Permit (169) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT
Permit#: MEC2019-00128
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/07/2019
1-) g Parcel: 2S112DA00800
Jurisdiction: Tigard
Site address: 15115 SW SEQUOIA PKWY 150
Project: Westlake Consultants Subdivision: PACIFIC CORPORATE CENTER Lot: 2
Project Description: Relocate supplies and returns per new TI drawings.
Contractor: PROTEMP ASSOCIATES INC Owner: PACIFIC REALTY ASSOCIATES LP
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 03/05/2019 $130.46
Class of Work: ALT Type of Const: Plan Review 03/05/2019 $32.62
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 03/05/2019 $15.66
Stories: Info Process/Archiving-Lg$2.00(over 03/05/2019 $4.00
11x17)
Project Valuation: $2,500.00
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 $182.74
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Grills
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 •• e ' •52-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1*:7 or 1.800.332.2344.
Issued By:C/` • ee Signature:
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,Ec 1."(ATI( I. 51:o LN
City of Tigard ��`�E® Dal/B d 3 /GJ ve t, (()!s?i-
13125 SW Hall Blvd.,Tigard,OR 97223 MAR 5 2019 Plan Review
• fi Phone: 503.718.2439 Fax: 50 3.598.1960 Date/By: /i0/
p-a//
3 03
Inspection Line: 503.639.4175
FIGARD CITY OF TIGARD Date ReadyBy: Jurs ® See Page 2 for
Internet: www.tigard-or.gov 3, Suppleml Information
BUILDING DIVISIONi
T r.E OF WO1iTK, I :1,,r.r °C - Fa* *violas' LIS colCKLIST
Mechanical permit fees*are based on the value of the work
o New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
o Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$$2,500.00
'0A-11-'6°4-Y"#w CONgritilenm
R19LLl . ,. i Al(El t i1$1"Sl EMS ZES.
o 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
o Multi-family 0 Master builder 0 Other:
Description Qty. Ea. Total
Heating/cooling:
JOB SITE mo' fz't10N tocATIoN Air conditioning 46.75
Job site address:15115 SW Sequoia Pkwy Furnace 100,000 BTU(ducts/vents) 46.75
Furnace 100,000+BTU(ducts/vents) 54.91
City/State/ZIP:Tigard Oregon 97224
_ Heat pump 61.06
Suite/bldg./apt.no.:I.15r IS-p I Project name:Westlake Consultants 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
Other: 23.32
Subdivision: I Lot no.: Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
Gas fireplace/insert 33.39
�` Flue vent for water heater or gas
Relocate supplies and returns per new TI drawings fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
Environmental exhaust and ventilation:
Name:Pactrust Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms,
City/State/ZIP: toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
Other: 23.32
0. Aro cAArr n comer , v
... Fuel piping:
Business name: $14.15 for first four;$4.03 for each additional
Contact name:Bruce Butner Furnace,etc.
Gas heat pump
Address: Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) I Fax::( ) FireplaceRange
E-mail:bruce@protmp.com Barbecue
CON'1'RAC7 OR Clothes dryer(gas)
. .
Other: '.
Business name:Protemp Associates Inc. ECRANiCAL. r FEES*-
Address:9788 SE 17th ave Subtotal
Minimum permit fee($90.00)
City/State/ZIP:portland Oregon 97222 Plan review(25%of permit fee)
Phone:(503)519-6199 Fax:(503)238-9767 State surcharge(12%of permit fee)
TOTAL PERMIT FEE
CCB lie.:38868
This permit application expires if a permit is not obtained within 180
y�,� days after it has been accepted as complete.
Authorized signature: C j/ * Fee methodology set by Tri-County Building Industry Service Board
Print name:Bruce Butner J Date:3/4/19
I:\Building\Permits\MEC PermitApp_040113.doc 440-4617T(11/02/COM/WEB)