Permit CITY OF TIGARD MECHANICAL PERMIT
n` DEVELOPMENT SERVICES PERMIT #: MEC2002 -00088
II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/6/02
PARCEL: 2S 112AD -01000
SITE ADDRESS: 14945 SW SEQUOIA PKWY 100
SUBDIVISION: PACIFIC CORP. CENTER ZONING: I -P
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ADD FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS WIO APPL: VENT SYSTEMS:
STORIES: 1 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: 45,000 BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: N 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: M 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Install a new 2 ton gas roof top unit.
Owner: FEES
PACIFIC REALTY ASSOCIATES Type By Date Amount Receipt
15350 SW SEQUOIA PKWY #300 -WMI PRMT CTR 3/6/02 $72.50 2720020000
PORTLAND, OR 97224 PLCK CTR 3/6/02 $18.12 2720020000
5PCT CTR 3/6/02 $5.80 2720020000
Phone: Total $96.42
Contractor:
PROTEMP ASSOCIATES INC
807 NE COUCH
PORTLAND, OR 97232 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 233 -6911 Mechanical lnsp
Reg #: LIC 38868 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR
952 - 001 -0080. ou may obtain copies of these rules or direct questi • • -- to OU C by calling
tn!II9LIR_oiFt07, 41f,
Issue By: I� , f �� , / . , Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspections need .d the ne ebusiness day
a , 0. e s dz-
.,........, MechanicalPermit Application
4 ,, Date receiv - .. i 'L Permit no.: h/ :' d
:ij ": p City of. Tigard Project/appl. no.: Expire date: •
City of Tigard Addrells: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: Bye Receiptno.:
Phone: (503) 639 -4171
Fax: (503) 598 - 1960 (TI 67 Case file no.: Payment type:
Land use approval: Building permit no.:
TYPE OF P JZI\IIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ,ci'enant improvement
❑ New construction ❑ Addition/alteration/replacement ❑ Other:
JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE
Job address: / 4 may(/ Q�tfV(/07 /d Pew/ Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: 1 Suite no.: / oU value of all mechanical materials, equipment, labor, overhead,
Tax map /tax lot/account no.: profit. Value $ . .
Lot: (Block: 1 Subdivision: *See checklist for important application information and
Project name: [J/1127) 7,,t/ jurisdiction's fee schedule for residential permit fee.
City /county: � fiRD ( ZIP: `9729 1 & 2 FAMILY DWELLING PERMIT FIX SCHEDULE
Description and I 'on of work on premises: /VF tn.i ,, 7-,k,) AND COMMERICAL /INDUSTRIAL EQUIPMENTSCIIEDULE
o %l S P� K L7i5T /Zi 8v71 �� DUCT / Fee(e .) Total
Est. date of completion/inspection: :: , ` 1 Description Qty. Res. only Res. only
RV AC:
Tenant improvement or change of use: /
Is existing space heated or conditioned ?,�1 Yes ❑ No 16Qii cdri dling unit CFM
space insulate a Yes ❑ No Air ctitiditioning (site plan required)
Is existing P Alteration of existing HVAC system
MECIIANI CONTRACTOR Boiler /compressors
State boiler permit no.:
Business name:
O7 M ASSO • ..-t c/C • HP Tons BTU /H
Address: ? N/ ,- . : C , ic_/./ Fire/smoke dampers/duct smoke detectors
City: / - 7 ",t - re_ A s,(/0 IState:QJ_ ( ZIP: � 7a3R Heatpump(siteplanrequired)
Install/replace furnace /burner BTU /H
Phone : _e // I Fax E-mail:
-976 ] I Including ductwork/vent liner ❑ Yes ❑ No
CCB no.: Sk Install/replace/relocate heaters - suspended,
City /metro lic. no.: . , '/ wall, or floor mounted
Name (please print): c e5/M /k/t j Vent for appliance other than furnace
CONTACT PERSON Refrigeration:
Absorption units BTU/H
Name: JEr2z / l y //
Chillers HP
Address: g , f7 4,,,_-7.„ C Ot/C. AI Compressors HP
Environmental exhaust and ventilation:
City: R r . A / o I Stater „ I ZIP: 9 7a 3, Appliance vent
Phone:. -C�5 if Faxo?3S` - . E -mail: Dryer exhaust
OWNER Hoods, Type U II/res. kitchen/hazmat
T hood fire suppression system _
Name: � t;, / /Z US r Exhaust fan with single duct (bath fans)
Mailing address: 7s-/ — 5 a Of ., p by t Exhaust system a art from heating or AC
City: Ti ,q,z 7) State ZIP: GJ �a y Type: LPG NG Oil
Phone' CC Fax: E - mail: Fuel piping each additional over 4 outlets
Process piping (schematic required)
Number of outlets
Name: Other listed appliance or equipment:
Address: Decorative fireplace
City: I State: I ZIP: Insert -type
Phone: Fax: E -mail: Woodstove/pelletstove
Other:
Applicant's signatur.� A Date: Arp 4 , er:
Name (print): . )e- e y
Not all jurisdictions accept credit cards, please call jurisdiction for mote information. Minimum fee $
❑ Visa ❑ MasterCard Notice: This permit application Minimum fee $
expires if a permit is not obtained Plan review _
Credit card number Expires within 180 days after it has been ( at % ) $
State surcharge (8%) .... $
Name of cardholder as shown on credit card accepted as complete.
