Permit CITY OF TIGARD MECHANICAL PERMIT
Ns COMMUNITY DEVELOPMENT Permit#: MEC2021-00971
Date Issued: 12/20/2021
T I G A R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9641 SW WASHINGTON SQUARE RD FC07
Project: Panda Express Subdivision: None Lot: None
Project Description: Replace walk-in cooler evaporator coil
Contractor: HILLTOP REFRIGERATION INC Owner: PPR WASHINGTON SQUARE LLC
39011 NE 4TH AVE BY MACERICH RET
WOODLAND, WA 98674 PO BOX 4085
SANTA MONICA, CA 90411
PHONE: 775-771-4004 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 12/16/2021 $191.86
Class of Work: ALT Type of Const: VB Plan Review 12/16/2021 $47.97
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 12/16/2021 $23.02
Stories: 1 Info Process/Archiving-Lg$2.00(over 12/16/2021 $2.00
11x17)
Project Valuation: $4,500.00 Info Process/Archiving-Sm$0.50(up to 12/16/2021 $6.50
11x17)
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 $271.35
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: walk in
Duct Work: freezer
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 se forth in OAR 52-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: Permittee Signature: If/7 ) _
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.
a
Mechanical Permit Applica ' FOR OFFICE USE ONLY
Cityof Tigard '�CEIVE Received -�}y ,i
Date/By: ��++ 's2/3�� Permit No.:1.4 ec2G2f`cog { 1
13125 SW Hall Blvd.,Tigard,OR 97223q
s NOV�QV 2 2 Z�L 7 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960Date/By: 4 Other Permit:
1a- !S-aJ
T I G A R l) Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: t t: la See Page 2 for
Internet: www.tigard-or.gov Mn otified//Nlothod: ( Su
3UILDING DIVISION to,„ �A cc l � pplemental InformationTYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction 0 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:S 4500.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ I-and 2-family dwelling x❑Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
Heating/cooling:
JOB SITE INFORMATION AND LOCATION
Air conditioning 46.75
Job site address: 9641 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.: Project name: Panda Express Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
Food court Washington Square mall. 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
Other: 23.32
Subdivision: Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Replace walk-in cooler evaporator coil fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0 PROPERTY OWNER ® TENANT Other: 1 23.32
Environmental exhaust and ventilation:
Name: Panda Express Range hood/other kitchen
equipment 33.39
Address: 9641 SW Washington Square Rd Clothes dryer exhaust 33.39
City/State/ZIP: Portland,OR 97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
D APPLICANT 0 CONTACT PERSON Other: 23.32
Business name: Hilltop Refrigeration Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: Markus Dehm Furnace,etc.
Address: 39011 NE 4th Ave Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Woodland,WA 98674 Water heater
Phone:(775 )771-4004 Fax::( ) Fireplace
Range
E-mail: Markus@hilltop.pro Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: Hilltop Refrigeration Other:
MECHANICAL PERMIT FEES*
Address: 39011 NE 4th Ave
Subtotal
City/State/ZIP: Woodland,WA 98674 Minimum permit fee($90.00)
— Plan review(25%of permit fee)
Phone:( 775 )771-4004 Fax:( ) _ State surcharge(12%of permit fee)
CCB lie.: 219017 TOTAL PERMIT FEE
V,.,i6,.d by PDFFiBa, This permit application expires if a permit is not obtained within 180
ear el t days after it has been accepted as complete.
Authorized signature: rl/ YKGI J� Yl * Fee methodology set by Tri-County Building Industry Service Board
I11/22/2[21
Print name: Markus Dehm Date: 11-22-2021
l:\Building\Permits\MEC_Permi1App_040113.doc 440-4617T(11/02/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.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10.0(X).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.
I:\Building'Permits MEC_PermitApp_040113.doc 2