Permit x ' '; ' CITY OF TIGARD
MECHANICAL PERMIT
t . COMMUNITY DEVELOPMENT
Permit #:, MEC2010 00036
K ARLD, 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 01/29/2010
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Parcel:° 1S1260000300
Jurisdiction: TIGARD
Site address: 9451 SW WASHINGTON SQUARE DR A16
Subdivision: Lot: 0
Project: Vans
Project Description: Install (2) new VAV boxes and ductwork.
•
Owner: FEES
PPR WASHINGTON SQUARE LLC Description Date Amount
2235 FARADAY AVE STE #O
CARLSBAD, CA 92008 Permit Fee 01/29/2010 $474.71
Plan Review 01/29/2010 $118.68
PHONE: 12% State Surcharge - Mechanical 01/29/2010 $56.97
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: IIB
Occupancy Grp: M Occupancy Load:
Stories: 1
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 $650.36
Hoods: Comm Incinerators:
Required Items and Reports (Conditions)
Woodstoves: Gas Fireplaces:
Clothes:Dryers: Other Mech Units:
Gas Outlets: Other Desc: vav's
Duct Work: 1
Fire /Smoke Dampers:
This permit is issued subject to the, regulations contained, in theTigard Municipal Code, State ofOR. 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 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 questions to OUNC by calling 503.246:6699! or 1.800.332.2344.
Issued By: Permittee Si natur
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.
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Mechanics Permit Application -- u -�°� - FOR OFFIwrEt[t7SE O\tL1'� �.. F.,r f _ =,
� City ®6 Tigard , CE D ate/By —�� a �4 Permit No <. • CEIVED lyco�v ovo l,0
- ". 13125 SW Hall Blvd., Tigard, OR 9 �° t
''3J" g Plan Review
Phone 503:639:4771 Fax: 503.59&196() q Date/By: �p� �� ®' OtherPermu:' .
.rI GAR`D= Inspection Line: 503.639.4175' 3 AN 2 2 2010 'Date'Ready/By: Ju I3 See Page 2 for
._; Internet: www.tigard or.go Notified)Method: � K1 q
" - - ) / ���� [ �% Supplcmentatlnformation.
C OF TIGA /
` aY �' K • « TYPE OFtiti N y U � .. 4 COt Ret FEE.! SCITEDULE USE CHECKLIST F
❑ New construction Addition/alteration/replacement • h4echancal perr nt fees* arc based on the value of the work
perlormed..Indicate the value (rounded to the nearest dollar) uf all
® 1)emolitign ❑ Other: mechanicahntatcrials. equipment: labor. overhead. and profit.
i fi l f. r � }'" , its . GAT_,#O, " � L3Mli, TR117 `I RV _..z t' k " a Value: $ /G --_-__0 F "
s 5 151 -�ir O-00 PMLI / , 1 $' Ei11
❑ 1- and 2- family dwelling tL(' Commercial/industrial 4 ❑ Accessory building M
For Fur special irrjorutatiorr use checklist.
❑ Multi family ❑ Master builder ❑ Other: Description I Qty. I Ea. Total
9 � w JOBB SI'I');,l7PfRORiYI TION `AND „ I;OCATIQN : z �� IIeatin
Air conditibmrig
. Job Site address: , j ,14S i e 7,- - AIL: (requires site plan showing placement). 46.75
'(City /State /ZIP: �— _ D� Furnace 100,000 BTU (duets/vents) 4-6.75
/ /�� Furnace 100.000+ BTt (ducts/vents) 54.91
Suite /ti /apt. Project name: V , COft - SN . Sb Heat pump 61.06
Cross-street/directions to job site: "Hy C Duct" work 23.32
hIydronic 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: 1 Lot no.: Flue /vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances • ,
`, r 4 ; LL 0 '2 1- 'may -. , D0tRIit�'„TUN ®F 0411 ,V, i_ : t, _.. r, fib Water heater 23.32
Gas'tiraplace 33.39
4_/-/J % 7---L 7..)_ N &-C (/f./ /O r Flue for water heater or gas
fireplace 23.32
DL.E. L`ri -' .) e21< Log ,lighter (gas) 23.32 •
Wood /pellet stove 33.39
Wood fireplace /insert 23.32
u s x Y Chimney /liner /llueivent 23:32
i $iii0PLRI'Y: OW NLR ; x 3a '' `:'' . ® rLNAN 1 M °.
Other: 23.32.
. Name.` Environmental exhaust and ventilation
•
Range :Irood /other kitchen
Address: equipment 33.39
City /State /ZIP: Clothes :dryer exhaust 33:39:
Single -duct exhaust (bathrooms.
Phone: ( ) Fax:,( ) aoilet' compartments, utility rooms) 23.32”
07011,01,-7 . _,;APPT ICe1NT . : -. e l,CONT: CT
''PS 5 Attic /crawlspacc fans 23:32
::4 ...E .+... '.... . ..�+F..4 > .:.,, c. _. _ ., ,::.: , , ...:. . ._ �.
Business name: ^ . . � / Other: 23.32
/`7 /L/LU [:>J /�� G iti N19 /�, G / Fuel
,piping
�� t
Contact-naine C�;i'/i _ $14.1 first rst four; $4.03 for each additional':
/ Gus �lcJ;j /�! Furnace, etc. 1
Address: . l 03 3a ,51.(...) - 7 - 7,,.(3' ,_/ -1T! N /vf
Gas heat pump
' City/State /ZIP: - j 44/11_, 40 2 4 . `1.7)(02.. Wall /suspended/unit heater
' Phone: 6 , , , - . . 7 . _ Fax: ( ). Water.heater Fireplace I
E mail:.. . ' i ( Range
c..,✓J s a t a b.66 1 TRACTOFt i. -i b ., '? -'_? i k - • Barbecue
-Z< z` d m4 3 l
�,� .c'.. -..,. .. ,- n,- .r:.4�+s,,-,<'s M?r:ra7C�.s? .. .. .._, <.i. �,�. ,5. -,- ., ,. ,,_ .._
Business name:./ 41 Clothes dryer (gas)
/L/iU7 /'�G� /f Other:
Address: MFC IIaNICAI PERMTf FEES* >E ,,'
G� 3n . SulT e f rr . /� / 1 -vim. %
/� / 2_ Subtotal 7�
City/State /ZIP:
1� I2% r �� ` / i�CO
Minimum permit ice ($90 00) :�
1lio9 ) Z _ Ar4v• Fax: ( ) Plan review (25% of permit tee) 4 :
CCB lie.: C7. � g State surcharge (12% of permit fee) ; 5 ,/
TOTAL PERMIT FEE :615?).__ __
// This permit applicidion expires if a permit.is`not oht aired within�180
Authurted st natur's . �yC
g � days�S days after it has teen accepted as complete.
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1 it.•- I Fee methodolouv set by •I'ri- (.onnty t3uildine industry Service t3oard
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