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Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2021-00797 Date Issued: 10/27/2021 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135BA00102 Jurisdiction: Tigard Site address: 10108 SW WASHINGTON SQUARE RD Project: Cost Plus World Market Subdivision: OAKBURG Lot: 9 Project Description: Remove and replace(1)5 ton heat pump Contractor: MCKINSTRY COMPANY LLC Owner: PPR SQUARE TOO LLC 16790 NE MASON STREET SUITE 100 BY MACERICH RET PORTLAND, OR 97230 PO BOX 4085 SANTA MONICA, CA 90411 PHONE: 503-331-0234 PHONE: FAX: 503-331-6907 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 10/26/2021 $685.53 Class of Work: ALT Type of Const: Plan Review 10/26/2021 $171.38 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 10/26/2021 $82.26 Stories: Info Process/Archiving-Sm$0.50(up to 10/26/2021 $55.00 11x17) Project Valuation: $23,283.00 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: Vent Systems: Total $994.17 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 Issued By: Permittee Signature: Qw A� 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. c-91 • - Mechanical Permit ApplicatiRECElVE FOR OFFICE USE ONLY City of Tigard Received �/) QaieBy:/0 47 262( -1 Permit No.�!,/F� `^'777 13125 SW Hall Blvd.,Tigard,OR 97223 S E P 30 2021 Plan Review 'IV p Phone: 503.718.2439 Fax: 503.598.1960 DateBy: --(9.3 eother Permit: TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: lyrist VI See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Not -d/Meawd •/ ' 1 IQ Supplemental Information ^^, ., 0 �rgtr",e vs. rt xrx.. t" t." t+ 'te { 7.v / '' ttG;ttL *tSL1 t0 S ..00 Si."''. 4h:.. $ AlgeF,,.� �,.k t 5, w" �x .I� s "#,,,'V.% ,»-t:?i • �.,Y rt., Ye t I ' a., .. r '''' ._,4 Y`.iR' _.-.�°* "` " ' "`"' ""'' "" Mechanical permit fees*are based on the value of the work ❑New construction iid Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other mechanical materials,equipment,labor overhead� and profit. -*,...' "" 'r"'kw',, yd �,,. +{+ k �'sys' h to&`y: '�.3 f �r .. n Value:$ 4.y �+ G /4'-e,�,l�•wJ-... $ s,scATG,.;AV ��tL, ,,�1,O. . P • :°,' k N A.I�Q> PAZFNT/SY-, .? � '''' ❑ 1-and 2-family dwelling ,$1 Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description Qty. _ Ea. Total * 1 VIA"' .« ''" n ' r,,, Hearin /coolin � e ra"'c � ." ` `. . .M< _ c '. . Air conditioning 46.75 Job site address: � j` >,A 1 `�}j lip rt Ucut ZO Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:�,t'z,Gf.l L ( \?,, 9�1 '3 -op Furnace 100,000+BTU(ducts/vents) 54.91 J V ( ` t �p 1 Heat pump 61.06 Suite/bldg./apt.no.: Project name:NA-IA tilt� OFi C'1s PVII{1�`C� Duct work 23.32 Cross street/directions to job site: SW 4/E e 1 ur A pa 4.. Hydronic hot water system 23.32 , Residential boiler(radiator or `J 1 Cit6t)f I\(, (cj 51(,( tuts 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 fr7 t f1 .Z Other: 23.32 Subdivision: op :CD t Lot no.: Other fuel appliances: Tax map/parcel no.:S s i' 6 A C Water heater 23.32 ,, U_;; r Gas fireplace/insert 33.39 ' Flue vent for water heater or gas elY1oVe. e .. Dr-) tA.v,.i. YID- B36,1-101p0l12 6 fireplace 23.32 ,,��`` '/ `- "� Log lighter(gas) 23.32 'e.