Permit 1111 CITY OF TIGARD MECHANICAL PERMIT
e COMMUNITY DEVELOPMENT Permit#: MEC2020-00582
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 3/10/2021
Parcel: 1 S135DA04600
Jurisdiction: Tigard
Site address: 11163 SW HALL BLVD
Project: Village at Washington Square-Community Building Subdivision: 1998-038 PARTITION PLAT Lot: 1-2
Project Description: Radon mitigation for Community Building.
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 $99.76
Class of Work: ALT Type of Const: VB Plan Review 10/15/2020 $24.94
Occupancy Grp: A-3 Occupancy Load: 12%State Surcharge-Mechanical 10/15/2020 $11.97
Stories: 1 Info Process/Archiving-Sm$0.50(up to 10/15/2020 $3.00
11x17)
Project Valuation: $1,500.00
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 $139.67
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: / Permittee Signature:
�•e'++ Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application 11111111111111=116iiiiiilla
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City of Tigard 7 _ � ' 1 � �,i� 13g: —r�'��f"„ •i',/� ,Permit Fio.:m/2E.9 j th
13125 SA111411 Blvd.,Tigard,OR 9,221 an ltm w t� '
tIPI Phone: SU3.718.2439 Fax 503.598.1960 ) Datenv: 9,.J—p .9 Other Pemut: 7
T I G A R D Inspection lane. 503 639.4175 ,�t5 2020 Date ReadviPy: / tots: �( Seed igo 2 tr
Internet. www.tigard-or.gov cur, Notifeda'Methai:/it//y j,_, /br ! Tier Supplemental Information
TYPE OF WORi' ,.. ,10i\14''''tn1-4"` / FEE' SCHEDULE— USE CHECK IST
Mechanical pennit fees'are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 1500
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/S`rMMS FEES*
❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist
®Multi-family 0 Master builder 0 Other: Description I Qty. Ea. Total
///4O3 JOB SITE INFORMATION AND LOCATION lieatinglcooling:
...err Air conditioning 46.75
Job site address: �r.r�r5r SW Hall Blvd Furnace 100,000 Bill(ducts/vents) 46.75
City/State/ZIP: Tigard, OR 97223 Furnace 100,000+Bit(ducts/vents) )491
20-0072S.R1 �� / Heat pump 61.06
Suite bldg./apt.no.: Community Bldg Project name: V I if Zr,.(if Duct fork 23.32
Cross street/directitms to job site: o l VYs V no, 'C Hydronic hot utter system 23.32
(/ Residential boiler(radiator or
hvdronic) 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: I Lot no.: er' 23.32
Oth
Other fill appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas tireplace'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/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER Other: 23.32
TENANT Environmental exhaust and ventilation:
Name: Community Partners for Affordable Housing Range hood/other kitchen
equipment 33.39
Address: 6380 SW Capitol Highway Clothes drover exhaust 33.39
City/State/ZIP: Portland OR 97239 Single-duct exhaust(bathrooms,
toilet compartments.utility rooms) 23.32
Phone:(503) 481-4186 Fax:( ) Attic/crawkspace fans 23.32
® APPLICANT 0 CONTACT PERSON Other: Radon Mitigation 1 23.32
ng:
Business name: Cascade Radon Fuel
$14.15 for first four;$4.03 for each additional
Contact name: Tamara Linde Furnace,etc.
Gas heat pump
Address: 12389 NE Airport Way WalVsuspended font heater
City/State/ZIP: Portland OR 97230 Water heater
Phone:(503) 421-4813 I Fax: :( ) Fireplace
Range
&mail. tamara@cascaderadon.com Barbecue
CONTRACTOR Clothes dryer(gas)
Other.
Business name: Cascade Radon
AiECiIANICAL PERMIT PEES*
Address: 12389 NE Airport Way Subtotal I
City/State/ZIP: Portland OR 97230 Minimum permit fee($90.00)
( 1 9 _dAi4 Fay: ) Plan review(25%of permit fee)
Phone
F03)4_1 1 - State surcharge(1 2%of permit fee)
CCB lie.: 180537 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: 7' , , C . Fee methodology set by Tri-County Building Industry Service Board
Print name: Tamara C Linde Date: 8/25/2020
1:1BnildhgWemtits\MEC_Pemri(App_040113.doc 440-4617r(I I/0M/COM/WEB)
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.
Nennnnl $1n00A00 TnnAn1 t__at_first Pennn 0�n J
.'J,VVV.VI trl.pi V,VVV.VV .J1GV/.G11V1 the IUSL.IJ,VVV.V J 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.
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