Permit CITY OF TIGARD MECHANICAL PERMIT
' COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00216
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/19/2007
PARCEL: 25101 BB -01400
SITE ADDRESS: 12100 SW GARDEN PL BLD4 ZONING: C -G
SUBDIVISION: PARK 217 LOT: 002 JURISDICTION: TIG
PROJECT: AZ GLOBAL
Project Description: Gas line
CLASS OF WORK: OTR 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:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: C ODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS LO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
SPIEKER PROPERTIES LP Description Date Amount
4380 SW MACADAM AVE STE 100
PORTLAND, OR 97201 [MECH] Permit Fee 4/19/2007 $72.50
[TAX] 8% State Surcha 4/19/2007 $5.80
[MECPLN] Plan Rev 4/19/2007 $18.13
Phone: Total $96.43
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: , � / / ' �j Permittee Signatur
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.
y t riys� a Recetved,, ONLY Yll
Mechanical Perm' i n at��o ROR,OFFICE USE
City of Tigard Date /By r 0 ® Permit / _ 0„7 _
13125 SW Hall Blvd , Tigard, OR 97223
Phone 503 639 4171 Fax 503 598 1960 APR
1 2007 Plan Review
err l �, Datemy Other Permit
Inspection Line: 503 639 4175 A I( Date Ready /By tuns i iii. —0 See-Pagel for - -
Internet www.ci tigard.or.us W Notified /Method Supplemental Information
<- ;; ,, • ,, � 'TY 1 F ' WOR .. ' ` _ .. — CHECKL
_;;` ; . - �COMMERCI 'FEE* SCHEDULE IST
� ,
Mechanical permit fees* are based on the value of the work
❑ New construction ® Addition /alteration /replacement
performed Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
TEG 'OR ' =` - '''' ,,.. „� ^ « +;��•,
. _ , •..,, -„ RES S TEM
iDENTII L ; EQUIPMENT ° ° % SYS. S,EEES *,•., �
❑ I- and 2- family dwelling ® Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other.
Description Qty Ea Total
`' T '1',I;"14,'" -• ''',0% ' 'JOB S1TEi °IN1 ORMATION Heating /cooling
Job site address: /2 /420 L SZ J r Qc 1 QL r ( ig conditioning
fires s ti plan of hea pump
�/ N/�� j (requires site Ian showui placement) 14.00
City /State /ZIP. TIGARD OREGON 97224 Furnace 100,000 BTU (ducts /vents) 14 00
Furnace 100,000+ BTU (ducts /vents) 17 90
Suite/bldg. /apt no :43,4, 0 5 _ , 41 Project name . c14, , I'T .J / a
y ,t) 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
Subdivision: Lot no " Flue /vent for any of above 10 00
Other 10 00
Tax map /parcel no : Other fuel appliances
DESCRIPTTON .OFWORK Water heater 10.00
s _` Gas fireplace 10.00
5p � 1 6-A. ( t /,J- N �Q c?,� j '��}� /moo A j Flue vent for water heater or gas
_ fireplace 10.00
�
•`/ r Log lightei (gas) 10.00
Wood /pellet stove 10 00
Wood fireplace /insert 10 00
:: '' ® PROPERTY `QWNER., ` x `� %' %'' '`' '`" " - °' Chimney /liner /flue /vent 10 00
s,- ❑';.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
7 .. , :,, S,,, craw p ce fans
; ®APPLICANT -� ®, < Attic/ Is a 10.00
Other 10.00
Business name. PROTEMP ASSOCIATES
Fuel piping
Contact name: BRUCE BUTNER $5.40 for first four; $1.00 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 g
"'11,3 °m, T:t 1 °:CONTRACTOR %' _ - - Barbecue
Business name. SAME AS ABOVE Clothes dryer (gas)
Other
Address '; _ - ' s •ME C HANICAL L PEI 3 IT FEES* '.
City /State /ZIP: Subtotal
Phone: ( ) Fax ( ) Minimum permit fee ($72 50)
Plan review (25% of permit fee)
CCB lie.: 38868 State surcharge (8% of permit fee)
TOTAL PERMIT FEE 9 , .4 ! -
Authorized signature 6,472s This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: BRUCE BUTNER Date• 9/12/06 * Fee methodology set by Tn- County Building Industry Service Board
I \Building \Permits \MEC- PermitApp doe 12/03 440 -4617T (I I /02 /COM /WEB)
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: tviEC2007
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/19/2007
Phone: (503) 639-4171 7,491111'\
Inspection Requests - (24 Hrs.): (503) 639-4175 ...,..._9_,. ...an&
INSPECTION WORKSHEET FOR DATE: 4/2012007 TIME: 7:00AM PAGE: 82
SITE ADDRESS: 12100 SW GARDEN PL 8LD4 CLASS OF WORK:
SUBDIVISION: PARK 217 LOT #: 002 TYPE OF USE:
PROJECT NAME: AZ GLOBAL
DESCRIPTION: Gas line
OWNER: SPIEKER PROPERTIES LP, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503-51.9-6159
Inspection Request Scheduled For: Date: 4/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Messase
610 Gas line 046845-01 503-519-6199 410
Corr tions/Comments/Instructions:
p
Z-I 7
•
PASS /1 1 RTIAL APPROVAL 0 CANCEL 7 NO ACCESS
[ I FAIL 11 • . OR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: ____ ...../116._ — Date: 7 Z---e 7 IP Phone #: (503) 718- ..-
• IIIIP