Permit (46) CITY OF TIGARD MECHANICAL PERMIT
II COMMUNITY DEVELOPMENT Permit#: MEC2016-00528
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/15/2016
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY 240
Project: Financial Planners Northwest Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: (1)water source heat pump in conference room,modify duct work.
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:
FAX: 503-238-9767
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/15/2016 $158.09
Class of Work: ALT Type of Const: IIIB Plan Review 08/15/2016 $39.52
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 08/15/2016 $18.97
Stories: Info Process/Archiving-Lg$2.00(over 08/15/2016 $4.00
11x17)
Project Valuation: $3,340.00 Info Process/Archiving-Sm$0.50(up to 08/15/2016 $2.50
11x17)
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: 1
Appliances
Vent Fans: Vent Systems: Total $223.08
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
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 di questions • •UN ailing 503.232.1987 or 1.800.332.2344.
Is ued By: / AO Permittee Signature:
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 Applicatipn. FOR OFFICE I.SE()Nil
City of Tigard -; 1 '" Received GG nq '^''`
8 i
. . w Date/By: 7 ,i(1 h, Permit No.: M C C�C!I60-,,5;94
13125 SW Hall Blvd.,Tigard,OR 97223
Plan Re
Phone: 503.718.2439 Fax: 503.598.1960 i
Inspection Line: 503.639.4175JUL2"j Date/By: - �� i r Other Permit /� A_ _66a�
T I G A R D p - (1 Date Re.,. : Juris: H See Pa
Internet: www.tigard-or.gov Notified/Method:�j' Page for
d /5� ,,,,i, Supplemental
Information
TYP ), ifJ.BIONOthrI t c.0 / RCIAL FEE* SCHEDULE — USE Cli.ICKLiST
❑New constructionMechanical permit fees*are based on the value of the work
Z Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$$3,340.0(1
0 1-and 2-famil RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
y dwellin g ®Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family 0 Master builder
0 Other: Description Qty. Ea. Total
JOB,SITE INFORMATION AND LOCATION Heating/cooling:
Job site address:15350 SW Sequoia Pkwy
Air conditioning 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard Oregon 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.:240 Project name:Financial Planners NW Heat pump 61.06
Duct work 23.32
Cross street/directions to job site: 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
Flue/vent for any of above 23.32
Subdivision: Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK' Gas fireplace/insert 33.39
Flue vent for water heater or gas
1-Water socuce heat pump in conference room,Modify existing duct work fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0 PROPERTY OWNER Other: 23.32
0 TENANT
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
Address: equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT 0 CONTACT PERSON Other: 23.32
Business name: Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail:bruce@protmp.com
Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Protemp Associates Inc. Other:
MECHANICAL PERMIT FEES*
Address:9788 SE 17th Ave
Subtotal
City/State/ZIP:Portland Oregon 97222 Minimum permit fee($90.00)
Phone:(503)519-6199 Plan review(25%of permit fee)
Fax:(503)238-9767 State surcharge(12%of permit fee)
CCB lie.:38868 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: �� ! ei...„. ---
* Fee methodology set by Tri-County Building Industry Service Board
Print name:Bruce Butner Date:7/21/16
I:\BuildingWermits\MEC PermitApp_040113.doc 440-4617T(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
15350 SW SEQUOIA PKWY 240, TIGARD, OR,
97224
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2016-00528
Chip Barnett
Violation Summary:
Inspector Contractor