Permit CITY OF TIGARD MECHANICAL PERMIT
1 COMMUNITY DEVELOPMENT Permit#: MEC2020-00153
Date Issued: 04/13/2020
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S112DA00700
Jurisdiction: Tigard
Site address: 15333 SW SEQUOIA PKWY, STE# 100
Project: Spec space Subdivision: PACIFIC CORPORATE CENTER Lot: 3
Project Description: Mechanical for TI: Removing(5)existing RTU's and Installing(8)new RTU's.
Contractor: EXCEL HVAC INC Owner: PACIFIC REALTY ASSOCIATES LP
PO BOX 1188 ATTN: N PIVEN
CANBY, OR 97013 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 971-930-7194 PHONE: 503-624-6300
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 04/09/2020 $2,740.11
Class of Work: ALT Type of Const: VB Plan Review 04/09/2020 $685.03
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 04/09/2020 $328.81
Stories: Info Process/Archiving-Lg$2.00(over 04/09/2020 $14.00
11x17)
Project Valuation: $104,500.00 Info Process/Archiving-Sm$0.50(up to 04/09/2020 $21.50
11x17)
Fuel Air Handlers
Fuel Types: Natural Gas 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 $3,789.45
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 8
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.2)2.1987 or 1.8 .332.2344.
Issued By: Permittee Signature: (" ip— 7' j/1/6.,:t
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
'
6,eh v 11 ...e Ke-t-;ere-,4 3/, 7/;-.0 W/OLt" 3—.7vo21t rc- . .Q
Mechanical Permit ApplicationRECEIVE i OR OFFICE USE OONT."
.emxmi . Pemilt No.: 3'
City of Tigard Bawer 3/6 t/o /-i5' /'?�—C �-oni 53
13125 SW Hall Blvd„Tigard,OR 97223 MARL 8 202t Plan Review
i C Phone: 503.718.2439 Far 503.598.1960 DarelBy: ._q -ao OtherPerndt: ) 0 /
CITY OF TJGRt 3 i ? Y q co,
T t o'' Inspection Line:Ftp ill
503.639.4175 to Ready/Br e mac Ig See Age a for
'UILDING t IVISI /�
I Internet: www.tigatd-or.gov ti8edintetlmdd �� Supplemental Information
TYPE OF WORK _CON ft•RCIAL FEE* SCHEDULE-USE CHEMIST
Mechanical permit fees*are based on the value of the work
CI New construction El Addition/alterationheplacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 104 1 SOo.6O
CATEGORY OF CONSTRUCTION -. EQUIPMENT
'RES'tDENTIALI$Y9TE1ltSFEES`
❑1-and 2-family dwelling ®CommerciaUmdnstrial 0 Accessory building Per spedai informtaioa use checklisd
❑Multi-family 0 Master builder ❑Other. Description Qty. Ea Total
JOB STIE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: (53-53 5W Seyuoiw ?kw . - Pomace 100,000 BTU(ducts/vents) 46-75
City/State/ZIP: Po t aosA Jo l d-i22t4 Furnace 100,000+BTU(ducts/vens) 54,91
Heat pump 61.06
Suite/btdg./apt.no.: VA Project name: 12CC128 Spec.. Space Ductwork 23.32
Cross street/directions to jab site: 5bi 9,e51w000t Ln. pey,ni, 51a1 Hydronie hot water system 2332
Residential boiler(radiator or
Stquoia PkLuey, hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 2332
Other. 23.32
Subdivision: Lot no.: Other fuel appliances:
Tax map/parcel no.: Water heater 2332
DESCRIPTION OF WORK Gras fueplace/iinsert 33.39
Flue veal for water heater or gas
None 5) Exa;si.+�j �2TO S , 1.4 L ) New (n.TOs fireplace 23.32
Log lighter(gas) 2332
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chun vyniuer/tluelve it 2332
Other: 2332
0 PROPERTY OWNER 0 TENANT Environmental exhaust and vendlallen:
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
(1ty/Stake ZIP: Single-duct exhaust(bathrooms, 23.32
toilet compartments,utility rooms)
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
APPLICANT ❑ CONTACT 1?1 RtiON
Other: 23.32 '
Fuel piping:
Business name: E,,ocel 112415t-C t Trrtt. ` S14.15 for first four;$4.03 for each additional
Contact name: Z,,,I.optr oJr s e.,C y Pomace,etc.
-Gas heat pump
Address: t5t32. Sw Uppex 9oernt4 Ferry P. wall/suspendedhmitheater _
City/State/ZIP: Wet OfaJeyO it dg/ 17035 Water heater
( Fax::( ) Fireplace
Phone:(52,3) 5 5o- Go42Range
E-mail: 't'.m.t 4. 6)e1cGd1 hs'ac., a ek Barbecue
�r^. tt rCtONTRACTOR Clothes dryer(gas)
G�GG V#vRC , T»C. — _Otbel:. - _ MECHANICAL PER.IV'1T FEES
Business name: '"
Address: I5832 Si3 Upper Qoawtts 1t%Yy RA• Subtotal
City/State/ZIP: Ltatrae O S W e J OR , g 7 O 3 5 Minimum pemdt fee($90.00)
Plan review(25%of permit fee)
Phone:(5' ) S LS- 51 21 Fax:( ) State surcharge(12%of permit fee)
CCl3 lic.: 2 ill 34 S TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepteyBuihid as complete.
Authorized signature: t • Fee methodology set by Tri-County Budding Industry Service Board
Print name: 2pa.L rj Tita,rak3 14a+�'ea Date: 03/ig{201p
[:1EmlaingUkrmitatMEC.RartilAyp_a40t1Seo 44o4617r(1 irovcOivw®)
City of Tigatd
111 COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Commercial - No Land Usc
.q
Building Permit #: (v)jt 3o -ool.S3
Site Address: /S333 �ZQ ) S-74.-2,-Gto,� r/6 Suite/Bldg#: /O 0
Project Name: _ PCC„2-2g �•%C GP
(Name of commercial business occupying the space If vacant,enter Spec Space.)
Planning Review
Proposal: /?II.1771)ti-t/rep,/ 72)4o 2'hve n �, / Z/n;
az
Existing Business Activity: OgLe
Pro sed Business Activity: S` e �� .7 e.e
41 V-rify site address/suite# exists and active permit s/2yst
‘ I\ ::ver Terrace Neighborhood: ❑ Yes Ad No
al yelbning: /-1)
'Z./Permitted Use: 0 Yes 0 No Spec Space
rr Confirm no land use required.
Its• elKusiness License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: �i Date: _ l9- Q--6
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: /
Site Plans: #
Building Plans: # ,
Building Permit#: er . ' g permit#above.
Workflow Routing: nn 0 Permit Coordinator i
Workflow Sign-off: ru-off for Planning(include notes from planning review)
Route Application Documents: ZI—g"t g original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
r J
By Permit Technician:� Date: y�� �
3/I(/Iv
1:\Building\Forms\B1dgPermitRvw_COM_NolandUse_111819.docx
Permit Coordinator Review -
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submitt only)
Revision Notice 1: D e Sent to Applicant:
Revision Notice 2: /bate Sent to Applicant:
Revision Notice 3: "' Date Sent to Applicant:
❑ SDC Fees Enter-.: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: 0 Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to, ssue Permit
Approved by Permit Coordinator: Date:
1:\Building\Forms\BldgPemiltRvw_COM_NoLandUse_111819.docx