Permit RIP MECHANICAL
CITY OF TIGARD PERMIT
PERMIT # MEC96 -0178
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06 / 17/96
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 PARCEL: 2S11 2DA- 00700
SITE ADDRESS...: 15115 SW SEQUOIA PKWY #100
SUBDIVISION • ZONING: I —P •
BLOCK • LOT •
CLASS OF WORK. °:ALT FLOOR FURN ° 0 EVAP COOLERS: 0
TYPE OF USE •COM UNIT HEATERS..: 0 VENT FANS...: 1
OCCUPANCY GRP..:B VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES - 0 BOILERS /COMPRESSORS HOODS • 0
FUEL TYPES 0 -3 HP • 0 DOMES. INCIN: 0
: /GAS/ / / 3 -15 HP 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15 -30 HP • 0 REPAIR UNITS: 0
FIRE DAMPERS ?..: 30 -50 HP • 0 WOODSTOVES..: 0
GAS PRESSURE...: M 50+ HP : 0 CLO DRYERS..: 0
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 0
FURN ( 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =100K BTU: 0 > 10000 cfm: 0
Remarks: Tenant improvement
Owner: FEES
PACTRUST type amount by date recpt
15350 SW SEQUOIA PKWY STE 300 PRMT $ 25.00 JMH 06/17/96 96- 280670
PLCK $ 6.25 JMH 06/17/96 96- 280670
TIGARD OR 97224 SPCT $ 1.25 JMH 06/17/96 96- 280670
Phone #: 624 -6300
Contractor:
PROTEMP ASSOCIATES INC
807 NE COUCH
PORTLAND OR 97232
Phone #: 233 -6911 $ 32.50 TOTAL
Reg #..: 038868
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
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.
Permittee Signature: ,_ I .J
Issued By:
Call for inspection — 639 -4175
To Pf . 5. -q C,JJ( -17 -/(e rep 4' s -ic''
1
N Ci%y' F Tigard MECHANICAL PERMIT Planck/Rec. # 5 gG � S
13125 SW Hall Blvd. APPLICATION Permit # : � �r -ll
Tigard, OR 97223 �, :,n %u! l'W hit-'
(503) 639 -4171 1 h Name of Development All
//1J77 /ifciedwz6 Table 3A Mechanical Code QTY PRICE AMT
Address '51Y
Job /S �/S 51V ,Sea 4414 ` � /eU 1) Permit Fee -0- -0- \ 10.00
Address late
I, 7Zs 1 7 V/), at9S . f7Z 2 V 2) Supplemental Permit 3.00
Name tot name ofboo.,ea. Furnace to 100,000 BTU
7 ge'--7 - 214,5"7 1) incl. ducts & vents 6.00
M. Address , Furnace 100,000 BTU +
Owner /5 3 5 Su) -S� u d !A - .SOO 2) incl. ducts & vents 7.50
ca rState Floor Furnance
%o, f7Z 4/ 3) incl. vent 6.00
Name tot name oibusiness) Suspended heater, wall heater
/aJ1.677 �660E0 4) or floor mounted heater 6.00
Matting Aadrese Vona Vent not incl. in
/5- Occupant � sit) �eQLtO,A x /30 5) appliance permit 3.00
...,ry /State :a Repair of heating, refrig.
F aen.v/J- L /7-Z'z T 6) cooling, absorption unit 6.00
Boiler or comp, heat pump, air cond.
et 5 7.i' -e -fr Asoet rNG 7) to 3 HP; absorp unit to 100K BTU 6.00
Madan Adores tenon° p Boiler or comp, heat pump, air cond.
Contractor „ , `te &uC Z33 t, ! n n 8) 3 -15 HP; absorp unit to 500K BTU - 11.00
Boiler or comp, heat pump, air cond.
P o 4701A) j) q7 Z3 Z 9) 15 -30 HP; absorp unit .5 -1 mil BTU 15.00
. JIM Regntrauon No. OP? Bus. , an No. Boiler or comp, heat pump, air cond.
30,860 04 10) 30 -50 HP; absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowledge that I have read this application, that e Boiler or comp, heat pump, air cond.
information given is correct, that I am the owner or authorized 11) > 50 HP; absorp unit 1.75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with Air handling unit to
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50
Board, that the number given is correct. (If exempt from State Air handling unit
registration, please give reason below.) 13) 10,000 CTM + 7.50
Non portable
14) evaporate cooler 4.50
Vent fan connected
15) to a single duct / 3.00 3
Ventilation system not
16) included in appliance permit 4.50
gn t er or agent) D d1e Hood served by
4,6 05_ Z,6` 17 ) mechanical exhaust 4.50
Descrt a work new addition O alterations repair (j ' Commercial or industrial
to be done residential 0 non - residential Q 18) type incinerator 30.00
Existing use of Other i.e., woodstove, water
building or property 19) heater, solar, clothes dryers. etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property
21) More than 4 -per outlet (each) 2.00
Type of fuel - oil 0 natural gas LPG 0 electric 0
NOTICE
Minimum Fee 525.00 SUBTOTAL 24 /
PERMITS BECOME VOID IF WORK OR CONSTRUCTION r z
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR ���
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK IS COMMENCED.
TOTAL � 3 ./S --
Special Conditions 5 11
Date issued by {-
H 9 L O G I M D S T S \M EC H P.LI T
Page No. 1 CASE HISTORY FOR CASE NO.: MEC96 -0178
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PACTRUST
15115 SW SEQUOIA PKWY Unit: 100
•
05/15/98 •
Action Description Req/ • Schd/ End/ Action Notes Disp By Update Upd
Code Sent Dame Done Date By
---- --- - - -- - --- ---
MECC007 Application received / / / / 05/20/96 RECD B 06/14/96 BON
MECC008 Permit created / / / / 06/14/96 Created incorrectly first go around. PEND B 06/14/96 BON
- Have created post P.S. review. - -
MECC015 Routed to Plans Examiner / / / / 05/22/96 PEND B 06/14/96 BON
MECCO20 Plan checked /Approved by P.S. / / / / 06/11/96 APPR B 06/14/96 BON
MECCO25 Reviewed Plans Routed to DSTS / / / / 06/17/96 APPR JHF 06/17/96 JHF
MECC080 (F) Ready to issue / / / / 06/17/96 PASS B 06/17/96 BON
MECC090 (F) Issue permit / / / / 06/17/96 PAID JMH 06/17/96 J *H
MECC710 Mechanical Insp 06/17/96 / / / / 06/17/96 JHF
MECC799 Final Inspection / / / / / / 06/14/96 BON
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