. a TOTAL $
Cardholder signature Amount 440-4617 (6 W/COM)
MECHANIC P ERMIT FE
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
TOTAL VALUATION? PERMIT FEE: Description: • Price Total
$1.00 to $5,000.00 Minimum fee $72.50 Table 1A Mechanical Code Qty (Ea) Amt
$5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and 1) Furnace to 100,000 BTU
$1.52 for each additional $100.00 or including ducts & vents 14.00
fraction thereof, to and including 2) Furnace 100,000 BTU+
$10,000.00. including ducts & vents 17.40
$10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and 3) Floor Furnace
$1.54 for each additional $100.00 or including vent 14.00
fraction thereof, to and including 4) Suspended heater, wall heater
$25,000.00. or floor mounted heater 14.00
$25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and 5) Vent not included in appliance permit
$1.45 for each additional $100.00 or 6.80
fraction thereof, to and including 6) Repair units
$50,000.00. 12.15
$50,001.00 and up $742.00 for the first $50,000.00 and Check all that apply: Boiler Heat Air
$1.20 for each additional $100.00 or For items 7 -11, see or Pump Cond
fraction thereof. footnotes below. Co mp
Minimum Permit Fee $72.50 SUBTOTAL: $ 7) <3HP; absorb unit
IL. S- to 100K BTU 14.00
8% State Surcharge $ (` 8) 3 15 HP; absorb 25.60
S . 80 unit 100k to 500k BTU
25% Plan Review Fee (of subtotal) $ 9) 15-30 HP; absorb 35.00
Required for ALL commercial permits only no , I 2 - unit .5 1 mil B TU
TOTAL COMMERCIAL PERMIT FEE: $ 10) 30 -50 HP; absorb
1 -1.75 mil BTU 52.20
TO r I 11) >50HP; absorb
unit >1.75 mil BTU 87.20
ASSUMED VALUATIONS PER APPLIANCE: 12) Air handling unit to 10,000 CFM 10.00
Value Total 13) Air handling unit 10,000 CFM+
Description: Qty (Ea) Amount 17.20
Furnace to 100,000 BTU, including 955 14) Non - portable evaporate cooler
ducts & vents 10.00
Furnace > 100,000 BTU including 1,170 15) Vent fan connected to a single duct
ducts & vents 6.80
Floor furnace including vent 955 16) Ventilation system not included in
Suspended heater, wall heater or 955 appliance permit 10.00
floor mounted heater 17) Hood served by mechanical exhaust
Vent not included in applicance 445 10.00
permit 18) Domestic incinerators
Repair units 805 17.40
< 3 hp; absorb. unit, 955 19) Commercial or industrial type incinerator
to 100k BTU 69.95
3 -15 hp; absorb. unit, 1,700 20) Other units, including wood stoves
101k to 500k BTU 10.00
15-30 hp; absorb. unit, 501k to 1 2,310 21) Gas piping one to four outlets
mil. BTU 5.40
30-50 hp; absorb. unit, 3,400 22) More than 4 -per outlet (each)
1 -1.75 mil. BTU 1.00
>50 hp; absorb. unit, 5,725 Minimum Permit Fee $72.50 SUBTOTAL: $
>1.75 mil. BTU
Air handling unit to 10,000 cfm 656 8% State Surcharge $
Air handling unit >10,000 cfm 1,170
Non - portable evaporate cooler 656 TOTAL RESIDENTIAL PERMIT FEE: $
Vent fan connected to a single duct 446
Vent system not included in 656
appliance permit
Hood served by mechanical exhaust 656 Other inspections and Fees:
1. Inspections outside of normal business hours (minimum charge - two hours)
Domestic incinerator 1,170 $62.50 per hour.
Commercial or industrial incinerator 4,590 2. Inspections for which no fee is specifically indicated (minimum charge - half hour)
-
Other unit, including wood stoves, 656 $62.50 per hour
inserts, etc. 3. Additional plan review required by changes, additions or revisions to plans (minimum
Gas piping 1 - 4 outlets 360 charge-one-half hour) $62.50 per hour
Each additional outlet 63 - * State Contractor Boiler Certification required for units >200k BTU.
TOTAL COMMERCIAL $ - "Residential A/C requires site plan showing placement of unit
VALUATION:. All New Commercial Buildings require 2 sets of plans.
