Permit A w
CITY OF TIGARD MECHANICAL PERMIT
liA DEVELOPMENT SERVICES PERMIT #: MEC2005 -00540
� �' II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/9/2005
PARCEL: 2S112DD -01600
SITE ADDRESS: 15495 SW SEQUOIA PKWY 140 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG
Project Description: Install (1) roof top unit, replace duct & grilles. Valuation: $38,500.
CLASS OF WORK: OTR 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: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS
FURN > =100K BTU: < =10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 -WMI [MECH] Permit Fee 9/9/2005 $616.25
PORTLAND, OR 97224 [MECPLN] Plan Rev 9/9/2005 $154.06
[TAX] 8% State Surchar€ 9/9/2005 $49.30
Phone: 503 624 - 6300 Total $819.61
Contractor:
GOHMAN MECHANICAL INC
412 S BEAVERCREEK RD., STE 602 REQUIRED ITEMS AND REPORTS
OREGON CITY, OR 97045
Phone: 503 650 - 1588
Reg #: LIC 119952
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and
all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not
started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1- 800 - 332 -2344.
Issued By: - 22, S 'l Permittee Signature: �
Call 503 - 639 -4175 by 7:00 a.m. for inspections th- business .ry.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
t 9P5sw Sfrlo a. Q T Y
Mechanical Pertiviit Application pi , . . FOR OFFICE USE ONLY
City 5 SW a . . CEIVE D tamReceived Permit No.
7�� ~ y: - 3i - �2' �Ec0,296190-.5
13 125 Svi Ha Blvd., Tigard, OR 9 Plan Review 0
Phone: 503.639.4171 Fax: 503.59 .1 dam, � DateB I Other Permit: (�
Inspection Line: 503.639.4175 67111 Date Ready y: luris: 0 See Page 2 for _ mil
Internet: www.ci.tigard.or.us A:, u i I LOO Notified/Method: i' l &" Supplemental Information
4
1: .. - 'f+iY - nY�' :� -• .. •q'C:r =p"•5/ ' •.t -
f . r rt; , 5/ ,2 4.... , ' «:; ,<_ . r`FFP* :SCHED ` ULE - CHECKLIST
r • �. - .� ' ;?<• i s aYec4 : :�- `r� / ;��.._'_.. �;' -._ ��`:�- `ts. �"�' �c:ar�?� 3�-,'O Y ... -.RCIA`L" - - ---- - ',U$E, 0\ ❑ New construction [EAU on/ terr Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
. t,e� 5- fi A -- �repap+...x- v � - /aa rr e S gi w z f•: a�tui+ Y: ::ems_ Value: $ `�� 1 . 1- ''''' PFi3O .$14 :4W.:CA"IgGOR1y �` r"rGONS liti0IO- -14 '' f rig ` •. _ )-
k ,'''''. . ,, -"-- ''' *a' -N: '' ...J. -:+' V,- '-' <' - ..tt '' .. -- ?:'•:r.�-_.e �
�i : 1`
' " "` - = ` •�RESIDEI�TTP►I:tQUTPMEIVT /_SYSTEMS FEES *
1:1 1 - and 2- family dwelling a• Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
t'' ``� - " 'JI3 lr N - T O AND:L•OC � 'r ' i"y�' _ , {'J : Heating/cooling
9i, 'K, }� .4 O n Si! _ -�� . �!�... -.v - O , l ,F 7 � .- •'. -. -' wi "
t•- i1 ,,,�'
Air conditioning or heat pump
lob site address: Q �,
t�-+-gS- r A (fit IPV---or (requires site plan showing placement) 14.00 E.
- Ti n t � ��'
Furnace 100,000 BTU (ducts/vents) 14.00 E.
