Permit CITY OF TIGARD
MECHANICAL PERMIT
"fix a
COMMUNITY DEVELOPMENT Permit #: MEC2010 -00314
Date Issued: 07/13/2010
T f G AR D. 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 1S1260000300
Jurisdiction: TIGARD
Site address: 9771 SW WASHINGTON SQUARE DR D08
Subdivision: Lot: 0
Project: CCS
Project Description: Modifications for new tenant.
Owner: FEES
PPR WASHINGTON SQUARE LLC Description Date Amount
2235 FARADAY AVE STE #O Permit Fee 07/13/2010 $319.61
CARLSBAD, CA 92008 Plan Review 07/13/2010 $79.90
PHONE: 12% State Surcharge - Mechanical 07/13/2010 $38.35
Contractor:
A ABSOLUTE COMFORT HEATING & COOLING
INC
15886 PARK PLACE CT
PHONE: 503 - 513 -4795
FAX: 503- 513 -0797
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 $437.86
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: VAV
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 forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy •f the rules
or direct questions to OUNC by calling 503.246.6• • • • . :00 - 2.2344.
/ /
Issued By: v / / � Permittee Signature: , '
III
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.
Mechanical Permit Appli ti, A i ,. t) , . , It I )5I oN
City of Tigard Received / (44, i ► / eeo l e l -430 ,31
1111 7 b III t f Date/By: (� _ Permit No: 1 / !/
° 13125 SW Hall Blvd., Tigard, O 97 / 1 J -• 0 6 2 G'' `�
Phone: 503.639.4171 Fax: 503.598.1960 DateBy: e ' �/ 0, / Mj Other Permit:4O' �O
.1 1 c : { Alt 1) , Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By:
azd or.gov �` S upplemental Information
See Page 2 for
Internet: www.tigard-or.gov DIVISION Notified/Method: I ll i . Supplemental
.T pd , u 1 ► 0 •
TYPE OF WORK COM ERCIAL FEE* SCHEDULE — USE.CHECKLIST
❑ New construction — 0 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, overhe d, and profit.
CATEGORY OF CONSTRUCTION Value: $ �
. RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ I- and 2- family dwelling CommerciaUindustrial ❑ Accessory building
For special information use checklist.
❑ Multi- family Master builder ❑ Other: Description 1 Qty. Ea. 1 Total
JOB SITE INFORMATION AND LOCATION. Heating/cooling
Job site address: g7 7 / S,% Ai1A/ roAl Air conditioning
(requires site plan showing placement) 46.75
City /State /ZIP: pa 0 Op,,, (2 1 17 (1,13; Furnace 100,000 BTU (ducts /vents) 46.75
n Fumace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: Project name: (� Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
W / R � `J ∎ � � ( „ r / R eside r i hot we system 23.32
! �Y f 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
N n f � 1 I U f i 2745t4/ J n Gas firepla 33.39 NfS r '� // Y ^ . ,�, � `P .I r Flue vent for water heater or gas
WiTWG '�S W Log 23.32
1 Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert 23.32
❑ PROPERTY OWNER I Chimney /liner /flue /vent 23.32
❑ :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
. 74 ,
APPLICANT ' '❑ PERSON . Attic /crawlspace fans 23.32
Business name: ,, A c Co,Awtt Nt � C�k Ic r: 23.32
,_ J F uel P Pin g
Contact name: l� Ii -7 $14.15 for first four; $4.03 for each additional
�J 1 1Ci Fumace, etc.
Address: ; ! , •
_ Gas heat pump
City /State /ZIP: i f It i Wall /suspended/unit heater
t ) -, 9 fit (8 )1>) 1 n Water heater
Phone: V 1 ( ) ' Fax:: (/ I
/� p �'1 -7- , Fireplace
E -mail: b? 91 k -A s U tLvT- ( APoki J OOY Y Range
CONTRACTOR Barbecue
Business name: ��11 L Clothes dryer (gas)
�f�,A1.4 ,/t- 1 ,, of Other:
Address: jjj ��' MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal
Minimum permit fee ($90.00)
Phone: ( ) Fax:( )
Plan review (25% of permit fee)
CCB lic.: State surcharge (12% of permit fee)
TOTAL PERMIT FEE
,, kt This permit application expires if a permit is not obtained within 180
Authorized signature:
days after it has been accepted as complete.
Print name: ho, N LI i w • *, 1 .40 Date: 7 J) * Fee methodology set by Tri- County Building Industry Service Board
1:\ Building \PermitsU�C-PermitApp.doc 10/01/09 61 (11 /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.
1:\Building\Permits\NEC- PermitApp.doc 10/01/09 2
RECEIVED
L_____,/ T J, A,, S' N f s= , 13 2 u i Ci
CITY OF TIGARD
h P fIJ "� . (34--7.--7 - c�`ij ��.RU � IVISION ,--„,& j
.. „59 i.-0/,-----.0) . _ef // 77,-a-,..V
f
tip, ;tNr ""---) � -
of f 4 >, OF - -
a /'/ / 7;ff5
MI 4r/
lilt _V
1/4 - 06 0 5:40 I.- / c4,
.7) 5-4-76c6--
i
G
1
1 -•
•