Permit 4 •CITY OF TIGARD
MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00668
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/14/2007
PARCEL: 2 S 112 DA -01400
SITE ADDRESS: 15350 SW SEQUOIA PKWY 200 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: 002 JURISDICTION: TIG
PROJECT: MANAGEMENT GROUP
Project Description: TI - relocate ducts and grilles. Project Value: $1,800
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:
WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 -WMI
PORTLAND, OR 97224 [MECH] Permit Fee 11114120C $72.50
[TAX] 8% State Surcha 11/14/20C $5.80
Phone: Total $78.30
Contractor:
PROTEMP ASSOCIATES INC
17TH AVE
PORTLAND, OR 9 7222
REQUIRED ITEMS AND REPORTS
POR 97222
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 y: Permittee Signature:
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.
Mechanic irmit Application FOR OFFICE USE ONLY
City of Tigard Date/By: i � /, ' / Permit No.: / (!.[i 7. 6g
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 /u�saill�j�lri Date/By:
Inspection Line: 503.639.4175 - ■ e_ 1 Date Ready /By: ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
TYPE OF WORK 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: $ $1,800.00
1- 2-family dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ y g ® CommerciaUindustrial ❑ Accessory building
For special information use checklist.
® Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 15350 SW SEQUOIA PKWY Air conditioning or 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.: SUITE 200 Project name: GROUP MANAGEMENT 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: 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
Gas
MOVE GRILLS AND DUCT FOR NEW FLOOR PLAN fireplace f 10.00
Flue vent for for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
•
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
PROPERTY OWNER I ❑ TENANT Chimney/liner /flue /vent 10.00
Other: 10.00
Name: 1-1-0 l IC__Lt.c7F-- 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 ® CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name: PROTEMP ASSOCIATES Fuel t In
P g
Contact name: BRUCE BUTNER $5.40 for first four; $1.00 for each additional
Address: 9788 SE 17 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: BRUCE @PROTMP.COM Range
CONTRACTOR Barbecue
Business name: SAME AS ABOVE Clothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal
Minimum permit fee ($72.50) 7R. 5 0
Phone: ( ) Fax: ( ) Plan review (25% of permit fee)
CCB lie.: 38868 State surcharge (8% of permit fee) 5 ,8o
TOTAL PERMIT FEE '78.
Authorized signature: This p ermit a expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: BRUCE BUTNER I Date: 11/14/07 • Fee methodology set by Tri-County Building Industry Service Board
i:\Building\Permits\MEC- PermitApp.doc 12/03 440- 4617T(t1 /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00868
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/14/2007
Phone: (503) 639 -4171 AiI1 l
Inspection Requests (24 Hrs.): (503) 639 -4175 W F:_..
INSPECTION WORKSHEET FOR DATE: 12/31/2007 TIME: 7 :00AM PAGE: 3
SITE ADDRESS: 15350 SW SEQUOIA PKWY 200 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: Q02 TYPE OF USE:
PROJECT NAME: MANAGEMENT GROUP
DESCRIPTION: TI - relocate ducts and grilles. Project Value: $1,800
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROI EMP ASSOCIATES INC PHONE #: 503-M9-6199
Inspection Request Scheduled For: Date: 12/31 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 IVlechanical final 062367 -01 503-956 -6290 N
Corrections /Comments /Instructions:
❑ PASS U PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL g CALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED
/ '
Inspector: _ — — Date: i. Phone #: (503) 718 - .Zic,
CITY OF TIGARD
BUILDING DIVISION , #: MEC2007-00668
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/14/2007
Phone: (503) 639 -4171 , I
Inspection Requests (24 Hrs.): (503) 639 -4175 °`'f (.-
INSPECTION WORKSHEET FOR DATE: 12/6/2007 TIME: 7 :06AM PAGE: 44
SITE ADDRESS: 15350 SW SEQUOIA PKWY 200 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: MANAGEMENT GROUP
DESCRIPTION: TI - relocate ducts and grilles. Project Value: $1,600
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503.519 - 6199
Inspection Request Scheduled For: Date: 12/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Messa•e
P P
615 Mechanical rough -in 060943 -01 503 - 519 -6199
Corrections/Comments/Instructions:
•
i■
A 'ASS rj PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL '/A CALL FOR INSPECTION ❑ ADDITION . L FEES ASSESSED
/
Inspector: Date: _ Phone #: (503) 718 -ZCJ
CITY OF TIGARD
BUILDING DIVISION A PERMIT #: MFC2007 -00668
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11114/2007
Phone: (503) 639 -4171 aa ll
Inspection Requests (24 Hrs.): (503) 639 -4175 ._ J '_ ..
INSPECTION WORKSHEET FOR DATE: 12/5/2007 TIME: 7:01AM PAGE: 65
SITE ADDRESS: 15350 SW SEQUOIA PKWY 200 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: Q02 TYPE OF USE:
PROJECT NAME: MANAGEMENT GROUP •
DESCRIPTION: TI - relocate ducts and grilles. Project Value: $1,800
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503-519-6199
Inspection Request Scheduled For: Date: 12/5/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
C
698 Mechanical final 060777 -01 503-519.6199 1 30 - 6 (0 1,
Corrections /Comments /Instructions:
M/ SS / A//7 Soap/ / ` R T _____o_c��
_ gcm cr, f--7 -
- IND i gt_0
❑ PASS I/ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
` '!4 FAIL r CALL FOR INSPECTION ❑ ADDITIO L FEES ASSESSED
) ( c___6 .)
Inspector: & c�7 6 0 - ZC
p Date: � Phone #: (5 3) 718