Permit ....aa.+,u.+e,a w us.r+:..ii+iMwiks44iiftiK.Mibi}4aa4 UHz»aului rtx.aWskµhuk4kteatk4liRaitivtikN n.a .s ss w., a o..u.q.,.r.++.luia}.1. ,..,iilcaeWnmBabnuilsMbWiNSYCWY.Wi:Yl41vN.i ....x.,a.w s.am..xi.+..ei rne+aaa+waroM+. .w+ms.f}.ift .W.tkaaw.M.cu •a'Niu Nminu.a,+
„ CITY OF TIGARD MECHANICAL PERMIT
:'1 ' COMMUNITY DEVELOPMENT Permit#: MEC2022-00077
Date Issued: 2/8/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S112DD01600
Jurisdiction: Tigard
Site address: 15575 SW SEQUOIA PKWY 180
Project: Golds Gym Subdivision: PACIFIC CORPORATE CENTER Lot: 4
Project Description: Relocate(2)return grills from B wall to ceiling. Install(1)supply diffuser,and(1)transfer grill in sauna.
Contractor: PROTEMP ASSOCIATES INC Owner: PACIFIC REALTY ASSOCIATES
9788 SE 17TH AVE ATTN: N PIVEN
PORTLAND, OR 97222 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-233-6911 PHONE:
FAX: 503-238-9767
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/04/2022 $280.27
Class of Work: ALT Type of Const: Plan Review 02/04/2022 $70.07
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 02/04/2022 $33.63
Stories: Info Process/Archiving-Lg$2.00(over 02/04/2022 $4.00
11x17)
Project Valuation: $7,600.00
Fuel Air Handlers
Fuel Types: 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: 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $387.97
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Grills
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: Ec garc10-Ma eto-v 4.o- Permittee Signature: yet,
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application s EIV l FOR OFFICE I SE OyEN
City of Tigard ,I. r..rved / F tag ,�,,1'
Date/By:f.I3 L Z m--- G �D.Z�`I�L.0 7 7
w 13125 SW Hall Blvd.,Tigard,OR 97223 7
8 Phone: 503.718.2439 Fax: 503.598.1960
JAN 2 5 Z022 Plan Review
Date/By: See/
c T I GAR D Inspection Line: 503.639.4175 Date Ready/By: lu,is: Page 2 fo,. /
Internet: www.tigard-or.gov CITY OF TIGAH illotifie ethod: Supplemental Information
BUILDING DIVIS! i �`�f
TYPE OF WORK COMMERCIAL FEE* SCHEDULE -USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction „'14 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ '�f)600
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/!SYSTEMS FEES*
❑ l-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: if 5-5. 7 S^f W --E(9 EJ0 /9 PA- ' y Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 7j .b err J 0 97 2 2 9 / Furnace 100,000+BTU(ducts/vents) 54.91
i � Heat pump 61.06
Suite/bldg./apt.no.: l/"0 I Project name: � - 6 1V 9 / 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
f t hC S le 2 T Lr il,'"-rl iN, /4'S -Cf O vn kr/C fireplace 23.32
,{6// f9 'e, f/if - /frY-1 n / r JI Log lighter(gas) 2332
7 � / f /// e / crimat Wood/pellet fireplace/insertstove 33.39
�,�rr� / r G 6" /; a", / h Wood 23 32
�^ +y1 y Chimney/liner/flue/vent 23.32
0 PROPERTY OWNER I Other: 23.32
TENANT Environmental exhaust and ventilation:
Name: be/oh b y,,,, Range hood/other kitchen
(�/� it/
Address: equipment 33.39
'rs 7.t J i" „r f',j 0/� 0- A W P Clothes dryer exhaust 33.39
City/State/ZIP: 7, 64 "0 A 972 2 y Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
APPLICANT 0 CONTACT PERSON Other: 23.32
,,,,,�!%%%%rrrr1 Fuel piping:
Business name: 0 7,r f /bp-0(/4 /i S" /y7r- $14.15 for first four;S4.03 for each additional
Contact name: �' ��� 2 Z. Furnace,etc.
Address: 477)
51; pr j I /7 �f C. Gas heat pump
/ Wall/suspended/unit heater
City/State/ZIP: 'god // ,6.1 ae 072 2 2 Water heater
Phone:(g,j ) 57,Q -30P3 Fax::Vc03).2)P - 9772 Fireplace
Range
E-mail: /
Jc ,'25-0.�O,r✓-//�,�: C 4yti Barbecue
�/ CONTRACTOR Clothes dryer(gas)
//i./?e /9S /✓I 4 i> c C� Other:
Business name: MECHANICAL PERMIT FEES*
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Phone:( ) Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lie.: 3P 2 4 D, 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: J 0 c,>✓,.,f jec79.7Date: /f 2s/2 2___
I: 440-461TT 11/02/COM/WEB)