Permit CITY OF TIGARD MECHANICAL PERMIT
„
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00395
•
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/07/2011
Parcel: 2S112DA00800
Jurisdiction: Tigard
Site address: 15115 SW SEQUOIA PKWY 170
Project: Napier Subdivision: PACIFIC CORPORATE CENTER Lot: 2
Project Description: Adding (1) supply and (1) return grill.
Contractor: GOHMAN MECHANICAL Owner: PACIFIC REALTY ASSOCIATES LP
14505 SE HWY 212 ATTN: N PIVEN
CLACKAMAS, OR 97015 15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 658 -1892 PHONE:
FAX: 503 - 658 -6925
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/07/2011 $78.27
Class of Work: ALT Type of Const: Plan Review 09/07/2011 $19.57
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 09/07/2011 $9.39
Stories:
Project Valuation: $750.00
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressure: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0 - 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 $107.23
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
or direct questions to O C by calling 503.232.198 • 800.332.2344.
Issued By: � Permittee Signature:
c.., '.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.
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09/07/2011 13:08 5036586925 GOHMAN MECHANICAL PAGE 02/03
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Mechanical Permit Applicatioc,.
n 1 , .. City of Tigard r,p'\ FOR OFFICE IISF ()NIA
a 125 5W Tiall 13Ivd Tigard, OR 9'7223 ,c
' I • Phone 503 Fax 503
1111 13 . Received
. t' e'tc) Dato/13y: a /Air/Jr/Mil ' IMIE
t.ti.' -
. ,c , „s:1■ Plan Review
v" Date/13y: ()the Permt
i:
. I c; A R I) Inspection Line: 503,639,4175 & '1/43
R
,1 As ‘..
Qnic endy/Sr EI Svc Pitte 2 fn.
. Internet: www.tigard-or.gov C..*C.' Notified/Method: _ Supplemental Information
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4 'CI ." 1.‘‘° ., ., Mechanical permit feee are based on the value of the work
E New construction Ei Addition/altcration/rcplaccutcnt performed. Indicate the value (rounded to the neare dollar) of all
El DemolitiOn 0 Other; mechanical materials. equipment, labor, overhead, and profit,
Value: 5 S750.00
. .• i . - ' ' ' .tirteitC1::; ..,„,„,„..„,,„.„,,,,,,,,,,,,,, , . __ . „„„,, • s
1 - ' ' . '''*-00(141Filk,?::••:
M . -.s .• ";".'s..•••••...'i • •."..•I' ,:'' .i ,,,UrigrVQ;c 'i •• -,.. - .1 ! ,. •• ..i,...4 .
O 1- and 2-family dwelling IZI Commercial/industrial 0 Accessory building For special ilformatton use checklist.
O Multi-family 12 Master builder 12 Other: Description I Q. I Ea, Total
1 17 .7 kj4 . ii;:1•4'"l'i'Vl i Wi . i;iii i det•tfit, 1 Ilt.'• - 0:. '''' ''''..4 . 'a '..':):.' .1; . 05tittittiN;MPW:'10:i0W ; riAtine
i,.',:.:.. pi'! "tly,* " ‘' - ".., ' Or ' " ..,''' "'"."'' ''' ' ' '' •'' - ' ''",:''' Air conditioning
Job site address: 15115 SW Sequoia #170 (imuirea site plan showing placement) 46.75
Furnace 100,000 BTU (duets/vents) 46.75
City/State/ZIP: Tigard, OR 97224
Furnace 100,0001-13TV (ducts/vents) 54.91
Suite/bldg./apt. no.: 170 I Project name; Napier & Company Feat pump
iv tams site !an thowin taven_qpLpisnii
Cross street/directions to job site: Duct work 23.32
_
1-lydronic hot water system 23.32
-- ,
' - Residential boiler (radiator or
hydronie) , 23.32
Unit heaters (futl not electric),
in-wall, in-duct, suspended. etc. 46,75
„ ... .
for anv of above 23.32
Subdivision: I Lot rm.: Flue/vent fo
. ---
• - - Other; 23.32
Tax map/parcel no.: . Other fuel appliances:
. _
i0i
Water heater 2332
- -: .
'AtU":„.. •h""rdarTA'''' '''' • ''',"' ' " '' . • ' . • ' • .•■.,-.."-- Gas fireplace
33.39
Add one supply and return grille
Flue vent for water heater Or g a s
.... .. -
fireplace 23.32
— -
liter a) as) 23,32
. _Wood/pellet stove _ 33.39
- -
Wood fireplace/insert 23.32
' • - • • ' • - ''..4 :' 1:..,' .", Chimney/liner/flue/vent
::V0 -other: 2231.3322
Name: Enviranmentai exhaust and ventilation;
- _
Address:
Range hood/other kitchen
equipment 3.39 3
„ ,.....
City/Slate/ZIP: Clothes dryer exhaust 33.39
Single-duct exhaust (bathrooms,
Phone; ( ) Fax: ( ) toilet compartments, utility rooms) 23,32
"J irriNV:i'gitigipititidliNt1W3pk:;;4!iiiigilii;,1111Wt:E ,i,rti space fans 23.32
Other: 23.32
Business name;
Fuel piping:
Contact name: $14.1.5 for first four; $4.03 ibr each additional
Address: Fumace, etc.
Gas heat pump
City/State/ZIP:
Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E-mail:
Range
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Business name: Gohman Mechanical, Inc. Clothes dryer (gas)
Other;
Address: 14505 SE Hwy 212 IMVr,'••Al ?;, ii:yrleil I 1:liyg;
•
City/State/ZIP: Clackamas, OR 97015 Subtotal
, .... .
Phone: (503) 658-1892 - 58-6925 ax: (503) Minimum permit fee (590.00)
F 6
Han review (25% of permit fee)
CC13 lie.; 119952 State surcharge (12% of permit fcc)
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TOTAL PERMIT FEE
Authorized signature: 3 '.e.
-------„,,... Thin permit application expirea if r• permit 4 not owned within I
days after it has been accepted as complete.
Print name: Drew Gobman Date: 09/07/2011 . Fee methodology Net by Tri Building Industry Service Board
VanildinaTermiti\MEc-PermitApp.do. 09/09/10 440-1517T (I 1/02/COM/WEEI)