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Permit CITY TIGARD MECHANICAL PERMIT ` DEVELOPMENT SERVICES PERMIT #: MEC2004 -00813 '41 DATE ISSUED: 12/23/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112DD -00701 SITE ADDRESS: 15820 SW UPPER BOONES FERRY RD BLD.B SUBDIVISION: OREGON BUSINESS PARK II ZONING: I -P BLOCK: LOT: JURISDICTION: TIG 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: 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: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: (1) 2 ton roof top package & (1) 3 ton package w/ duct work and gas piping. Owner: FEES PACIFIC REALTY ASSOCIATES Description Date Amount 15350 SW SEQUOIA PKWY #300 -WMI [MECH] Permit Fee 12/14/20( $232.85 PORTLAND, OR 97224 [MECPLN] Plan Rev 12/14/20( $58.21 [TAX] 8% State Surcharl 12/14/20( $18.63 Phone: Total $309.69 Contractor: PROTEMP ASSOCIATES INC 9788 SE 17TH AVE PORTLAND, OR 97222 REQUIRED INSPECTIONS Phone: 233 Gas Line Insp Mechanical Insp Reg #: LIC 38868 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -6699. Issued By: Permittee Signature: Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day Is t Frxo SW UcP►.cr 13olh lEY Ul Mech Permit Application r _ FOR OF U O -' Ci O1 Tigard Received � p erm[[ f o. 13125 SW Hall Blvd , Tigard, OR 97223 DateBy /� 'ft' &�e'i) y o ayl- pi �� O � Plan Review Other Permit Phone 503 639 4171 Fax. 503 598 196 v L:bmi�o tiDate/By �Z � a 0 4, Ins Inspection Line 503 639 4175, .1 Date /By . E � � Date Ready/By lora y I / See Page 2 for Internet www ci tigard or us Notified/vlethoda J. ( i� - / G Supplemental Information DEC 1 1004 A--e- , � � "- (d ' ": t . -: - i, "'` TYPE ',OF '-WORW •" — •. l` -' - (, . -, _: . `.C.OMMERCI'AL ,FEE---..SCHEDULE = ' USE. CHECKL1ST Cril ❑ New construction " � ti p8i5Kinent Mechanical permit fees are based on the value r the work performed Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other mechanical materials, equipment, labor, overhead, and profit .� ,'is' f'$' ' %CATEGORY'iOF ; r _ P, Value $ f oe 1 and 2 dwelling CornmerciaUmdustrial Accessory building 1 ' # "�RESID) QUIPhIEN /� SYSTEMS,FEES ❑ Multi - family M builder For special information use checklist y ❑ ❑Other: Description Qty Ea Total -',;'= ;ct• "' ::Y'. ''''- ; SITE'INWEORMATION.`':AN11i LOCATION. A =( "l;','° ; -i' 4- HeatinWcooling Job site address: tJ O 2 O S6J (�/3/4/..- A s J 4 Air (requires site plan or heat pump x' , () (requires site plan showing placement) 14.00 City/ State/ZIP. yip - 4_0 d�� 9 7e r Furnace 100,000 BTU (ducts/vents) 14 00 Suite/bldg. /apt. no. Q J l��L/� 5, j- �� r n Furnace 100 BTU (ducWven[s) 17 90 Pro ect name. 0 Gas heat pump 14 00 Cross street/directions to job site Duct work 14 00 • n d RCj e) /U1' /��I /'4tk R esiden ti hot water (radiator 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 '>' a 1,' :�s •,. ='g, f�:V 14 :x; ;4)'g , °i [', 'ti'?a•','., - ,_, rrt W •yy,,:;; 4f,. heater 10 00 .1 ,,, ; mv, , ._;DESCRIETION ,,, R,,,-; 4. s , - a; i:, -., • " _,", cif Water h , .kN; . ° "';; :t •:',:rj =r•s+ .nM;!. :' �,.w $:r/�,.`` - s? u."s'• 'r r h T?r�k'��. � �, ri,. s s> � •,. ..,•..:..,• -• -�: ::_,� I? .. s ,� ix:;,,, m' u Gas fireplace 1000 / 2 lb 40 / Dyo /gA[.f('af e 0,t-) / r ,4) [) / - -? A-) Flue vent for water heater or gas P /t' 3 y t} � i /, i D 0 C IC to Ona'6 ,Q-�✓� �>.