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 Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct questions to OUNC btcalling 503.246.6699 or 1.800.332.2344.
Issued By: j /� n \ \ Permittee Signature:
v �..�
___,..,....'WO
Call 503.639.4175 by 7:00 a.m. for an inspection 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 Applicati ill CEIV FOR OFFICE USE ONLY - - --
' Rec eived
- - _ City o f Tigard P At. a 13125 Hall Blvd., Tigard, OR 9722 JUN N 2 4 2 0 09 Date/By: — 4oQ • � ' .
_ ' I Phone: 503.639.4171 Fax: 503.598.1960
Plan
t e /By iew v • ,
7 FGA Ii . L Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: lif See Page 2 or
'
Internet: www.tigard- or.gov BUILDING DIVISION Notified/Methnd: U Supplementatlnformation,
- ' . ,-- T YPE.OF WORK _ ,LL COMMERCIAL FEE ° SCHEDULE -= ITSE_.CHECKLISIV
❑ 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.
- CATEGORY OF CONSTRUCTION. - -. - - -- - -
° Value: $ $6,100.00
RESIDENTIAL EQUIPMENT! SYSTEMS JH N:S" -
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building - =
❑ Multi- family ❑ Master builder 0 Other: For special information use checklist.
Description Qty. Ea. Total
_ - - . -- JOB` STPE_ INFORMATION AND _LOCATION - - - -- Heating/cooling
Job site address: 11555 SW DURHAM RD Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State/ZIP: TIGARD OREGON 97. Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg. /apt. no.: Project name: OREGON MUSIC SCHOOL Furnace 100,000 +BTU (ducts/vents) 17.90
Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
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. 14.00
Subdivision: Lot no.: Flue/vent for any of above 6.80
Other: 10.00 _
Tax map/parcel no.: Other fuel appliances
_ r _ -- - - DESCRIPTION" OF WORK _ - — _. __ -' Water heater 10.00
Gas fireplace
NEW GRILLS AND MOVE DUCT TO NEW FLOOR PLAN 0.00
Flue vent for r water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
Chimney/liner /flue/vent 10.00
''-DPR O WNER `;. ' - = .. - - :0 T
- - - -- . - Other: 10.00
` Name: Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
i City/State/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
-E1 APPLICANTS. .. _ - rt -CONTACT PE RSON - - - - - Attic/crawlspacetans 10.00
Business name: PROTEMP ASSOCIATES Other: ID_DD
Fuel piping
Contact name: BRUCE BUTNER $5.40 for first four, $1.00 for each additional
Address: 9788 SE 1711I AVE Furnace, etc —
Gas heat pump
City /State/ZIP: PORTLAND OREGON 97222 Wall/suspendedhutit heater
Phone: (503) 519 -6199 Fax: : (503) 238 -9767 Water heater
Fireplace
E -mail: bruce@protmp.com Range
= - - C ONTRACTOR '- - - - ' - ` - - Barbecue
Business name: SAME AS ABOVE Clothes dryer (gas)
Other:
Address: _ _.:MEGH _ ANICAL •PERMIT:FEES' - = -- _ ° -- = -
City /State/ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) _
Plan review (25% of permit fee)
' CCB lie.: 38868 State surcharge (12% of permit fee)
TOTAL PERMIT FEE I (} , p f
This n
is permit application expires if a permit is not obtained 3
Authorized signature: days after it has been accepted as complete