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Permit CITY OF TIGARD MECHANICAL PERMIT �f k' COMMUNITY DEVELOPMENT Permit#: MEC2022-01031 T f C A RI) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/29/2022 Parcel: 2S112DA01400 Jurisdiction: Tigard Site address: 15350 SW SEQUOIA PKWY 260 Project: PCC 260 Vacancy Subdivision: Lot: 2 Project Description: Cap off(1)shower room exhaust fan. 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 12/09/2022 $99.76 Class of Work: ALT Type of Const: I IB Plan Review 12/09/2022 $24.94 Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 12/09/2022 $11.97 Stories: 1 Info Process/Archiving-Lg$2.00(over 12/09/2022 $4.00 11x17) Project Valuation: $1,500.00 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 $140.67 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: 12 Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification � _ se Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules Issued By: 4dd� Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Applicati C E I VE D FOR OFFICE USE ONLY City of Tigard Received ,� b Date/By: i( 1.3 Permit No.: MEr 1„ vim' -O 13125 SW Hall Blvd.,Tigard,OR 97223 7 ` d� �V�� Plan Review • Phone: 503.718.2439 Fax: 503.598.1960 NOV O 3 2022 Date/By: J /^a3^'- .l Other Permit 1 I tI;1 R D Inspection Line: 503.639.4175 Date Ready/By: ions. See Page 2 for Internet: www.tigard-or.gov Notified/Method: a-� Supplemental Information CITY OF TIGARD BUILDING DIVISION , 1...'4 ctii t 1.6(f: - TYPE OF WORK COMMERC44.K11 SCHEDULE- USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction 5 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ / .f'Qtb CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMEN4/SYSTEMS FEES* ❑ 1-and 2-family dwelling ®.Commercial/industrial 0 Accessory building For special information use checklist 0 Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: �t / f/ Air conditioning 46.75 s Job site address: / ` 35 (�) �V _re 4(/'©e r f t trl/" Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Ti & e,yi OR (}-I^2 22 q Furnace 100,000+BTU(ducts/vents) 54.91 7 Heat pump 61.06 Suite/bldg./apt.no.: 60 Project name: PC t! 2, 60 V4 CGhI 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 I y Flue vent for water heater or gas C 5/9 off fl( owe✓7 o kin 'C�.X Acazi- / Tf/�� fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ot PROPERTY OWNER 0 TENANT Other: 23.32 Name: 7- Environmental exhaust and ventilation: P4 G/ /s PC0/2 e r l J1G-f Range hood/other kitchen equipment 33.39 Address:/-S35.0 ...co/ fr..J ✓f )<t p I��// e v J Clothes dryer exhaust 33.39 City/State/ZIP: T GGl/l� op_ 97 22 SC/l le 3 Ov Single-duct exhaust(bathrooms, II / / toilet compartments,utility rooms) 23.32 Phone:(SOJ ) 4/.2 9,- (3 0to Fax:( ) Attic/crawlspace fans 23.32 Rl APPLICANT ❑ CONTACT PERSON Other: 23.32 Fuel piping: Business name: Pro l #v1 ,4j7s-Oc, Jri /0 6 �l S14.15 for first four;S4.03 for each additional Contact name: 4 0 V)1 se Oil Furnace,etc. Address: g-,P 1 ` l7 A s^ - 12 * /� Gas heat pump Wall/suspended/unit heater City/State/ZIP: i3Qr fy hold, 4 r 97222 Water heater Phone:frt3 )S/p -Jo p3 , Fax::(s®3 ) 23 r Y7ter` / Fireplace Range E-mail: /OV/$ e/fQ/-yy H/O9 .CO It, Barbecue CONTRACTOR Clothes dryer(gas) Business name: -1 4. (iS �gipia� Other: ��b � 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.: 3 Pi ' 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 Tn-County Building Industry Service Board Print name: to(/S e to Date: /9?�2Z 1:1Building\Pemiits\MEC_PcmutApp 040113.doc 7T(11/02/COM/WEB)