>ro -f fireplace 10 00 J Log lighter (gas) 10.00 (, i 5 Wood/pellet stove 10 00 Wood fireplace /insert 10 00 sc „] ,, F ,��-.] A• •# m4r; 3 t - sin - .�:;._ .;., Chimney/liner/flue/vent 1000 7 +'I r� f' �;fx � ] � ,��,.' , 7''- :�$' �;, ti.:•tTJ�' r ?'t w� =�';h, Y .A�5 , ti ll,' :ER'OEER OWNIE `41.f. - 0'c` i,` , r .s;•_.,,: I ' aTE N AN T , tk•:,, -r, " +, ,... .._. ... ,+,.��`..�kd:�•ttN, -•lh• - , .- .. , ai,. �:a`' i37::E:SC�.� Other 1000 Name: sA" /4 ...,1 1/C. 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 r `,'._,�"' ?7r .• - r G5 rr_+ ri.� 4t ucrn :.7 • �.w:.vs._:�_• :;r „z - r ..s,+ rep: [.=' 1 � ``` > .: fi r. ' t - ,;c 4- „;, <, - az • -1 1: v A ttic /crawlspace fans 10 00 t:.V. : i �' 1µs;:r -. x ' ; EL'ICAN-'I`_� - - °_ N . ;CONTACT E_RSON5,Ala,- ,.:,.,:11 . !, ..., , ._ : "�_: .., �••t•;, �r•Ic „.r�J- .. ,.... _ . P -. _. _ .•..::.bin,• „� , i T Other 10 00 Business name: P R 0 '7.. A S S � f � /�) t . . . . / _ , R , t - / Fuel piping Contact name: 6A V 4 Q L i nr, . $5.40 for first four; $1.00 for each additional Address: �I' 78 g' t /, I / ' 4 �,y_ Furnace, etc Gas heat pump City/ State/ZIP: Paz/ 0 972-2. Z., Wall /suspended/unit heater Phone: ( 5 4 3 ) 5' 9 _. 6 7 9 Fax:: (6 Q j) 2J S -9 7 6 J Water heater Fireplace E - mail: Range 4 ' ” .,'v;', =ti g , i l,',4 9., , . Pri'r_i +a- _ x:'' i g gi a• p r , ..l,,. "17Y 'zlrr � n4 *R r 4 ¢ - •]',k a '.. ) •,i -: , "rV - C ©IYsGR'A,CTOR;� P irr "..` -e�.. '`''” i rl-- r,' Barbecue :; +.>�$�i�;5b; • (i, +,c'`.�_ j :xle.:'2%t' -i� >' :'1• • ro• Y7 � SJ .°-.v (., r � r�'e ": { krill-- -F_ .a•..rvew, x?''..grai' )4=n <. R!S "`r::-G'�iS'2 �V 9•.:' _i�A:"n'..' Clothes dryer (gas) Business name: S'4M t_ ALs" 4/3lJ" - Other: Address. "i � r' " ME. CH' AN1CAIiRER11'ILf,FEES,.';'` `', - . City/ State/ZIP Subtotal 3Z •13 Phone. ( ) Fax ( ) Minimum permit fee ($72 50) Plan review (25% of permit fee) , Z- ) CCB lic.: 3 + State surcharge (8% of permit fee) � .7 TOTAL PERMIT -y A This pe rmit application expires if a permit is not ouwr n�. . Authorized signature:ez °' days after It has been accepted as complete. Print name: 8R U t. /2 ✓ ; ,m Date: it - /G./ "O-Li • Fee methodology set by In- County Building Industry Service Board I \Bu,lding\Permus \MEC- PemstApp doc 12/03 440 -4617T (I I /02/COM/WEB) CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPEOTION_DIVISION Business Line: (503) 639 -4171 MST p' BUP Received Date Requested / — Z o AM PM BUP ' "l��!: ►`. � c '� Location �s� a U �� Suite MECeRDO Y — 008 f Contact Person Ph ( / 1 — � o l 9 ? PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear ® -., C � �� - �Framing _ I r . . sulation MP" Drywall Nailing Firewall Fire Sprinkler • II , �� �� ` IN Fire Alarm Susp'd Ceiling Roof Oth� 011 • ART FAIL G Post & Beam Air Water Service / Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Smi..e Dampers G o PART FAIL TRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please cal or rein- s ection RE: ❑ Unable to inspect — no access Fire Supply Line 1► ADA Approach/Sidewalk Date .9 Inspe ctor J Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL