Permit ,, Y OF TIGARD C IT MECHANICAL PERMIT eis A. DEVELOPMENT SERVICES PERMIT #: MEC2003 -00063
46- II DATE ISSUED: 2/18/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S112AD -01000
SITE ADDRESS: 14945 SW SEQUOIA PKWY 150
SUBDIVISION: PACIFIC CORP. CENTER ZONING: I -P
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML.INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: A (k) (p c O- -JAL:at al--
Owner: 64 0 FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 -WM I
PORTLAND, OR 97224 [MECH] Permit Fee 2/18/03 $148.50
[TAX] 8% StateTax 2/18/03 $11.88
[MECPLN] Plan Rev 2/18/03 $37.12
Phone: Total $197.50
Contractor:
PROTEMP ASSOCIATES INC
9788 SE 17TH AVE
PORTLAND, OR 97222 REQUIRED INSPECTIONS
Phone: 233 - 6911 Duct Inspection
Final Inspection •
Reg #: LIC 38868
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 -00
Issued By: i 4 J . /, Permittee Signature: _ , _
Call (503) 639 -4175 by 7:00 P.M. for inspections need :d the nex is usiness day
Mechanical Per A . Received FOR OFFICE USE ONLY
, Mechanical
.i� m Date/By: -- 0_ " Permit No.:R i? 0 &0
`° Planning Approval Building
City of Tigard
Date/By: Permit No.:
13125 SW Hall Blvd. �,ce Plan Review Other
Tigard, Oregon 97223 Date/By: Permit No.:
`�� • Post-Review Land Use
Phone: 503 -639 -4171 Fax: 503-y594) 8 /�,,, � , , r � Date : Case No.:
Internet: www.ci.tigard.or.us r ,1 -
,,.� I Contact Juris.: �� See Page 2 for
C �_!
24 -hour Inspection Request: 503 -661( 0 - Name/Method: Supplemental Information.
Sva.®�NG &PRO& -000(59
- TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
_12 construction ❑ Demolition Mechanical permit fees* are based on the total value of the work
❑ Addition/alteration/replacement ❑ Other: performed. Indicate the value (rounded to the nearest dollar) of all
CATEGORY OF CONSTRUCTION mechanical materials, equipment, labor, overhead and profit.
❑ 1 & 2- Family dwelling 1]'Commercial/Industrial Value: $ / 6 oe o _ See Page 2 for Fee Schedule
❑ Accessory Building ❑ Multi - Family RESIDENTIAL EQUIPMENT /SYSTEMS FEE* SCHEDULE ,
Description I Qty I Fee(ea.) I Total
❑ Master Builder ❑ Other: Heating/Cooling
• ' JOB SITE INFORMATION and LOCATION Furnace - add -on air conditioning ** 14.00
Job site address: / y9V 5 QC/01A PK,,,,t/ Gas heat pump 14.00
Suite #: Bld /A t #: ! Duct work 14.00
�� I g p Hydronic hot water system 14.00
Project Name: /trz c/ fit5,(rri AL Residential boiler
Cross street/Directions to job site: (for radiator or hydronic system) 14.00
Unit heaters (fuel, not electric)
(in wall, in -duct, suspended, etc.) 14.00
Flue/vent (for any of above) 10.00
Re units 12.15
Subdivision: Lot #: Other Fuel Appliances
Tax map /parcel #: Water heater 10.00
. • DESCRIPTION OF WORK • Gas fireplace 10.00
/ A./�w . 'oF77- ZIA r 7 w/ t.C72v1 24L Flue vent (water heater /gas fireplace) 10.00
Log lighter (gas) 10.00
X4X4/1") 32 )e...2:0 C _ / k i .sr i A - A,c_71.47 0 "C Wood/Pellet stove 10.00
PG(./.5 T Z G 'A/ 5 Wood fireplace/insert 10.00
Chimney/liner /flue/vent 10.00
.;PROPERTY OWNER I ❑ TENANT Other: 10.00
p _ Environmental Exhaust & Ventilation
Name: ! SAC . as i ' Range hood/other kitchen equipment 10.00
Address: , -5-- 5w Y /0,•- 44 ,30.. Clothes dryer exhaust 10.00
City /State /Zip:t - r_ ' O 02 - Single duct exhaust .
Phone: C-�5! • �3oQ Fax: (bathrooms, toilet compartments,
❑ APPLICANT .[]'CONTACT PERSON utility rooms) 6.80
Attic/crawl space fans 10.00
Name: ,, r Y /�(/ T Other: 10.00
Address: < Fuel Piping
City /State /Zip: * *($5.40 for first 4, $1.00 each additional)
Furnace, etc. *4. Phone: I Fax: Gas heat pump **
E -mail: - Wall/suspended/unit heater **
' . CONTRACTOR • Water heater 4.* *
Fireplac * *
Business Name: �,[ ,, z,fy p 45 GL _ z7 - **
Address: �7T(g 5 i 7 '-`' Ave BBQ **
BBQ
City /State /Zip: P• D 2 - 97,Rp. Clothes dryer (gas) **
Phone: a.3 -(_,..7i) I Fax:a3g -9 76.7 Other: **
Total:
CCB Lic. #: �G g Mechanical Permit Fees*
Authorized Subtotal: EIME �' ��
Signature: Date: 0,3 Minimum Permit Fee $72.50 $
J4�r ,(4 N 1 Plan Review Fee (25% of Permit Fee) $ 3 7. / a'
• (Please print name) State Surcharge (8% of Permit Fee) $ . 5'.
TOTAL PERMIT FEE $
Notice: This permit application expires if a permit Is not obtained within *Fee methodology set by Tri -County Building Industry Service Board.
180 days after it has been accepted as complete. * *Site plan required for exterior A/C units.
i:\Dsts\Permit Forms\MecPermitApp.doc 01/03
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 . ~ . 4- MST
BUP
Received Date R- s uested 3 _19
AM PM • BUP
1 L/
Location ! _ _ _ Suite /sa MEC 3 — CO D G3
Contact Person Ph ( ) S� ? - 6 q? PLM
Contractor
Ph ( SWR )
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
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
T FAIL
ECHANIC
os
R gh-ln
Gas Line
Smoke Dampers
PART FAIL
ECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE El Please call for reinspection RE: 1711 Unable to inspect — no access
Fire Supply Line
ADA G /'
Approach/Sidewalk Date 3/, 7 V3 Inspect r Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
IO 22
9 BUP J - 04.0.3 , 7
Received / Date Requested 3 - / l AM PM BUP
U 7
Location ! ! S Suite / 5-0 Q M EC ZOn? "000 VF
Contact Person Ph ( ) 3,5( - o2S3 " PLM
Contractor , Ph ( ) SWR
�L'
BUILDING Tenant/Owner ^ t '-d 1. tJ w 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:
PART FAIL
P • BING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer L/2-_ G U 3 — C) c c
Rain Drains
Catch Basin / Manhole .-r , GG 3 _csk, 6,3
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
FiANICA
ost & eam
Rough - in
Gas Line
Smoke Dampers
sib
PART FAIL
ELECTRICAL
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: Unable to inspect – no access
Fire Supply Line
ADA
Approach/Sidewalk Date 3 rr``
/ / U 'Inspector ( Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL