Permit •
n CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00605
TIGARD DATE ISSUED: 10/18/2007
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112DA - 01400
SITE ADDRESS: 06650 SW REDWOOD LN 190 ZONING: I - P'
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: 002 JURISDICTION: TIG
•
PROJECT: OREGON STATE TREASURY
Project Description: TI - relocate ducts and grilles. Project Value: $1,200
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
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PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 -W01I
PORTLAND, OR 97224 [MECH] Permit Fee 10/18/20( $72.50
[TAX] 8% State Surchar€ 10/18/20C $5.80
Phone: Total $78.30
Contractor:
PROTEMP ASSOCIATES INC
9788 SE 17T1-1 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 dired questions to OU NC by
calling 503.246.6699 or 1.800.332.2344.
Issu By: / // If Permittee Signature: r
- - 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.
Mechan;�al Permit Application FOR OFFICE USE ONLY
Received r
City of Tigard Date/By: o a 7 Permit No.: s ,, , ,�`�
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 ! eq i>a DateBy:
Inspection Line: 503.639.4175 ,j,1_ Date Ready/By: ter' ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: , Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction ® 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, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ Z d t2. °
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building
Multi-family Master builder For special information use checklist.
ID y ❑ ❑Other: Description I Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job / n Air conditioning or heat pump
ob site address:
p d R I
wooer-- LAh (requires site plan showing placement) 14.00
City /State /ZIP: TIGARD OREGON 97224 Furnace 100,000 BTU (ducts/vents) 14.00
Y � Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: .5‘,/re / p(� I Project name: Om 5'oJs /Keffra heat pump 14.00
Cross street/directions to job site: D uct 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
"107t--,—Zs Gas fireplace 10.00 •
/.L.i 0JG1: /—A_ /tit?", , - 4d,_ '4, 0 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
❑ PROPERTY OWNER l ❑ TENANT Chimney /liner /flue /vent 10.00
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
® APPLICANT ® CONTACT PERSON Attic /crawlspace fans 10.00
Business name: PROTEMP ASSOCIATES Other: 10.00
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
CONTRACTOR Barbecue
Business name: SAME AS ABOVE Clothes dryer (gas)
Other: I I
Address: MECHANICAL PERMIT FEES*
City/State /ZIP: Subtotal
Minimum permit fee ($72.50) 7 7 )
Phone: ( ) Fax: ( ) Plan review (25% of permit fee)
CCB lic.: 38868 State surcharge (8% of permit fee) !-j 9'
y�J /L(,�,��� e..,,,, TOTAL PERMIT FEE 7 , 7 j(�
Authorized signature: ,/ ( This permi application expires if a permit is not obtained within 180
v days after it has been accepted as complete.
Print name: BRUCE BUTNER I Date: /0 — /gyp, • Fee methodology set by Tri- County Building Industry Service Board
i:\ Building \Permits \MEC- PermitApp.doc 12/03 440- 4617T(II /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION 1 - PERMIT #: MEC2007 -00605
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2007
Phone: (503) 639 -4171 n • � Q' t
Inspection Requests (24 Hrs.): (503) 639 -4175 - I _
INSPECTION WORKSHEET FOR DATE: 10/30/2007 TIME: 7:02AM PAGE: 7
SITE ADDRESS: 06659 SW REDWOOD LN 190 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: OREGON STATE TREASURY
DESCRIPTION: TI - relocate ducts and grilles. Project Value: $1,200
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503-519 -6199
Inspection Request Scheduled For: Date: 10/30/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Mess- •e
699 Mechanical final 058641 -01 503. 5136199 0
Corrections /Comments /Instructions:
e i b pASS • - ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
■ FAIL V/, •ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
if . Inspector: _ Date: to 3a D 7 Phone #: (503) 718- ....
WWI/
,
CITY OF TIGARD
BUILDING DIVISION ' - , . PERMIT #: ME.C2007 -00805 •
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/113/2007
Phone: (503) 639 -4171 Vi
Inspection Requests (24 Hrs.): (503) 639 -4175 F 'I L
INSPECTION WORKSHEET FOR DATE: /0129/2007 TIME: 7 :01 AM PAGE: 1
SITE ADDRESS: 06650 SW REDWOOD LN 190 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: OREGON STATE TREASURY
DESCRIPTION: TI - relocate ducts and grilles. Project Value: $1,200
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503-519-6199
Inspection Request Scheduled For: Date: 10/29/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in ' 058551-01 503 - 956-6290 N
Corrections/Comments/Instructions:
�' PASS 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL 9 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/ .4111P 691
Inspector: _ - Date: Lb 1/-1 0 1 Phone #: (503) 718- Z