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Permit CITY OF TIGARD MECHANICAL PERMIT . COMMUNITY DEVELOPMENT Permit#: MEC2021-00321 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 6/21/2021 Parcel: 1 S 1260000300 Jurisdiction: Tigard Site address: 9640 SW WASHINGTON SQUARE RD G11 Project: Jand Subdivision: None Lot: None Project Description: Mechanical for TI:Replacing VAV box,new duct work,and new restroom exhaust fan. Contractor: HORIZON RETAIL CONSTRUCTION Owner: PPR WASHINGTON SQUARE LLC 1500 HORIZON DR BY MACERICH RET STURTEVANT, WI 53177 PO BOX 4085 SANTA MONICA, CA 90411 PHONE: 262-638-6000 PHONE: FAX: 262-638-6015 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 06/21/2021 $825.23 Class of Work: ALT Type of Const: VB Plan Review 06/21/2021 $206.31 Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 06/21/2021 $99.03 Stories: Info Process/Archiving-Lg$2.00(over 06/21/2021 $12.00 11x17) Project Valuation: $28,800.00 Info Process/Archiving-Sm$0.50(up to 06/21/2021 $6.00 11x17) Fuel Air Handlers Fuel Types: Electricity Units< 10000 cfm: 1 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: Vent Systems: Total $1,148.57 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: 10 Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: H0 V De/Wecje Permittee Signature: Owl �n pp Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. u Mechanical Permit Application City orriga>rd RECEIVEtteeered w 131?5 SW Hail Blvd.,Tigard,OR 972?3 1 t)ato3y 5 '/ii Permit No.:,,,,.,a_ l_o03,4_, II:;, Phone: 503 718.2439 Fax. 503.598.1 60 Plan Review 11(trt�Rti) Inspection tine: 503.639.4175 NDateBy _6 3, Other Permit: e i��,,Internet WWW.tigard or.gov N( 1 2021 Unto tcacly/13)'. • tins t� Sec Page x for icdtp lento Supplemental InC rmalion 'IA PE OF F4OI ' t -�} C MM ' I,t EE," SCIIEDIT.l; - USE CI LOCUST 0 New construction A Addltiol terlttiol °placentc't,t Mechanical permit fees*are based on the value oft e work `� (�Demolitionconstperformed, Indicate the value(rounded to the near('t dollar)of all}Other: mechanical materials,equipment,labor,overhead,anti profit. CATEGORY OF CONSTRUCTION - - Value:$ 3r(Qj44 e:r 1-and 2-familydwelling RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ri�('CInUTter i ..1111dustrial 0 Accessory building ^•-- For speciel it;/ore_____use checklist.0 Multi-family 0 Master builder ❑Other: Description Qty. I I:al Total _ .1013 SITE INFORMATION ,AND 1,( CA"TIO Reating/conlin : Job site address:964-0-W Washington Sq Rd. - - Air conditioning I 46.715 City/State/ZIP: Tigard, OR 97223 --- ' Furnace 100,000 BT11,(ductslvemts) 46,73 Furnace 100.000+BTU(duets/rents1 54.91 Se/hldg/apt.no.: G-1 I Project name: Ex �e IiO �@ T" Heat pump 61.06 ttn Cross street/directions to jot site: �h Duet work 1 23.32 $23.32 I1ydronic hot water system 23.31 LIA,M1 kti Residential boiler(radiator or s. hydronic) 23.3 �,_ - Unit heaters(fuel-type,not electric), --- in-wail,induct,suspended,etc. 46.7" Flue/vent for any of above 23.3 Subdivision: 6,�.sP)1 0 �to 0�, I��� Other: VAV DUCT HEATER 1,ot no. c14 i 23.3 $23.32 lax map/parcel no.; r� ---- Other fuel appliances: �- 5-,. 2.`f,6C►CSO 3 3 Water heater 1 2 -- 3.3 $23.3z \ DESCRIPTION OF WORK _ Gas lireplace/insel7 33.3t ' R9,0 ut. OSs,%s\. Vi1V �>aA !1 Lu 4 AV.i - A,t '� ` C Flue vent l'or water heater or gas "�7 "f t 7t+ct i wM!?'� p� fireplace i f,�.p t 1 - - - 3.3 `1 �►! iit'rZ"v'`s 1 clano .i •1064 tie +1 {'47D Log lighter(gas) _ 23.3 Q`1(hc 4 11 (n bt, `t Wood/pellet stove 33.3 }} t r nOS4 +1'. ens. Wood fireplace/insert sQ '- t D ',Alit.)t�� p. pp k ' _ 23.3 �,,,' ) ` t (,C N •v MAIs Q maw: si5k,� (:hininey/1In Ina/flue/vent 23.3 PI PROPER OG4'1I:1. 'r" Chher: 23.3 __ 0 TENANT Name: Environmental exhaust and ventilation: +�,Ci�2 C,t Range hood/other kitchen Address: } equipment 1v4ss G cam, .33.3 Cite/Basle/LIP: y -- Clothes dryer exhaust 33.3I r Tgy 0 c=--I"1 1 1< j js o 2 Single-duet exhaust(bathrooms. Phone,( �) G 1 -- toilet compartments,utility rooms) 1 23,32 $23.32 .6 Cep 3A-� Fax;( ) ,_,,� _ Attic/crawlspace fans 23.32 �- Ler-APPt APPLICANT 131(:O.\7'AC`1• PERSON _ Other: ' 23.3� Business name: t , Ai Fuel piping: r;94.03 fo - e name: �----•- - S14.15 for first four each additiont,rl- �`�--a-C'-S• ONNti`S _ Furnace,etc. If Address' ti'`�t A,. LAN<[_^_ Ps1,/L. Gas heat um Address: City/State/ZIP: SV 7�� �A'%t S ,tot C,�, 1 S Cl'S Wat r heater d/unic heater Phone:( ) Jgvr ___ Water heater 2..9 1 [Fax: ( 1 Fireplace F-mail: ;?nT--,,n,'�ti'-1is`J-4,-, 6CI��} 0-C7Ci Cq Range S A t Barbecue. Clothes dryer(gas) <``'AV &uiness name: Other; - PERMIT Address: yi'b'(:ki.4\9(,�i. FEES. Addretate/LIP: - - -- -.- Subtotal $93.28 Cil Minimum permit tee($90.00) Phone:( ) I Fax:( t Plan review(25%otpennilfee) CCl3 lie.: State surcharge(12%of pumafee) - - TOTAL PERMIT FEE -" -" Thin permit application cXp'rres if a permit Is not obtained Within 1$0 Authorized signature: ,,:' �-N ` days after to ban been accepted as complete, '' -- _ ' Fee methodology sot by Tri-County Building Industry Service Board Prim name: Cn:cs- b FS?Ct cx" Date: f4 '-2-.•1- I I-1nudkiing VemitrlMmC_Pcrm iAPI)040I 13.doc - 440-4019T t I UO3'COM.AM) I i i LETTER OF DP RECEIVED C TRANSMITTAL APR262021 CITY OF TIGARL BUILDING DIVISION TO City of Tigard OR Permit Center DATE 4/23/2021 ADDRESS 13125 SW Hall Blvd PROJECT Warby Parker Tigard, OR 97223 LOCATION Tigard, OR CLIENT PROJECT NO. 200328 ATTN Permit Technician DPCE PROJECT NO. 21-031-06 TELEPHONE 503-718-2439 FROM JM WE ARE SENDING YOU THE FOLLOWING MATERIALS VIA: ❑ UPS ® FEDEX ❑ COURIER ❑ CLIENT PICK-UP ❑ HAND DELIVERED BY ❑OTHER COPIES DESCRIPTION SHEET NUMBERS DATED ❑ Original Drawing(s): 1 Signed and sealed ❑ 30"x 42" ❑ 24" x 36" ❑ 17"x 22" ❑ 2 i4 Prints: 2 Signed and sealed M-101, M-102, M-103, M-104, M-105 4/23/21 ❑ Bond ❑ Blue line ❑ 30" x 42" ® 24"x 36" ❑ 17" x 22" ❑ 2 ® Specifications: ❑ Final ❑ Draft VCEF Cut Sheets 4/23/21 ❑ Electrical ® Mechanical/Plumbing ❑ Calculations: ❑ Landlord Forms 2 ® Engineer's Letter 4/23/21 ❑ Submittals that we have reviewed Refer to Comments Below (one copy retained for our files) THIS MATERIAL IS SENT: ❑ FOR APPROVAL ❑ FOR YOUR USE ® AS REQUESTED ❑ FOR REVIEW AND COMMENT ❑ FOR YOUR RECORD PURPOSES Comments: COPY TO File IF ENCLOSURES ARE NOT AS NOTED, KINDLY NOTIFY US AT ONCE. 1301 Solana Blvd,Bldg 1,Suite 1420 +1 817 410 2858 Westlake;Texas 76262 info:?'donpenn.com WWW.DONPENN.COM RECEIVED DP APR 2 6 2021 C - CITY OF TIGARD BUILDING DIVISION April 23, 2021 RE: JAND—9640 SW Washington Square Rd Permit Record To Whom It May Concern: As requested by Branden Taggart, senior permit technician, please find enclosed (2)sets of mechanical plans with (2) sets of cut sheets for equipment. If you have any questions regarding the above, please do not hesitate to call. Thank you, ..ks... Don Penn, PE, CGD DPCE ��ikED PROPS. ����5 tN % GINEe4 188••PE r- b. 4 OREGON o2\. JAM '1/21191 Q� Exp. IA' 13161/1' :301 Solana Blvd,Bldg 1,Suite 1420 +1 817 410 2858 Westlake, Te46as76262 it)16,+1donpenn_com WWW.DONPENN.COM � v ~---'---~—~--~ ~~^~-^~—~ DP �� _ ����»r��~U� ��~� \ L � -- ��������U ���~8�� ^~ -- &PR 2 A 2021 �T�F��A&AQ April AUUMNA DIVISION RE: JANO-9G40 SVV Washington Square Rd Permit Record#BUP2D2i'OOOBS Tn Whom |t May Concern: As requested by Branden Taggart, senior permit technician, please find enclosed (2)sets of mechanical plans with (2) sets of cut sheets for equipment. If you have any questions regarding the above, please do not hesitate to call. Thank you, Don Penn, PE, CGO DPCE 18896?- OREGON PRO�o� V X "v����1L - _ " w � � " � Iso/sn/ana Blvd,e1dc/,sufte1420 +/8/74102858 wesmaxe.Texas raz62 mm'u um`pen^zom WvvvxoomppwwzoM