Permit CITY OF TIGARD MECHANICAL PERMIT
• , Permit #: MEC2009 -00086
COMMUNITY DEVELOPMENT
13125 S W Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/04/2009
TIGARD Parcel: 1 S126DB02800
Jurisdiction: TIG
Site address: 9370 SW GREENBURG RD 0
Subdivision: Lot:
Project: Spec Space
Project Description: _ e ' , r � �j oU
Y TeX V O�O
Owner: FEES
FRANKLIN COMMONS ASSOCIATES Description Date Amount
BY NORRIS + STEVENS, 520 SW 6TH STE 400
Permit Fee 03/04/2009 $72.50
PORTLAND, OR 97204
12% State Surcharge 03/04/2009 $8.70
PHONE:
Contractor:
PROTEMP ASSOCIATES INC
9788 SE 17TH AVE
PORTLAND, OR 97222
PHONE:
FAX: 503- 238 -9767
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: B 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 $81.20
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 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 Notif - _ liter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direc suestions to O' C b calling 503.246.6699 or 1.800.332.2344.
Issued By:
/ ! Permittee Si natur°:
Call 503.639.4175 by 7:00 a.m. for an inspection that busin ° s 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 Application FOR OFFICE USE ONLY
Cl ` of Tigard r Received
III Da 13125 g
te /By: it Q D permit No.: r ,ry�, g
- v w
° SW Hall Blvd., Tigard, OR 97223 Plan Review • Phone: 503.639.4171 Fax: 503.598.1960 RECEIVE I� Date /By: Other Permit:
T I G A RD Inspection Line: 503.639.4175 Date Ready /By: .. l�uris�' ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method: 72 Supplemental Information
MAR 0 4 2009
,..
: -... TYP .' OF WUI ' � C4 Ilr °E HED IISE �C�IIaiST: =`
❑New construction ®Addition /alterati N�tDIVISION 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.
$ $800.00
GATek It1'?t3I4 CONST3tT q QN ; <,' s.>
RESIAENOI,' �E<jUIPMET
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description Qty. I Ea. Total
AND
4,4 ��; °_.: ............... �.., ....,.......�..... Heating/cooling
JOB _SITE "rINEO _ �- �$ O LOGA�IO
Job site address: 9370 SW GREENBURG RD Air conditioning or heat pump
(requires site plan showing 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.: 0 Project name: GRANT BUILDING 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
Flue /vent for any of above 6.80
Subdivision: Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
r <,K: ; ._,,, Water he er 10.00
4- SUPPLY DUCT & GRILLS AND 1 RETURN DUCT 2- GRILLS TO EXSING Gas fireplace 10.00
DROPS Flue vent for 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
9 PiFEIPEIiT 1 `.OWNER
'°"' . 1 _TELIANT-: -= . ilfFik - . Other: 10.00
Name: Environmental exhaust and ventilation
Range hood/other kitchen
Address: equipment 10.00
City/State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
K `° v F , F,^ -,,i ' :: , - Attic /crawlspace fans 10.00
►, ,q NTACT4°° itSON :.. , ;
• °° �• Other: 10.00
Business name: PROTEMP ASSOCIATES Fuel piping
Contact name: BRUCE BUTNER $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: 9788 SE 17 AVE Gas heat pump
City/State /ZIP: PORTLAND OREGON 97222 Wall/suspended/unit heater
Water heater
Phone: (503) 519 -6199 Fax: : (503) 238 -9767 Fireplace
E -mail: Range
xv a:, r; m51 Barbecue
— sRAC; ['QR p,,;,•... , . , �
° Clothes dryer (gas)
Business name: SAME AS ABOVE Other:
Address: ItiIEGkHA1!IICA P ism" 'T FEES
Subtotal
City/State /ZIP: Minimum permit fee ($72.50) 79, ..so
Phone: ( ) Fax: ( ) Plan review (25% of permit fee) 41-
CCB lic.: 38868 State surcharge (12% of permit fee) g , 70
TOTAL PERMIT FEE 8. .,6/0
This permit application expires if a permit is not obtained within 180
Authorized signature er . - days after it has been accepted as complete.
Print name: BRUCE BUTNER � T Date: 3/4/09 * Fee methodology set by Tri -County Building Industry Service Board
1:\Building \Permits \MEC- PermitApp.doc 01/19/07 440 -4617T (11 /02 /COM /WEB)