Permit CITY OF TIGARD MECHANICAL PERMIT
: COMMUNITY DEVELOPMENT Permit#: MEC2022-00720
T I G AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/31/2022
Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9669 SW WASHINGTON SQUARE RD CO3
Project: The North Face Subdivision: None
Lot: None
Project Description: Installing(1)exhaust fan,2 VAV boxes
Contractor: Owner: PPR WASHINGTON SQUARE LLC
BY MACERICH RET
PO BOX 4085
SANTA MONICA,CA 90411
PHONE: PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/31/2022 $1,257.03
Class of Work: ALT Type of Const: IV Plan Review 08/31/2022 $314.26
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 08/31/2022 $150.84
Stories: 1 Info Process/Archiving-Lg$2.00(over 08/31/2022 $10.00
Project Valuation: $45.750.00 11x17)
Info Process/Archiving-Sm$0.50(up to 08/31/2022 $12.00
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: 2 Vent Systems: Total $1.744.13
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: 1,‘,(4:07,—r Permittee Signature:
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.
Mechanical Permit Applicatiou C+ fi FOR OFFICE USE ONI.V
. Citof Tigard PIECE V ED Received
y Date/ ®1� Permit No.: ^,i,,
13125 SW Hall Blvd.,Tigard,OR 97223 y9�`� �'' 1 I a `�L� `
i `AUG 08 Dan By:ti
Phone: 503.718.2439 Fax: 503.598.1960 vD7 Other Permit:
Date/By:
i 1 c�A a Inspection Line: 503.639.4175 Date Ready/By: hats:
t s CITY OF TIGARD A.
® See ent 2l for
Internet: www.ti ardor. ov Notified/Method: i/A �2,/rr1 Supplemental Information
3klll_DING D!\,iicl(�,\( y,-1,A\-\01t, ,vc:-.- ' Ara(1
TYPE OF WORK
COMMERCIAL 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
El Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$45,750.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist j
El Multi-family ❑Master builder 0 Other: Description Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 9669 SW Washington Square Dr 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.:C08 Project name:THE NORTH FACE Duct work 23.32
Cross street/directions 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: 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 gas
Provide and install (2)VAV boxes, (1) exhaust fan, air distribution fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39 —
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 _
0 APPLICANT El CONTACT PERSON Other: 23.32
Fuel piping:
Business name: Oregon Heating and Air Conditioning
$14.15 for first four;S4.03 for each additional
Contact name: Jeff Sanchez Furnace,etc.
Address: 6950 SW 111th Ave Gas heat pump
WalUsuspended/unit heater
city/State/ZIP: Beaverton OR 97008 Water heater
Phone:(503) 572-6984 Fax: :( ) Fireplace
Range
E-mail: jsanchez@oregonheating.com Barbecue
CONTRACTOR Clothes,dryer(gas)
Business name: Oregon Heating and Air Conditioning Other:
MECHANICAL PERMIT FEES*
Address: 6950 SW 111th Ave Subtotal
City/State/ZIP: Beaverton OR 97008 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503) 572-6984 Fax:( ) State surcharge(12%of permit fee)
CCB lie.: 137653 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
-7,�� / days after it has been accepted as complete.
Authorized signature: ,'' /IK�r/6ttrIl * Fee methodology set by Tri-County Building Industry Service Board
Print name:Amy McDonald Date:08/08/2022
1:1Build ng\Permits\MEC_Per nitApp_040113.doc 440-4617T(1 I/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
II I
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: 1M�C �a
Site Address: op cog `> Yj \ y Suite/Bldg#: Co
Project Name: � C`P
ame of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: ‘AreAW
Existing Business Activity: I \
Proposed Business Activity:ry„
Verify site address/suite#exists and active in permit system.
0 River Terrace Neighborhood: 0 Yes ❑ No
17, Zoning: Ml) C
Permitted Use: ❑ Yes ❑ No ❑ Spec Space
J Confirm no land use required.
lk•d
Business License:
Exists: ❑ !Yes ❑ No, applicant was provided a business license application
Notes:
Approved by Planning: %k\QY (\ Date:
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:
Site Plans: #
Building Plans:
Building Permit#: E —Enter building permit#above.
Workflow Routing: [1 Planning ❑ Remit Coordinator .wilding
Workflow Sign-off: CSI Sign-off for Planning(include notes from planning review)
Route Application Documents: V Building. original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes: `/�/
By Permit Technician: Date: V�i c4:-.)
I:\Building\Forms\BldgPennitRvw COM NoLandUse 111819.docx
Permit Coordinator Review
❑ Conditions"Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Ap..cant:
Revision Notice 2: Date Sent to 'pplicant:
Revision Notice 3: Date Sen o Applicant:
❑ SDC Fees Entered: Wa Co Trans Dev Tax: ❑ Yes ❑ N/A
igard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Per 't
Approved by P rmit Coordinator: Date:
I:\BuildingTorms\BldgPermitRvw COM_NoLandUse_t 11819.docx