-thv IJL IVY!114115 4�(`a�GL t1C 8 Y Vt �" �'e �/�dam- Wood/pellet stove 33.39 W r 1 Y\ Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 t"itt ** � r { ', `�;"4- Environmental exhaust and ventilation: Name: C U5�- ,VV o r t Gk ,, Range hood/other kitchen equipment 33.39 Address: `of 0'' (� lt�dU4S�'1 1 ne--tzt3 Clothes dryer exhaust 33.39 City/State/ZIP: -1 i'c am:A b c 7 z ZJ j Single-duct exhaust(bathrooms, �f l / toilet compartments,utility rooms) 23.32 Phone:( ) t✓,{ Fax:( ) Attic/crawispace fans 23.32 ' I `: x' an' .'. .t , < Other: 23.32 - Business name: '�C�i 1 r\AV , e) L�C Fuel piping: " $14.15 for first four;54.03 for each additional Contact name: 6 r,t.r-1 r c\a ( Furnace,etc. Gas heat pump Address: ,`t _r"IG.'d \ i O el-, Walllsuspended/ttnithenter City/State/ZIP:f..�.7nY \(ck,rtC4 v b 'L., C1"7 2.3 '--j Water beater 1Plume:5)3) .Z -`Z,3 L-f_,5 Fax::( ) Fireplace�� , Range E-mail: ti'I CUA e�tR.) C. fe F7$ '-r L t [}�� Barbecue CONTRACfOR� �H j� - Clothes dryer(gas) MC \-r l.0 G L_S„_...-. Other Business name: ( � MECHANICAL PEt2MIT FRES* Address: t�j 9tsom r` Subtotal City/State/ZIP: , csk\-A Cc r\ 'k ;` Ct"lZ 3(_`j Minimum permit fee($90.00) Phone;( ).Z(p7 . 23L.1 S Fax:( ) Statest charevrge(12%ofpermit fee) _ surcharge(12%of pemtit fee) CCB lie.: 1 'Z 1\ TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 * (� „ days after it has been accepted as complete. ,f Authorized signature: t 's 71 t),del .t " Fee methodology set by Tri-County Building Industry Service Board Print name: Y 1 Gt-r'i '�ir'GE.ci. r ( Date: ?A\-2,` 1:43ui1ding\PermildMEC_l'ermiiApp_040113.doc 4404617T(I t/02/COM/WEB) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT TICARD Building Permit Review — Commercial - No Land Use Building Permit #: M 2Q2(-03797 Site Address: Q t Oe SW (n/'os[1 St, DJ. Suite/Bldg#: - . Project Name: Goa F`u-5 (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: r{,vv O1/`G (I) 5- 1-v 11(/lrF M s 3 G 0-60 A- 5 C, SN 'AiL1c/t 11f IZ71 vJ/ i-54-6t vt c-e 144-4 - - ,rep w7iftLyV hit 1-- 0104 e Existing Business Activity: CDS�` Pt Lis tAk r1L Ma.t-44- Proposed Business Activity: • Verify site address/suite# exists and active in permit system. ❑ River Terrace Neighborhood: ❑ Yes ® No • Zoning: M V © Permitted Use: ® Yes ❑ No ❑ Spec Space rif Confirm no land use required. M Business License: Exists: Yes ❑ No, applicant was provided a business license application Notes: Approved by Planning: 1/(/r/14/11.141,41 Date: WO,/ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: e9/9o/.202/ Site Plans: # 2 Building Plans: # 2- Building Permit#: [Enter building permit#above.Workflow Routing: [I< ,_Planning ❑ Permit Coordinator Building Workflow Sign-off: [Sign-off for Planning(include notes from planning review) Route Application Documents: P1Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: Date: /0707/202/ I:\Building\Fonns\BldgPermitRvw_COM_NoLandUse_l 11819.docx Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit ❑ Approved,NOT Released: I ate: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: ❑ SDC Fees Entered: Wash Co Trans De ax: ❑ Yes ❑ N/A Tigard Trans S : ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A ❑ OK to Issue Permit Approved by Permit Coordina •r: Date: I:\Building\FormslBldgPennitRvw_COM_NoLandUse_111819.docx