Permit CITY OF TIGARD MECHANICAL PERMIT
S • COMMUNITY DEVELOPMENT Permit#: MEC2015-00328
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/02/2015
Parcel: 2S112DD01600
Jurisdiction: Tigard
Site address: 15495 SW SEQUOIA PKWY 190
Project: ColumbiaSoft Subdivision: PACIFIC CORPORATE CENTER Lot: 4
Project Description: Moving grilles for(8)new offices.
Contractor: GOHMAN MECHANICAL Owner: PACIFIC REALTY ASSOCIATES
14505 SE HWY 212 ATTN: N PIVEN
CLACKAMAS, OR 97015 15350 SW SEQUOIA PKWY#300
PORTLAND,OR 97224
PHONE: 503-658-1892 PHONE: 503-624-6300
FAX: 503-658-6925
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/02/2015 $161.16
Class of Work: ALT Type of Const: Plan Review 06/02/2015 $40.29
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 06/02/2015 $19.34
Stories:
Project Valuation: $3,500.00
Fuel Air Handlers
Fuel Types: Units< 10000 cfm:
Gas Pressure: Units> 10000 cfm:
Furnaces Boilers&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 $220.79
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Grilles
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 questions to 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 lication c-ti\ltp FOR OFFICE USE ONLY
Received
IN City of Tigard Date/BY: •D ��� Permit No. l;C.l , - S'
• 13125 SW Hall Blvd.,Tigard,OR 97223
= Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 A1 ' % 915 Date/By: Other Permit: / `IC' O "I
T I G A R D Inspection Line: 503.639.4175 ��►v Date Ready/By.
MI.
n See Page 2 for
Internet: www.tigard-or.gov 11,31MIA Notified/Method Supplemental Information
TYPE OF WORD ry 1 `�iS1A R COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
.,'1';; � 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:$$3,500.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling IX Commercial/industrial ❑Accessory building For special information use checklist.
❑ Multi-family ❑Master builder ❑Other: Description I Qty. 1 Ea. I Total _
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: 15495 SW sequoia Pkwy#190 (requires site plan showingplacement) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000 BTU(ducts/vents) 46.75
Fumace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.:B Project name:Columbia Soft 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
Gas
Move ceiling grilles for 8 new offices fireplace 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
0 PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 23.32
Other: 23.32
Name:PacTrust Environmental exhaust and ventilation:
Address: Range hood/other kitchen
equipment 33.39
City/State/ZIP: Clothes dryer exhaust , 33.39
Single-duct exhaust(bathrooms,
Phone:(503-)624-6300 Fax: ( ) toilet compartments,utility rooms) 23.32 ,
❑ APPLICANT 0 CONTACT PERSON Attic/crawlspace fans 23.32
Business name:Lohman Mechanical, Inc. Other: 23.32
Fuel piping:
Contact name:Jeremy Hunt S14.15 for first four;$4.03 for each additional
Address: 14505 SE Hwy 212 Fumace,etc.
Gas heat pump
City/State/ZIP:Clackamas,OR 97015 Wall/suspended/unit heater .
Phone:(503)658-1892 Fax::(503)658-6925 Water heater
Fireplace
E-mail:jeremyngohmanmechanical.com Range
CONTRACTOR Barbecue
Business name:Gohman Mechanical,Inc. Clothes dryer(gas) •
Other:
Address: 14505 SE Hwy 212 MECHANICAL PERMIT FEES*
City/State/ZIP:Clackamas,OR 97015 Subtotal /J/./(/
Minimum permit fee($90.00)
Phone:(503)658-1892 Fax:(503)658-6925 Plan review(25%of permit fee) IV.
CCB lie.: 119952 State surcharge(12%of permit fee) - .31
TOTAL PERMIT FEE t •->f)„ ---------
Authorized signature: This permit application expires if a permit is not obtai d within 180
days after it has been accepted as complete.
Print name: Drew Gohman Date: (/0V/S * Fee methodology set by Tri-County Building Industry Service Board
I.V Building\Permits\MEC•PermitApp.doe 09/09/10 440.46171(11/02/COM/WEB)
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15495 SW SEQUOIA PKWY 190, TIGARD, OR,
97224
Commercial - Mechanical
699 Mechanical final
FAIL
MEC2015-00328
George Heimos
1. correct kinked flex return duct room 116, all else ok
2. recall inspection when completed
jeremy@gohmanmechanical.com
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15495 SW SEQUOIA PKWY 190, TIGARD, OR,
97224
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00328
Chip Barnett
Violation Summary:
Inspector Contractor