Permit CITY OF TIGARD MECHANICAL PERMIT
3 - COMMUNITY DEVELOPMENT Permit#: MEC2015 00026
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/04/2015
Parcel: 2S113AB00800
Jurisdiction: Tigard
Site address: 15995 SW 74TH AVE 100
Project: Duncan-Dowdle Building Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 30
Project Description: Installing(6)RTU's,(6)exhaust fans,(2)unit heaters,duct work,and gas piping.
Contractor: PROTEMP ASSOCIATES INC Owner: DUNCAN, JOHN ARTHUR&JANICE LEE
9788 SE 17TH AVE 1001 NW LOVEJOY#812
PORTLAND, OR 97222 PORTLAND, OR 97209
PHONE: 503-233-6911 PHONE:
FAX: 503-238-9767
FEES
Specifics: 11 Description Date Amount
Type of Use: COM Permit Fee 02/04/2015 $1,587.81
Class of Work: ALT Type of Const: VB Plan Review 02/04/2015 $396.95
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 02/04/2015 $190.54
Stories: 2 Info Process/Archiving-Lg$2.00(over 02/04/2015 $18.00
11x17)
Project Valuation: $59,000.00 Info Process/Archiving-Sm$0.50(up to 02/04/2015 $5.00
11x17)
Fuel Air Handlers
Fuel Types: Natural Gas Units< 10000 cfm:
Gas Pressure: Units> 10000 cfm:
Furnaces Boilers&Compressors
Furnaces< 100K BTU: 0-3 HP:
Furnaces>=100K BTU: 3-15 HP:
Floor Furnaces: 15-30 HP:
Unit Heaters: 2 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: 6 Vent Systems: Total $2,198.30
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
.N1%,Issued By: Permittee Signature: / y`
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Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
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.
Methanital Permit Application 1 O1(OI I It I I �l IM 1
City of Tigard Received
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Re Permit No.: t
G V Plan Revie ►
Phone: 503.718.2439 Fax: 503.598.1 Other Permit:
11
■ Inspection Line: 503.639.4175 Plan . `� �� �`� ��/ '
I 1 c;,\R I) 2015 Date Ready r: inns: % See Page 2 for
Internet: www.tigard-or.gov JAN 5 0 Notified/Method� — Supplemental Information
Z1�',AR
TYPE OF WO et 0S,O , w ..i I, e FEE* SCI LS-UM CHECKLIS1'
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alter acement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$$59,000.00
CATEGORY OF CONSTRUCTION RESIDENITAL EQUIPMeNT/SYSTEMS FEES*
❑ I-and 2-family dwelling ®Commercial/industrial ❑Accessory building For spedal information use checklist.
❑Multi-family ❑ Master builder ❑Other: Description I Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
" Job site address:15995 SW 70'Ave Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard Oregon 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldgiapt.no.: .� Project name:Duncan Building Heat pump 61.06
Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. _ 46.75
Flue/vent for any of above 23.32
Subdivision: Lot no.:
Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Install 6-RTU'S,6-Exhaust Fans,2-Unit Heaters,all Duct,Gas piping fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER 1 ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
❑ APPLICANT ❑ CONTACT PERSON Other: _ 23.32
Business name:
Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Address:
Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail:bruce@protmp.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Protemp Associates Inc. Other:
MECHANICAL PERMIT FEES*
Address:9788 SE 17th Ave Subtotal
City/State/ZIP:Portland Oregon 97222 Minimum permit fee($90.00)
Phone:(503)519-6199 Fax:(503)238-9767 Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lie.:38868 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: • Fee methodology set by Tri-County Building Industry Service Board
Print name:Bruce Butner Date:1/2015
I\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(I I/02/COM/WEB)
• +,
City of Tigard
II
II
DEVELOPMENT DEPARTMENT
1.I D Building Permit Review — Commercial - No Land Use
GAR
Building Permit #:
Site Address: I5c61 5 5\N 1141 Ye., Suite/Bldg#:
Project Name: bun can- Dowd 1
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review/ _'-
Proposal: ((that I (, meth. u0 4+5 on r� c bi II+ *6\I oW l rl q -Cie, damle_i
Existing Business Activity: VaCarl
Prop sed Business Activity: me.A cal 0 I G�
I ri site address suite #exists and active in permit system.
,�,� fY � P Y
a onin :
g !
P rmitted Use: Lid Yes ❑ No ❑ Spec Space
Confirm no land use required.
Notes: k cn.6 m Cirl / •Prove, coo elan trn4e{ S r u.Gh ral • - m
it r• ►: . - •... . -., all a =••0 B0'ZO '-- I Z
Approved by Planning: MEM •p, ,i Date: 1 (2e' 1 5
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date:
Site Plans: #
Building Plans: #
Building Permit#: ❑ Enter building permit# above.
Workflow Routing: El Planning ❑ Permit Coordinator ❑ Building
Workflow Sign-off: ❑ Sign-off for Planning(include notes from planning review)
Route Application Documents: ❑ Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: Date:
1:\B u i l d ing\Forms\B I d gPe rm itRvw_COM_No LandUse_071514.docx
.r .
Permit Coordinator Review
❑ Conditions Met-Prior to Issuance of Building Permit
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\B Idg PermitRvw_COM_NoLandUse_071 5 14.docx
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15995 SW 74TH AVE 100, TIGARD, OR, 97224
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00026
George Heimos
Tested three smoke detectors, passed
Violation Summary:
Inspector Contractor