Permit CITY OF TIGARD MECHANICAL PERMIT
' ;- COMMUNITY DEVELOPMENT Permit#: MEC2022-00691
Date Issued: 1/17/2023
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9610 SW WASHINGTON SQUARE RD GO1
Project: Lush Subdivision: None Lot: None
Project Description: Mechanical for TI.
Contractor: SUN GLOW INC Owner: PPR WASHINGTON SQUARE LLC
2428 SE 105TH BY MACERICH RET
PORTLAND, OR 97216 PO BOX 4085
SANTA MONICA, CA 90411
PHONE: 503-253-7789 PHONE:
FAX: 503-253-7693
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/17/2022 $11,368.71
Class of Work: ALT Type of Const: VB Plan Review 08/17/2022 $2,842.18
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 08/17/2022 $1,364.25
Stories: 1 Info Process/Archiving-Lg$2.00(over 08/17/2022 $6.00
11 x17)
Project Valuation: $60,000.00 Permit Fee 08/17/2022 $-9,756.00
Plan Review 08/17/2022 $-2,439.00
Fuel Air Handlers 12%State Surcharge-Mechanical 08/17/2022 $-1,170.72
Fuel Types: Units< 10000 cfm:
Gas Pressure: Units> 10000 cfm:
Furnaces Boilers 8 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 $2,215.42
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set f in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: Permittee Signature: !! C 'L
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
7 ,
Mechanical Permit Application Fon OFFICE USE ONLY
City of Tigard Received
Date/By: f/� /11_ / Permit No.: gG _0v i
III • 13125 SW Hall Blvd.,Tigard,OR 97223 an Review/J [FO �uJ '��
I Phone: 503.718.2439 Fax: 503.598.1960 RECEIVED 8 .4-1.2 Other Permit:
ate/By:
I.I I. ^l\I l Inspection Line: 503.639.4175 Date Ready/By: Imu: ® See Page 2 for
Internet: www.tigard-or.gov JUL 2 ry g0gq, lied/Meth/a Supplemental Information
TYPE OF WORK CITY OF ITII R COMMER IAL FEE' SCHEDULE — USE CHECKLIST
1tlkWtlutG DIVISIONtutfl Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/ 3 performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑ Other: echanical materials,equipment,labor,overhead,and profit.
} �JJ Div.PP Value:$ k.* cit,U
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ,Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑ Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:Cl b`b 51e.a. Vi aSlei)01.b 0 &I�re g-c, Furnace 100,000 BTU(ducts/vents) 46.75
City/State/LIP: pO r.A.Act v,C� I-h Fn GI i, _0? Furnace 100,000+BTU(ducts/vents) 54.91
, V 7 1 Heat pump 61.06
Suite/bldg./apt.no.: Li cal Project name:l u31,1.Fresl-, t ctiearvide
Duct work 23.32
Cross street/directions to job site: COS VIAJVA-1 C 5 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
Flueivent for any of above 23.32
Other: 23.32
Subdivision: I Lot no.: 1
Other fuel appliances:
Tax map/parccl no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
5e f'CG v mec f'?aV)iC� wark fur fireplace 23.32
� ^m ire f�f r T Log lighter(gas) 23.32
( ' I Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
yROPERTY OWNER ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: ( rv' o c e-r C �y n` j C` Range hood/other kitchen
eq1 'T0I � ,1St�11e , 1Uck � f �O) Cloiesdry 33.39
Address: V I Clothes dryer exhaust 33.39
City/State/ZIP: Sa 0-4-C4 ni ^ t C c, at '(��'6 J Single-duct exhaust(bathrooms,
y vtoilet compartments,utility rooms) 23.32
Phone:(6b?) C1'E , 631 i Fax:( ) Attic/crawlspace fans 23.32
,APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name: ?aryl14- Ad Fuel piping:
UI SOY 5
$14.15 for first four;54.03 for each additional
Contact name: S'arvla y4- ,1 gIn Furnace,etc.
Address: S',;-- U 1 I fill 1 re g\ kid , Gas heat pump
V Wall/suspended/unit heater
City/State/ZIP: e7eAtef RAI ii' 1\5 , cp °f oa-' I Water heater
Phone:("4 Q) 6re2?....GI e, -1 U Fax: :( ) Fireplace
n Range
E-mail: Sarvino-1/1a - (21V-era@p arl1eldVt}orS. (.Of' Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: 17 SC4.N C 0 TNC Other:
1 � MECHANICAL PERMIT FEES*
Address: 2-t...(-'2 S' SE— I D5 A i Subtotal
City/State/ZIP: Pae_TLi4ti'- ) o it 911/Co Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(50.� 2_53 _ -1 7 8G) Fax:( ) State surcharge(12%of permit fee)
CCB lie.: 90
/ TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: - r * Fee methodology set by Tri-County Building Industry Service Board
fj�-Print name:Setnia (�ci 1Z1 Date: -IL 0.6 ( te_la
I:\Building\Permits\MEC_PerntitApp_040113.doc 44b1-a6 t 7i(1 l/0/2/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.
$10,000.01 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:\B uilding\Permits\MEC_Pei mitApp_040113.doc
2
1 z fp;
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Permit Advisors TRANSMITTAL
July 26, 2022
TO:Samantha
RECEIVED
Samantha Rivera ATTN: Permit Center
Permit Advisors City of Tigard JUL 2 7201Y
8370 Wilshire Blvd Suite 330 13125 SW Hall Blvd
Beverly Hills, CA 90211 Tigard, Oregon 97223 CITY OF TIGARD
(310) 663 -9670 (503) 718-2439 BUILDING DIVISION
RE: Lush Fresh Handmade Cosmetics - Washington Square
Project Address: 9610 S.W. Washington Square Space GO1 Portland, OR 97223
Greetings,
Please find the following in the attached package:
• (3) Complete Sets of Drawings -Architectural/Structural
• (3) Complete Sets of Drawings -Mechanical
• - P .Nun.may.. n-Y..r fir 124.44. 8/'12 7
tuning PR. �r�r r ., / fvf-r,E, a1+123 n
• (2) Sets of Structural Calcs
• (2) Sets of Lighting & Mechanical ComChecks
• 4-14ugarri_Iiancmi#ei chee ,N) /et '3 .
• (1) Set of Completed Permit Application Forms:
o Building Application
o Mechanical Application
civi i:r icurewe . /1/J. '3.7Th
o Plumbing Application
Thank you in advance! Should you have any questions or concerns, please feel free to
contact me at (310) 663-9670 or via email at Samantha.Rivera@permitadvisors.com
Best Regards,
Samantha J2iue'a
Permit Advisors 18370 Wilshire Blvd Suite 330 Beverly Hills, CA 90211 1310.663.9670