Permit C ITY OF TIGARD MECHANICAL PERMIT
„ DEVELOPMENT SERVICES PERMIT #: MEC2006 -00383
� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/8/2006
PARCEL: 1 S136CD -00100
SITE ADDRESS: 11705 SW PACIFIC HWY *"" ZONING: C -G
SUBDIVISION: PACIFIC CROSSROADS LOT: JURISDICTION: TIG
Project Description: Disconnect all a/c for re -roof, install new curbs, reinstall units.
Project Value: $95,000
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:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
PACIFIC CROSSROADS PROPERTIES, I Description Date Amount
BY WYSE INVESTMENT SERVICES CO
• 200 SW MARKET ST STE 345 [MECH] Permit Fee 8/8/2006 $1,334.00
PORTLAND, OR 97201 [TAX] 8% State Surcha 8/8/2006 $106.72
Phone: Total $1,440.72
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 y: 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.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard DateBy: �,� Q / Permit No.: kif ��1�a/ .cg 3
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 / i� ' k Date/By:
Line: 503.639.4175 l ki �
_ Date Ready/By: See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New const ruction ` 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 verhead, and profit.
®
CATEGORY OF CONSTRUCTION Value: $ /S nom)
RESIDENTIAL EQUIPMENT f SYSTEMS FEES*
❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building
❑ Multi- family ❑ Master builder ❑ Other: For special information use checklist.
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Attie/L._ Air conditioning or hcat pump
Job site address:
D( 7 o , 5 � At / (requires site plan showing placement) 14.00
City/State/ZIP. : (/ 4Il.r_ 0At_ 9 '7 2- 2 3 Furnace 100,000 BTU (ducts/vents) 14.00
9 l Furnace 100,000+ BTU ( ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name. ff p • t 4 a;, as 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: I Lot no.:
Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00 - —
i / Gas fireplace 10.00 "—
t'/ S Co'-' . A 4� ( ,4 L � / Q-� p !`� ;AA-Ala_ Flue vent for water heater or gas _ _
f � / fireplace 10.00
_A �-/"1 G ��^' '-� -- IN's r�L( U� 7r Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00 •
❑ PROPERTY OWNER I ❑ TENANT Chimney/liner /flue /vent 10.00
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
APPLICANT JR— CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name: ?&n ` As co C i�� Fuel piping
Contact name: 11-x.1 C, (� f'( v i-Ar� J $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: 97 Q _s- G _ALA, _ Gas heat pump --
City/State /ZIP: pp,Lrr7, n /, e g ? &Z rt__ Wall /suspended /unit heater
Phone: (6 5 / 5'—,.67 9 7 Fax: : (, 7 J 3) = 7 7 6 , Water heater
1 Fireplace
E -mail: —
Range
CONTRACTOR Barbecue
Clothes dryer (gas)
G a�.�
Business name: AA 4 A g
J Other:
Address: MECHANICAL PERMIT FEES*
City/State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic.:_2 eY6 d State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: �!�( This p ermit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: i3 / t/ C-(_____ )2 T —/C Date: � —fJ G * Fee methodology set by Tri- County Building Industry Service Board
i:\ Building \Permits \MEC- PermitApp.doc 12/03 440 -4617T (I I /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006 -00383
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/8/2006
Phone: (503) 639 -4171 II
Inspection Requests (24 Hrs.): (503) 639 -4175 .�
INSPECTION WORKSHEET FOR DATE: 11/17/2006 TIME: 7:01AM PAGE: 71
SITE ADDRESS: 11705 SW PACIFIC HWY ' CLASS OF WORK:
SUBDIVISION: PACIFIC CROSSROADS LOT #: TYPE OF USE:
PROJECT NAME: PACIFIC CROSSROADS
DESCRIPTION: Disconnect all a/c for re -roof, install new curbs, reinstall units.
