Permit r•!
CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00611
ref II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/27/2005
PARCEL: 2S1 12 D D -00701
SITE ADDRESS: 15822 SW UPPER BOONES FERRY RD BLD.0 ZONING: I -P
SUBDIVISION: OREGON BUSINESS PARK II LOT: JURISDICTION: TIG
Project Description: Move duct work & replace grilles. Valuation: $2500.
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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS
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 [MECH] Permit Fee 9/27/200; $84.00
PORTLAND, OR 97224 [TAX] 8% State SurcharE 9/27/200E $6.72
Total $90.72
Phone:
Contractor:
PROTEMP ASSOCIATES INC
9788 SE 17TH AVE REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97222
Phone: 503 - 519 - 6199
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: _ ___ z Permittee Signature: p,„.„
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.
' Per ijil .r::l I 1 ; � , FOR OFFICE USE ONLY
City of Tigard Date /B d ��
� _� Permit C 7/'O. Pet No V / ( /
13125 SW Hall Blvd., Tigard, OR 97223 v�+ //) U
Plan Review
Phone. 503.639.4171 Fax 503 59
Inspection Line 503.639 4175
P
27 2005 ' � ll i III+I Date Re Date Re Juts Permit
_ ■_ 6' ady /By ® See Page 2 for
Internet: www ci tigard.or us Notified/Method 17 Supplemental Information
CITY �OF� TIGARD
BUILD E►IMiS1ON 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
CATEGORY OF CONSTRUCTION Value: $ $2,500.00
RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building For spectrel information use checklist
❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 15822 SW Upper Boones Ferry Rd Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State /ZIP: Tigard ore. 07035 Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17 90
Suite/bldg. /apt. no : Project name: US Door &Hardware Gas heat pump 14 00
Cross street/directions to job ste: 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
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
Move existing duct work and replace grills to accommodate the new floor plan 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 ❑ 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
Other. 10 00
Business name: ProTemp Associates
Fuel piping
Contact name: Bruce Butner $5.40 for first four; $1.00 for each a dditional
Address: 9788 SE 17 Ave Furnace, etc.
Gas heat pump
City /State /ZIP: Portland Ore. 97222 Wall /suspended /unit heater
Phone: (503) 519 -6199 Fax: : (503) 238 -9767 Water heater
Fireplace ,
E - mail:
Range
CONTRACTOR Barbecue
Business name: Same as above Clothes dryer (gas)
Other
Address. MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal 'ly. Gd
Phone: ( ) Fax: ( ) Minimum permit fee ($72 50)
Plan review (25% of permit fee)
CCB lie.: 38868 State surcharge (8% of permit fee) 6, 7,2-
TOTAL PERMIT FEE ��\ 7.2
Authorized Slgnalure Thi permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Bruce Butner Date: 9/27/05 • Fee methodology set by Tn- County Building Industry Service Board
i \Bmtding \Permits \MEC- PcrmsApp doc 12/03 440 -46I7T (I I /02/COM /WEB)
e eceL-ved y cyK J, •:59PM; 03 244 4318 -> PROTEMP 'SSOCI•TES LN '
09/13/2005 15 55 FAX 503 244 4318 A J WEBER CONSTRUCTION II001/001
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I OFFICE OFFICE OREGON BUSINESS PARK II EMI CM BUILDING C (PTR #173)
15822 SW UPPER B OONES FY RD. � 1� g LAKE OSWEGO, OR 97035
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CITY- j- TIGARD
BUILDING DIVISION PERMIT #: MEC2005 -00611
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/27/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 s' i _
INSPECTION WORKSHEET FOR DATE: 10/14/2005 TIME: 7:02AM PAGE: 67
SITE ADDRESS: 15822 SW UPPER BOONES FERRY RD BLD.0 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK II LOT #: TYPE OF USE:
PROJECT NAME: US DOOR & HARDWARE
DESCRIPTION: Move duct work & replace grilles. Valuation: $2500. '
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503 - 519 -6199
Inspection Request Scheduled For: Date: 10/14/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 018379 -01 503-519 -6199 Y
Corrections /Comments /Instructions: \n
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ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITNAL ES ASSESSED
Inspector: 1 Date: «/ 1 4/ phone #: (503) 718 -