Permit n CITY OF TIGARD MECHANICAL PERMIT
II 1 . COMMUNITY DEVELOPMENT Permit#: MEC2015-00362
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/10/2015
Parcel: 2S112DD01400
Jurisdiction: Tigard
Site address: 15686 SW SEQUOIA PKWY
Project: Courtyard by Marriott Subdivision: PACIFIC CORPORATE CENTER Lot: 5
Project Description: Replacing water heater for spa.
Contractor: PROTEMP ASSOCIATES INC Owner: PACIFIC REALTY ASSOCIATES LP
9788 SE 17TH AVE PO BOX 58990
PORTLAND, OR 97222 SEATTLE,WA 98138
PHONE: 503-233-6911 PHONE:
FAX: 503-238-9767
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/10/2015 $112.04
Class of Work: ALT Type of Const: Plan Review 06/10/2015 $28.01
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 06/10/2015 $13.44
Stories:
Project Valuation: $1,900.00
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 $153.49
Hoods: Comm Incinerators:
Woodstovos: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Water heater
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 Notification 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 direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
Call 503. . 5 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 Application FOR OFFICE USE ONE)
Received
IIII City of Tigard Date/By: / �� �' PermitNo.. — >
.
• 13125 SW Hall Blvd.,Tigard,OR 97223 ist 1 ..w Phone: 503.718.2439 Fax: 503.59 'C V.NNVI
Date/By:Review Other Permit: ` $ `„ S- ••7
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: El See Page 2 for
Internet: www.tigard-or.gov to\� Notified/Method: Supplemental Information
1�
uN COMMERCIAL F:E* + >e e
TYPE OF WO ,rt i1iN
! ® Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alterat t e 1 eifC(N,,5, performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: `i'iL�lk�B 96�D** mechanical materials,equipment,labor,overhead,and profit.
U Value:$$1900.0
CATEGotty;lTl '=, U(.T I RESTD TL4LEQV MET/SEYstEmsf ES*
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. I Ea. Total
JOB SITE INFOION "LOCATION Heating/cooling:AND Air conditioning 46.75
Job site address:15686 SW Sequoia Parkway Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard Or 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name:Courtyard Marriott Heat pump 61.06
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 1 23.32 ,23.31
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Replace Water Heater for spa. 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 Other: 23.32
Environmental 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
❑ APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name:Protemp Associates
Fuel piping:
514.15 for first four;54.03 for each additional
Contact name:Bruce Butner Furnace,etc. _
Address:9788 SE 17th ave Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Portaland Water heater
Phone:(503)519-6199 Fax::(503)238-9767 Fireplace
Range
E-mail:bruce@protmp.com Barbecue
CONTRACTOR! Clothes dryer(gas)
Business name:Same as above Other:
MECHANICAL PERMIT FEES*
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00) /42.0V_
Plan review(25%of permit fee) 2 0I
Phone:( ) Fax:( ) State surcharge(12%of permit fee) /S.1/41
CCB lic.:38868 TOTAL PERMIT FEE 153311_
This permit application expires if a permit is not obta ed wntom....
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:6/10/15
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