15350 SW SEQUOIA PARKWAY STE 125 AL
OPTION 5 BLUE 2001
i CARPET LOOP PILE : ATLAS OXFORD #2022 BLENDON DIRECT GLUE.
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Or 3�TLRH 5L'ID � REVISIONS
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DUPLEX RECEPTACLE
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SCALE 1 /8 = 1'-O"
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15350 SW SEQUOIA PKWY 125
CITY Or TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -
BUP �
.--,-----Date Requested ✓� �' ___AM- PM _ _ BLD
Location � �_C �� C� �(�-�4C. , Suite��. <, MEC `�
Contact Person _ -__ Ph _,- PLM
Contractor _ _- - Ph SWR
BUILDING _ Tenant/Owner - ELC
Retaining Wall --------------- ELR
Footing Access. -_-
Foundation FPS
Fog Drain SGN
Crawl Drain Inspection Notes: - -- -—
Slab - -.------ SIT -
Post&Beam
Ext Sheath/Shear
Int Sheathl';hear
Framing
Insulation
Drywall Nailing --------------_-_--- _
Firewall
Fire Sprinkler - - ---- - -- - - -
Fire Alarrn
Susp'd Ceiling ----- ---- --- --�--- - - - - ---
Roof
----------------
Final
PASS PART FAIL - -- - -_- -- - -- _
PLUMBING _
Post& Beam
Under Slab
Top Out - - - - ---
Water Service
Sanitary Sewer
Rain Drains
Final
P -PART- FAIL _ _WHMWAT. _
Post& Bearn ---- - - - - - - - - ---- - --- - - _-
Rough In
Gas Line
Smoke ambers
- -- - -
n
PART FAIT_
LFCTRICAI.
Service -- -- - - ---
Rough In
UG/Slab --- --------- ---- -- - - - - - -- - -
Low Voltage
Fire Alarm _ --- -- ------- -- --- -_^_- ---
Final
PASS PART FAIL _------- -- -- -- ._ --
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ J Reinspection feu of$--_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ J Please call for reinspection RE' [ J Unable to inspect. no access
Fire Supply Line ----�- /
ADA �i "^ I
Approach/Sidewalk /,
other Date �- �_�Inspector ._
- _ X
Find
-PASS PART FAIL DO NOT REMOVE this inspection record from the ,jab site.
CITYOF T I G AR D _ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2001-00042
DATE ISSUED: 2/2/01
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S112DA-01400
SITE ADDRESS: 15350 3\N SEQUOIA PKWY 125
SUBDIVISION: PP1996-048 ZONING: I P
BLOCK: LOT: 002 JURISDICTION: TIG_
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERSICOMPRESSORS HOODS:
FUEL. TYPES 0 3 HP: DOMES. INCIN:
- -- 3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Installation of distribution duct to existing HVAC.
Owner: — _ r FEES
v
PACIFIC REALTY ASSOCIATES Type Rv Date Amount Receipt
15350 SW SEQUOIA PKWY #300-WMI PRMT CTR 2/2/01 $72.50 2720010000
PORTLAND, OR 97224 5PCT CTR 2/2/01 $5.80 2720010000
Total $78.30
Phone:
Contractor: �-
PROTEMP ASSOCIATES INC
807 NE COUCH
PORTLAND, OR 97232 REQUIRED INSPECTIONS
Duct Inspection
Phone:233-6911 Final Inspection
Reg#:LIC 38868
1 his permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialt; s
and all other applicable laws All work will bE e in accordance with approved plans This permit will expire if work is
not started within 180 day,. of issuance, or if work is suspended for more than 180 days ATTENTION Oregon law
require3 you to follow n ;as adopted in the Oregon Utility Notification Center Those rules are set forth in OAR
952-001-0010 the^.:,jn OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by
calling (50?')14&9189 / ' _
/ _ s Permittee Si nature: !`
Issu s By: lel ; 9
Call (503) 639-4175 by 7:00 P.M. for inspections needed tto next business day
Mechanical Permit Application
Date received: _,--el Permit no.:/Ac',kv/-060
City of Tigard Project/appl.no.: Expiredate.
City of Tigard Address: 13125 SW hall Blvd,Tigard,OR 97223 pate issued: Hy: Receipt no.:
Phone: (503) 639-0171
Fax: (503) 598-1960 Case file no.: Payment type.
Land use approval' t3ailding permit no.:
U 1 &2 family dwelling or accessory U Commercial/induwial J Mulli I;iniil J Tenant improvement
U New construction U Addition/alteration/replacement U Other:
Job address: '0 Indicate equipment quantities in boxes below. Indicate the dollar
Bldg.no.: 2!2I Suite no.: / —_ value of all mechanic I materials,equipment,labor,overhead,
Tax map/lax lot/account no.: profit. Value$ c
Lot: Block: Subdivision: "See checklist for important application information and
Project name: G - K ��_ jurisdiction's fee schedule for residential permit ace.
City/county: V z ZIP: SCHEDULE
Description and hxalioft of work on premises: 7,_57)e! L)Lv_'
LDc/ -r _ I m(c�.t lolal
Est.date of completion/inspection: Description t}t�. Rc�:only Rem.onlii
Tenant improvement or change of use: AC:
Is existing space healed or copditioned?U Yes U NoAir handling unit CFM
it conditioning(site plan required)
Is existing space insulated?U Yes U No Alteration c, exisung AC system
i or er compressors
iler permit no.:
Business name: . T State bo
�_o/�lx?i' �Ssc>r. til` Tons—BTU/11 _
Address: C O 7 .r�C. N ire smo a dampers/duct smoke detectors —
City: -Oji C p^� State: LIP: 9"a 3a- War pump(site plan required)
Phone: / Fax: y E-mail: Install/replace Iurnac wrner 1 i
-' Including ductwork/vent liner U Yes U No
CCB no.: 3 8 Fs nsta I rcp ac re ocate heaters-suspen e ,
City/metro lic.no.: 5 wall,or floor mounted
Name(please print): JrVent for appliance other than furnace
e emir n:
Absorption units__ BTt1/H _^
Name: Chillers_ HP
Address: Com ressors�_-__ HP
— n•ronmenla er aust an ventilation:
City: State: ZIP: Appliancescm _—_ —
Phone: Fax. T E-mail: Dryerex aust
MCH0o s,Type res. itc c azmv
_ hood fire suppression system
Name: Exhaust fan with single duct(bath fans)
C �.�lJ 5/ ----
Mailing address: :x aust systema art from-caun or C
City: Stale: ZIP: — Fuelpiping s.. str rut urn(up to outlets)
Type: LPG NG Oil
Phone: Fax: E-mail: ve ,i m eacha itional over outlets rncess piping(sc ematic require ) _
Number of outlets
Name: _ _ ( ter listed appliance or equipment:
Address: Decorative fireplace
City: State: ZIP: - _ nsert-type _-
Phone: Fax: E-mail: oo slov pe et stove
Offier
Applicant's signature ---
Name (print): -,e >yN ,<'
Permit fee................... .$
Not all jurisdictions accept credit cards,please call Imisdictifix more information.
ixt .�
U Visa U Master('arJ Notice:This permit application Minimum fee................$
expires it a permit is not obtained plan review(at — 96} $
Credit card number — ---- - µ•jlhja IRO days it has been -
"pires y State surcharge(896) $ _
---
Name of cardlioldet as shown on credit card accepted .
as complete.
lete
$ TOTAL .......................
Cardlidder sipamre —Amount 4404617(&%rOM)
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE,- 1 &2 FAMILY DWELLING FEE SCHEDULE:
_TOTAL VALUATION: FEE: Description: Price Total
$1.00 to$5,000.00 - Minimum fee$72.50 - Table 1A Mechanical Code Oty (Ea) Amt
$5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 100,000 BTU
$1.52 for each additional$100.00 or including ducts&vents _ _ _ 14_00
fraction thereof,to and including 2) Furnace 100,000 BTU+
$10,000.00. including ducts&vents- _ 17 40 ___-
$10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace
$1.54 for each additional$100.00 or Including vent _ - 14.00
fraction thereof,to and including 4) Suspended heater,wall heater
$25,000.00. or floor mounted heater _ 14.00
$25,001.00 to$50,000,00 _ $379 50 for the first$25,000.00 and 5) Vent not included in appliance permit
$1.45 for each additional$100.00 or 6.80
fraction thereof,to and Including 6) Repair units
$50,000.00. 1 12.15 _
$50,001.00 and Ftp $742.00 for the first$50,000.00 and Check all that apply: Bailer Heat Air
$1.20 for each additional$100.00 or For Items 7=1,see or Pump Cond
fraction thereof. footnotes below. comp*
-� - 7)<3HP;absorb unit -
ASSUMED VALUATIONS PER APPLIANCE: - to 100K BTU_ 14 00
Value Tafel 8)3-15 HP;absorb
Descrl tion: of al Amount unit 100k to 500k BTU 25.60
-----�- al - 9)15-30 HP;absorb
Furnace to 100,000 BTU,Including 955 unit.5-1 mil BTU 3500
ducts&vents 10)30-50 HP;absorb
Furnace>100,000 BTU including 1,170 unit 1-1.75 mil BTU 52.20 _
ducts&vents 11)>50HP:absorb
Floor furnace including vent _ 955 __ unit>1.75 mil BTU 1 87.20
Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM
floor mounted heater
- -- _ -- _ 10.00
Vent not Included in applicance 445 13)Air handling unit 10,000 CFM+
permit 17 20
epa
Rir units 805 14)Non-portable evaporate cooler
<3 hp;absorb.unit, 955 1000
to 100k BTU - -
3-15 hp;absorb.unit, 1,Y00 15)Vent fan connected to a single duct
680
101k to 500k BTU -
15-30 hp;absorb.unit,501k to 1 2,310 16)Ventilation system not included In
mil.BTU appliance permit 10.00
30-50 hp;absorb.unit, 3,400 -- '17)Hood served by mechanical exhaust
10 00
1-1.75 mll.BTU _
>50 hp;absorb.unit, 5,725 18)Domestic incinerators
_ 17.4U _
>1.75 mil.BTI.) --- 19)Comm:-rclal or Industrial type incinerator
Air handling unit to 10,000 cfm- _ 656 _ _ 69.95
Air handling unit>10,000 cfm _ 1,170
Non-portable evaporate cooler 858 20)Other units,including wood stoves
10 00
Vent fan connected to a single duct 448 s
t
Vent system not Included In 658 21)Gas pipig one to four outlets _ 540
appliance permit 22)More than 4-per outlet(each)
flood served by mechanical exhaust 858 1 00
Domestic Incinerator _ 1,170 Minimum Permit Fee$72.80 SUBTOTAL: $ -
Commercial or Industrial Incinerator _4,590
Other unit,Including wood stoves, 656 8%State Surcharge $
Inserts,etc.
Gas piping 1 A outlets 380 _ _ 25%Plan Review Fee(of subtotal)
Each additional outlet 63 Required frr ALL commercial permits only
TOTAL COMMERCIAL $ TOTAL RESIDENTIAL. PERMIT FEE: $
VALUATION:
Other Inspections and Fees:
I Inspections outside of normal business hours(minimum charge-two hours)
$72 50 per hour
2 Inspections for which no fee is specifically indicated (minimum charge-half hour)
$72.50 per hour
3 Additional plan review required by changes,additions or revisions to plans(minimum
charge-one-half hour)$72 50 per hour
*Slate Contractor Boller Certification required for units>200k BTU.
'*Residential AIC requires-lite plan showing placement of unit.
I idsts\formsUnech fees doc 10/11/00
,
SEE 35MM
ROLL # 20
FOR
OVERSIZED
DOCUMENT
CITU OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Lirie: 639-4175 Business Line: 639-4171 ---- - --�
BUP _
Date Requested AM ___PM BLD
Location�M T7J SC✓ —50 0k. /e' W _ Suite 12- > MEC
Contact Person Ph 3 G Z Z 3 PLM
Contractor Zter' Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling --
Roof
Misc:
Final
PASS PART FAIL -- - -- -- - ---
PLUMBING
Post&Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL,
MECHANICAL
Post&Beam - ---- -------—- - -- --
Rough In
Gas Line
Smoke Dampers
Final --
PASS _ .FART FAIL
ervice
Rough In
UG/Slab
Low Voltage
Fire Alarm
IF in
-BART FAIL ---- _. ----_---
SITE
Backfill/Grading ------ --- --- --
Sanitary Sewer
Storer Drain ( J Reinspection fee of$_ _ required betbre next inspection. Pay rpt City Hall, 13125 SW Hall Blvd
Catch Basin ( J Please call for reinspection RE: ;,-�)Jnable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date
Other /4-/- - Inspector -- _ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.