Permit 71 CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Pe
COMMUNITY MEC2021-00307
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 6/8/2021
T t{ li O 9 Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9681 SW WASHINGTON SQUARE RD C06
Project: Fabletics Subdivision: None Lot: None
Project Description: Provide and Install air distribution
Contractor: OREGON HEATING&AIR CONDITIONING LLC Owner: PPR WASHINGTON SQUARE LLC
6950 SW 111TH AVE BY MACERICH RET
BEAVERTON, OR 97008 PO BOX 4085
SANTA MONICA, CA 90411
PHONE: 503-691-9699 PHONE:
FAX: 503-691-8556
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/07/2021 $482.33
Class of Work: ALT Type of Const: VB Plan Review 06/07/2021 $120.58
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 06/07/2021 $57.88
Stories: 1 Info Process/Archiving-Lg$2.00(over 06/07/2021 $2.00
Project Valuation: 11x17)
$15,300.00
Fuel Air Handlers
Fuel Types: Units< 10000 cfm:
Gas Pressure: Units> 10000 cfm:
Furnaces Boilers 8 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 $662.79
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 10
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 503.2 ,1987 or 1.800 32.2344.
,
Issued By: Permittee Signature: ije�7�
/l Call 503.639.4175 by 7:00 a.m.for the next available inspection date. /��/i�
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.
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Mechanical Permit Applicably_ roll OfFI( i: I SI: OM 1
Cityof Tigard riECEIVED Received �5� iQ/ a /EC20� ^^3Q7
.. g Date/Be f'(� Permit Na.:f`ry '�(J
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review r
Phone: 503.718.2439 Fax: 503.598.1960 `�021 Date/By: `1 is —2i 4 Other Permit:
-,\h I Inspection Line: 503.639.4175 Date Ready/By: Sarre! ®See Page 2 for
Internet: www.tigardoI.gov CITY OF TIGARD N�NOedimethod r �j///i er Supplemental Information
TYPE OF OUI�DING DIVISION 11��7 CO/,`'/ ll •. TI FEE* SCHEDULE—USE CHECKLIST
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
0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:S 15,300.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special iafnrmatian use checklist
❑Multi-family ❑Master builder ❑Other: Description Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION HeatinPJcooliog:
Air conditioning 46.75
Job site address:9681 SW Washington Square Rd Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Portland, OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.:C06 I Project name:FABLETICS 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: I Lot no.:
Other: 23.32
Other fuel appliances:
Tax map/parcel no.:1 S 1260000300 Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Provide and install air distribution as drawn on fireplace 23.32
Log lighter(gas) 23.32
construction document M1.0 Wood pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER ElTENANT Other: 23.32
Environmental exhaust and ventilation:
Nance: 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
❑ APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name: Oregon Heating and Air Conditioning
$14.15 for first four;S4.03 for each additional
Contact name: Jeff Sanchez Furnace,etc.
Address: 6950 SW 111 th Ave Gas heat pump
Wall/suspended/unit heater
City/state/ZIP: Beaverton OR 97008 Water heater
Phone:(503) 572-6984 Fax::( ) Fireplace
Range
E-mail: jsanchez@oregonheating.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: Oregon Heating and Air Conditioning Other:
MECHANICAL PERMIT FEES*
Address: 6950 SW 111th Ave Subtotal
city/state/zip: Beaverton OR 97008 Minimum permit fee($90.00)
Phone:( 572-6984 Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lie.: 137653 TOTAL PERMIT FEE
/l This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tn-County Building Industry Service Board
Print name: t J A tC00n eak Date: 5. 2) . 9t
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