Permit CITY OF TIGARD
MECHANICAL PERMIT
A �� r ,rr:�
4-; COMMUNITY DEVELOPMENT Permit #: MEC2010 -00130
Y ' Date Issued: 04/14/2010
T [ GARO' 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 1 S126CB00500
Jurisdiction: TIGARD
Site address: 9300 SW WASHINGTON SQUARE RD 001
Subdivision: Lot: 0
Project: Macy's
Project Description: Replace existing cooling tower.
Owner: FEES
MACY'S DEPARTMENT STORES INC Description Date Amount
7 WEST SEVENTH ST Permit Fee 04/14/2010 $2,334.81
CINCINNATI, OH 45202
Plan Review 04/14/2010 $583.70
PHONE: 12% State Surcharge - Mechanical 04/14/2010 $280.18
Contractor:
JH KELLY LLC
2311 E 1ST STREET
VANCOUVER, WA 98661
PHONE: 360- 423 -5510
FAX: 503- 285 -0812
Type of Use: COM
Class of Work: ALT Type of Const: IIB
Occupancy Grp: M Occupancy Load:
Stories: 2
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressue: 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 $3,198.69
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Cooling
Duct Work: tower
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 -0100. You may obtain a copy of the rules
or direct ques s •s_to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued B • //, / / Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that business da
This permit card shall be kept in a conspicuous place on the job site until completio the project.
Approved plans are required on the job site at the time of each inspection.
. 4 p ,5? .Fr .e' 4 :e�_�,, _ .
Mechanical Pe Application I x � , , ', r ; � 0 �, ; t , , of o I F. IS ONl Y �
'' ' ''' City RECEIVED Recei 2 2 Permit No.:
d ° 131 Hall Blvd., of Tigard Tigard, OR 97 Date By: ved ✓ ✓� ,o a , aovd /Sv
Review Plan R Other Permit
1; ,, Phone: 503.639.4171 Fax: 503.598.1960 Plan R p ®®
6. Inspection Line: 503.639.4175 g 't Date/By . .+��
y I ( ,IZ l> MAR 2 t� { Date Ready :y: .� �� :,ii• u Fa See Page 2 for
Internet. www.tigard- or.gov Notified/Method: ` Supplemental Information
C1Ty OF TiGARD
TYPE `OFByid �G DIVISION COMMERCIAL' SCHEDULE : USE CHECKLI ...
Mechanical permit fees* are based on the value of the work
❑ New construction t. Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION
Value: $ l in , C)OfZ
dwelling RESIDENTIAL' EQUIPMENT / SYSTEMS FEES*
❑ 1 - and 2-family g ® Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder El Other:
Description Qty. Ea. Total
9 300 JOB SITE INFORMATION AND LOCATION - Heating/cooling
Job site address: !uu!�� _ � 4t � M �� y � y Air conditioning .,
5 � rhM ItC9 1 �+V 1°1 t „ t ( (requires site plan showing placement) 46.75
City /State /ZIP: i ., ( NA t . zz 3 Fumace 100,000 BTU (ducts /vents) 46.75
Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: Project name: MAC>{ crz3oLlm c,,:--"T 1 „A‘ EP, Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
tM � {R, '^.C2 bELVT *rr iL _. VIWS" 3.1*.C• .1 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
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF 'WORK Water heater 23.32
•
Gas fireplace 33.39
r Re.PL s ,ST OF Ki a .v.ac� r, r,rits\m\_E...g. Flue vent for water heater or gas
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 ' E] TENANT
Other 23.32
Name: Environmental exhaust and ventilation
Address: Range hood /other kitchen
equipment 33.39
City /State /ZIP: Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
. ❑ APPLICANT ErCONTACT :PERSON Attic /crawlspace fans 23.32
Business name: • Other: 23.32
Fuel piping
Contact name:��6p N S14.15 for first four; $4.03 for each additional
Address: Furnace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: j) Tao- j S Fax: : ( ) Water heater
Fireplace
E -mail:
Range
CONTRACTOR
Barbecue
Business name.1K��� Clothes dryer (gas)
t' t Other
Address: I i i '--- sr • MECHANICAL PERMIT FEES*
City /State /ZIP: .4 1*1N, le(i~?., \ACt, c 3t 1 Subtotal ;331 .81
um Phone: )e , .,tkb Fax: (1J3) Las _061 Plan review (25% of permit fee) T.153.710
CCB lic.: o` \ --1 c A 4 State surcharge (12% of permit fee) 2 go. )8
TOTAL PERMIT FEE 3, q B , (R
This permit application expires if a permit is not obtained r4ithin 180
Authorized signature:
days after it has been accepted as complete.
Print name: .r�,z S .N.J Date: -3 \2 ` \- * Fee methodology set by Tri- County Building Industry Service Board
\Building \Permits \MEC PermitApp. 10/01/09 440 -4617T ( 1 1 /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.
$10,000.01 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.
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(:\Building \Permits \MEC- PermitApp.doc 10/01/09 2