Permit (100) CITY OF TIGARD MECHANICAL PERMIT
i II 2 ' COMMUNITY DEVELOPMENT Permit#: MEC2017-00992
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/19/2017
( Parcel: 2S112DD01600
Jurisdiction: Tigard
Site address: 15575 SW SEQUOIA PKWY 100
Project: Compunet Subdivision: PACIFIC CORPORATE CENTER Lot: 4
Project Description: Replacing RTU's with new distribution duct and grilles.
Contractor: EXCEL HVAC INC Owner: PACIFIC REALTY ASSOCIATES
PO BOX 1188 ATTN: N PIVEN
CANBY, OR 97013 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 971-930-7194 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 12/19/2017 $1,986.21
Class of Work: ALT Type of Const: IIIB Plan Review 12/19/2017 $496.55
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 12/19/2017 $238.35
Stories: Info Process/Archiving-Lg$2.00(over 12/19/2017 $2.00
11x17)
Project Valuation: $75,000.00 Info Process/Archiving-Sm$0.50(up to 12/19/2017 $17.50
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 $2,740.61
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to :flow the rul: 'adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0420 You ma ..stain . ,opy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.8 .2344.
id/A,
Issued By: �' Perm' ee Signature: Aet ,
air
Call 503.639.4175 by 7:00 a.m.for the next available ins,-ction date.ir
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
Received
City of Tigard = Permit No.: n/y '
Date/By: 7 yr 1 7"tc l`I Ld
II 13125 SW Hall Blvd.,Tigard,OR 9722I° r � #t P'^-_^ Plan Review p V
fi Phone: 503.718.2439 Fax: 503.598.19 N Ir..,,. t if.'. vr. Other Permit:
Inspection Line: 503.639.4175 Date/By: �, 0• ) G ���
T I G A R D 2 } i Date Ready/Bv: _ Juris: I ® See Page 2 for
Internet: www.tigard-or.gov L�CY�' 1 2.017 Notified/Med i f A/7 -1,-- .6, Supplemental Informationt l `t�
':' ' TYPE OF WO��y � CO RCIA.L FII,E� SCHEDULE - USECHECKLIST
7N'r Di\11,?� - Mechanical permit fees*are based on the value of the work
❑New construction ddition/alter icement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 7 0Cc
`.C,7.„, OF CONSTRUCTION l
RESIDENTIAL EQU .MENT/SYSTEMS FEES*
❑ 1-and 2-family dwellingommercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION'AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: /5.::',c2 c 5 GV ..5-6-4)(-10 i1 .W 71106
Furnace 100,000 BTU(ducts/vents) 46.75 _
City/State/ZIP: 1 nD Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:�T
�(-� G_ca.li pejA/ET 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.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WU Gas fireplace/insert 33.39
`" "` ' ." ` _- Flue vent for water heater or gas
pC t=r k2-yo rrT? Om IT,S IV AIbliJ .1(A✓Ci.[,ACs fireplace 23.32
_Log lighter(gas) 23.32
/(/ , a/ t gcl 1)tA/ DUCT-"f- q*4/G{G,;-c Wood/pellet stove 33.39
` Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
,A Other: 23.32
PROPERTY O VNE t 0 TENANT
Environmental exhaust and ventilation: _
Name: Ps c�05-7—
J - Range hood/other kitchen
equipment 33.39
Address: .Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(g;, )l C 5/-6,30 o Fax:( ) Attic/crawlspace fans 23.32
7:11-APPLICANT aCONTACT PIEN `.t Other: 23.32
Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name: Af5 a- Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail: Barbecue
CONTRACTOR-, Clothes dryer(gas)
L���.., /7`v r- 7.Ir other:
Business name: - y MECHANICAL PERMIT FETES* ` -';'
Address://g, O. Subtotal
City/State/ZIP: ....o6e-,/rZL
/ / 9 7Q/'3 Minimum permit fee($90.00)
/ Plan review(25%of permit fee)
Phone:(97/ ) 930 ..?/94,7 Fax:( ) State surcharge(12%of permit fee)
CCB lic.: /e./3 ys---- TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
/ days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name: � - 101P/4;,.-1,7- Date: l /7
I:\Building\Permits\MEC_PermitApp 0113.doc 440-4617T(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:
15575 SW SEQUOIA PKWY 100, TIGARD,
OR, 97224
Record Type: Record ID:
Commercial - Mechanical MEC2017-00992
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor