Permit If _. 'N. .
CITY TIGARD MECHANICAL PERMIT
h , o DEVELOPMENT SERVICES PERMIT #: MEC2005 -00465
cal 13125 SW Hall B Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/16/2005
PARCEL: 2S112DD -01600
SITE ADDRESS: 15575 SW SEQUOIA PKWY 130 ZONING: I -P
SUBDIVISION: PACIFIC CORP. CENTER LOT: JURISDICTION: TIG
Project Description: Reduct existing 7 ton RTU. Add 2 ton gas pack, controls piping and duct work. Value: $4700.00
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: 1
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:
GAS 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: 1 OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 -WMI [MECH] Permit Fee 8/16/200: $134.60
PORTLAND, OR 97224 [MECPLN] Plan Rev 8/16/200f. $33.65
[TAX] 8% State Surchar€ 8/16/200f. $10.77
Phone: 503 624 - 6300 Total $179.02
Contractor:
PROTEMP ASSOCIATES INC
9788 SE 17TH AVE REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97222
Phone: 503 - 519 - 6199
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: Permittee Signature: 4?,tt4 4 i.t,
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.
/S$7 j SA) S'Ati Ot 4 t)Gw?
/ `� ical Permit Application rh6 FOR OFFICE USE ONLY ` ¢
CII�' of Tigard Receive. �� 1 e r PermitNo. _ , / ,., /
� / _ Date/By: di j ai!
13125 SW Hall Blvd., Tigard, OR 97223' t �IJ/ N� /
Phone: 503.639.4171 Fax: 503.598.1960 D ' / /
�w I itf. ateBy: � /d O Q� Other Permit:
Inspection Line: 503.639.4175 �' ,^ . LJ e•I i i Date Ready ' . / f` lnris See Page 2 for
ard.or.us
Internet: www.ci.ti �� ����
g � Notified/Method: g /S 0,5 / Supplemental Information
f,.
TYPE OF WORK 11/14 !c COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction , Addition/alteration/replacement 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.
CATEGORY OF CONSTRUCTION Value: $ / 76 B, Oa
1- and 2-family dwe 'rig RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ y g ❑ Accessory building
Master builder For special information use checklist.
Multi -famil
❑ Multi-family ❑ ❑ Other:
Description I Qty. I Ea. I Total
JOB SI INFORMATION AND LOCATION Heating/cooling
Air conditioning or heat pump
L j
Job site address: j - - a hQ //¢ / / y / ( req uires site plan showin g placement) 14.00
City/State /ZIP: /!� ace_ a, y / Furnace 100,000 BTU (ducts/vents) 14.00 . .
y
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: ??� ect name p
Pro FX/ i / G wa/:/e Gas heat pump 14.00
Cross street/directions to job ste: 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 L IST
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00 -
‘ / Gas fireplace 10.00 - -
L /Uc t j (c • /1l) , / — Z15,04 Flue vent for water heater or gas
61} -,s' Ae-trc R r / e ' a �s+� (% 6-As- flgp�. k r �4..rr
fireplace 10.00
ti Log lighter (gas) 10.00
'uLr •Oit-/C Wood/pellet stove 10.00
Wood fireplace /insert 10.00
❑ PROPERTY OWNER I ❑ TENANT Chimney /liner /flue /vent 10.00 —
Other: 10.00
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
S' APPLICANT [.CONTACT PERSON Attic /crawlspace fans 10.00
_ Other: 10.00
Business name: f}S'S'OG
�� �j10 S Fuel piping ., -
Contact name: git jlv Ne...- h- $5.40 for first four; $1.00 for each additional -
� ? �� / Gas hea
Address: pump
/ se_ � � % 47.,..,...._ Gas heat pump
City/State /ZIP: .� Wall/suspended/unit heater
a.� , l�-u O � 9 7 Z Z-� p
Phone: Oa ) 6"7 S �-C7 7 Fax:: (563) 7pi ? Water heater
Fireplace
E -mail:
Range
CONTRACTOR Barbecue
n Clothes dryer (gas)
Business name: Ji9 -
Other:
Address: MECHANICAL PERMIT FEES*
City/State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) /'9r l'o4—
� Plan review (25% of permit fee) 334-.
CCB lic.: ??,C Er State surcharge (8% of permit fee) 10 7 7
TOTAL PERMIT FEE
Authorized Signature: This permit application expires if a permit is not obtained w it n-180 -1
days after it has been accepted as complete.
Print name: �_ �� ��� _ D ate: • 1? — , - ,� — Fee methodology set by Tri- County Building Industry Service Board _
is \ Building \Permits \MEC- PermitApp.doc 12/03 440.4617T(I1 /02/COM/WEB)
CITY OF TIGARD �� --
BUILDING DIVISION PERMIT #: MEC2005 -00465
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/16/2005
Phone: (503) 639 -4171 fa Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/8/2005 TIME: 7 :09AM PAGE: 75
SITE ADDRESS: 15575 SW SEQUOIA PKWY 130 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: MCPC INC
DESCRIPTION: Reduct existing 7 ton RTU. Add 2 ton gas pack, controls piping and duct work. Value: $4700.00
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503.624 -6300
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503-519 -6199
Inspection Request Scheduled For: Date: 9/8/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Messa.e
699 Mechanical final 015138 -01 503 - 519 -6199 411/1)
Corrections/Comments/Instructions:
J
/ /' vi li-j-'
, r
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: qi. () Date: 9 /V / Phone #: (503) 718-