Permit (19) CITY OF TIGARD MECHANICAL PERMIT
' •' • ' COMMUNITY DEVELOPMENT Permit#: MEC2019-00332
Tic;\Iz.I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/23/2019
Parcel: 2S 112DD01600
Jurisdiction: Tigard
Site address: 15495 SW SEQUOIA PKWY 140
Project: Secure World Subdivision: PACIFIC CORPORATE CENTER Lot: 4
Project Description: Redo ductwork for new ceiling.
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 05/23/2019 $333.66
Class of Work: ALT Type of Const: Plan Review 05/23/2019 $83.42
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 05/23/2019 $40.04
Stories: Info Process/Archiving-Lg$2.00(over 05/23/2019 $2.00
11x17)
Project Valuation: $9,500.00
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 Fumaces: 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 $459.12
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 . set forth in OAR 952-001-0010 through OAR 952-001-4.•S. You may obtain a copy of the rules
or direct questions to •.I by calling 503.2: .1987 or 1.800.332.2344/ I
�lIssued By: Ao, ' A/ / '� •Permittee •Signature: ,`-� \
Call 503.639.4175 by 7:00 a.m.for the next available inspectio r date. 4
This permit card shall be kept in a conspicuous place on the job site until co pletion of he project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application y FOR OFFICE USE ONLY
City of Tigard j{ Received
:IIN
13125 SW Hall Blvd.,Tigard,OR 972236p "' vv Date By: lir 1'#'
II. Phone: 503.718.2439 Fax: 503.598.19 Plan Review
2 3 2 019 Date/By: Other Permit:
TI G A R D Inspection Line: 503.639.4175 'VIAY Date Ready/By: Juris: El See Page 2 for
Internet: www.tigard-or.govNotified/Method: Supplemental Information
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Mechanical permit fees'are based on the value of the work
❑New construction P: Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. _
/`s ,%/ ,'!",'' ``�f`;``f // rr'" ....�;r.,rrff�v., /fi. ,'�',,,,AF;.f�,,,raf�ffi`i' /r»r, .;//,r" ,,r.J'!F r i/�,r/� Value $
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t E //////�: EG 1 I i [�1�1, ) /r % . 1 f� ,»F. ;FF fs:rr,, ,, ,a, r u rl.ff.„, ;,ri J „-..r
/ rf�,'!i' �-;ff%//.".. ”,!' .' ,;./ ,.,;:f�,r .�.%rrlrl� .,, < .F��i irr �s�,;;r;^`� r .�'rFfilf„ f, �r ;,, 19I - s,. gib; ,.,'/!1'/! :`;^/;
,� ✓+r,� � �f�s ffr✓,iii�, r�r r.. F,�.v!/��f r�i�� �'.Zj/���/_.,q
❑ 1-and 2-family dwelling 2- commercial/industrial 0 Accessory building For special information use checklist. _
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
y„/ f 1 i f/ viii /1rr %// F Heatin cooliR :
if �' Z sITE0o 1' Lo Y f/ ,, r g
- /1,v1it„ //fr 1+s,,...�rflr; o-;,.fr 1.',r//J.�%A1fi1f�f r ll�i,"�� %��11/,/ rff/, �ri
Air conditioning 46.75 i
Job site address: /5-Li 9 5 St,`f S5tr5 0 0 f A nk W�/ Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 7 7 .A y? D i D `l��t'�a q y ( Furnace 100,000+BTU(ducts/vents) , 54.91
T Heat pump 61.06
Suite/bldg./apt.no.: i4/0 Project name: 5 z---c UR,L i'1iogDuct 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
//fr'F fff ! !/rff!f% rr SF 1 1!!!!i'!r!!//'.'O' 91.;! 5f✓✓ / 1f/fJJ////l'r.r.,.,.
�,r rillfj E12y DE GRIP Q iOF• RK /f/�j, V fi Gas fireplace/insert 33.39
,;/� i/r.,.f./ ,F.. ;F`rliirilf.,�,/!v%xii liii,., ,:.11r'!
PM. Flue vent for water heater or gas
,a R�;. •r 0 JDC'C7 4/of ic. !-D)L I &AJ �Ei L f 4 fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
ifri�/ ., ,r Kr ,y ,!/,A, ,,,,,�tea!/o/oi/il,, 1 Other: 23.32
fl" , 11uro « „ ful / j � w
.vl i. /rfi,'n''4,5,rrf',%� •r;'.
Environmental •exhaust and ventilation•
Name: 7A( 777 0 5 r 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
1 , ACAf %r , fi;�Tgfi T
Eo1/
OF
Fther23.32
uel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Gas heat pump
Address:
Wail/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( )
Fireplace
�> Range
E-mail:eE K hi L' c—j Cts, //V tom.+ "/�'j`' Barbecue
F/,%// faltii.'`; //101*.,MSA 1, / l '�'�W AA Clothes dryer(gas)
Other:
Business name:
: L.(�,._ ,IO„,J ...L I{/G'---'
f5�rW i4t# Aef .J, %%1 ;Ff
Address: p v,, 13 C Ha.E
Subtotal
City/State/ZIP: ��By Minimum permit fee($90.00)
/ � 70/ Plan review(25%of permit fee)
Phone:( 7/) 9 3 0 7/y L/ Fax:( ) State surcharge(12%of permit fee)
CCB lic.: / 11 3.ey/ -- TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized S1gllatUre:9 * F92t—' ee methodology set by Tri-County Building Industry Service Board
Print name: `2 j„�J�j Date: a3q
I:\Building\Permits\MEC PermitAp_0401,13..doc 417T 11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Famil Fee Schedule:
a n °`
$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