Permit ° Aii: 1 ‘
CITY OF TIGARD MECHANICAL PERMIT
r^� DEVELOPMENT SERVICES PERMIT #: MEC2005 -00326
' 1 11 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/22/2005
PARCEL: 2 S 112 DA -00800
SITE ADDRESS: 15055 SW SEQUOIA PKWY 100 ZONING: I -P
SUBDIVISION: PACIFIC CORP. CENTER LOT: JURISDICTION: TIG
Project Description: (1) 5 ton, (1) 3 ton, rooftop units w /duct work, gas piping, controls & exhaust fans,smoke detectors.
Valuation: &14,500.
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:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: N 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: M 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: 2 OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 -WMI [MECH] Permit Fee 6/22/200: $292.25
PORTLAND, OR 97224 [MECPLN] Plan Rev 6/22/200f. $73.06
[TAX] 8% State Surchark 6/22/200f. $23.38
Phone: Total $388.69
Contractor:
PROTEMP ASSOCIATES INC
9788 SE 17TH AVE REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97222
Phone: 233 - 6911
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 -0010
through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1- 800 - 332 -2344.
Issued By: ic Permittee Signature:
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business day.
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.
toss 54J S -; do -Pc ,S'
Mec F a cal Permit !. o t lle id
FOR OFFICE USE ONLY
City of Tigard Date/By: ! • - ��! r / -g_ Permit No.(�,� G r - 4).5 N tp I
Y o f� �+ �RYytJ J (/
13125 SW Hall Blvd., Tigard, OR 97223 i ;•' r \ 9 2005 Plan Review Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 • • . tea f 1 Date/By: y: Q
Inspection Line: 503.639.4175 Y OF ����� , ■ � c •_� I
Internet: www.ci.tigard.or.us ulT • r Date Ready : Juris: See age 2 for
g gUIG DI�p t*i'�`��;�'� Notified/Method: 5 )!� Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST fq,,
Mechanical permit fees* are based on the value of the work
❑ New construction Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $ / { 1 { 5 OO °
CATEGORY OF CONSTRUCTION / ( n
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling pr Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: / s c S � Air conditioning or heat pump
S UOol / 9/4 (/ - (requires site plan showing placement) 14.00 �y
City/State /ZIP: 7;5.44, i.- 04.e Furnace 100,000 BTU (ducts/vents) 14.00
;
Suite/bldg./apt. no.: !l Project name:� Furnace 100,000+ BTU (ducts/vents) 17.90 '.,._
o.
0 V TALI. spa Gas heat pump 14.00 t..
Cross street/directions to job site: Duct work 14.00 __ _
Hydronic hot water system 14.00
Residential boiler (radiator or
. hydronic) 14.00
•
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00 1
Flue /vent for any of above 10.00 i
Subdivision: Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
_ Gas fireplace 10.00
J- �/ G� j /!-•3 Th /d Rc 0 /e �", Q',vi /,r )i it 0Je57— Flue vent for water heater or gas . __
fireplace 10.00
ilIC / 1 4-- / /'e . f ! y , 9 - P6At L5 4 "✓��Jc 4 1 Log lighter (gas) 10.00 - ,l
A TSA1-�,ye 1, r, ,c.7 J Wood/pellet stove 10.00
Wood fireplace /insert 10.00
p PROPERTY OWNER I ❑ TENANT Chimney /liner /flue/vent 10.00
Other: 10.00 ---,- -
Name:
R , L� J 1 Environmental exhaust and ventilation - -t.C-.9
t /, Range hood/other kitchen
s !S
Address: � Q sa . CJ6IUA rK 4/,(/ ,5,.,%i .gD8 equipment 10.00 _ _
City/State /ZIP: 1 h -- Clothes dryer exhaust 10.00
1 ® Single -duct exhaust (bathrooms,
Phone: (03 ) Z G Fax: ( ) toilet compartments, utility rooms) 6.80
j APPLICANT [CONTACT PERSON Attic /crawlspace fans 10.00 -
Other: 10.00 -
Business name: PQ D Tt-r 4S CO /Csat r Fuel piping
Contact name: ER v« gc0.1.:Aci---' • $5.40 for first four; $1.00 for each additional -
F7 ri- se_ I y 7 - v � Furnace, etc.
Address: /
Gas heat pump
City/State /ZIP: / Q
Q�.si ��� � T 7e..L 1._ Wall/suspended/unit heater •
Phone: (513 ) 67 5 - C f y9 I Fax: : e-- .23 g -`f ?C? Water heater T
Fireplace ,
E -mail: —
Range
CONTRACTOR Barbecue
Business name: �/�`, _ Clothes dryer (gas
Other:
Address: MECHANICAL PERMIT FEES* ki
City/State /ZIP: Subtotal _
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) 12_,..g,
Plan review (25% of permit fee) Q.
CCB lic. 8'e' 4 8" State surcharge (8% of permit fee) (2 3
TOTAL PERMIT FEE a --
Authorized signature: . Z / This permit application expires if a permit is not obtained wit n 180_ '
� _ days after it has been accepted as complete.
Print name: . . _ " D ate: � � � • Fee methodology set by Tri- County Building Industry Service Board
i:\ Building \Permits \MEC- PermiiApp.doc 12/03 440-4617T (I I/02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005-00326
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/22/2005
Phone: (503) 639 -4171 ,,i �..Ii
Inspection Requests (24 Hrs.): (503) 639 -4175 . -=_.1,1- `'__..
INSPECTION WORKSHEET FOR DATE: 7/19/2005 TIME: 7:08AM PAGE: 94
SITE ADDRESS:
15055 SW SEQUOIA PKWY 100 CLASS OF WO RK:
SUBDIVISION: PACIFIC CORP. CENTER LOT #: TYPE OF USE:
PROJECT NAME: PACIFIC STAR COMMUNICATIONS
DESCRIPTION: (1) 5 ton, (1) 3 ton, rooftop units w /duct. work, gas piping, controls & exhaust fans,smoke detectors.
Valuation: &14,500.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 233 -6911
Inspection Request Scheduled For: Date: 7/19/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 011627 -01 503 - 519.6199 N
Corrections /Comments /Instructions:
Mt
(k ,, F
I' '4
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
El FAIL , U CALL F INSPECTION ❑ ADDITI NAL EES ASSESSED
)'1 P
Inspector: i „ Date: Phone #: (503) 718-