Permit CITY OF TIGARD MECHANICAL PERMIT
� I. . COMMUNITY DEVELOPMENT Permit#: MEC2022-01000
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/8/2022
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9546 SW WASHINGTON SQUARE RD H16
Project: Lululemon Subdivision: None
Lot: None
Project Description: Mechanical for TI:Duct work and air handler installation.
Contractor: DIRECT MECHANCIAL CONTRACTORS Owner: PPR WASHINGTON SQUARE LLC
PO BOX 872472 BY MACERICH RET
VANCOUVER,WA 98687 PO BOX 4085
SANTA MONICA, CA 90411
PHONE: 360-901-6063 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/04/2022 $69.06
Class of Work: ALT Type of Const: VB Plan Review 11/04/2022 $17.27
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical ' 11/04/2022 $8.29
Stories: 1 Info Process/Archiving-Lg$2.00(over 11/04/2022 $10.00
Project Valuation: 11x17)
Info Process/Archiving-Sm$0.50(up to 11/04/2022 $7.00
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 S111.62
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
Issued By: `' + �^ �� Permittee Signature: r,
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.
• Permit r::ro#a;.::i'isi:;:'s:%3 I: `i:i$1'}:!:!:?qi':#I:i>.'e':.:.•:y: :':tl 3:? ..d .o,:;,:o,
' City of Tigard I'� R ceived
S' �/`1,F a� Date/By:
Permit No.: ___ I
a 13125 S W Hall Blvd.,Tigard,OR 97 3 `�'`� VIA y bJ j•_...�/n g� f� / SI
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960(� p q 9 — Other Permit: r
JLI- 2 2022 Date By ••:. .`
,s ' ' Inspection Line: 503.639.4175
%�• Date Ready!:y: Juris. 171 See Page 2 for
:i ::,:fii "::!e Internet: www.tigard-or.gov Notified/Method: Supplemental Information
CITY OF TIGARD /I41.2Y 4
/4. ��l�
TYPE OF JrW...ltD, .R Itvt7 Di Jt( IQ---'.-""".--- COMMERCIAL FEE' SCHEDULE - I SF CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,andErofit_�
----- ____......_........_.__._ ____---------.-..-.__._.__---------------- Value:$:`n
CATEGORY OE CONSTRUCTION ------------- .-..__...-_.��.`1 f}0 ----- ...
...:...... ..._�-- For specialLEt,..lk1TPM NI SYSTEMS FEES"
" --- - -----.. RESIDENTIAL F
❑ l-and 2-family dwelling ®Commercial/industrial C Accessory buildingi.re
information trse.heckfrste
Multi-family E..]Master builder i -` Description
Other:
-.-.I P� 1 Qty. Ea. Total
JOB SITE INFORMATION AND LOCA/ION Heating cooling:
-------- _ f _4�/"- Air conditioning 46.75
Job site address:U' ------�. -----
y ;W r,J.ashmgton S, Rd. Space I-H1r.5 Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard/OR/ (�-r' )ry Furnace 100,000+BTU(ducts/vents) 54.91
Ji J:.L,.1
Heat pump 61.06
Suite/bldg./apt.no.: 070 Project name:LLIILIlef 1011 .-- tit/r3Shington SquareDuct 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 OE WOAtx Gas fireplace/insert 33.39
-----•-----------------------------------------------------------------------------------•--•-------------------------- Flue vent for water heater or gas
DJ(JCt vvo1-k and unit Install fireplace 23.32
Log lighter(gas) 23.32
------------ Wood/pellet stove 33.39
—
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
d I1tOI'YRIl OWNER 0 'TENANT Other:
` Environmental exhaust and ventilation:
23.32
Name• MAC ERIC•;f , f.;.OMP,C',f`.Iy Range hood/other kitchen
Address:401 WILSF-IIRE BLVD., SUITE 7 Cl
00 oth 33.39
Clotheess dry exhaust 33.39
City/State/ZIP:Santa. IL onica/CAr/90401 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( )I {30t} 34..(";.i f"40
2,) Fax:( ) _ Attic/crawlspace fans _ 23.32
- ----------
_
1 i APPLICANT 0 CONTACT PERSON �.-- Other: 23.32
s -r r ,�_-,...,- Fuel piping:
Business name: V)IF'ECI MEC IAN CAL. CONTRACTORS, L.I.-C.
