Permit ..- q CITY OF TIGARD MECHANICAL PERMIT
a COMMUNITY DEVELOPMENT Permit#: MEC2014-00309
f GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/23/2014
-r
Parcel: 25112DA00300
Jurisdiction: Tigard
Site address: 15230 SW SEQUOIA PKWY 100
Project: North Coast Lighting Subdivision: PACIFIC CORPORATE CENTER Lot: PTS 6-7
Project Description: Grill modifications for TI
Contractor: OREGON HEATING&AIR CONDITIONING Owner: PACIFIC REALTY ASSOCIATES
19300 SW 118TH AVE ATTN: N PIVEN
TUALATIN,OR 97062 15350 SW SEQUOIA PKWY#300
PORTLAND,OR 97224
PHONE: 503-691-9699 PHONE:
FAX: 503-691-8556
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/23/2014 $127.39
Class of Work: ALT Type of Const: Plan Review 06/23/2014 $31.85
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 06/23/2014 $15.29
Stories:
Project Valuation: $2,375.00
Fuel Air Handlers
Fuel Types: Units< 10000 cfm:
Gas Pressure: Units> 10000 cfm:
Furnaces Boilers&Compressors
Furnaces< 100K BTU: 0-3 HP:
Furnaces>= 100K BTU: 3-15 HP:
Floor Furnaces: 15-30 HP:
Unit Heaters: 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $174.53
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notifi atinn Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. ou y tain a copy of the rules
or dire uestions to NC by calling 503.232.1987 or 1.800.332.2344.
Issu By: a?' Permittee Signature: L
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applic. 'I . iE0 uoit()Hit": l SI:O11.1
el
City of Tigard llReceived
Date/By: / Permit No.: H
t QO
I
IN I 't 13125 SW Hall Blvd.,Tigard,OR '•2.. Plan Review '/
Phone: 503.718.2439 Fax: 503.598.19603UN 2 3 20\4
Date/By: Other Permit: , P , /�..�f cf
1-I G,,R I) Inspection Line: 503.639.4175 _' +, Date Ready/By: Juris ® See Page 2 for
Internet: www.tigard-or.gov "c (oi flaw Notified/Method: Supplemental Information
TYPE OF W9R7t1,V1i�4 7 F1r�Sq�V
COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 2/2'7
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling Commercial/industrial ❑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:
Air conditioning 46.75
Job site address: / .--'7 U , 9.4 /,y 6,47 Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: / Furnace 100,000+BTU(ducts/vents) 54.91
/ Heat pump 61.06
Suite/bldg./apt.no.: / Proje name:/ (-4 j i 1 (7 h Duct work 23.32
Cross street/directions to job site: (•6� Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above , 23.32
Subdivision: Lot no.:
Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater . 23.32
DESCRIPTION OF WORK Gas fireplace/insert . 33.39
�n/ Flue vent for water heater or gas
/I .L 6/14/(4'
/1 fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove , 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
j'PROPERTY OWNER I ❑ TENANT Other:
Environmental exhaust and ventilation: 23.32
Name: 2 A/4- Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39•
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
pAPPLICANT CONTACT PERSON Other: _ 23.32
/ Fuel piping:
Business name:
OM! $14.15 for first four;$4.03 for each additional
Contact name: C/m 7,►' Z.47,914,e'f.-- Furnace,etc.
Address:
` / Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
(� G) (Iv ( ) Fireplace
Phone: Fax::
Range
E-mail: ey,47-zg g/<..> „,,, ,e4 y�f Aar,„ Barbecue
C RACTOR Clothes dryer(gas)
0/49
Business name: Other: MECHANICAL PERMIT FEES*
Address: /,(;.'"•"' � /7 L// Subtotal /17,39
[[ r Minimum permit fee($90.00)
City/State/ZIP: � OJ 7//
Phone:(2g) /1/ C&,e,g Fax:( )
Plan charge(12%ofpermitfee) /5 8�
�J State surcharge(12/o of permit fee) J ,l9
CCB lic.: I 7;.LAC TOTAL PERMIT FEE _ /7'1,53
This permit application expires if at
permit is not obtained within Igo
days after it has been accepted as complete.
Authorized signal / * Fee methodology set by Tri Couny Building Industry Service Board
Print name: CAh A /,;40--/j��//' Date:Gi �i3 f t'(
I:\Building�Pennits\MEC_PermitApp_040113.doc -46177(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
l:\Building\Permits\MEC_PermitApp_040113.doc 2
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15230 SW SEQUOIA PKWY 100, TIGARD, OR,
97224
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
July 23, 2014 at 9:08:55 AM
MEC2014-00309
Chip Barnett
Violation Summary:
Inspector Contractor