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Permit CITY TIGARD MECHANICAL PERMIT itA DEVELOPMENT SERVICES PERMIT #: MEC2005 -00161 ° � I ∎b 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 DATE ISSUED: 4/8/2005 PARCEL: 2S112DA-01400 SITE ADDRESS: 06650 SW REDWOOD LN 250 ZONING: I -P SUBDIVISION: PP1996 -048 LOT: 002 JURISDICTION: TIG Project Description: Replace all existing supply & return grills, relocate thermostats. Val: $3400.00. 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: 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 REALTY ASSOCIATES Description Date Amount 15350 SW SEQUOIA PKWY #300 -WMI PORTLAND, OR 97224 [MECH] Permit Fee 4/8/2005 $104.70 [TAX] 8% State Surcha 4/8/2005 $8.38 Total $113.08 Phone: Contractor: PROTEMP ASSOCIATES INC 9788 SE 17TH AVE PORTLAND, OR 97222 REQUIRED ITEMS AND REPORTS Phone: 233 -6911 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: A Permittee Signature: _e 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. Mechanig Permit Application F OR OFFICE USE ONLY City of Tigard Received - j �1 Permit No \ Al� • ©/ ( 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review v Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 -; �llr"' Date/By: Other Permit: Inspection Line: 503.639.4175 Aj,` 1� Date Ready/By: INIE ® See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information . . ::WORK"'' :--.. . :' 'l :: COMMERCIAL : FEE *'- SCHEDULE` -'USE' CHECKLIST 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. 11 • -- ' 7 `'' 1 ''-' 1, ' '..CATEORY OF:: CONSTRUCTION.. " ' + •;:- Value: $ 3 VOO . 00 '.RESIDENTIAL,. EQUIPMENT /'SYSTEMS -FEES * ❑ 1- and 2- family dwelling OCommercialindustrial ❑ Accessory building - ' " . For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total �kjr5 .:.ni. ��� �. /� '..._ .��. T � -a�y+ r��- � rr•..r,.i^ arc�n a�.r.....o :..� ,'-+ .� t "� .= „ :JOB' srrE:INFORMATIO� i,iiND ±BUCATIONi •:. _ ','i' _t : r`, ` A ����' • �., .. .. -. . •.• : :. � _..•.... _., i-• ^ ,;;_ �;y` <: � Heating/cooling site address: `6 �6 s Ai /C eeg6v / - I Air conditioning or heat ump OD P L./�/ (requires site plan showing placement) 14.00 City/State/ZIP: Furnace 100,000 BTU (ducts/vents) 14.00 Suite/bldg. /apt. no.: s 2. Project name: /958 '(_ Gas s n 100,000+ BTU (ducts/vents) 17.90 heat 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: Lot no.: Flue/vent for any of above 10.00 • Other: 10.00 Tax map /parcel no.: Other fuel appliances l':, „ri° - 4 i.,. , , ,., . ; r fi .... _- 4,..GS y „'T=. � ;''' +Ir ' .. ,% `; ` =.i t O, : A„ »� ; r t i s 'xvr,s ' ; .4 ; . . r A* .`;. : ~ Water heater 10.00 - A Q J Gas fireplace 10.00 e-j ii, Gam-- Aa g7C 1s'/, .j ,S r rr � y /gw./�Q A ) Flue vent for water heater or gas fireplace 10.00 GA ILL-,1 L Log lighter (gas) 10.00 fit/ e�'g P (,. tr_ E)((5 f / j • Il eA, Ad b /K- Wood/pellet stove . 10.00 Wood fireplace/insert 10.00 Et'" ,;I,, y r - .s :.._, Chimney/liner/flue/vent 10.00 . il= l� d RROPERTY OWNER;r 1 `!, ®• -TFiN LYT : :, i1. r_':'4i' +' i.t •'a =c.<. _ r•t,.. c: - , ' Pt "s > >T•.,? ,,..,., t ' .,: '. 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 „n ' �'uY't i:. , � � .:' �. _ a� is i. \> • �., Attic /c rawls ace fans 10.00 .: ?':1 : , .2 c: ;, E:L Xt . _ : ' tf- :;';'• • .:''-, , COIY,1Atr. , ,:: ERSOIY ,- . ,. P .r • ,r Other: 10.00 Business name: PR 0 l 4... As ec,/*res. ,...4.4v i Fuel piping Contact name: 6R u 4 3 ✓ y �, ,. , $5.40 for first four; $1.00 for each additional Address: � J 76 g' ..Sc_ ! / j`' 4c/� Gas h etc. Gas heat pump City/ State/ZIP: / Qg j ,.u O i .) 9 72_2. t., Wall/suspended/unit heater Phone: (S 57 $ _ G / / t Fax (5 4.3 8,9 7 61 Water heater Fireplace E -mail: Range ',�' i' { :e4: , ,. .- a •. r-•iT.`+, � a � ..,:7 may. .o u�, - +� f, `{!: :t P{�. . reg -f. ` x.; .,;r=:-• ;10©N�RAGTOR , . - 'ht' il , r . '-� ;c ?i -4 Barbecue <n _ir �,�Y�•Itea +� h -. . 5e s ,.7- -� ,1. � . •.•; �, Y_ `;[,. :;,'iR";k�'t1= .�'ah; -�e �`R�i;�,.� =:,, Clothes dryer (gas) Business name: S'4/si " 4 6o1rt - Other: Address: . a , , c a;<<; °1': ;?•,,, 0 a : ;REESk•.. City/State/ZIP: Subtotal /,e e/- 76 Minimum permit fee ($72.50) Phone: ( ) Fax: ( ) Plan review (25% of permit fee) CCB lic.: 3 8 , ' f" State surcharge (8% of permit fee) �_ /j TOTAL PERMIT FEE j , 3, d ' Authorized signature:e .,4. This permit application expires If a permit is not obtained within 180 days after It has been accepted as complete. Print name: e t ? c , ,_ _ /1 ✓ j �` f ,_ Date: • Fee methodology set by Tri- County Building Industry Service Board i:\Buiiding \Permits \MEC- PemdtApp.doc 12/03 440- 4617T(11 /02/COM/WEB) CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2005 -00161 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/8/2005 Phone: (503) 639 -4171 ��u eiih� l A 1 lit Inspection Requests (24 Hrs.): (503) 639 -4175 . -_' `'I .. INSPECTION WORKSHEET FOR DATE: 4/20/2005 TIME: 7:11AM PAGE: 73 SITE ADDRESS: 06650 SW REDWOOD LN 250 CLASS OF WORK: SUBDIVISION: PP1996.048 LOT #: 002 TYPE OF USE: PROJECT NAME: HOUSEHOLD FINANCE DESCRIPTION: Replace all existing supply & return grills, relocate thermostats. Val: $3400.00. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 233 -6911 Inspection Request Scheduled For: Date: 4/20/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 004915 -01 503 -519 -6199 Y [Si L..cc ce II 20 ,AlnJ t� •C et eJec! Corrections /Comments /Instructions: /tlE 0 1-1 F 4 L 0 ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL OR INSPECTION ❑ ADDITIONAL FEES ASSESSED ' ",, Inspector: Date: 0 9/7 /ehone #: (503) 718 -