Permit CITY OF TIGARD MECHANICAL PERMIT
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COMMUNITY DEVELOPMENT Permit #: MEC2011 -00599
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/22/2011
Parcel: 2S113AC00103
Jurisdiction: Tigard
Site address: 7244 SW DURHAM RD, BLDG# 500
Project: RSD Refrigeration Subdivision: COUNCIL VIEW ACRES (LOTS 21 -44) Lot: 25 -27,22
Project Description: Add (1) supply grill and (1) transfer grill in new office.
Contractor: PROTEMP ASSOCIATES INC Owner: PACIFIC REALTY ASSOCIATES
9788 SE 17TH AVE ATTN: N PIVEN
PORTLAND, OR 97222 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 233 -6911 PHONE:
FAX: 503 - 238 -9767
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 12/22/2011 $69.06
Class of Work: ALT Type of Const: Plan Review 12/22/2011 $17.27
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 12/22/2011 $8.29
Stories:
Project Valuation: $350.00
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 $94.62
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, . • • . is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility .otification Cente . Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or .7ect questions to OUNC b c- • ! 5' • 232.1987 or 1.800.332.2344.
Is -ued By: LO. /,� d / Permittee Signature: Zfe
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.
32..2.7
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Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Date/By: � P • •�- // a Permit No.: Hee,g 579
I a O 13125 SW Hall Blvd., Tigard, 9 I P
Phone: 503.639.4171 Fax: 503.598.1960 Plan Review
t �i{
Date /By:
DEC ther Permi D l O ���D C �
�
TIGARD Inspection Line: 503.639 � 2.2 2011 Date Ready /By: Juris. l See Page 2 for
Internet: www.tigard - or.gov Notified /Method: Supplemental Information
CITY OF TIGARD
ea E- .. .; ti;,,.; ::. :.gy p CHED — KL 1sT'
E =coiilMElic F�I� *� "s
❑ New construction ® Addition /alteration /replacement Mechanical permit fees* are based on the value of the work
perfonned. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
;. " "T' -..- . - :. 7 ,�;, . Value: $ $350.00
' CA� OE "`GON , �
SID EQIJIPIVIE YST S FEES - -. :',ry
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building'''''
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description Qty. Ea. I Total
yg 1.013 "SITE INTQIt I IO.N ANA�.iroai LO1 ••c. ;_:; -
<� .. � '� ,� �., inglco
..... �� �;�.- ::,:�:...• Heating/cooling
Job site address: 7244 SW Durham Rd Air conditioning
(requires site plan showing placement) 46.75
City/State /ZIP: Tigard Oregon 97224 Furnace 100,000 BTU (ducts /vents) 46.75
Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: #500 Project name: RSD
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 electric),
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
qk r;; -- ' .3 Water heater 23.32
• DESCIiIPTIt)1V`;OF ,WORI{' g . .� a '
Gas fireplace 33.39
add one supply grill and one transfer grill in new office 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
®', PR9PEI2Ty' OWNE13 N t1N .
oz.,
�. -_., - .,,.,. �a'' 1� �s� Other: 23.32
Name: Environmental exhaust and ventilation
Address: Range hood /other kitchen
equipment 33.39
City /State /ZIP: Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
PE R A ttic /crawls fans 23.32
® \ �C p NT A C'T RSON ' ";R
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 -6199 Fax: : (503) 238 -9767 Water heater
Fireplace •
E -mail: bruce @protmp.com Range •
-- mow.° Barbecue
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CONTRAI`"I`OR, c �.
Business name: same as above Clothes dryer (gas)
Other:
Address:
MECIlA1VTCA1 PERMIT FEES * l, .. ,
City /State /ZIP: Subtotal 499,04*
Phone: ( ) Fax: ( ) Minimum permit fee ($90.00) ■--•
Plan review (25% of permit fee) /7. a7
CCB lie.: 38868 State surcharge (12% of pennit fee)
I TOTAL PERMIT FEE 94
Authorized signature: io This permit application expires if a permit is not obtained within 180
e'er— days after it has been accepted as complete.
Print name: Bruce Butner Date: 12/22/11 * Fee methodology set by Tri- County Building Industry Service Board
1: Building \Permits \MEC- PermitApp.doc 10/01/09 440 -46 t 7T (II /02 /COM/WEB)