Permit ti
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CITY. TIGARD MECHANICAL PERMIT
PERMIT #: MEC2006 -00020
�I�� DEVELOPMENT HO BMENg r S O ER 9 2 CES -639 -4171 DATE ISSUED: 1/12/2006
— 13125 PARCEL: 2S1 12D D -00701
SITE, ADDRESS: 15854 SW UPPER BOONES FERRY RD BLD.0 ZONING: I -P
SUBDIVISION: OREGON BUSINESS PARK II LOT: JURISDICTION: TIG
Project Description: Space heater.
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CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: 1 VENT FANS:
OCCUPANCY GRP: B VENTS'W /O APPL: VENT SYSTEMS: 1
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:
WOODSTOVES:
GAS PRESSURE: 50 + ., HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: < =10000 cfm: OTHER UNITS: •
> 10000 cfm: GAS OUTLETS: 1
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 -WMI [1VIECH] Permit Fee 1/12/200E $72.50
PORTLAND, OR 97224 [TAX] 8% State Surchar€ 1/12/200E $5.80
Phone: Total $78.30
Contractor:
PROTEMP ASSOCIATES INC
9788 SE 17TH AVE REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97222
Contact #: PRI 503 -519 -6199
FAX 503- 238 -9767
Reg #: LIC 38868
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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: , _ /,w Permittee Signature: i u ,
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.
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Mecfianical Permit A 1' • FOR OFFICE USE ONLY
City of Tigard E I V ► , Received / i . permit No :'^
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 /� JAN Date /By Ot / r Permit:
Inspection Line: 503 639.4175 JAIV Date Ready /By: ® See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: ' Supplemental Information
BUILDING DIVISION
TYPE OF WORK 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 matenals, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ / #606 CO
ID I - and 2-family dwelling RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
y g ® Commercial /Industrial ❑ Accessory building
Multi-family Master builder For special information use checklist.
12 y ❑ ❑Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heatinp/cooling
Job site address: 15854 SW Upper Boones Ferry Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State /ZIP: Tigard Oregon Fumace 100,000 BTU (ducts/vents) 14 00
Fumace 100,000+ BTU ( ducts/vents) . 17 90
Suite/bldg. /apt. no.: Building C Project name: (2) Cool Gas heat pump 14.00
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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
Install Owners supplied unit heater, gas piping and thermostat 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
Phone: ( ) Fax: Single -duct exhaust (bathrooms,
( ) toilet compartments, utility rooms) 6.80
O. APPLICANT ® CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name: Protemp Associates Fuel tin
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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
E-mail: Fireplace
Range
CONTRACTOR Barbecue
Business name: Same as above Clothes dryer (gas)
Other:
Address: MECIIANICAL PERMIT FEES*
City /State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lie.: 38868 State surcharge (8% of permit fee)
TOTAL PERMIT FEE 7 -42
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Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Bruce Butner Date: 1/11/06 • Fee methodology set by Tri- County Building Industry Service Board
i \Building \ Permits \MEC- PermitApp doe 12/03 440 -4617T (1 I /02/COM /WEB)
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: Mr :C7( 01;00020
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/ l7J 200
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ., '" I I..
INSPECTION WORKSHEET FOR DATE: 2/2/2006 TIME: 7 :02AM PAGE: 18
SITE ADDRESS: 1 6 ��
1,,�35�I SW UPPER BOONES FERRY RD f31.D.C. CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK II LOT #: TYPE OF USE:
PROJECT NAME: (2) COOL_
DESCRIPTION: Space healer. This space currently being used for storage only
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 5U3- 516.6139
Inspection Request Scheduled For: Date: 2/2/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message , (.0
6.% Mechanical final 026182 -01 1;03-519-6199 `(
NAA Corrections /Comments /Instructions:
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V ASS❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NA FEES ASSESSED
Inspector: AMIN Date: 72/ 0 6 Phone #: (503) 718 -2 2'3
CITY OF TIGARD . /
BUILDING DIVISION PERMIT #: ur-�a + � C�
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 y /r
Inspection Requests (24 Hrs.): (503) 639 -4175 s_'
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
614 C---
SITE ADDRESS: /31S CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
6 7 a as (...L.,- erlic_.€__ s ?
Corrections /Comments /Instructions: /-
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SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \d 32----- Date: V / f / 3 OPhone #: (503) 718 V Z