Permit (168) CITY OF TIGARD• MECHANICAL PERMIT
1111 -4.11COMMUNITY DEVELOPMENT Permit#: MEC2019-00310
TIC;AR f) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/16/2019
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY 150
Project: Financial Investments Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Relocating ducts and grills for TI.
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 05/15/2019 $124.32
Class of Work: ALT Type of Const: Plan Review 05/15/2019 $31.08
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 05/15/2019 $14.92
Stories: Info Process/Archiving-Lg$2.00(over 05/15/2019 $4.00
11x17)
Project Valuation: $2,255.00
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 Fumaces: 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 $174.32
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 coy of the rules
or direct questions to OUNC by calling 501,32.1987 or 1.800.332.2344.
Issued By: 40 J� 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 Application FOR OFFICL l SF()NIA
City of Tigard Received
CEIVED
Date/Ely: / ,q7)._ Permit No.: 1 E -3
13125 SW Hall Blvd.,Tigard,OR f L 5- / l r � t`� /_et)
�
1:1111111
Plan Review
' = Phone: 503.718.2439 Fax: 503. •8. •.1
DaDate/13y:y: A/ C % other Permit:
/r? intjo
"L
2 %L1Inspection Line: 503.639.4175TIGARD MAY 13 2019 Date Ready/By: JursS See Page foil
Internet: www.tigard-or.gov Notified/Method: //it t1 ho a,.' Supplemental Information
CITO TIGARD
--„,.:--44-.7.4-'4.,,s „ a „.7,74,,,,,,,,,-44„,,,„.4..,..i,...,,,„;,,,,i . � r ” M. °',`
°' ,r ',' � ". I _ " ,�` . ` . > "Mechanic permit feesare based on the value
of e work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value�$$2,255.00
w 1ll11N`I�AI.�E� ` 1 SYS3'EMS' ES� ,
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total
JOB art mo tMATUON AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:15350 SW Sequoia PKWY Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard Oregon 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.:150 Project nam Dia_gvtr�d!1� t„,(0, ., Duct work 23.32
Cross street/directions to job site: Viii 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
Gas fireplace/insert 33.39
Flue vent for water heater or gas
Relocate duct and grills per plans fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
PRQPERTY O NER 0 TEN
Environmental exhaust and ventilation:
Name:Pactrust Range hood/other kitchen
equipment 33.39
Address: 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 " El co l'rAcr PERSON " Other: 23.32
Business name: Fuel piping:
;t/�►� A5 4 f&'—( $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: Barbecue
CONTRACTOR , Clothes dryer(gas)
Business name:Protemp Associates Other:
MIA1 cA.LPERI" 's*
Address:9788 SE 17th Ave Subtotal
City/State/ZIP:Milwaukie Oregon 97222 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)519-6199 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: ‘1 �� * Fee methodology set by Tri-County Building Industry Service Board
Print name:Bruce Butner Date:5/13/19
I:\Building\Permits\MEC PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
15350 SW SEQUOIA PKWY 150, TIGARD, June 11 , 2019 at 10:37:44 AM
OR, 97224
Record Type: Record ID:
Commercial - Mechanical MEC2019-00310
Inspection Type: Inspector:
699 Mechanical final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor