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Permit CITY OF TIGARD MECHANICAL PERMIT _ �s V a COMMUNITY DEVELOPMENT Permit 4: MEC2010 -00341 TGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/21/2010 Parcel: 1S1260000300 Jurisdiction: TIGARD Site address: 9785 SW WASHINGTON SQUARE DR D12 Subdivision: WASHINGTON SQUARE MALL Lot: 0 Project: Radio Shack Project Description: Mechanical for TI. Owner: FEES PPR WASHINGTON SQUARE LLC Description Date Amount 2235 FARADAY AVE STE #O Permit Fee 07/21/2010 $155.02 CARLSBAD, CA 92008 Plan Review 07/21/2010 $38.76 PHONE: 12% State Surcharge - Mechanical 07/21/2010 $18.60 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 $212.38 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 of the rules or direct questions to OUNC by calling 503.246.6699 s ToIS 3t r -4. Issued By: ' / • - Permittee Signature: Call 503.639.4175 by 7:00 a.m. for an inspection that busi 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 Application , — 5 r ' ` _ ` f' FOR OFFICE 1-- O'.'LY I r City of Tigard i Received 13125 SW Hall Blvd., Tigard, OR 972 s -' !� a r . may: l • �� _ Permit No.: Mf^_e I U —tX1�'(i • IN :,,: Phone: 503.639.4171 P a x: 503.598.1 0 ; U \. Plan Rcvie Inspection Line: p3.639 10 Date/By: �-I` ether Permit fiIGAFD; P 1 5 2 0 7 �� d • , , Inteet: www.t i and -. ov O R • Y: Ions Sce Page 2 for D • Notified/Method: 7/ I 1 0 /.t n,. n Supplemental Information 1'k ( te r 1 t,3 a ,i • ..z ti-:r t , .`;`y , j. .�._1 t-.+..... t ft. D. `" - G L' 1 , 5at„rVe S: i, ::...,' -. k.�+' - r - v �, , - tl ©4[1'?ItC'f�1l.yEE. 35 ' FL I ❑ New construction Additiotl /alteratjott/replacetnt tt Mechanical permit fees* arc based on the value ofdic work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demoljljon ❑.0�� r { a� x Fl Fts $r mechanical materials, equipment, overhead, and profit. als. eq labor, eve d Y Y... w 7 Y 15I � �o- t a r t Value $ Z L 1=1 1- and 2- family dwelling Cornmercial/indu.st ial El Accessory building } • -r * .. • 4.R� «...ter-, X.. : , ., ? "tGF x, . : ❑ Multi - family ❑ Master builder ❑ Other: For special information use checklist. r`s S ww n . g or...5 -. �"II t t _ _ Description T- t Oft �- �Y Total .. .g`Ae -5. ., i �.k..r'x-.T® -s- . �c� ' � i s `"�i✓� -' -a`K_,r .s....5'F - . r , �r Heating/cooling Job site address: a 'SS t Air conditioning ✓l. t e Z (requires site plan showing placement) 46.75 City/ State/ZIP: .. ,„ L ?2 Furnace 100,000 I3TU (ducts/vents) 46.75 Suite/bldg./apt. no.: 2, Z I Project name: A 0 664ta< Fun' ?ce (00,000 + BTU (ducWvents) 54.91 Heat pump 61.06 Cross street/directions to job site: Duct work 23.32 Hydronic hot water. system 23.32 Residential boiler (radiator or hydronic) 23 :32 Unit heaters (fuel -type, not electric), in - wall, in suspended, etc. 46.75 Subdivision: I Lot no.: Flue/vent for any of above 23.32 Tax map /parcel no.: Other: 23.32 *� r < . ,� r ;> Other fuel appliances 't -. , . 0 ` i . ..s k 7 - r. : Water heater 23.32 e ,,pp , " - Gas firepl 33.39 irpIAt. - VA 16 Box 14 KO 64 L. /C" Flue vent for water heater or gas fireplace 2332 Log lighter (gas) 23.32 Wood/pellet.stove 3339 * - Wood fireplace/insert 2332 t - Y '' ` ' . °. r x s y Cbimney/liner /flue/vent 2332 ... 4i t ` .. . 5; ° -. .. - -_ ?,; ter other: 2332 _ •} Name: 6 010 4 il at Eavirmunental exhaust and ventilation Address: L Range hood/other kitchen 95 St*/ WA4ifiNera►v 6Q /59. .# D/2 equipment equipm 33.39 City /State/ZIP :76 A,249 oe. / � I .. e 7 — : Clothes dryer exhaust 33.39 Single -duct mthaust (bathrooms, Phone ( ) Fax: ( ) �. , '?5, . - k :4. . 4 - a t- "-, , ' °- k toilet compartments, utility rooms) 23.32 �• : ? J AtUwlsPacefans 2332 Business name: A ii o ..i /. G►C..H%U L ,,,, 1 Other 23.32 - Fuel piping Contact name: KBYiN K • / $14.1S for fast Poor, 34.03 far each additional Address: 10 330 S yea./ 17, A �ATL ••J )d Furnace, etc. "Gas heat pump City/State/ZIP: 'MA `# T jjN 60/C 47062 Walllsuspended/unit heater Phone: (a3) 6 9 2 - / S K 4- I Fax: $b3) 691 -/87q : Water heater < E- mail: Fireplace *";5 �"•s F' 747Zi i . .' 4 ' '. tV WA.M%rr Barbecue , Business name: A le let,v►/ 0 ,„„ 0 „.„,„ 4 ,„ 4 „,,,,„../ Clothes dryer (gas) Address: 0 .b .,-.. : < 1033e S v44 7 1IA lA^rj.,v A � rs. "t >t .0.,--,,,,,,,, t .. . - City / S tate/ZIP: IjA (A I biI OR. 4 2' Phone:03 ) 6 qZ —l$ -66. I F ax: (b3) 6 /-.�6 79 Minimum permit fee ($90.00) Subtotal . e i P lan review (25% of p ermit fcc) I CCB lic.: 57 7 3 State surcharge (]2 %oof permit. fee) TOTAL PERMIT FEE Authorized slgtlatu ee: This permit 11CA l A permit Is not obtaine within 180 Print ..wmn• 3's accepted m eotnpiate. Lrr 1 n At.. • Ve /te, 1 • Fee niet odoloevsetbyTri- County13ui ldineIndustryServiceBoard