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Permit n CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit #: MEC2013 -00154 T I G ARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/26/2013 Parcel: 2S112DD01600 Jurisdiction: Tigard Site address: 15495 SW SEQUOIA PKWY 140 Project: A Common Thread Subdivision: PACIFIC CORPORATE CENTER Lot: 4 Project Description: Modify duct for new floor plan Contractor: PROTEMP ASSOCIATES INC Owner: PACIFIC REALTY ASSOCIATES 9788 SE 17TH AVE ATTN: N PIVEN PORTLAND, OR 97222 15350 SW SEQUOIA PKWY #300 PORTLAND, OR 97224 PHONE: 503 - 233 -6911 PHONE: 503 - 624 -6300 FAX: 503 - 238 -9767 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 03/26/2013 $112.04 Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 03/26/2013 $13.44 Occupancy Grp: Occupancy Load: Stories: Project Valuation: $1,900.00 Fuel Air Handlers Fuel Types: Units < 10000 cfm: Gas Pressure: Units > 10000 cfm: Furnaces Boilers 8 Compressors Furnaces < 100K BTU: 0 -3 HP: Furnaces >= 100K BTU: 3 -15 HP: Floor Furnaces: 15 -30 HP: Unit Heaters: 30 -50 HP: • Vents w/o Appliances: 50 or Greater HP: Air Conditioning: Heat Pump: Appliances Vent Fans: Vent Systems: Total $125.48 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: Fire /Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questio OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: j Call 503.639.4175 by 7:00 a.m. for the next available inspection date. 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. Mechanical Permit A licatio FOR OFFICE USE ONI.\ EIVED Received City of Tigard Date/By: 3 - P erm it • No. 1 �O(3 . S 11111 - • 13125 SW Hall Blvd., Tigard, OR 97223 • Plan Review Phone: 503.718.2439 Fax: 503.598.1960 MAR 2 0 2013 Date/By: Other Permit: iyQ p A 3 —&oo5r Fl G A R D Inspection Line: 503.639 Date Ready /By: luris: ® See Page 2 for Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method: 3/? (42(i.3 - f C Supplemental Information RUH DING DIVISION 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. Value: $ $1,900.00 CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: 15495 sw sequoia pkwy (requires site plan showing placement) 46.75 Furnace 100,000 BTU (ducts/vents) 46.75 City/State /ZIP: Tigard Oregon 97224 Furnace 100,000-f BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: 140 Project name: A Common Thread Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: Duct work 23.32 Hydronic hot water system 23.32 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Subdivision: Lot no.: Flue /vent for any of above 23.32 Other: 23.32 Tax map /parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater 23.32 modify duct for new floor plan Gas fireplace /insert 33.39 Flue vent for water heater or gas fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace /insert 23.32 ❑ PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 23.32 Other: 23.32 _ Name: Environmental exhaust and ventilation: Address: Range hood/other kitchen equipment 33.39 City/State /ZIP: Clothes dryer exhaust 33.39 Phone: ( ) Fax: ( ) Single -duct exhaust (bathrooms, toilet compartments, utility rooms) 23.32 ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Business name: Protemp Associates Other: 23.32 Fuel piping: Contact name: Bruce Butner $14.15 for first four; $4.03 for each additional Address: 9788 SE 17 Ave Furnace, etc. Gas heat pump City /State /ZIP: Milwaukie Or 97222 Wall /suspended/unit heater Phone: (503) 519 -6199 Fax: : (503) 238 -9767 Water heater Fireplace E -mail: bruce@protmp.com Range CONTRACTOR Barbecue Business name: Same as above Clothes dryer (gas) Other: Address: MECHANICAL PERMIT FEES* City /State /ZIP: Subtotal Phone: ( ) Fax: ( ) Minimum permit fee ($90.00) Plan review (25% of permit fee) CCB lic.: 38868 State surcharge (12% of permit fee) TOTAL PERMIT FEE / j Lly Authorized signature: This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. Print name: Bruce Butner Date: 3/20/13 " Fee methodology set by Tri -County Building Industry Service Board 1:\Building\Permits\MEC- PermitApp.doc 03 /07/12 440- 4617T(11 /02 /COM/WEB)