Permit CITY TIGARD MECHANICAL PERMIT
1*-4, 1 DEVELOPMENT SERVICES PERMIT #: MEC2001 -00074
,,�� II 13125 SW Hall B l vd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/13/01
PARCEL: 2 S 112 DA -0080 0
SITE ADDRESS: 15055 SW SEQUOIA PKWY 170 •
SUBDIVISION: PACIFIC CORP. CENTER ZONING: I -P
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS: 1
FUEL TYPES . 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Laboratory Fume Hood Vent
Owner: FEES
PACIFIC REALTY ASSOCIATES Type By Date Amount Receipt
15350 SW SEQUOIA PKWY #300 -WMI PRMT CTR 3/13/01 $72.50 2720010000
PORTLAND, OR 97224 PLCK CTR 3/13/01 $18.13 2720010000
5PCT CTR 3/13/01 $5.80 2720010000
Phone: Total $96.43
Contractor:
•
SCIENTIFIC AIR TECHNOLOGIES IN
4610 65TH AVE W
TACOMA, WA 98466 • • REQUIRED INSPECTIONS
Mechanical Insp
Phone: 253 - 564 -8099 Duct Inspection
Reg #: LIC 143183 Final Inspection
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 -0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -9189.
Issue By: Permittee Signature:_
Call (5 3) 639 -4175 by 7:00 P.M. for inspections needed the next busi ess day
i3
6 ( I C ,.
A . Mechanical Permit Application
Date received:g ag b , Pert/11114k, 90 0 / -0007
�L,�.' Y II City of Tigard Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By: I Receipt no.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 Case file no.: Payment type: 1
Land use approval:
Building permit no.:
71'P1: OF P ;R111T
❑ 1 & 2 family dwelling or accessory 0 Commercial/industrial ❑ Multi- family ❑ Tenant improvement 0
❑ New construction ❑ Addition/alteration/replacement ❑ Other.
JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE
Job address: 15 OS C 5 . _ • 5 e evv, n Pk vJ1 Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: \ 5 0'-; 5 I Suite no.: l - 7 p value of all mechanical materipls, equipment, labor, overhead,
Tax map /tax lot/account no.: profit. Value $ 5 O 3
Lot: (Block: I Subdivision: 'See checklist for important application information and
Project name: (D r ec5o ,n 1.-orbs jurisdiction's fee schedule for residential permit fee.
City /county: 9olilar I ZIP: oi ZZ li. 1 & 2 FAMILY DUELLING PERMIT FLE SCHEDULE \
Description _ a
and location of work on premises: thoY,. -t asy AND CO1911IERICAL /INDUSTRIAL EQUIPI9ENTSCIIEDULE �O
"Cr) STUB, \ v ∎noc,X / Odra M / Fee(ea.) Total
Est. date of completion/inspection: Description Qty. Res.only Res. only
Tenant improvement or change of use: HVAC:
i/
CFM
Is existing space heated or conditioned? ❑ Yes ❑ No Air handling unit red)
Is existing space insulated? ❑Yes ❑ No Air conditioning (site plan required)
g P Alteration of existing HVAC system
MI CIIANICAL CONTRACTOR Boiler /compressors
Cy State boiler permit no.: j
Business name:
S c,: �n d 14 i c A: C Tr f1 n c�\ c).,-es S.t1.% HP Tons BTU/H
Address: C}• (,1 p (, N,,. Fire/smoke dampers/duct smoke detectors
City: -r c ,,�,, c, 1 State: W 1\1 ZIP: q%. v L-6 Heat pump (site plan required)
Phone:z s 3 5G4 8 o y 9 l Fax: 2 5 3 544, 493t1) E -mail: S 006 r. 4 p 1l01, Install/replace furnace/burner BTU /H
CCB no.: 3 $ 3 Including ductwork/vent liner O Yes O No
Install/replace/relocate heaters - suspended,
City/metro lic. no.: wall, or floor mounted
Name (please print): o b c -k \ ,,, Vent fora fiance other than furnace
e eratron:
Absorption units BTU/H
- Name: SZ ob < 1• p l a., ill Chillers HP
Address: c�,61 O (�5 k,„ L) Compressors HP
Environmental exhaust and ventilation:
City: Tr„ c_oy, a I State:( k I ZIP: o) ki, C 6 Appliance vent
Phone: 7..1. 2 3 2, Fax: 5 GC • 30 E -mail: Dryer exhaust
OWNER Hoods, Type U IUres. kitchen/hazmat
hood fire suppression system
Name: O r c LOD 5 � e p\ vt l7. r 4' •e, lc,e � Exhaust fan with single duct (bath fans)
Mailing address: 50 s'5' 5 w r - y o i c. IN ■ Exhaust system a art from heating or AC
State: jt ZIP: q 7 z 2� p g an b " on up to ou ets
Ci
�': 9O-. 4,„ , ki' Type: LPG NG Oil
Phone: 5 03 (,2 9 a bo Fax: q 1..1 O E - mail: Fuel i ing each additional over 4 outlets _
p p g (schematic required)
Number of outlets
Name:
o b-� 4 N p) o ur Other listed appliance or equipment:
Address: z.,-(,10 (.i5 13, v..Q, Decorativefireplace '\
City: 1 0 , c ,, State: t, fa ZIP: q & (� j Insert -type ::1.1)
Phone:2S1 564 S o5 Fax: Si E -mail: Woodstove/pellet stove
Other: 1 are 2.
Applicant's signature: - R rx I Date: - 2.../ 'Lai o J oft er: c
Name (print): 'jaob -<A C. A01nt
Not all jurisdictions
dictions accept credit cards, Please call Jurisdiction for more information. Notice: $ d /
O Visa 0 MasterCard Notice: This permit application Minim Minimum fee $ ✓✓�
Credit card number / / expires if a permit is not obtained Plan review (at %) $
E within 180 days after it has been State surcharge (8%) .... $
Name of cardholder as shown on credit card accepted as complete.
. $ TOTAL. $
- Cardholder signature Amount 440 -4617 (6100/COM)
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
TOTAL VALUATION: FEE: Description: Price Total
$1.00 to $5,000.00 Minimum fee $72.50 Table 1A Mechanical Code Qty (Ea) Amt
$5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and 1) Furnace to 100,000 BTU
$1.52 for each additional $100.00 or including ducts & vents 14.00
fraction thereof, to and including 2) Furnace 100,000 BTU+
$10,000.00. including ducts & vents 17.40
$10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and 3) Floor Furnace
$1.54 for each additional $100.00 or including vent 14.00
fraction thereof, to and including 4) Suspended heater, wall heater
$25,000.00. or floor mounted heater 14.00
$25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and 5) Vent not included in appliance permit
$1.45 for each additional $100.00 or 6.80
fraction thereof, to and including 6) Repair units
$50,000.00. 12.15
$50,001.00 and up $742.00 for the first $50,000.00 and Check all that apply: Boiler Heat Air
$1.20 for each additional $100.00 or For items 7 -11, see or Pump Cond
_ fraction thereof. footnotes below. Comp* **
7) <3HP;absorb unit
to 100K BTU 14.00
ASSUMED VALUATIONS PER APPLIANCE: 8) 3 -15 HP; absorb
Value Total unit 100k to 500k BTU 25.60
Description: Qty (Ea) Amount 9) 15-30 HP; absorb
Furnace to 100,000 BTU, including 955 unit .5-1 mil BTU 35.00
ducts & vents 10) 30 -50 HP; absorb
Furnace > 100,000 BTU including 1,170 unit 1 -1.75 mil BTU 52.20
ducts & vents 11) >50HP: absorb
Floor furnace including vent 955 unit >1.75 mil BTU 87.20
Suspended heater, wall heater or 955 12) Air handling unit to 10,000 CFM
f floor mounted heater 10.00
Vent not included in applicance 445 13) Air handling unit 10,000 CFM+
permit , 17.20
Repair units 805 14) Non - portable evaporate cooler
< 3 hp; absorb. unit, 955 10.00
to 100k BTU 15) Vent fan connected to a single duct
3 -15 hp; absorb. unit, 1,700 6.80
101k to 500k BTU 16) Ventilation system not included in
15-30 hp; absorb. unit, 501k to 1 2,310 appliance permit 10.00
mil. BTU 17) Hood served by mechanical exhaust
30-50 hp; absorb. unit, 3,400 10.00
1 -1.75 mil. BTU 18) Domestic incinerators
>50 hp; absorb. unit, 5,725 17.40
>1.75 mil. BTU 19) Commercial or industrial type incinerator
Air handling unit to 10,000 cfm 656 69.95
Air handling unit >10,000 cfm 1,170 20) Other units, including wood stoves
Non - portable evaporate cooler 656 10.00
Vent fan connected to a single duct 446 21) Gas piping one to four outlets
Vent system not included in 656 5.40
appliance permit 22) More than 4 -per outlet (each)
Hood served by mechanical exhaust 656 1.00
Domestic incinerator 1,170 Minimum Permit Fee $72.50 SUBTOTAL: $
Commercial or industrial incinerator 4,590
Other unit, including wood stoves, 656 8% State Surcharge $
inserts, etc.
Gas piping 1-4 outlets 360 25% Plan Review Fee (of subtotal) $
Each additional outlet 63 Required for ALL commercial permits only ,
L ai,oraiu t y Ft.rmel)(1)A uenrr4 ) 3503
TOTAL COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE: $
VALUATION:
Other Inspections and Fees:
1. Inspections outside of normal business hours (minimum charge -two hours)
$72.50 per hour.
2. Inspections for which no fee is specifically indicated (minimum charge -half hour)
$72.50 per hour
3. Additional plan review required by changes, additions or revisions to plans (minimum
charge-one-half hour) $72.50 per hour
* State Contractor Boiler Certification required for units >200k BTU.
** Residential A/C requires site plan showing placement of unit
-
i:\dsts\forms\rnech- fees.doc 10/11/00 .
FROM : SCIENTIFIC AIR & TECH. INC. PHONE NO. : 253 5664930 Mar. 08 2001 09:19PM P1
• SCIENTIFIC AIR & TECHNOLOGIES INC.
FAX
4610 65TH AVE W.
SA &T TACOMA, WA 98466
•
•
To: Prom:
City of Tigard - Mechanical Permits Robert Apland Date: 3/8/01
Tigard, OR Number of Pages: (1) including this page
Fax: (503) 684 - 7297 Phone: (253) 564 -8099
• Attn: Robert Poskin Fax: (253) 566 -4930
Remarks:
RE: Mechanical Permit # MEC 2001-00074 15055 Sequoia Parkway
Mr. Poskin,
The additional information you have requested with regard to our Oregon Labs permit is as follows:
I had stated that the owner would be discharging small quantities of of solvents and diluted mild acids.
The lab manager, Stephanie Moehnke, has explained to me that "small quantities" means that the effects to the
atmosphere are insignificant. They are classified by the DEQ as a "Conditionally Exempt Generator" which,
she explained, is a business who generates such small amounts of pollutants as to not require an environmental
license or permit.
The exact chemicals that they will be using in the fumehood are at this time unknown and will be greatly varied.
They are a general research and development laboratory.
Any other questions please call (253 2234324) or fax (253 566- 4930).
Thank you,
Robert Apland - Operations
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
47/ BUP
Date Requested AM PM BLD
Location /,tea S > Sw ,5 e G /w if w Suite / 7 D MEC O` 0 O Oo 7C(
Contact Person f'c 9n /f t Ph 5 C Z ((1460. PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear A/44(
Ina Sheath /Shear hkett "4 2 e
F raming r
Insulation
Drywall Nailing .
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: -
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
�IIECH,®NWGAd
Post & Beam
Rough In
Gas Line
Smoke Dampers
Fi
AS PART FAIL
TRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ I Please call for reinspection RE: [ I Unable to inspect - no access
ADA I
Other oach /Sidewalk Date l� O/ Inspector / Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
BU P - Building Permit ELC - Electrical Permit
4 Inspection Description Date Passed By 4 Inspection Description Date Passed By
Footing /Setback Underground cover
Foundation walls _ Wall cover
Footing drain Ceiling cover
Waterproof bsmt walls Electrical rough -in
Slab Electrical service
Crawl drain Electrical final
Underfloor insulation
Post/beam structural
Shear walls /anchors ELR - Restricted Energy Permit
Roof nailing I Inspection Description Date Passed By
Firewall Low voltage
Tilt -up panel Electrical final
Masonry/Reinforcement
Framing
MFG - Structure set -up MEC - Mechanical Permit
Insulation
Drywall nailing 4 Inspection Description Date Passed By
Post/beam mechanical
Suspended ceiling Gas line
Engineered soils Mechanical rough -in 14 /SIC 1 (�
Welding Lab Final Fire damper
Concrete Lab Final Duct work
Bolting Lab Final Smoke detector
Fireproofing Lab Final Mechanical final #410
Structural observation
Final inspection
PLM - Plumbing Permit
I Inspection Description Date Passed By
BUP — Fire Protection System Permit Plumbing underslab
Inspection Description Date Passed By Crawl drain
Sprinkler underfloor /slab Post/beam plumbing
Sprinkler rough -in Plumbing top -out
Sprinkler final RP /backflow preventer
Fire alarm final Rain drain
Storm drain
Water service
SIT - Site Permit Sanitary sewer
J Inspection Description Date Passed By Culvert/catch basin
Footings Pump /fill septic tank
Foundation walls Plumbing final
Sprinkler supply lines
Sprinkler underfloor /slab
Catch basin/Manhole SWR - Sewer Permit
Engineered soils 4 Inspection Description Date Passed By
Engineering acceptance Sanitary sewer
Final inspection Final inspection
INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC SIT PERMITS
CITY TIGARD MECHANICAL PERMIT
PERMIT #: MEC2001 -00074
A fl t DEVELOPMENT SERVICES DATE ISSUED: 3/13/01
AWN S Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S 112DA -00800
SITE ADDRESS: 15055 SW SEQUOIA PKWY 170
SUBDIVISION: PACIFIC CORP. CENTER ZONING: I -P
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS: 1
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Laboratory Fume Hood Vent
Owner: FEES
PACIFIC REALTY ASSOCIATES Type By Date Amount Receipt
15350 SW SEQUOIA PKWY #300 -WMI PRMT CTR 3/13/01 $72.50 2720010000
PORTLAND, OR 97224 PLCK CTR 3/13/01 $18.13 2720010000
5PCT CTR 3/13/01 $5.80 2720010000
Phone: Total $96.43
•
Contractor:
SCIENTIFIC AIR TECHNOLOGIES IN
4610 65TH AVE W
X
TACOMA, WA 98466 REQUIRED INSPECTIONS
Mechanical Insp
Phone: 253 - 564 -8099 Duct Inspection
Reg #: LIC 143183 Final Inspection
1
0
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 - 0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -9189.
Issue By: T Permittee Signature:
Call (5 3) 639 -4175 by 7:00 P.M. for inspections needed the next busi ess day