Permit CITY OF TIGARD
COMMUNITY DEVELOPMENT MECHANICAL PERMIT
III ■ ill
Permit MEC2022-00916
T f G A R 17 13125 SW Hall Blvd.. Tigard OR 97223 503.718.2439 Date Issued: 10/13/2022
Parcel: 1 S 135BA00101
Jurisdiction: Tigard
Site address: 10125 SW WASHINGTON SQUARE RD
Project: Jaguar Subdivision: OAKBURG Lot: 32
Project Description: Adding split to furnace run. Replacing fan above concierge desk, refrigerant/condensate piping.
Contractor: HVAC INC Owner: PPR SQUARE TOO LLC
5188 SE INTERNATIONAL WAY BY JAGUAR LAND ROVER PORTLAND
MILWAUKIE, OR 97222 10125 SW WASHINGTON SQUARE RD
PORTLAND, OR 97223
PHONE: 503-462-4822 PHONE:
FAX: 503-462-6555
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 10/12/2022 $383.27
Class of Work: ALT Type of Const: Plan Review 10/12/2022 $95.82
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 10/12/2022 $45.99
•
Stories: Info Process/Archiving-Lg $2.00(over 10/12/2022 $8.00
11x17)
Project Valuation: $11,332.00
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:-1
Appliances
Vent Fans: Vent Systems: Total $533.08
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: ,.-- Permittee Signature: 7.-/f -,
Call 503.639.4175 by 7:00 a.m.for the next available inspection da1(e.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanifi '.1 G • ive u, r FOR OFFICE I sL ONLY
City f Igo d 1� ��� � y10 04/10ZZ �/� M /
- ., DateBed - j Permit No. ./17/3 W�/
13125 I Blv ,OR 97 Plan Revi 1CJ
Phone:y 503.718.2439 Fax: 503.598. i Date/By:�� 0 6,_' other Permit:
TIGARD inspe6iPlieFS41GAR5 CITY OF. 1IbAH) Date Ready/By: Duns: HSee Paget for
IntlIItetIIW1N1v1Y1ttnllglCU11 tfied/Method.` /' / Supplemental Information
�V 6U11V5.vt9ta-71AJI��tLDING Divisions
TYPE OF WORK C M IAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction [ Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
O Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 1 J1)4---
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT(SYSTEMS FEES*
❑ 1-and 2-family dwelling fa Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
1�//yy , Air conditioning 46.75
Job site address: ,0 ( 2.5 SW V)0.5 A 1V ti 4V/�1 S(�iA� 120 Furnace 100,000 BTU(duets/vents) 46.75
�
City/State/ZIP: i G` D� *1 --? }3u Furnace 100,000+BTU(ducts/vents) 54.91
J 1 R r r- Heat pump 61.06 c
Suite/bldg./apt.no.: I Project name: WW V Duct work 23.32
Cross streCtfdirections 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.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
!; Flue vent for water heater or gasel,(LI S ,I \ jeQ IkAWv)u l� fireplace 23.32
cuA _1Ol f ( D r ^t r y, /y 0 C k Log lighter(gas) 23.32
pp � f GNpJ�Y�V k Vv�t' t/ 'S•d Wood/pellet stove 33.39
�v' r c t , r i /i� Wood fireplace/insert 23.32
ll I. Chimney/liner/flue/vent • 23.32
Other: 23.32
0 PROPERTY OWNER , 0 TENANT Environmental exhaust and ventilation:
Name: Range hood/other kitchen
w equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility moms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
• ❑ APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name: v A in(✓ Fuel piping:
�' Q�� � $14.15 for first four;$4.03 for each additional
Contact name:do rk�Weil/0�0 Furnace,etc.
Address: J, D7 E' j T I 1 w Gas heat pump
\1wn ,A �� ��N��� Water heater d/unitheater
City/State/ZIP: W'� Water heater
Phone:(�V77)k4kg f•��- 1. /f Fax: :(71 j) L1 cc,-).- b`�� Fireplace
-)1 l- V vtva-Ci v L up Range
E-mail: Barbecue
I CONTRAOR Clothes dryer(gas)
Business Name: I. ref
III CCU 1) VI MECHANICAL PERMIT FEES*
Address:
Subtotal
City/State/ZIP: Minimum permit fee($90.00)
011
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lie.: 5-0 el--1 �[(_ riLI.2-1-/ TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name: ` D� Date: (A(-j b ill--
I\Building1Per-outtsi1lh/EC_Per tApp_040113.doe 440-4617r(11/02/COM/WEB)