Permit (21) CINIIITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2016-00650
T[GARL 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/13/2016
Parcel: 2S 112DA00800
Jurisdiction: Tigard
Site address: 15115 SW SEQUOIA PKWY 170
Project: Napier Subdivision: PACIFIC CORPORATE CENTER Lot: 2
Project Description: Add supply and return duct.
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:
FAX: 503-658-6925
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/13/2016 $69.06
Class of Work: ALT Type of Const: Plan Review 09/13/2016 $17.27
12%State Surcharge-Mechanical 09/13/2016 $8.29
Occupancy Grp: Occupancy Load:
Stories:
Project Valuation: $500.00
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
Hoods: $94.62
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
issuan -, .r i is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utif Notification Cen -r. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0091 You may ..tain a copy of the rules
or direct questions to OU C . c:llin. 503.232.1987 or 1.800.332.2344.
I- ued By: I / 1
�� Permittee Signature: j
Call 503.639.4175 by 7:00 a.m.for the next available inspection .=te.
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 Yt, ,
+ FOR OFFICE USE ONLY
City of Tigard Receivedt : e® �� / `
v 13125 SW Hall Blvd.,Tigard,OR 972231111
Date/By:
7 / Permit No.: /� y ��/
C' Phone: 503.718.2439 Fax: 503. 6 :. c
�q { Plan Review
Inspection Line: 503.639.4175 x I. `" 1 Date/By: Other Permit: p�//_D0
TIGARD p Date Read B tp P
Internet: www.tigard-or.gov Ready/By: Juris Supplemental
See Page 2 for
Notified/Method: Supplemental Information
Tillie, -'t X'f`= COMMERCIAL FEE* SCI DI/LE i—USE CR C1 1.,1ST
0 New construction Mechanical permit fees*are based on the value of the work
®Addition/alteration/replacement performed. Indicate the value(rounded to the nearest dollar)of all
o Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$$500.00
dwellingRESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family ®Commercial/industrial 0 Accessory building
EI ❑Master builder For special information use checklist.
❑Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATI)N AND LOCATION Heating/cooling:
Job site address: 15115 SW Sequoia Pkwy.Ste 170 Air conditioning 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Portland,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: 170 I Project name:Napier Heat pump 61.06
Duct work 23.32
Cross street/directions to job site:
Hydropic 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
Tax map/parcel no.: Other fuel appliances:
Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Add supply and return duct Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0 PROPERTY OWNER Other:
❑ TENANT 23.32
Name: Environmental exhaust and ventilation:
Range hood/other kitchen
Address: equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
Phone:( ) toilet compartments,utility rooms) 23.32
Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT 0 CONTACT PERSON Other:
23.32
Business name:See Below Fuel piping:
Contact name: $14.15 for first four;$4.03 for each additional
Furnace,etc.
Address: Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Water heater
Phone:( ) I Fax: :
( ) Fireplace
E-mail:Jennifer@gohmanmechanical.com - Range
Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Gohman Mechanical Other:
Address: 14505 SE Hwy 212 ME ICALPERMITFEES*
Subtotal
City/State/ZIP:Clackamas,OR 97015 Minimum permit fee($90.00)
Phone:(503-)658-1892 1 Fax:( ) Plan review(25%of permit fee)
/
State surcharge(12%of permit fee)
TOTAL PERMIT FEE
CCB lic.: 119952
1/� �
This permit application expires if a permit is not obtained wi91/. 6''''"in 180
�'
Authorized signature: days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry Service Board
Print name:Jennifer Fulsher I Date:9/13/2016
J
1:\Bwlding\Persuis\MEC_PermitApp_0401 13.doc 440-4617T(11/02/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
15115 SW SEQUOIA PKWY 170, TIGARD, OR,
97224
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2016-00650
Chip Barnett
Violation Summary:
Inspector Contractor