Permit CITY OF TIGARD MECHANICAL PERMIT
S COMMUNITY DEVELOPMENT Permit#: MEC2018-00142
13125 SW Hall Blvd.,Ti Date Issued: 03/14/2018
TIGARD and OR 97223 503.718.2439 9
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY 300
Project: Pactrust Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Mechanical for TI:Removing old duct,relocating duct work in new breakroom,installing new side wall grills,and
relocating exhaust around breakroom.
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 03/13/2018 $589.01
Class of Work: ALT Type of Const: VB Plan Review 03/13/2018 $147.25
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 03/13/2018 $70.68
Stories: Info Process/Archiving-Lg$2.00(over 03/13/2018 $6.00
11x17)
Project Valuation: $19,475.00
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 $812.94
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
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 952-001-0090. You may obtain a copy of the rules
or direct questions to • ' - .y calling 503.232.19:7 .r ::., . /
Issued By: •.• mittee Signature: /f
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 CF
roi 01 I ILE t sl: OyLv
City Tigard _. t
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13125 SW Hall Blvd.,Tigard,OR 97223IN
Plan Review
I Phone: 503.718.2439 Fax: 503.598.1960 /- Other Permit: �j y l
Date/By: 3" 8 ,O 2o1 d a-L J'4
T I U n x D Inspection Line: 503.639.4175 ¢ § 2 2 M, eadyBy: / loris_ H See Page 2 for
Internet: www.tigard-or.gov Notified/Method3// G ' Supplemental Information
.: OF .- � ill! O
CITY AGAR 1, ,< ./i
"` lirCJt` fsi 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 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value: $1919,475 00
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist
--❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
30 N ,2,oN Heating/cooling:
Air conditioning 46.75
Job site address:15350 SW Sequoia Pkwy Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard Oregon 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:Pactrust Breakroom 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: I Lot no.: Other: I 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
Il4E5cmn ioN OF°°='W'� Gas fireplace/insert 33.39
„ ' e : ..° Flue vent for water heater or gas
Remove old duct and relocate ducting in new break room,New side wall grills, fireplace 23.32
Relocate exhaust around break room Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
Ur*OI :� ER '` *>. ' OT Environmental exhaust and ventilation:
Name:Pactrust Address same as job 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:( ) Fax:( ) Attic/crawlspace fans 23.32
c,opfre o Other: 23.32
Business name:same as below Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Bruce Butner Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) I Fax::( ) Fireplace
Range
E-mail:bruce@protmp.com Barbecue
YI � °` Clothes dryer(gas)
. . . .'"
Business name:Protemp Associates
EclioACAt;YL> itzei
Address:9788 SE 17th Ave Subtotal
City/State/ZIP:Milwaukie Oregon 97222 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)519-6199 Fax:(503)238-9767 State surcharge(12%of permit fee)
CCB lic.:38868 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:Bruce Butner S-iji. i.„,4_,____,,e_______
Date:2/19/18
I:\BuildingWermits\MEC PermitApp_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 300, TIGARD,
OR, 97224
Record Type: Record ID:
Commercial - Mechanical MEC2018-00142
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor