Permit CITY OF TIGARD MECHANICAL PERMIT
1111 s COMMUNITY DEVELOPMENT Permit#: MEC2022-00973
T t G i1.RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/17/2022
Parcel: 2S112DA00700
Jurisdiction: Tigard
Site address: 15353 SW SEQUOIA PKVVY 190
Project: Spec Space Subdivision: PACIFIC CORPORATE CENTER
Lot: 3
Project Description: New gas line and meter for suite 190. Capping existing gas line from suite 140.
Contractor: EXCEL HVAC INC Owner: PACIFIC REALTY ASSOCIATES LP
15382 SW UPPER BOONES FERRY RD ATTN: N PIVEN
LAKE OSWEGO, OR 97035 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 11/15/2022 $161.16
Class of Work: ALT Type of Const: Plan Review 11/15/2022 $40.29
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 11/15/2022 $19.34
Stories: Info Process/Archiving-Lg$2.00(over 11/15/2022 $2.00
Project Valuation: $3,500.00 11x17)
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 $222 79
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: ittee Signature:
Ca 50 .639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Ti and Received /
g DateBy: ee fad in_ Permit No.: itpo �-Or�/ ,.
13125 SW Hall Blvd.,Tigard,OR 97223 EC E IV E D Plan Review fir
+ Phone: 503.718.2439 Fax: 503.598.196 Datemy: t /.a. a� Other Permit:4� 0„ .-00igs
l'1 GA RD Inspection Line: 503.639.4175 Q' ,.. Date Ready/By:/ rare: W 7
Internet: www.tigard-or.gov OCT 1 v LUL( SeePent l for
Notified/Method. I��`� a) Supplemental
,ry Supplemental Information
.r 1`1 l l ;IC <I ! kir41 '' elq - t l rl 9 r-17
TYPE OF WOI 11 DING.DIVISION COMMERCIAL EE• SCIIEHUE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
0 New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ®Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 3,500.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
O 1-and 2-family dwelling ❑X Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
Heating/cooling:
tY 3`1?I JOB SITE LNFORMATION Al)N LOCATION
Air conditioning 46.75 .
Job site address: 1 W SEQUOIA PKWY. I�lAo Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: PORTLAND/OR/97224 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.:X190 Project name: MOTOS OWNSIZE rrr Heat pump 61.06
le, lluct work 23.32
Cross streeUdircetions to job site: REDWOOD LN.AND SEQUOIA PKWY. 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
Other: 23.32
Subdivision: I Lot no.: 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
RUN NEW GAS LINE AND SET NEW 2 NLB GAS METER FOR NEW SUITE fireplace 23.32
#190.CAP EXISTING GAS LINE TO UNITS 1,2,AND 3 COMING FROM Log lighter(gas) 23.32
Wood/pellet stove 33.39
SUITE#140. Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
IS) PROI'F,R'I'Y OWNER ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: PACTRUST Range hood/other kitchen
equipment 33.39
Address: 15350 SW SEQUOIA PKWY. #300 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: ZACHARY BARBER Furnace,etc.
Address: 15832 SW UPPER BOONES FRY.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: ZACH@EXCELHVAC.NET Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: EXCEL HVAC,INC. Other.
MECHANICAL PERMIT FEES*
Address: 15832 SW UPPER BOONES FRY. RD. Subtotal
City/State/ZIP: LAKE OSWEGO/OR/97035 Minimum permit fee($90.00)
Phone:( 503) 550-6042 Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lie.:ZACH@EXCELHVAC.NET 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: . a..4f7.. ` Fee methodology set by Tri-County Building Industry Service Board
Print name: ZACHARY BARBER Date: 10/17/2022
I1Buildieg\Permits\MEC_Permi1App_040113-doe 440-4617T(I1/02/COM/WFR)
111echanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:\BuildinglPermits\MEC_PermitApp_040113.doc 2