Permit L7" " " `a CITY OF TIGARD MECHANICAL PERMIT
°-• COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00497
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/10/2007
PARCEL: 2S 112 DA - 01400
SITE ADDRESS: 15350 SW SEQUOIA PKWY 250 ZONING: I - P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: 002 JURISDICTION: TIG
PROJECT: COMMON SENSE
Project Description: Add grills, (2) 2 ton water source heat pump for server room and new exhaust fan in shower room.
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: 1'
> 10000 cfm: GAS OUTLETS:
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 -WMI
PORTLAND, OR 97224 [MECH] Permit Fee 8/10/2007 $434.00
[TAX] 8% State Surcha 8/10/2007 $34.72
Phone: Total $468.72
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. ,, /
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 A lic do F012 OFFICE USE ONLY
w` O l `V b� Fo
E Received D •'
C1113"abf Tigard ���000 1 6 6 6///! Date/By: • • Permit N. • •
13125 SW Hall Blvd., Tigard, OR 97223 y ' J !!l yPO i
Plan Revi w Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 r_ y 7 /u� Date/By:
Inspection Line: 503.639.4175 AUG 1 0 2001 1
Internet: Line: . 639. us '� � : _.. Date ed /Met Ready/By: ru_y:� Supplemental See Page l Information
g CITY OF TIGARD Notified/Method: J Supplemental Information
mg n1IsIQN Print name: BRUCE BUTNER
® New construction ® Addition/alteration/replacement COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ Demolition ❑ Other: Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
CATEGORY OF CONSTRUCTION mechanical materials, equipment, labor, overhead, and profit.
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building Value: $ $25,000.00
® Multi - family ❑Master builder ❑ Other: RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
For special information use checklist.
JOB SITE INFORMATION AND LOCATION Description I Qty. I Ea. I Total
Job site address: 15350 SW SEQUOIA PKWY Heating/cooling
/State /ZIP: TIGARD OREGON 97224
Air conditioning or heat pump
Ci
ty (requires site plan showing placement) 14.00
Suite/bldg. /apt. no.: SUITES u Project name: COMMON SENSE Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Cross street/directions to job site: Gas heat pump 14.00
Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
Subdivision: Lot no.: in -wall, in -duct, suspended, etc. 10.00
Flue /vent for any of above 10.00
Tax map /parcel no.: Other 10.00 _
DESCRIPTION OF WORK Other fuel appliances
ADD NEW GRILLS FOR NEW FLOOR PLAN AND NEW TWO4VATER Water heater 10.00
SOURCE HEAT PUMP FOR SERVER ROOM AND ADD NEW EXHAUST FAN Gas fireplace 10.00
FOR SHOWER ROOM 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
•
❑ PROPERTY OWNER I ❑ 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
Fax: Single -duct exhaust (bathrooms,
Phone:
( • ) ( ) toilet compartments, utility rooms) 6.80
® APPLICANT ® CONTACT PERSON Attic /crawlspace fans 10.00
Business name: PROTEMP ASSOCIATES Other: 10.00
Fuel piping
Contact name: BRUCE BUTNER $5.40 for first four; $1.00 for each a dditional
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 _ 60
CONTRACTOR Barbecue 1 1 5 r1')
Business name: SAME AS ABOVE Clothes dryer (gas) #
Other:
Address: MECHANICAL PER FEES*
City /State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic.: 38868 State surcharge (8% of permit fee)
TOTAL PERMIT FEE 0�.7
Authorized signature: - This per mit application expires if a permit is not obtaine within 180
days after it has been accepted as complete.
i:\Building\Permits\MEC- PermitApp.doc 12/03 440-4617r (11 /02/COM/WEB) 5 /9.''Y
CITY OF TIGARD
BUILDING DIVISION JY PERMIT #: MFC2007 -00497
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8.1012007
Phone: (503) 639 -4171 14
Inspection Requests (24 Hrs.): (503) 639 -4175 "....
INSPECTION WORKSHEET FOR DATE: 10/22/2007 TIME: 7:00AM PAGE: 16
SITE ADDRESS: 15350 SW SEQUOIA PKWY 250 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: q02 TYPE OF USE:
PROJECT NAME: COMMON SENSE
DESCRIPTION: Add grills, (2) 2 ton water source heat pump for server room and new exhaust fan in shower room.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503.519.6199
Inspection Request Scheduled For: Date: 10/22/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 058046-03 503 519 -6199 N
Corrections /Comments/ Instructions:
•
rY, 7 PAS N. •A: IAL APPROVAL ❑ CANCEL ❑ NO ACCESS
•
❑ FAIL • L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: _ 4 Phone #: (503) 718 -2.-6
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MF_C2007- 00497
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: a/10'2007
Phone: (503) 639 -4171 �c �
Inspection Requests (24 Hrs.): (503) 639 -4175 "'' ..
INSPECTION WORKSHEET FOR DATE: 10/9/2007 TIME: 7 :00AM PAGE: 6
SITE ADDRESS: 15350 SW SEQUOIA PKWY 250 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: COMMON SENSE
DESCRIPTION: Add griiis:, (2) 2 ton water source heat pump for server room and new exhaust fan in shixtver room.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROI EMP ASSOCIATES INC PHONE #: 503. 519.6199
Inspection Request Scheduled For: Date: /0/912007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 057233-01 503 - 519-6199 •
,Ca—
Corrections/Comments/Instructions:
PAS " . PARTIAL APPROVAL 0 CANCEL 111 NO ACCESS
❑ FAIL r/ ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
IIIIIP
Inspector: Date: 0 P Phone #: (503) 718- Z-‘ 9
lb
► -
CITY OF TIGARD
r•
BUILDING DIVISION PERMIT #: MEC2007 -00497
13125 SW Hall Blvd., Tigard, OR 97223 / DATE ISSUED: 8/10/2007
Phone: (503) 639 -4171 Li
Inspection Requests (24 Hrs.): (503) 639 -4175 F ...
INSPECTION WORKSHEET FOR DATE: 9/5/2007 TIME: 7 :00AM PAGE: 30
SITE ADDRESS: 15350 SW SEQUOIA PKWY 250 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 402 TYPE OF USE:
PROJECT NAME: COMMON SENSE
DESCRIPTION: Add grills, (2) 2 ton water source heat pump for server room and new exhaust fan in shower room.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503- 5196199
I ' IS
Inspection Request Scheduled For: 0 Date: 9/5/2007 Pour Time:
Code # Inspection Description M1 Confirm # Contact # Me age
615 Mechanical rough -in 055141 -01 503 - 519-6199 Y I 1 1
A
Corrections /Comments /Instructions:
�D
❑ PASS 14 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: VI) Cl v Date: q(0 ( 0 7 Phone #: (503) 718- 2- / 1