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: /. V O Project name:
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), V
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
: - -. r .. -�'c ; * • = - .. ; F,'.,`.?± Water heater
- E ,�. .. t 10.00
�`£ :` • y.tg
tf=' : .: -DSCRIPTIQ1,0,t TWO tk�- F ..:t� a' ?a"X; � _ ° ; -,
-
- . rn. '.'� - :�- '.�.jt - --r °-. .. _.. _ ._ i- - ^.rte.: , �: s . s ~.7•�:'.,,.t••!`a.. -m• ;
( . ( Gas fireplace 10.00
i t∎- - t -4 •(• 1 \ iIa Lk tJ tV) j 2.q AM 1 1,1e� Flue vent for water heater or gas
n fireplace 10.00
i- 1 ' S) Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
�_ F . _ :. T• T ., , , . Chimney /liner /flue/vent 10.00
[t ''i./. : PROPERTY OWIawERAi7I: y : ' i . ` :; r ` : %,❑ _ i. ', t 4 10.00
-- ... « ... �� `� .: <:. � _ .. , - Other:
Name: Environmental exhaust and ventilation
Address: Range hood /other kitchen
equipment 10.00
City/State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
. •; ,3. � r i1 R 14 't Attic /crawlspace fans 10.00
- 'i::.t ~;�' - ' ' ❑:'AP�PI:ICANT � - - ^ - -- . `'�"' ,. :,�'� +�COI�TACT�•�PERSON_:: •,
� ,.
_ - Other: 10.00
Business name: Gohman Mechanical, Inc.
_ Fuel piping
Contact name: Mark Gohlnan . $5.40 for first four; $1.00 for each additional
Furnace, etc. I
Address:
412 S. Beavercreek Rd. #602 Gas heat pump
City/State/ZIP: Oregon City, OR 97045 Wall/suspended/unit heater
Phone: ( Fax: ( ) Water heater
503 650 -1588 503 655 -0514 Fireplace
E -mail: mgohman@gohmanmechanical.com Range
_ - - '.. ' -I .' " - ' -7 ; :. . rs- z vc ,- , ', • _`C '• re:`.i ;.
•L' :i". , F;, :� ; r ;; :�' ,UIITT T ,; s r.. i; . ' r= : .,"..4. ., ! Barbecue
_ . _ ._ .. . °C ._ _ • . . _ .- _ •.'R r t e _ - . i
Business name: Gohman Mechanical, Inc Clothes dryer (gas)
Other:
Address: 412 S. Beavercreek Rd. # 602 ; ;'A rAvAECHANICALYERMUF;EES, * -= .
City/State/ZIP: Oregon City, OR 97045 Subtotal
Phone: ( 503) 650 -1588 Fax: ( 503) 655 -0514 Plan permit fee ($72.50) � /6, As
an review (25% of permit fee) I 9, a&
CCB lic.: Oregon 119952 State surcharge (8% of permit fee) 5/9 3
Authorized signature: /;5,...,d �F _ TOTAL PERMIT FEE 819, ‘ This permit application expires if a permit Is not obtained within ISO
�� days after it has been accepted as complete.
Print name: ),../„4„:-/ -04,r/W7/4e--, .{- Date: 5?" 3/ ez • Fee methodology set by Tri- County Building Industry Service Board
i.\Building\PermitAMEC- PcmitApp doc 12/03 440 -4617T (I 1 /02/CO3/1/WEB)
Mechanical Permit Application - City of Tigard M ,.
Page 2 - Supplemental Information
Commercial Fee Schedule:
�r'rotalYaluafign: �= ;r . Pe`r. "it..F ' :
•
I 14.'"&4 : ='
$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
thereof, to and including $5,000.00.
$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
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$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.
i:\Buildins\Permits\MEC- PermitApp.doc 12/03 2
CITY OF TIGARD -__________,
BUILDING DIVISION PERMIT #: MEC200500540
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/9/2005
Phone: (503) 639 -4171 A 4 1t
Inspection Requests (24 Hrs.): (503) 639 - 4175
INSPECTION WORKSHEET FOR DATE: 10/13/2005 TIME: 7:04AM PAGE: 47
SITE ADDRESS: 15495 SW SEQUOIA PKWY 140 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: AIG
DESCRIPTION: Install (1) roof top unit, replace duct & grilles. Valuation: $38,500.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503-624 -6300
CONTRACTOR: GOHMAN MECHANICAL INC PHONE #: 503-650-1588
Inspection Request Scheduled For: Date: 10/13/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 018243-01 503-650-1588 N
Corrections /Comments/ Instructions:
r,
Air J
nom r ' �—
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONA FEE ASSESSED
Dl
Inspector: Date: l ` ✓ P hone #: (503) 718-