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Permit (24) CITY OF TIGARD MECHANICAL PERMIT N.- . COMMUNITY DEVELOPMENT Permit#: MEC2017 00409 D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/08/2017 ['t�''1 g Parcel: 2S 112 DA00800 Jurisdiction: Tigard Site address: 15115 SW SEQUOIA PKWY 130 Project: PacStar Subdivision: PACIFIC CORPORATE CENTER Lot: 2 Project Description: Installation of new exhaust fan Contractor: EXCEL HVAC INC Owner: PACIFIC REALTY ASSOCIATES LP PO BOX 1188 ATTN: N PIVEN CANBY, OR 97013 15350 SW SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 971-930-7194 PHONE: 503-624-6300 FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 06/08/2017 $78.27 Class of Work: ALT Type of Const: Plan Review 06/08/2017 $19.57 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 06/08/2017 $9.39 Stories: Info Process/Archiving-Sm$0.50(up to 06/08/2017 $0.50 11x17) Project Valuation: $750.00 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: 1 Vent Systems: Total $107.73 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to fo *w the rules adopted by the Oregon Utility Notifi > 'e a Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0091 ou may ob .in a c•py of the rules or dire •uestions to *Li - ., c.ling 503.232.1987 or 1.800.332.2344. ei ,,,, Iss •d By: , / , _ I Permittee Signature: • Call 503.639.4175 by 7:00 a.m.for the next available inspecti. date. This permit card shall be kept in a conspicuous place on the job site until completion of '••• project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit APP lica FOR OFFICE USF.OM.' City of Tigard Received (p �� fC 9O/7-CU o Date/By: Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review i Phone: 503.718.2439 Fax: 503.598.1961U N a 2017 Date/By: Other Permit: T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov CITY OF TINotified/Method: Supplemental Information � l► TYPE NG DIi3ttii�liISION COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ 75-0 D n CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: DescriptionQtY• Ea. Total JOB SITE.INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: /s"7/6'..-- Ski 3—EQ v®/!e / /<,.„,x, Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: 7744 j1 Qbyz q7 Z2 y Furnace 100,000+BTU(ducts/vents) 54.91 Ar Heat pump 61.06 Suite/bldg./apt.no.: / O Project name: PAS,sfdrt., 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.: '� 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION'OF AvoRx ' Gas fireplace/insert 33.39 Flue vent for water heater org as 1"i./S744,L 0 ) 3/6T7-tiAA) 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 v Other: 23.32' �, ['TENi3IT Environmental exhaust and ventilation: Name: p ...„ 72Z o 5 j Range hood/other kitchen Address: equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(5'03) &,24/ .. ,-3 0k) Fax:( ) Attic/crawlspace fans 23.32 0 yAPPLICANT ' Other: 23.32 CQ1A)3'A 'PERSON �,: 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: Seize/1,1y 0....,e-,re.o CSL,//UAG'-• r it)C-7- Barbecue / CONTRACTOR Clothes dryer(gas) Business name: Other: ��C � ��� �� MECHANICAL PERMIT FEES* Address: ,? l7, 8©), ,/s-g, Subtotal City/State/ZIP: e:ript/e 0)2-• Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(. )9 7 I cs/3 Co 17/9 f Fax:( ) State surcharge(12%of permit fee) CCB lic.: a j q3 q.5.--" TOTAL PERMIT FEE /C7 75 pLi— Authorized signature: C 1 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board Print namejE-izem 'AA)z Date: 1:\Building\Permits\MEC_Permit '_040113.doc 44-461 T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Family Fee Schedule: Total Valuation:` Permit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\MEC_PermitAPP_040113.doc 2 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15115 SW SEQUOIA PKWY 130, TIGARD, OR, 97224 Record Type: Record ID: Commercial - Mechanical MEC2017-00409 Inspection Type: Inspector: 699 Mechanical final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor