Permit CITY OF TIGARD MECHANICAL PERMIT
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COMMUNITY DEVELOPMENT Permit #: MEC2010 -00296
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 07/15/2010
Parcel: 1S1260000300
Jurisdiction: TIGARD
Site address: 9524 SW WASHINGTON SQUARE RD H08
Subdivision: WASHINGTON SQUARE MALL Lot: 0
Project: Spec Space
Project Description: (7) RTU's and ductwork for 7000 SF addition.
Owner: FEES
PPR WASHINGTON SQUARE LLC Description Date Amount
2235 FARADAY AVE STE #O
CARLSBAD, CA 92008 Permit Fee 07/15/2010 $1,931.43
Plan Review 07/15/2010 $482.86
PHONE: 12% State Surcharge - Mechanical 07/15/2010 $231.77
Contractor:
HVAC INC
5188 SE INTERNATIONAL WAY
MILWAUKIE, OR 97222
PHONE: 503 - 462 -4822
FAX: 503 - 462 -6555
Type of Use: COM
Class of Work: ALT Type of Const: IIB
Occupancy Grp: M Occupancy Load:
Stories: 2
Fuel Air Handlers
Fuel Types: Natural Gas 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 $2,646.06
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 . ■ the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You ma o.: in a c• 'y of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.80� I
Issued By: Permittee Signature: A
CaII 503.6 9.4175 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 com • etio of the project.
Approved plans are required on the job site at the time of each inspection.
A,
Mechanical Permit Application
, °
a� ^ , F OR OI�1 ICI tiSL ONLY
' y *'j Received
71 City of Tigard q �4 DaieiBy: Permit No. a4a
'a 13125 SW Hail Blvd., Tigard, OR 97223 �y, J - _ , �� _�
w� ,„ a N Plan R cA 1 s
4i-6.A, B ; Phone: 503.639.4171 Fax: 503.598.1960 \� \� . ,, �n Plan R - , 1 Other Permit: I . _ UO O
� R IS Inspection Line: 503.639.4175 (�,'. \ , • C'V I )'pate R, ': Imo: HI See Page 2 for
Internet: www.tigard -or.gov .t` ° _ \ 1 N otified/Method.: 7 � g ... Supplemental Information
r\ ; tity \ ..,
TYPE OF WORK' ` _/ COMMERC L FEE* SCHEDULE — USE CHECKLIST
1=I 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.
CATEGORY OF CONSTRUCTION. Value: $ $72,800.00
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ l- and 2- family dwelling ® Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION • Heating/cooling
Air conditioning or heat pump
Job site address: 9524 SW WASHINGTON SQUARE RD.
(requires site plan showing placement) 14.00
City /State/ZIP: TIGARD, OR 97224 Furnace 100,000 BTU (ducts/vents) 14.00 14 ��`W Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: H & M D k- w� Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Flue/vent for any of above 6.80
Subdivision: Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
INSTALL 7 NEW ROOFTOP UNITS, REROUTE DUCTWORK, ADD NEW Gas fireplace 10.00
DUCTWORK. Flue vent for water heater or gas
fireplace 10.00
INSTALL 7 SIEMENS SMOKE DETECTORS Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00 -
Chimney/liner /flue /vent 10.00
❑ PROPERTY OWNER ❑ TENANT Other: 10.00
Name: Environmental exhaust and ventilation
Range hood/other kitchen
Address: equipment 10.00
City/State/ZIP: / State/ZIP: Clothes dryer exhaust 10.00
Y Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
Attic /crawlspace fans 10.00
® APPLICANT ® CONTACT PERSON Other: 10.00
Business name: HVAC, INC. Fuel piping
Contact name: JODY DEPEW $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: 5188 SE INTERNATIONAL WAY Gas heat pump
City / State/ZIP: MILWAUKIE, OR 97222 WalUsuspended/unit heater
Water heater
Phone: (503) 462-4822 Fax: : (503) 462 -6555 Fireplace
E -mail: jodyd @hvacincorp.com Range
• CONTRACTOR Barbecue
Clothes dryer (gas)
Business name: HVAC, INC. Other:
Address: SAME AS ABOVE MECHANICAL PERMIT FEES*
Subtotal
City/ State/ZIP: Minimum permit fee ($72.50)
P e: ( ) Fax: ( ) Plan revieiv.(25% of permit fee)
CCB lic.: 50897 State surcharge (I2% of permit fee)
' Oj J TOTAL PERMIT FEE
T his permit application expires'if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
• Fee methodology set by Tri -County Building Industry Service Board
Print name: JODY DEP 4 Date: 6/30/10
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