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Permit v CITY OF TIGARD MECHANICAL PERMIT ` =`a COMMUNITY DEVELOPMENT Permit #: MEC2010 -00267 { Date Issued: 06/15/2010 T[ 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1S1260000300 Jurisdiction: TIGARD Site address: 9412 SW WASHINGTON SQUARE RD K10 Subdivision: Lot: 0 Project: Crazy 8 Project Description: Relocate ducts and grilles, add new VAV box. Owner: FEES PPR WASHINGTON SQUARE LLC Description Date Amount 2235 FARADAY AVE STE #O CARLSBAD, CA 92008 Permit Fee 06/15/2010 $191.86 Plan Review 06/15/2010 $47.97 PHONE: 12% State Surcharge - Mechanical 06/15/2010 $23.02 Contractor: ARROW MECHANICAL 10330 SW TUALATIN RD TUALATIN, OR 97062 PHONE: 503 - 692 -1565 FAX: 503 - 691 -1879 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Occupancy Load: Stories: 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 $262.85 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: 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 Notificatio nter `hose rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or direct qu ions to OUNC • calli • f : .24..6699 or 1.800.332.2344. Issued y: ' // 1 PermitteeSig, _11 , Call 503.639.4175 by 7:00 a.m. for an inspection that business day. 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. RECEIVE' I Mechanical Permit Application FOR oFFlcl_ USE ONLY City of Tigard JUN 1 0 / i� Received J ' o 13125 SW H Date/By: Q / 6- 1 d Permit No.: H f e p '� '0 /O' OQ 2.2%6 7 Hall Blvd., Tigard, OR 97223 11 14 . Phone: 503.639.4171 Fax 503.598. 196t�I'� 01? �`I ��� y Date/By: Review Other Pem,it: i l G A 1:37; Inspection Line: 503.639.4175 y p g l ��� }�S��� - Internet: www.ligard- or.goV �1 g�-� x� Date Ready/By: jug= RI Sec Page 2 for Notified/Method: Supplemental Information .,..... ,. > <.,... �` .o�, z . -nc-4 .,x., ,a: G..�._° . . x. ?F,{ ,�+. *'� C�A�r' � vsrry� �r�i t New construction ❑ Addition/alteration/replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor; overhead, and profit. ( (`�� A{ � ,�� a�f y1jf� it s-5 � -, > ,. .: . � r ..i;• x ., . -.�.,. i'r�';. T?' 'iJr��33 � � � 5 f f.r Value: $ LI q,v Ili 1- and 2- family dwelling Xi Commercial/industrial ❑ Accessory building �� r i;: ❑ Multi For special information use checklist. y ❑ Master builder ❑ Other x < , t ti @ � � a � 1 w Description Eat- I Total /�`, .� +rati'= •. „ Kxr.< t, � i„•....,, , . _ n -.• `�� ,.�- Ileatiag/twoling Job site address: e -1 / Z 5 Air conditioning WTo� .� (requires site plan showing placement) 46.75 City /State/ZIP: '7- A D e lo ore p' 772 3 Furnace 100,000 BTU (ducts/vents) 46.75 Suite /bldgJapt no.: I Project name / L�/ : AZ Furnace 100,01x 1- BTU (ducts/vents) 54.91 Y Iicat pump 61.06 Cross street/directions to job site: Duct work 23.32 Itydronie 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 Subdivision: I Lot no.: Flue/vent for any of above 23.32 Other: 23.32 Tax map /parcel no Other fuel appliances �G f S- } ., 4t l y : } 5 , u, iY. 4 C -5 f , j<. Y -..:: 4 M1 c'�i 6..y::: . f° FN;Yi 'v,', , F ^'T' Y 1:40ftJr� - 4. F 3 Water heater 23.32 A � � / -� n � 11 Gas fireplace 33.39 IV VA V igC�X pt7g.- T�©4 4-4)1 1e ,4.Ato eS 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 N'tr'� N * ` -fat ,s� c r Chimn /liner /flue/vent 23.32 Name: `� , 23.32 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 nts u compartments, 1 o0 ;.� Q, .z, } �:c j :,,y,,,. E^ :1,4 1 ty' « . ." ., ' ' . '!' � _�nra .c -i ce s `4.0.q.,,,,,,,,. ; x 0 Attie/crawls • a fans utility rooms) 23 32 2332 y� d r ms Y: _. _ . . .r "„ , T. .,: t,•',. Mite AAA), /� other 23.32 Business name: /� I� F), t., is" - F'•t A1 i (1/01 Fuel piping Contact name: V f R, i t..9 z - ii:, i $14.15 for first four; S4 :03 ftir each additional Address: Furnace, etc. b 'r UA l A �) /} As lJ. Gas heat pump City /State/ZIP: TV A lA- j ii Al OK % 7e26 Z Wall/suspended/unit heater Phone: (4 ) 67 'Z - i 6-6,5 ( Fax: : ( .v3) ect i _ i g 7T Water heater E-mail: . Fireplace Range t' ?'s VA e . iiiKa 4,10,r . }, 41 '" �I n " ;, rqt ,trx. ;- tx �y. y ' 1<�� f a 40: -b;« a.:ra4 i r i T�.,:.'�W.,,. '�,u7 �; • ny? .x F � k'M ",A '5,:rWan 44"., 64 ; ,., ''. ;', ,,,e- Barbecue Business name: A i2lQ b t A t ; r,4 to t Clothes dryer (gas) Other: A d d ress: w :: n � 1 b 33o 6�....e 1, A 1 m A• 1!:.:0.4.` b t ad; x:41- ?k ;�s�'� "`.,� �dya w.a� �,z,x. ' fir • City / State/ZIP: - -r Ai t' e 4 Z Subtot / Phone: (,9> 2 - e 6- Fax: ( 5)3 611- /p 7/1 Minimum ptxtnit fee ($90.00 3) 6` 7 Plan review (25% of permit fcc) t f 7. 7 7 CCB tic.: c' Gi 3 State surcharge (12 % of permit fee) a g 3 • o TOTAL PERMIT FEE „A/ .2 .g � 4 " Authorized signature: This permit application expires if a permit Is not obtained within 180 [lays after it has been accepted as complete. ' Print tY i✓- L pti /i le i n. 4/ 1 t!/� 1 0 1 • Fee methodoloev set by Tri (ounri Building Industry Service Board