Permit ppg CITY OF TIGARD 14. MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00504
� "• -"
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/20/2008
PARCEL: 2S112DD -01600
SITE ADDRESS: 15575 SW SEQUOIA PKWY 180 ZONING: I -
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG
PROJECT: SIRIUS COMPUTER
Project Description: Replace all ceiling grills & relocate duct from existing unit $7,100
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: 1 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:
OTHER UNITS: 1
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 10/20/20C $179.30
[MECPLN] Plan Rev 10/20/20( $44.83
[TAX] 12% State Surch 10/20/20C $21.52
Phone: Total $245.65
Contractor:
REQUIRED ITEMS AND REPORTS
Contact #:
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: rmittee Signature: eizai
Call 5 . .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 (1FRCT f_seet•_t, __
City of Tigard R CE " t rte.
13125 SW Hall Bind, Tigard, OR 97223 E Y ED ED
I °'s'' �' �d 1 3 �� LP.L €200e —G#03 04
'-, - = Fax: Phone: 503.639.4171 503.598.1960 n
Ptan
t V ki °ther Pamit:BY P2a0 34030.9
Inspection Line: 503.639.4175
I' I t I. D OCT 1 i7 O 2008 Date Ready �7 -- B for
See Page 2
Internet: www.tigard-or.gov . 2008 Notified/Method: I () / / ()' 1/7 I Supplementd Edon
TYPE OF /mown flM ION CO I , I'I • CIAL FEE SCHEDULE — USE CHECKLIST
❑ New construction ® Addition/alieration/rzplacemenl �1 Permit fees* are bused the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, ovtalmad, and profit
CATEGORY OF CONSTRUCTION Value: $ $7400.00
RESIDENTIAL EQUIPMENT / SYSTEMS FEES'
❑ 1- and 2- family dwelling ® Commaraalrmdustrial ❑ Aotxssmy building
❑ MUlti- family ❑ Master builder For special information use checklist
❑ Description I Qty. I Fa I Total
JOB SITE INFORMATION AND LOCATION Heatindeaoling
Job site address: 15575 SW SEQUOIA PKWY X conditioning or heat pump
(lupins site ply shooing pl ta:meot) 14.00
City /State/ZIP: TIGARD OREGON 97224 Furnace 100,000 BTU (dnctshents) 14.00
Furnace 100,000+ BTU (
Suite/bldg. /apt. no.: 180 I Project name: SIRIUS COMPUTER SOLUTIONS ) 17.90
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
h`•dnmic) 14.00
• Unit heaters (fuel-type, not electric),
in-wall, in -duct, suspended, etc. 14.00
Flue/vent for any of above 6.80
Subdivision: I Lot no.: Other. 10.00
Tax map/parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
. REPLACE ALL CEILING GRILLS AND RELOCATE DUCT FROM EXISTING Gas fireplace 10.00
UNIT Fire vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/Pellet stove 10.00
- Wood 1irgilacrlmscat 10.00
Chimneyllinerllluelvenl 10.00
❑ PROPERTY OWNER I ❑ TENANT Other , 10.00
Name: Idol exhaust and ventilation
Range hood /other kitchen
Address: egaiParalat 10.00
City/Slate/ZIP: Clothes cbyer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax ( ) toilet cents, utility rooms) 6.80
re APPLICANT ❑ CONTACT PERSON O ttieluawlspaoe fans 10.00
Other. 10.00
Business name: SAME AS BELOW Fuel piping
Contact name: BRUCE BUTNER 55.40 for Best fob $L00 for each additional
Furnace, etc.
Address: Gas heat pimp -
City/State/ZIP: WaWsuspendedharit heater .
Water lteater
Phone: ( ) I Fax: : ( )
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Clothes dryer (Ras)
Business name: PROTEMP ASSOCIATES Other
Address: 9788 SE 17 AVE MECHANICAL PERMIT FEES'
Subtotal
City/State/ZIP: PORTLAND OREGON 9727a
Minimum permit fee ($72.50)
Phone: (503 -) 5194199 I Fax: (503) 238 -9767 Plan review (25% of permit fee)
CCB lic.: 38868 State surcharge (1 of permit fee)
TOTAL PERMIT FEE
'IL's permit applirasion expires if a peewit is not obtained within 1130
Authorized signatme:y 90 43 — Q days after it has been accepted as ermrpbete.
CITY OF TIGARD
BUILDING DIVISION . PERMIT #: MEC700R -00504
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/20/2008
Phone: (503) 639 -4171 A 4Uill
Inspection Requests (24 Hrs.): (503) 639 -4175 F:_..
INSPECTION WORKSHEET FOR DATE: 10/21/2008 TIME: 7 :00AM PAGE: 3
SITE ADDRESS: 151,75 SW SEQUOIA PKWY 180 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: SIRIUS COMPUI ER
DESCRIPTION: Replace all ceiling grills & relocate duct from existing unit $7,100
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date 10/21/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message •
699 Mechanical final 076956-02 503519 -6199 N
Corrections /Comments /Instructions:
P� er e "V COI f *k)S
''� %
' i41 PA � i l J PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS
El] FAIL f // CALL FOR INSPECTION III ADDITIONAL FEES ASSESSED
Inspector: -
` 1(4--
� � Date: 6$ Phone #: (503) 718-