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)
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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
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188••PE r-
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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
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DP
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&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
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Iso/sn/ana Blvd,e1dc/,sufte1420 +/8/74102858
wesmaxe.Texas raz62 mm'u um`pen^zom WvvvxoomppwwzoM