Permit 11 CITY OF TIGARD MECHANICAL PERMIT
3 - COMMUNITY DEVELOPMENT Permit#: MEC2015-00343
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/11/2015
Parcel: 2S112DA00800
Jurisdiction: TIGARD
Site address: 15055 SW SEQUOIA PKWY 100
Project: Pac Star Subdivision: PACIFIC CORPORATE CENTER Lot: 2
Project Description: Install new RTU to include ductwork&grilles.
Contractor: GOHMAN MECHANICAL Owner: PACIFIC REALTY ASSOCIATES LP
14505 SE HWY 212 ATTN: N PIVEN
CLACKAMAS, OR 97015 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-658-1892 PHONE: 503-624-6300
FAX: 503-658-6925
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/11/2015 $474.71
Class of Work: ALT Type of Const: IIB Plan Review 06/11/2015 $118.68
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 06/11/2015 $56.97
Stories: Info Process/Archiving-Lg$2.00(over 06/11/2015 $2.00
11x17)
Project Valuation: $15,000.00 Info Process/Archiving-Sm$0.50(up to 06/11/2015 $7.50
11x17)
Fuel Air Handlers
Fuel Types: Natural Gas 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 $659.86
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 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 503.639.4175 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 ApplicatICEIVED FOR OFFICE USE ONLY
RaceiByd t� ��� u v
City of Tigard Permit No.: 7'
�' g JUN Date/By: /�j'�
, _ • 13125 SW Hall Blvd.,Tigard,OR 97223 JU 4 2015 `
Plan Review �i
Phone: 503.718.2439 Fax: 503.598.1960 5 Date/By: dip, r� Other Permit:
T I G A R[� Inspection Line: 503.639.4175 C�TM OF RI G V A IS R 10 D NI Date Ready/By: Jurir ® See Page 2 for
Internet: www.tigard-or.gov BUI r1'A3� Notified/Method:4, 9 1j 4I�r Supplemental Information
L.LJ' 'V al .
TYPE OF WORK COMM RCIAL FEE* 'CHEDULE — 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:$515,000.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ I-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist.
❑ Multi-family ❑ Master builder ❑Other: Description I Qty. l Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: 15055 SW Sequoia Pkwy,Ste 100 (requires site plan showing placement) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000 BTU(ducts/vents) 46.75
Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name: Pacstar Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
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
Subdivision: Lot no.: Flue/vent for any of above 23.32
Other: 23.32
Tax map/parcel no.: Other fuel appliances:
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace
Install new RTU to include ductwork and grilles vent 33.39
Flue vent for for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
❑ PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 23.32
Other: _ 23.32
Name: Environmental exhaust and ventilation:
Address: Range hood/other kitchen
equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms,
Phone:( ) Fax:( ) toilet compartments,utility rooms) 23.32
❑ APPLICANT ® CONTACT PERSON Attic/crawlspace fans 23.32 _
Business name:Gohman Mechanical,Inc. Other: 23.32
Fuel piping:
Contact name:Jeremy Hunt $14.15 for first four;$4.03 for each additional
Address: 14505 SE Hwy 212 Furnace,etc.
Gas heat pump
City/State/ZIP:Clackamas,OR 97015 Wall/suspended/unit heater
Phone:(503)658-1892 Fax: :(503)658-6925 Water heater
Fireplace
E-mail:jeremy@gohmanmechanical.com Range
CONTRACTOR Barbecue
Business name:Gohman Mechanical,Inc. Clothes dryer(gas)
_Other:
Address: 14505 SE Hwy 212 MECHANICAL PERMIT FEES*
City/State/ZIP:Clackamas,OR 97015 Subtotal
Minimum permit fee($90.00)
Phone:(503)658-1892 Fax:(503)658-6925 Plan review(25%of permit fee)
CCB lie.: 119952 State surcharge(12%of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature: rQ days after it has been accepted as complete.
Print name:Drew Gohman Date: (o/yV/S ' Fee methodology set by Tri-County Building Industry Service Board
1.\Building\Permits\MEC•PermitApp.doe 09/09/10 440-4617T(II/02/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
15055 SW SEQUOIA PKWY 100, TIGARD, OR,
97224
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00343
Chip Barnett
Violation Summary:
Inspector Contractor