Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2022-00357
Date Issued: 5/17/2022
T I f;AA.f3 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112DA00700
Jurisdiction: Tigard
Site address: 15333 SW SEQUOIA PKWY
Project: PacTrust Subdivision: PACIFIC CORPORATE CENTER Lot: 3
Project Description: Split(1)existing gas line to building into(3)separate gas lines to serve suite 100, 150, and 190.
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Contractor: EXCEL HVAC INC Owner: PACIFIC REALTY ASSOCIATES LP
PO BOX 1188 ATTN: N RIVEN
CANBY, OR 97013 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 971-930-7194 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/17/2022 $176.51
Class of Work: ALT Type of Const: VB Plan Review 05/17/2022 $44 13
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 05/17/2022 $21.18
Info Process/Archiving-Lg$2.00(over 05/17/2022 $4 00
Stories: 1
11x17)
Project Valuation: $4,000.00
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: 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $245 82
Hoods: Comm Incinerators: Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: 3 Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
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Issued By: •14��r/ ,D � Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available ins ction date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
,�1 `� Building Permit Review — Commercial - No Land Use
GA
6 r-_..._ --- - --f -Jam,t+ -----<s.^-4waik,13.:i.AolLT-A, :_ 1 •:a.., :-,et 'a'b:Ew �-—- wtu�.:s^tbi'$'-...: --
Building Permit #: i,rl�l t (lf:020, - 06)3 57
Site Address: 153 3 7 Up FLAAf . Suite/Bldg#:
Project Name: • '&C 2t
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review ( iProposal: ol lk- ( i) fK�( a CIS l( / / . !/11Z 3) ce aa,r _
aS iIt 1oc re SUid-�s i a it (5 ( ¢ #
a o
Existing Business Activity
Proposed Business Activity:
Verify site address/suite# exists and active in permit system.
0 River Terrace Neighborhood: 0 Yes g7 No
Zoning. Y Y
Permitted Use: Yes 0 No 0 Spec Space
g Confirm no land use requited.
pBusiness License:
Exists: ^ 1 VJy Yes 0 No,applicant was provided a business licenseapplication
Notes: �J0T" i'�"((ii. VV 2,-0R Y r- Cr— ro / hi (il.0
Approved by Planning: 4 Date: 5/3t'J2iZ
Revisions (after Building Submittal only) Reviewer !// Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: S73/1-2-
Site Plans: # g
Building Plans: # ...
Building Permit#: I=1"-Enter building permit# above.
Workflow Routing: 2'Pl-anning D Pta,. Ee„rdinatet C 3uilding
Workflow Sign-off: ' Sign-off for Planning(include notes from planning review)
Route Application Documents: P i3uilding. original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: Ie' ,( Date: 57.c7L .
1:1BuildinglForms\BldgPermitRvw_COM NoLandUse_111819.docx
Mechanical Permit Applicatiob c FOR OFFICE USE ONLY
Cityof Tigard ®oiF IVF� Received
Date/By: �5�1+2— � i✓�.Z.Z"fings,
-'t 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
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Phone: 503.718 2439 Fax: S03.598.1960 MAY _ 2022 Date/By: `,c,)d—22 Other Permit:
Inspection Line: 503.639.4175 _ _ Date Ready/By: r��% ® See Page 2 for "'
TIGARD Y Y B
Internet: www.tigard-or.gov I OF i i( ARt., Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees`are based on the value of the work
0 New construction ❑X 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:$ 4000.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION.AND LOCATION _Heating/cooling:
' - Air conditioning 46.75
Job site address: 15333 SW SEQUOIA PKWY Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: PORTLAND/OR/97224 igLt,E..- Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: PCC228 Project name: POC22. S PIPF CPI1T
Duct work 23.32
Cross street/directions to job site: SW SEQUOIA PKWY.AND REDWOOD LN. 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..1
DESCRIPTION OF WORK Gas fireplace/insert 33.39 -
Flue vent for water heater or gas
SPLIT(1)EXISTING GAS LINE TO BUILDING INTO(3)SEPARATE GAS LINES fireplace 23.32
TO SERVE SUITE#100,#150,AND#190 Log lighter(gas) 23.32
— - Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
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ElPROPERTY OWNER ❑ TENANT Other: 23.32
----- Environmental exhaust and ventilation:
Name: PACTRUST Range hood/other kitchen •
Address: 15350 SW SEQUOIA PKWY.#300 equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: PORTLAND/OR/97224 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503 ) 624-6300 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT ❑ CONTACT PERSON Other: 23.32 •
Fuel piping:
Business name: EXCEL HVAC, INC.
$14.15 for first four;$4.03 for each additional
Contact name: ZACH BARBER Furnace,etc.
Address: 15832 SW UPPER BOONES FERRY RD. Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: LAKE OSWEGO/OR/97035 Water heater
Phone:( 503) 550-6042 Fax: : ( ) Fireplace
Range
E-mail: Barbecue
CONTRACTOR Clothes dryer(gas)
Business name �''( Other:
s MECHANICAL PERMIT FEES*
Address:
Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) _ State surcharge(12%of permit fee)
CCB lie.: 214345 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
/] 'j���/'/�y� L days after it has been accepted as complete.
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Authorized signature: 1���„t' !/ 'c44 ir2 . * Fee methodology set by Tri-County Building Industry Service Board
Print name: ZACHARY BARBER (/d Date: 05/03/2022
1:\Building lPemsits1MEC_PennitApp_040113.doc 440-4617T(I1/02/COM/WEB)