Permit 4 _ AI
u CITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2009 -00040
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/27/2009
PARCEL: 2S 112AD -01000
SITE ADDRESS: 14945 SW SEQUOIA PKWY 110 ZONING: I -
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG
PROJECT: STERLING COMMUNICATIONS
Project Description: Relocate grilles for TI. Project Value: $2,800
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
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 [TAX] 12% State Surch 1/27/200E $10.91
[MECH] Permit Fee 1/27/200c $90.90
Phone: Total $101.81
Contractor:
PROTEMP ASSOCIATES INC
9788 SE 17TH AVE
PORTLAND, OR 97222 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -519 -6199
FAX 503- 238 -9767
Reg #: LIC 38868
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 direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By. Permittee Signature: (/ elZet'4&71
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.
Mechanical Permit Application FoR OFFICIO USE ONLY
+ ' Received / 7 /;* 00061D
Date/By:
City of Tigard Ire `' ce
Re ive g el Permit No.: LC '
74 •
13125 SW Hall Blvd., Tigard, OR 97 ..
C Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Other Permit:
Date/By:
TIGARD Inspection Line: 503.639.4175 � �i '1 2009 Date Ready /By: iwis: ® See Page 2 for
Internet: www.tigard- or.gov Notified/Method: Supplemental Information
' . ': `: OF TIGARD •
TYPE OF WORN° DIVISIO COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction ® Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ $2,800.00
❑ 1- and 2- family dwelling ® Commercial/industrial RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ Accessory building
❑ Multi- family 0 Master builder ❑ Other: For special information use checklist.
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 14945 SW SEQUOIA PKWY Air conditioning pump
(requires site plan showing placement) 14.00
City/State/ZIP: TIGARD OREGON 97224 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: ) 1 0 Project name: STERLING COMMUNICATION Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00 ,
Subdivision: Lot no.: Flue/vent for any of above 6.80
Other: 10.00
•
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
MOVE GRILLS FOR NEW FLOOR PLAN
Flue vent for r water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
❑ PROPERTY OWNER ( ❑ TENANT Chimney/liner /flue/vent 10.00
Other 10.00
Name: Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
® APPLICANT IS CONTACT PERSON Attic /crawlspace fans 10.00
Other. 10.00
Business name: PROTEMP ASSOCIATES Fuel piping
Contact name: BRUCE BUTNER $5.40 for first four; $1.00 for each additional
Address: 9788 SE l'7 AVE Furnace, etc.
Gas heat pump
City/State/ZIP: PORTLAND OREGON 97222 Wall/suspended/unit heater
Phone: (503) 519 -6199 Fax: : (503) 238 -9767 Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: SAME AS ABOVE Clothes dryer (gas)
Other
Address: MECHANICAL PERMIT FEES*
City/ State/ZIP: Subtotal ( q
Phone: ( ) I Fax: ( ) Minimum permit fee ($72.50) 700 !e
Plan review (25% of permit fee) 'tr
CCB lic.: 38868 State surcharge (12% of permit fee) /O. 9
TOTAL PERMIT FEE /0/ • /
Authorized signature: This pe rmit a expires If a permit is not obtained within 180
days after it has been accepted as complete.
Print name: BRUCE BUTNER I Date: 1/27/09 I • Fee methodology set by Tri -County Building Industry Service Board
I:\ Building \Permits\MEC- PermitApp.doc 01/19/07 440.4617T(I1 /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200S-
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1/27/2009
Phone: (503) 639 -4171 �� i �k)l ' ; �
Inspection Requests (24 Hrs.): (503) 639 -4175 ._'!!* "e —
INSPECTION WORKSHEET FOR DATE: 2/11/200' TIME: 7 :00AM PAGE: 3
SITE ADDRESS: 14945 SW SEQUOIA PKWY 110 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: STERLING COMMUNICATIONS
DESCRIPTION: Relocate grilles for TI. Project Value: $2,800
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503-519-6199
Inspection Request Scheduled For: Date: 2/11/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 08049t3 -01 503 -591 -6199 `P
Corrections /Comments/ Instructions:
0 %] PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
` AIL 111 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
C
Inspector: ` Date: I 1 b Phone #: (503) 718- Z.04..