Permit (2) 11111 CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Pe
COMMUNITY MEC2020-00580
Date Issued: 10/21/2020
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1 S 135DA04600
Jurisdiction: Tigard
Site address: 11159 SW HALL BLVD
Project: Village at Washington Square-Building B Subdivision: 1998-038 PARTITION PLAT Lot: 1-2
Project Description: Radon mitigation for Building B.
Contractor: CASCADE RADON INC Owner: VILLAGE AT WASHINGTON SQUARE
12839 NE AIRPORT WAY LIMITED PARTNERSHIP
PORTLAND, OR 97230 BY CPAH
PO BOX 23206
TIGARD, OR 97281
PHONE: 503-421-4813 PHONE:
FAX: 503-281-6170
FEES
Specifics: Description Date Amount
Type of Use: MF Permit Fee 10/15/2020 $145.81
Class of Work: ALT Type of Const: VB Plan Review 10/15/2020 $36.45
Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Mechanical 10/15/2020 $17.50
Stories: 2 Info Process/Archiving-Sm$0.50(up to 10/15/2020 $4.50
11x17)
Project Valuation: $3,000.00
Fuel Air Handlers
Fuel Types: Electricity 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: 2 Vent Systems: Total $204.26
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
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 questions`to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ►..].-Ably, ",)eve_ Permittee Signature: �\ a,^�Mi tL4�V✓'1
\\\ ��, """ U �``/Caallll 55003.6`339.4175 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 IIIIIIIIIIEMMitifaiiillIll
City of Tigard _ Received 40 Jam — Permit No.:1 _c
+ 13125 SW Hall Blvd,Tigard,OR 97223 d f'" { / 4S
Phone: 503.718.2439 Fax: 503.59$1969 9 ", . at - l=<' Date/By: � Other Pemvr� ��/ 70
r;�..� � Datert3y '�-a� . a�
I I i;n F.I 1 Inspection Line: 503.639.4175 Date Ready/By. ions: B See Page 2 for
Wand: wwu.tigard-or.gov U 2 � 2020 Notifed/Method�C// /2) 4 0 "r Supplemental Information
AUG r ,_
(=i"l�i 1-- r�/MA�'f"
TYPE OF ___ COMMERCIAL. FEE* SCHEDULE- USE CHECKLIST
—-— ` Mechanical permit fees*are based on the value of the work
New construction ®Additiolt � bRt>lacemCnt performed,Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 3,000
CATEGORY OF CONSTRL'C'TION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling 0 Commerciallindustrial 0 Accessory building For special information use checklist
®Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
+lima SITE INFORMATION AND LOCATION HeatL lcao ing:
Air conditioning 1 46.75
Job site address: ,114&T SW Hall Blvd Furnace 100,000 BTU(ducts/vents) 46.75
City/StateiZLP: Tigard, OR 97223 Eumace 100,000+B1U(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg.!apt.no.: Bldg B Project name: 20-0072S.R1 i//i .0:1 Ductwork 23.32
Cross street/directions to job site: %jj ` f/(�� Hydronic hot water system 23.32
Residential boiler(radiator or
hyclronic) 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 appliance*.
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace'insert 33.39
Flue vent for water heater or gas
Radon Mitigation fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insect _ 23.32
Chimney/liner/flue/vent 23.32
® i PROPERTY OWNER l TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Community Partners for Affordable Housing Range heed/other kitchen
equipment 33.39
Address: 6380 SW Capitol Highway Clothes dryer exdiaust 33.39
City/State/ZIP: Portland OR 97239 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503) 481-4186 Fax:( ) Atticfcrawispace fans 23.32
iia APPLICANT 0 CONTACT PERSON Other: Radon Mitigation 3 23.32
Business name: Cascade Radon Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: Tamara Linde Furnace,etc.
Gas heat pump
Address: 12389 NE Airport Way Wall/suspended/unit heater
City/State/ZIP: Portland OR 97230 Water heater
Phone:(503) 421-4813 Fax: :( ) Fireplace
Range
LnSG
E-mail:: tamara@cascaderadon.com Barbecue
CONTRACTOR Clothes dr}vr(gas)
Other:
Business name:
Cascade Radon MECHANICAL PERMIT FEES*
Address: 12389 NE Airport Way Subtotal I
City/State/ZIP: Portland OR 97230 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone (503)421-4813 Fax:(
I State surcharge(I zi*of permit fee)
CCB lie.: 180537 Il TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
7qI' ���jjj days after it has been accepted as complete.
Authorized signature: / �4,1.1 s^! C • Fee methodology set by Tel-County Building Industry Service Board
Print name: Tamara C Linde Date: 8/25/2020
I:1Building\Pennits\MEC PzmutApp_040113,doc 440-4,171('11/02/COM/WER)
Mechanical Permit Application - City of Tigard
Page 2- Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
t:\Building\Permits\MEC_PennitApp_040113.doc 2