Permit J
CITY TIGARD
z , MECHANICAL PERMIT
0 COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00548
TIG�RD
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/6/2008 PARCEL: 2S112DD - 01600
SITE ADDRESS: 15495 SW SEQUOIA PKWY 150 ZONING: I -
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG
PROJECT: SPEC SPACE
Project Description: TI - Replace (22) existing grilles with new and (1) exhaust fan. Project Value: $3200
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 1
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 -WMI
PORTLAND, OR 97224 [MECH] Permit Fee 11/6/200E $100.10
[TAX] 12% State Surchai 11/6/200E $12.01
Total $112.11
Phone:
Contractor:
GOHMAN MECHANICAL INC
14505 SE HIGHWAY 212
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 658 -1892
FAX 503- 658 -6925
Reg #: LIC 119952
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws.
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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center.
Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or diced questions to OUNC by
calling 503.246.6699 or 1.800.332.2344.
Issu By: 4 0 Permittee Sig ature: e �
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
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.
Ili
1/06/2008 14:17 5036586925 GOHMAN MECHANICAL IC PAGE 01/02
Mechanical Permit Application • • .
Date/By:
By: Pe rmit NO.: City of Tigard e C � Plan Review E� Darr/Sy: // to o 8 i ) `/ge �ao�' �vo S
„ Tigard, OR 9 0 1
• _ " 13125 SW Nall Blvd. Phone; 503.639.4171 Fax: 503,59 ; ' • % Date/By: Other Permit;
TIGARD Inspection Line: 503.639.4175 O r 20 Date Ready /Bye Jurlq• El See Page 2 for
. Internet: www.tigard- ar.gov V1 \I V Notified/Method. G . Sapplcmentnllnformatlon
. •
4 - , � i t � boe � _ �� , e' { ` .� r ! __ IEii i; " f ti a___ _ _ tllL�� C.Xs�i'.I:.
�� �' . � ... .. .. I ,1i 6...l .
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• Mechanical permit foes*` arc based en the value of the work
❑ New eonstr>7ction Z Addition /altil s • ' acement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials c tti.ment, labor, overhead, and •root.
value,',$.,.,.... G ► 0
, CAT Gb�t]�'' Off G�,�i`
I , - , ,., ,, - -- • • ..i .l : .. S.0g..7 ' 41A . O. O, fT ) (,: EM§FECS
❑ I- and 2- family dwelling [. Commercial /industrial ❑ Accessory building Pvr.cpectal information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total
. .tOl3 'S1'IW" 1Nf'ORMA IOiN Ark �' b L dCr�tiON , i '' ;1 Heating /cantina
Air conditioning or heat pump
,lob site address: /5 . .5a) i _ (requires site plan showing placement) 1 4.00
/ �) /� ,�- 1��' � ( i _ Pumace 100000 BTU (duets /vent:) 14.00
City/State/ZIP: Pa tee J�IJ�/ e/ Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: L . 2 __. Project name: C a "...D.— Gas heat pump 14.00
Cross street /directions to job site: Duct work _ 1 4.00
- - 1 (Ironic hot water system 14.00
Residential boiler (radiator or
h ronic 14.00
_ Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10,00
- - -- Flue/vent for any of above 10.00
Subdivision: Lot no.; Other: 10.00
Tax map/parcel no
Other fuel appliances
I i C�� 'Rd i ,N, Water heater _ 10.00
it ,l ,�r s>ar>bt"b l .t., Ili,,.,.., .t.1.
t . ,_�. „! I . , `... It , .. t, Gas fireplace _ — 10.00 _
-i _ -+[ //. 2.. 4„ °� C- - , .. Hue vent for water hcatcr or gas
fireless 10.00
Log lighter ( as ) 10.00
—.. Wood/pellet stove 10.00 •
,4 t-- •--, `' Wood fireptae/insert _ 10.00
• � y,,.,t alt , 1 l +u flr " � IIf' f
�t
Chimney/liner /flue /vent 10.00
rq: v� II iii Otiitt O�VNER . (2 1 ,'':!, 1� ! ' I ri �, ? '": Lrt', N4T1I
.,1,}.r : ��� ,�:,, I, ...
- Other. 10.00
/) Environmental exhaust and ventilation
Ran hood /other kitchen
Address: i� � _ E Qv Q� � e.ui.mcnt 10.00
fe 4 � l � Clothes dryer exhaust 10.00
City/State/ZIP! Po K � � ` -' i � f o'-�� Single -duct exhaust (bathrooms,
Phone: (E0 ?„,l4sA/l -6 0c Fax:Se0 )Gj� / ',5"S---- toilet compartments, utility rooms) , 6.80
" T CONTACT PERSON Attic /crawlspacc fans 10.00
_ ❑ APPLICANT ❑ Other: . 10.00 i
8itsiness name: Coltman Mechanical, Inc. Fuel 1 In
Contact name: Mark Coltman 55.40 for first four $1.00 for each additional
Address: 14505 SE Highway 212 - imi-
City /State /ZIP; Clackamas, OR 97015 Walt /sus ended/unit hcatcr —�
Water hcatcr
Phone: (503) 658-1892 _ 1 Fax:: (503) 058-6925 Firc lace
E- mail: marks geltmonmcehanlcal.cotn
I d
--- CONTRACTOR Barbecue
Clothes dryer ( as)
Business name: Coltman Meehanlcal, Inc ,, • Other: _
Address: 14505 SE Ilighway 212 MECHANICAL PERMIT FEES"
Subtotal
City/State/ZIP: Clackamas, OR 97015
Minimum permit fcc (572.50) //g
Phone: (503) 658.1892 Fax: (503) 658 - 6975 M Ilan review (25% of permit fcc) �
CCBIic.:119952 State surcharge (8 "A of permit fee) • G
_,,, TOTAL PERMIT FEE Mria
This permit •ppllcetlnn coplres If a permit Is not obtain d w tit n 100
Authorized signature: dnys after It has been accepted ns samplers. -
• - ( Fee mcthodalnpy set by TO-County liuil ling Industry Service Bonn:
Print name- ��.,.1 , � �1,�.�- - 60 ... h *,"t- . G�, - ''� 1 hart: // �i � 2� ........
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEc2o08.00&18
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: -11/6/200v$
Phone: (503) 639-4171 , d
Inspection Requests (24 Hrs.): (503) 639 -4175 �/ "'I ��
INSPECTION WORKSHEET FOR DATE: 11/10/21 B TIME: 7 : 02AM PAGE: 17
SITE ADDRESS: 1 h'195 SW SFOUOIA PKWY 150 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: SPEC: SPACE
DESCRIPTION: TI .. Replace (22) existing grilles with new and (1) exhaust fan. Project Value: $3200
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: GOHMAN MECHANICAL. INC PHONE #: 503. 668 - 11192
Inspection Request Scheduled For: Date: 11/10/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 077B78 -01 503 -61M -1892 N
Corrections /Comments/ Instructions:
'�/ ;AI ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
■
• FAIL %l CALL FOR INSPECTION n ADDITI• AL F ES ASSESSED
Inspector: _ -- Date: it (0 Phone #: (503) 718- _
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