S14.15 for first four;S4.03 for each additional __
Contact name:Dan Pavlov Furnace,etc.
Address:p0 BOX 872472 Gas heat pump
---------- Wall/suspended/unit heater
City/State/ZIP:`vEV1COtiver/VN98687 Water heater
Phone:( )30()583'3037 Fax: :( ) Fireplace
-- -.--.-.- ----- Range
E-mail:Dan@(jirectrnec`lanlcal.corn Barbecue
.----__--. -.__. •
_....__-- _ CONTRAfTOR _. Clothes dryer(gas)
-- -- -- Other.Business name:DIRECT MECHANICAL CONTRACTORS, LLC.
---------- '•
MECHANICAL PERMIT FEES'
Address:PC BOX 872472 — Subtotal
City/State/ZIP:1fHncouver/WAr98687 Minimum permit fee($90.00)
Phone:( 36095 333037 Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lie.: DarltThdirectmechanjcal.corft (9 5 5)0 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it Pas boon accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name:AnthonyGalagtlrov Date:0;29i 02
1:1Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
M chanical Permit Application - City of Tigard
Page 2 - Supplemental Information
COrnrnercial & 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.
$10,000.01 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:\BuildingU'ermits\MEC_PermitApp_040113.doc 2
City of Tigard
11111 COMMUNITY DEVELOPMENT DEPARTMENT
■
T►c n D Building Permit Review — Commercial - No Land Use
Building Permit #: 4,._,Oak)
Site Address: 35" Su ) Wth i( k) SO Q0 Suite/Bldg#: 1-14b
Project Name: LUt_-U h rhokJ
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: pU(,r Wba IC x Unit INsTAI.L
Existing Business Activity: jl/(�
ProdBusiness Activity: IV�1
Verify site address/suite# exists and active in permit syste
❑;W:,,?,eiiing:
Rjr/er Terrace Neighborhood: ❑ Yes No
IV)It.Use: ❑ Yes ❑ No ❑ Spec Space
nfirm no land use re er- quired.
Business License:
Exists: Yes 0 No,applicant was provided a business license application
Notes:
Approvedby Planning: Date: /b//-77 Z
Revisions (after Building Submittal only) Reviewer Date
Revision 1: E Approved 0 Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: D Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: y129/22
1 Site Plans: # 2
Building Plans: # -Z..-
Building Permit#: ZE ter building permit#above.
Workflow Routing: :rylanning ,Permit Coordinator 0-Building
Workflow Sign-off: ,Li1 Sign-off for Planning(include notes from planning review)
Route Application Documents: -Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: e Date: ji/o/f2Z
I:1Building\Forms\BldgPennitRvw COM NoLandUse 09072022.docx
't Coordinator Review
❑ Con. .; s "Met"prior to issuance of permit
❑ Approved, ` 4 T Released: Date:
❑ ENG Revisions ' :!uired: Date:
Notes:
❑ SDC Exemption 0 Applies ❑ Received ❑ Does not apply
❑ Fees Entered: Wash Co Trans b:. Tax: ❑ Yes ❑ N/A ❑ Deferred
Tigard Trans SDC: ❑ Yes ❑ N/A ❑ Deferred
Parks SDC: ..0 Yes ❑ N/A ❑ Deferred
LIDA Fee: ■" es ❑ N/A
❑ OK to Issue/Approved by Permit Coordinator: , Date:
Revisions (after Building Submittal only) Revitver Date
Revision 1: ❑ Approved ❑ Not Approved \,
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\B1dgPermitRvw_COM_Not andUse_08162022.docx