•
•
i:'.dsts\forms\rnech- fees.doc 12/26/01
i
,
A , C ITY OF TIGARD a MECHANICS PERMIT
� Jy ; DEVELOPMENT SERVICES DATE E RMII #: 3 s 02002 -00088
'�` �'�' • = 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S 112AD -01000
SITE ADDRESS: 14945 SW SEQUOIA PKWY 100
SUBDIVISION: PACIFIC CORP. CENTER ZONING: I -P
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ADD FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: 1 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: 45,000 BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: N 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: M 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Install a new 2 ton gas roof top unit.
--
Owner: FEES _
PACIFIC REALTY ASSOCIATES Type By Date Amount Receipt ,
15350 SW SEQUOIA PKWY #300 -WMI PRMT CTR 3/6/02 $72.50 272002000C
PORTLAND, OR 97224 PLCK CTR 3/6/02 $18.12 2720020000
5PCT CTR 3/6/02 $5.80 2720020000
Phone: • • Total $96.42
Contractor:
PROTEMP ASSOCIATES INC
807 NE COUCH
PORTLAND, OR 97232 REQUIRED INSPECTIONS
Gas Line Insp
ill
Phone: 233 -6911 Mechanical lnsp
Reg #: LIC 38868 Final Inspection
‚ Cr(
(
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR
952 - 001 -0080. ou may obtain copies of these rules or direct questi • • to OU C by calling
Issue By: 1I40, %.., ,,, di, ,,, , Permittee Signature: --__ ........ a, ..,41,J CSS
Call (503) 639 -4175 by 7:00 P.M. for inspections need • d the ne ebusiness day
CO
BUP - Building Permit ELC - Electrical Permit ,�_
4 Ini•pectio 'Description Date Passed By 4 Inspection Description Date Passed By
Footing /Setback Underground cover
Foundation walls Wall cover •
Footing drain Ceiling cover
Waterproof bsmt walls Electrical rough -in
Slab Electrical service
Crawl drain Electrical final
Underfloor insulation
Post/beam structural
Shear walls /anchors ELR - Restricted Energy Permit
Roof nailing I Inspection Description Date Passed By
Firewall Low voltage
Tilt -up panel Electrical final
Masonry /Reinforcement
Framing
MFG - Structure set -up 2�t1 d Z d ®v R
C Mechanical Permit
Insulation nspection Description Date Passed By
Drywall nailing Post/beam mechanical
Suspended ceiling Gas line 1 %41
Engineered soils
Welding Lab Final Mechanical rough-in
Fire damser
Concrete Lab Final Duct work
Bolting Lab Final Smoke detector
r Structural observation Mechanical final "a FrairA
Fireproofing Lab Final CGF�
Final inspection
PLM - Plumbing Permit
BUP — Fire Protection System Permit Inspection Description Date Passed By
Plumbing underslab
Inspection Description Date Passed By Crawl drain
Sprinkler underfloor /slab Post/beam plumbing
Sprinkler rough -in Plumbing top -out
Sprinkler final RP /backflow preventer
Fire alarm final Rain drain
Storm drain
Water service
SIT - Site Permit Sanitary sewer
J Inspection Description Date Passed By Culvert/catch basin
Footings Pump /fill septic tank
Foundation walls Plumbing final
Sprinkler supply lines
Sprinkler underfloor /slab
Catch basin/Manhole SWR - Sewer Permit
Engineered soils Inspection Description Date Passed By
Engineering acceptance Sanitary sewer
Final inspection Final inspection
Inspection Record - BUP, PLM, SWR, ELC, ELR, MEC, SIT Permits
i:\dsts \forms \InspRecordBUP.doc 04 /17/01
CITY OF;TIGARD 24 -Hour
BUILbING Inspection Line: (503) 639 -4175
INSPECTION DIVISr41 Business Line: (503) 639 -4171 MST
BUP 9
Received - Req ested 3 - 7 AM PM BUP
Location / ` 1 q %% • • ' •�.0 - � Suite MEC , e 66 4 a
Contact Person Ph ( ) 5 7 9 h PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL - -
PLUMBING -
Post & Beam
Under Slab
- Rough -In
Water Service
Sanitary Sewer
Rain Drains
' Catch Basin / Manhole
Storm Drain
Shower Pan
Other: -
Final
PASS PART FAIL - \
MECHANICAL
Post & Beam
=. . i1lG�
• e Dampers
Virir PART FAIL
EL - - ICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please for reinsp , ' n RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk
Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from ob site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUYlLDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested 3I ��-- AM PM BUP '
r;
Location \4\ 4R 5 �v 1 Suite MEC Z — a0�8 —
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Ftg Drain Access:
ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service /
Sanitary Sewer �
Rain Drains '
Catch Basin / Manhole ' /
Storm Drain /
Shower Pan d i
Other:
Final
AIL
7 IICHANICA
Rough -In
Gas Line •
• e Dampers
t►
S PART FAIL
RICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: LI Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date ) - Z ° Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL