Permit „ v CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00435
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/20/2007
PARCEL: 2 S 112 D A - 00800
SITE ADDRESS: 15055 SW SEQUOIA PKWY 100 ZONING: I - P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG
PROJECT: PAC STAR
Project Description: HVAC Value: $18250.00
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: 1 DOMES. INCIN:
NAT 3 - 15 HP: 1 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 7/20/2007 $343.55
[TAX] 8% State Surchar€ 7/20/2007 $27.48
[MECPLN] Plan Rev 7/20/2007 $85.89
Phone: Total $456.92
Contractor:
PROTEMP ASSOCIATES INC
9788 SE 17T1-I 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.
Issue \ Permittee Signatu •
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 OFFICE USE ONLY
t `
City of Tigard Received Date/By: � 0 1 i3i3 Permit No.: a ,, y.56
13125 SW Hall Blvd., Tigard, OR 97 �� Plan Rev e
Phone: 503.639.4171 Fax: 503.59 .19t Vt ' + DateB Date/By: �r ��6 Other Permit:
Inspection Line: 503.639.4175 Erfr m1� . 11 i ' Y 4/Wi ` 1
P , .�r 011.1 Date Ready/By: ,, ® See Page 2 for
Internet: www.ci.tigard.or.us Noti • • ., ethod: /1/Qld �'!/' Supplemental Information
JUL 18 2007 C,7i'iE`lou f oi �C U 0 yfiro MERCI FEE* SCHEDULE - USE CHECKLIST
® New construction Y it33rVdlterati dd l �� / Mechanical permit fees* are based on the value of the work
l a } „ ..n . � : performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ $18,250.00
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building
Master builder For special information use checklist.
Multi-family y ❑ ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 15055 SW SEQUOIA PKWY Air conditioning heat 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.: I Project name: PACSTAR
Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
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. 10.00
Subdivision: I Lot no.: Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK / Water heater 10.00
INSTALL NEW DUCT WORK AND GRILLS ADD NEW DUCT & GRILLS TO NEW Gas fireplace 10.00
OFFICES. INSTALL 1 NEW 7.5 TON RTU TO THE PRODUCTION AREA WITH Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner /flue /vent 10.00
❑ PROPERTY OWNER ❑ TENANT Other: 10.00
Name: Environmental exhaust and ventilation
Range hood /other kitchen
Address: equipment 10.00
City/State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
® APPLICANT ® 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
Furnace, etc.
Address: 9788 SE 17 AVE Gas heat pump
City /State /ZIP: PORTLAND OREGON 97222 Wall /suspended/unit heater
Water heater
Phone: (503) 519 -6199 I Fax: : (503) 238 -9767 Fireplace
E -mail: BRUCE @PROTMP.COM Range
CONTRACTOR Barbecue
- Clothes dryer (gas)
Business name: SAME AS ABOVE Other:
Address: MECHANICAL PERMIT FEES*
City/State /ZIP: Subtotal
Minimum permit fee ($72.50)
Phone: ( ) Fax: ( ) Plan review (25% of permit fee)
CCB lic.: 38868 State surcharge (8% of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature: da y s after it has been accepted as complete.
612/ r IC‘--07 • Fee methodology set by Tri- County Building Industry Service Board
Print name: BRUCE BUTNER Date:
i:\ Building \Permits\MEC- PermitApp.doc 17/03 440.4617r (I 1 /07/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: MEC2007 -00435
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/20/2007
Phone: (503) 639 -4171 �'
Inspection Requests (24 Hrs.): (503) 639 -4175 ' � ' !
INSPECTION WORKSHEET FOR DATE: 7/31/2007 TIME: 7:07AM PAGE: 10
SITE ADDRESS: 15055 SW SEQUOIA PKWY 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: PAC STAR
DESCRIPTION: HVAC Value: $16250.00
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503- 519 -6199
Inspection Request Scheduled For: Date: 7/31/2007 Pour Time: l a
Code # Inspection Description Confirm # Contact # Me s e • , 6
699 Mechanical final eti 053096-01 503 - 519 -6199 Y /
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Corrections /Comments /Instructions:
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❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: `� r/`� �-� Date: // S `7 Phone #: (503) 718- 24 244