Project Value: $95,000
OWNER: PACIFIC CROSSROADS PROPERTIES, I, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503-519 -6199
Inspection Request Scheduled For: Date: 11/17/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
.11
699 Mechanical final 039903 -01 503 - 519 -6199 Y
- W--.00E
Corrections /Comments /Instructions:
X11 All .
1111Z411MMIIIEUIVE:7 . _
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FO INSPECTION ❑ ADDITI NAL EES ASSESSED
Inspector: \ Date: L � Phone #: (503) 718- /
CI IGARDc.G
BUILD! DIVISION PERMIT #: Zcc — 0:3 - �3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639- 4171 Ake
n
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: IQ /!zid TIME: PAGE:
SITE ADDRESS: (r7 c5 5kJ 'Re_ (41).5y CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PQ T 4 4 PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
t o Cis L/M C335t2
Corrections /Comments /Instructions:
AMP
- ` � ! ®'
��PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL w CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
4104 Inspector: Date: i hone #: (503) 718 zd3.
CITY.OF'TIGARD
BUILDING DIVISION PERMIT #: MEC2006-00383
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8 /8/2006
Phone: (503) 639- 4171v��t
Inspection Requests (24 Hrs.): (503) 639 -4175 !�J' 61J1.
INSPECTION WORKSHEET FOR DATE: 10/612006 TIME: 7:03AM PAGE: 16
SITE ADDRESS: 11705 SW PACIFIC HWY m CLASS OF WORK:
SUBDIVISION: PACIFIC CROSSROADS LOT #: TYPE OF USE:
PROJECT NAME: PACIFIC CROSSROADS
DESCRIPTION: Disconnect all alc for re -roof, install new curbs, reinstall units.
Project Value: $95,000
OWNER: PACIFIC CROSSROADS PROPERTIES, I, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503- 519 -6199
Inspection Request Scheduled For: Date: 10/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
635 Smoke detector shutdown 037815-02 503 - 519-6199 N
Corrections /Comments/ Instructions:
a A -__. k ,
_r -- W ) / — 1, VS /w
.1I
•' 4
❑ PASS [ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL pi CALL FOR INSPECTION ❑ ADDITI NAL EES ASSESSED
1 i14 I
O r Inspector: Date: CO Phone #: (503) 718 -
CITY 40F.TIGARD
BUILDING DIVISION PERMIT #: MEC2006 00383
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/8/2006
Phone: (503) 639
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: iQ/fi/2006 TIME: 7 :03AM PAGE: 17
SITE ADDRESS: 11705 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: PACIFIC CROSSROADS LOT #: TYPE OF USE:
PROJECT NAME: PACIFIC CROSSROADS
DESCRIPTION: Disconnect all aft for re -roof, install new curbs, reinstall units.
Project Value: $95,000
OWNER: PACIFIC CROSSROADS PROPERTIES, I, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503-519 -6199
Inspection Request Scheduled For: Date: 10/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 037815-01 503 - 519 -6199 Y
f �
Corrections/Comments/Instructions: (0‘
ir
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ C LL F•R INSPECTION ❑ ADDITIO AL F ES ASSESSED
/ Inspector: Date: hone #: (503) 718- - Z. /
CITY Off_ =TIGARD
BUILDING DIVISION PERMIT #: MEC2006-00 83
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/812006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/4/200 TIME: 7:02AM PAGE: 20
SITE ADDRESS: 11705 SW PACIFIC HWY ---• CLASS OF WORK:
SUBDIVISION: PACIFIC CROSSROADS LOT #: TYPE OF USE: •
PROJECT NAME: PACIFIC CROSSROADS
DESCRIPTION: Disconnect all a/c for re-roof, install new curbs, reinstall units.
Project Value: $95,000
OWNER: PACIFIC CROSSROADS PROPERTIES, I, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503.519 -6199
Inspection Request Scheduled For: Date: 10/4/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 037653-01 503 - 519-6199 Y
Corrections /Comments /Instructions:
I Gi
o
3C IAA
w •C
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NA FEES ASSESSED
Inspector: Date: j ` Phone #: (503) 718-