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Permit Ali.• CITY OF TIGARD MECHANICAL PERMIT PERMIT #: MEC2005 -00045 . ji�� DEVELOPMENT SERVICES DATE ISSUED: 1/31/2005 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112DD -01600 SITE ADDRESS: 15495 SW SEQUOIA PKWY 100 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: VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: ELE 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: - FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: 1 GAS OUTLETS: > 10000 cfm: Remarks: R Owner: FEES PACIFIC REALTY ASSOCIATES Description Date Amount 15350 SW SEQUOIA PKWY #300 -WMI [MECH] Permit Fee 1/31/200`. $150.50 PORTLAND, OR 97224 [TAX] 8% State Surchar€ 1/31/200; $12.04 Phone: Total $162.54 Contractor: PROTEMP ASSOCIATES INC 9788 SE 17TH AVE PORTLAND, OR 97222 REQUIRED INSPECTIONS Mechanical Insp Phone: 233 - 6911 Cooling Unt Insp Reg #: LIC 38868 Duct Inspection 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 -0100. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -6699. • Issued By: I _ _ Permittee Signature`_ Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit @O>AIV City of Tig,a)'t fr,it c,1 1 1(11 (ISE ()NI.) ~ Received Date/By. / — J .. p -; Permit No.: J /O '000 45 13125 SW HaII Blvd, Tigard, OR 97223 JAN 3 1 2005 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 �i,., ,., Date/By. Other Permit: Inspection Line: 503.639.4175 CITY OF TIGAR!, _ • J DateReady/By: Jude: El See Page 2 for Internet: www.ei.tigard.or.us r Notified/Metho f Supplemental Information BUILDING DIVIS [ ` TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST 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 CATEGORY OF CONSTRUCTION Value: $ /0,6Da, CIO El 1 - and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES* 12 Multi For special information use checklist. y ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: y C, C p'/ Air conditioning or heat pump O y / V W CSP-0 0 D ! /4 pie C LJ l (requires site plan showing placement) 14.00 / /5 t�i��s4� / Furnace 100,000 BTU (ducts/vents) 14.00 City / State/ZIP: L Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: s' ,, Project namea tr en Gas heat pump 14.00 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 Subdivision: Lot no.: Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 _ / Gas fireplace 10.00 /Ue/J Uv - rib Fx/5 Z f (iii / S 4 r!% 1 Flue vent for water heater or gas R p-- 0 Derikr:f air -- 2...s="10.4) � � � v fireplace 10.00 y 7 lAct '4V I Log lighter R gh (gas) 10.00 fo 4ivQ / -- 2 fl) S'h t,S or, i72 rS( Nell.)) Wood/pellet stove 10.00 Wood fireplace/insert 10.00 (PROPERTY OWNER I ❑ TENANT oter: Chimney/liner/flue/vent 10.00 ,p �,/ Other: 10.00 Name: / A 1 /Ll� Environmental exhaust and ventilation Address: Range hood/other kitchen ddress: eG t S D is It, / (�ov u IN j A p K- w y equipment 10.00 City /State/ZIP: -r! �4ti — Clothes dryer exhaust 10.00 - S ©i[ Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 p APPLICANT CONTACT PERSON Attidcrawlspace fans 10.00 �/ Other: 10.00 Business name: PRa � / tJ 50coa PS Fuel piping Contact name: _ 4LI 1 f „ i�-- $5.40 for first four; $1.00 for each additional Address: 97 `� se _ / 7 , Z Furnace, etc. 3 3 Gas heat pump City /State/ZIP: l Od, Z 0 / „ � J WalUsuspended/unit heater Phone: (cej ) 475'-‘, 9 9. Fax: : 6J ) 23 i ._ 5)r? Water heater Fireplace E-mail: Range CONTRACTOR Barbecue S , Other: dryer (gas) Business name: t � Other: Address: MECHANICAL PERMIT FEES* ' City /State/ZIP: Subtotal .14 Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) Plan review (25% of permit fee) / • CCB lic xirt $' State surcharge (8% of permit fee) a, C) y TOTAL PERMIT FEE -/6 Authorized Signature: 'Ibis permit application empires if a permit is not obtained within 0 e, days after it has been accepted as complete. Print name: Q,itl L r QU�N r_A— 1 Date:/ —3 _ (:),5 — Fee methodology set by Tn County Building Industry Service Board iMlui !dins \Penn its \MEC- PamitApp.doc 12/03 41046ITr(II /02JCOM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information ' // h° Commercial Fee Schedule: Total Valuation: Permit Fee: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction / 57(, 4 thereof to and including $5,000.00. q p(' $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including f s /3 D. 5 $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and �a - if $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. iMluilding\Permits \NEC - PermitApp.doc 12/03 2 t CITY OF TIGARD BUILDING' DIVISION PERMIT #: MEC200S-00045 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/31/2006 Phone: (503) 639 -4171 :���Mp,y i � l , - Inspection Requests (24 Hrs.): (503) 639 -4175 W _J1. INSPECTION WORKSHEET FOR DATE: 3/23/2005 TIME: 7:08AM PAGE: 4 SITE ADDRESS: 16496 SW SEQUOIA PKWY 100 CLASS OF WORK: SUBDIVISION: PACIFIC CORP. CENTER LOT #: TYPE OF USE: PROJECT NAME: SECURITYCO,INC. DESCRIPTION: Replace duct to existing units. Replace stat and add rooftop AC and split system, ductless. Value: $10,500 OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 233.6911 Inspection Request Scheduled For: Date: 3/23/2005 Pour Time: `'O O b Code # Inspection Description Confirm # Contact # Message \ /L & 699 Mechanical final 002699 -01 603- 5196199 Y G NL1/ Corrections /Comments /Instructions: .V z _ .(r 0 \ 01- 66' Y 0 )g(PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector:1K IA A) 15 1-4Z 0 L IG Date: 3 -Z - 0 ..) Phone #: (503) 718- 2 9