Permit (70) CITY OF TIGARD MECHANICAL PERMIT
2. COMMUNITY DEVELOPMENT Permit#: MEC2017-00819
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/25/2017
Parcel: 2S 112 DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY 350
Project: Cornett,PC Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Relocating ducts and grilles.
Contractor: PROTEMP ASSOCIATES INC Owner: PACIFIC REALTY ASSOCIATES
9788 SE 17TH AVE ATTN: N PIVEN
PORTLAND, OR 97222 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-233-6911 PHONE:
FAX: 503-238-9767
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 10/25/2017 $260.60
Class of Work: ALT Type of Const: IIB Plan Review 10/25/2017 $65.15
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 10/25/2017 $31.27
Stories: Info Process/Archiving-Lg$2.00(over 10/25/2017 $4.00
11x17)
Project Valuation: $6,900.00 Info Process/Archiving-Sm$0.50(up to 10/25/2017 $4.00
11x17)
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 $365.02
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: water source
Duct Work: heat pump
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 9 2-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1. 332 2344.
Issued By: Perms ee i ature: ��z .
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 Application
FOR OFFIc F t SF ONL1
City of Tigard Received
13125 SW Hall Blvd.,Tigard,OR 97223 R E „Date/By: ` Permit No.: -,
is
IS Phone: 503.718.2439 Fax: 503.598.1960 `i "Plan Revie ji -.
F!G A K D Inspection Line: 503.639.4175
Date/By: � ,� Other Permit: r , . µ
Internet: www.tigard-or.gov OCT
t 2017 Date Ready�- Juris: Fa Seep Page 2 for ,
1, b/ Notified/Method: /1 /) //, / ,
Supplemental Information
/I/00 £ '.
-;„ J Wi 1i _ ,':00 t:ltt'XAL'p * tCttlE, l USE4J
ID ®Additlon/a1te1 �
New construction GDIV�`SI4�1, Mechanical permit fees*are based on the value of the wo k�
performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other:
mechanical materials,
. ' � Pequipment,labor,overhead, profit
r, and ro
01 "''''-"•-:'::',---'-:
'? Value:$$6,900 00
❑ 1-and 2-family dwelling ®Commercial/industrial " 1QI11EI) !% �5*;i
0 Accessory building
;.r
o Multi family For special information use checklist:
❑Master builder 0 Other: Description
t ,.IO11; Qty. Ea. I Total
L eN Heating/cooling:
Job site address:15350 SW Sequoia Pkwy Air conditioning 46.15
City/State/ZIP:Tigard O on 97224 Furnace 100,000 BTU(ducts/vents) 46.75
Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.• -1 3ff) Project name:Cornett PC Heat pump
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
Flue/vent for any of above 23.32
Subdivision: Other:
Lot no 23.32
Tax map/parcel no.: Other fuel appliances:
Water heater 23.32
M B Gas fireplace/insert
W1 33.39
install 1-1.5 ton wshp duct and grills relocate grills per plans Flue vent for water heater or gas
fireplace 23.32
Lo. li_ ter as 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Q �' Other: 23.32
Name: Environmental exhaust and ventilation:
Range hood/other kitchen
Address: equipment
33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms,
Phone:( ) toilet com,artments,utili rooms 23.32
Fax ( ) Attic/crawls,ace fans 23.32
Other: 23.32
pip
in
name: Fuel tin
P g•
Contact name:Bruce Butner $14.15 for first four;$4.03 for each additional
/ l '
-�� �� /t/ K/M" Zi 7 Furnace,etc.
Address: mss-/- it Gas heat'um,
City/State/ZIP: Wall/sus.ended/unit heater
Phone:( ) Water heater
Fax ( ) Firetlace
E-mail:bruce@protmp.com Ran_e -_
Barbecue E1. ,, w. ` E
Business name:Protemp Associates Clothes d er _as -_
Other
Address:9788 SE 17th Ave � `
City/State/ZIP:Milwaukee Or 97222 Subtotal Minimum permit fee($90.00)
Phone:(503)519-6199 Fax (503)238-9767 Plan review(25%of permit fee)
CCB lic.:38868 State surcharge(12%of permit fee) 41111111111
TOTAL PERMIT FEE• t epi
This permit application expires if a permit is not obtained within 180
Authorized signature: ���� days after it has been accepted as complete.
���T��G _- * Fee methodology set by Tri-County Building Industry Service Board
Print name:Bruce Butner
Date:10/18/17
I:\BuildingTerm its\MEC_PernutA.pp_040113.doc
440-4617T(11/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15350 SW SEQUOIA PKWY 350, TIGARD, OR,
97224
Record Type: Record ID:
Commercial - Mechanical MEC2017-00819
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor