Permit C ITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00430
DATE ISSUED: 9/5/2006
4
- _- ` - - 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S101BB- 01=400
SITE ADDRESS: 12176 SW GARDEN PL BLD3 ZONING: C -G
SUBDIVISION: PARK 217 LOT: 002 JURISDICTION: TIG
Project Description: Split gas lines between tenants. Valuation: $650.
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 OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
SPIEKER PROPERTIES LP Description Date Amount
4380 SW MACADAM AVE STE 100 [MECH] Permit Fee 9/5/2006 $72.50
PORTLAND, OR 97201 [TAX] 8% State Surcha 9/5/2006 $5.80
Total ' $78.30
Phone:
3
Contractor:
PROTEMP ASSOCIATES INC 0
9788 SE 17TH AVE REQUIRED ITEMS AND REPORTS 0
PORTLAND, OR 97222 6N
I
Contact #: PRI 503 -519 -6199 0
FAX 503 - 238 -9767 0
Reg #: LIC 38868 -1 L .
lb
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.
- � . Permittee Signature: /�� c _ a,
Issued By: � � q : 3i'.i� -+:�
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.
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: MEC2006 -00430 REQUIRED ON GREEN INSPECTION CARD.
✓ Code I Inspection Description I PASS Date I By I ✓ Code I Inspection Description I PASS Date I By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground/slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG- Structure grading/footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post/beam structural 150 Hot tub /spa/pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG- Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post/beam mechanical
285 Drywall nailing X 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final 625 Duct work
498 " Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
X 699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post/beam plumbing
995 Misc. inspection: 320 Plumbing rough-in
g � �
998 Alarm final 322 Shower pan
999 Sprinkler final 330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert/catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I: \Building \Inspection Cards \Forms\AOP - InspCard - Blank.doc 12/09/2005
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C ITY OF TIGARD MECHANICAL PERMIT
PERMIT #: MEC2006 -00430
DEVELOPMENT SERVICES DATE ISSUED: 9/5/2006
13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 PARCEL: 2S1016B - 01400
SITE ADDRESS: 12176 SW GARDEN PL BLD3 ZONING: C -
SUBDIVISION: PARK 217 LOT: 002 JURISDICTION: TIG
Project Description: Split gas lines between tenants. Valuation: $650.
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
SPIEKER PROPERTIES LP Description Date Amount
4380 SW MACADAM AVE STE 100
PORTLAND, OR 97201 [MECH] Permit Fee 9/5/2006 $72.50
[TAX] 8% State Surcha 9/5/2006 $5.80
Total $78.30
Phone:
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 By:, 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 -
Received , /�
•
City of Tigard G �` �
�>> Date/By: — {j ` PemritNo.� % — * (/
13125 SW Hall Blvd., Tigard, OR 97223 G V Plan Review
Phone: 503.639.4171 Fax: 503.598.196 Ls Date/Ry:
5 Other Permit:
Inspection Line: 503.639.4175 O e . • I Date Ready /By: EA ® See Page 2 for
Internet: www.ei.tigard.or.us � " " "� c-
g SEP Notified/Method: Supplemental Information
CI( OF TI1VARON •
TYPNOLTORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
El New construction ® Addition /alteration /replacement Mechanical permit fees' arc 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: $ CS3.°0
❑ I -and 2-family dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
y g ® Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 12176 SW GARDEN PLACE PARK 217 Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State /ZIP: TIGARD OREGON Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: BLDG.1 Project name: APEX 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
SPLIT GAS LINES BETWEEN TENANTS 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 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
Phone: ( ) Fax: Single -duct exhaust (bathrooms,
( ) toilet compartments, utility rooms) 6.80
® APPLICANT ® CONTACT PERSON Attic /crawlspace fans 10.00
Other: _
Business name: PROTEMP ASSOCIATES
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
E -mail: Fireplace
Range
CONTRACTOR Barbecue
Business name: SAME AS ABOVE Clothes dryer (gas)
Other:
Address: MECHANICAL 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
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 I Date: 9/506 • Fcc 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 -00430 '
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/5/2006
Phone: (503) 639 -4171 1 1
Inspection Requests (24 Hrs.): (503) 639 -4175 ..2 - "'I � ..
INSPECTION WORKSHEET FOR DATE: 9/612006 TIME: 7 :06AM PAGE: 45
SITE ADDRESS: 12176 SW GARDEN PL BLD3 CLASS OF WORK:
SUBDIVISION: PARK 217 LOT #: 002 TYPE OF USE:
PROJECT NAME: APEX
•
DESCRIPTION: Split gas lines between tenants. Valuation: $650.
OWNER: SPIEKER PROPERTIES LP, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503-519-6199
Inspection Request Scheduled For: Date: 9/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 036070 -02 503519 -6199 Y
Corrections /Comments/ Instructions:
Ic.))r,...,
V r ( 1/L-fi (---,
PASS 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS •
❑ FAIL ' LL FORitISPECTION ❑ ADDITIONAL EES ASSESSED
01 f I v \
Inspector: 1 Date: • / Phone #: (503) 718 - 2j.--.7
CITY-OF TIGARD •
BUILDING DIVISION PERMIT #: MEC2006 00430
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/5/2006
Phone: (503) 639 -4171 .l'
Inspection Requests (24 Hrs.): (503) 639 -4175 . . 1 I � ..
INSPECTION WORKSHEET FOR DATE: 9/6/2006 TIME: 7 :06AM PAGE: 46
SITE ADDRESS: 12176 SW GARDEN PL BLD3 CLASS OF WORK:
SUBDIVISION: PARK 217 LOT #: 002 TYPE OF USE:
PROJECT NAME: APEX
DESCRIPTION: Split gas lines between tenants. Valuation: $650.
OWNER: SPIEKER PROPERTIES LP, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503 - 519-6199
Inspection Request Scheduled For: Date: 9/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 036070-01 1 503- 519.6199 Y
Corrections /Comments /Instructions:
h r � ► . Ai ik _
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL S - INSPECTION ❑ ADDITI T AL EES ASSESSED
f i
Inspector: , Date: ( 0 Phone #: (503) 718 - c kF,