Permit CITY OF TIGARD MECHANICAL PERMIT
s COMMUNITY DEVELOPMENT Permit#: MEC2014-00632
T I G AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/19/2014
Parcel: 2S 112 DA00800
Jurisdiction: TIGARD
Site address: 15115 SW SEQUOIA PKWY 200
Project: Sumner College Subdivision: PACIFIC CORPORATE CENTER Lot: 2
Project Description: Modification of ductwork for new floor plan
Contractor: PROTEMP ASSOCIATES INC Owner: PACIFIC REALTY ASSOCIATES LP
9788 SE 17TH AVE ATTN: N PIVEN
PORTLAND, OR 97222 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-233-6911 PHONE:
FAX: 503-238-9767
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/19/2014 $726.17
Class of Work: ALT Type of Const: Plan Review 11/19/2014 $181.54
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 11/19/2014 $87.14
Stories:
Project Valuation: $24,850.00
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 $994.85
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 No • Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or di - t questions to UNC by calling 503.232.1987 or 1.800.332.2344.
Is ued By: /. ii S , Permittee Signature: K
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 Applicatinn 1()Il (,I I lc i I ., (,.I
City of Tigard ECEIVEP Date/By, 11 / mit No.: J./feap/ —� (p 5
UPI
• 13125 SW Hall Blvd.,Tigard,OR 97223 y 6'1
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit �,,,:,,,,,,,,.9 7
k I i Inspection Line: 503.639.4175 NOV 19 2014 Date Ready/By: orris: B See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
CITY OF TIGARD
TYPE OF irmithiNG DtviSION 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:$$24,850.00
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:15115 SW Sequoia Pkwy Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard Or 9 7214 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.:200 Project name:Sumner College Duct work 23.32
Cross street/directions to job site: 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
Flue vent for water heater or gas
Modify existing duct for new floor plan fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER ' ❑ TENANT Environmental 23.32
Envir exhaust and ventilation:
Name: 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
0 APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name:
Fuel piping:
$14.15 for first four;$4.03 for each additional_
Contact name: Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail: Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Protemp Associates Other:
MECHANICAL PERMIT FEES'
Address:9788 SE 17th Ave Subtotal -7016./7
City/State/ZIP:Milwaukie Or 97222 Minimum permit fee($90.00) -
Plan review(25%of permit fee) if/ S Y
Phone:(503)519-6199 Fax:(503-)238-9767
State surcharge(12%of permit fee) e/
CCB lic.:38868 TOTAL PERMIT FEE Wil,BSI
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: • Fee methodology set by Tri County Building Industry Service Board
Print name:Bruce Butner Date: 11/18/14
(:\Building\Permits\MEC_PermitApp_0401I3.doc 440-46177 t11/2/COM/WEB,
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
15115 SW SEQUOIA PKWY 200, TIGARD, OR,
97224
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2014-00632
Jeff Grove
Violation Summary:
Inspector Contractor