Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2010 -00468
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/30/2010
Parcel: 1S1260000300
Jurisdiction: TIGARD
Site address: 9477 SW WASHINGTON SQUARE DR A07
Subdivision: WASHINGTON SQUARE MALL Lot: 0
Project: Best Buy Mobile
Project Description: Duct modifications for TI
Owner: FEES
PPR WASHINGTON SQUARE LLC Description Date Amount
2235 FARADAY AVE STE #O
CARLSBAD, CA 92008 Permit Fee 09/30/2010 $170.37
Plan Review 09/30/2010 $42.59
PHONE: 12% State Surcharge - Mechanical 09/30/2010 $20.44
Contractor:
SD DEACON CORPORATION
901 NE GLISAN ST #100
PORTLAND, OR 97232
PHONE: 503 - 297 -8791
FAX: 503 - 297 -8997
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 $233.40
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire /Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance • ' • • uspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utili otification Center. ho z les are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
o • irect questions to OUN •y calling 03.246.6699 or 1.800.332.2344.
Issued By: A 1 � ,/` ' Permittee Signature: .�
CaII 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application j'��1 /wry FOR OFFICE USE ONLY ED City C) ! l 1 it rd f t 1 V RcCCirctl OI O /6 Rollin No.:
� • 13125 SW Ilan Blvd.. Tigard. UR 97 ?�5�+' Pl:m Itctirt�'� 1
Phone: 503.639.4 171 Fax: 503.548.1960 0 1)rtrllr: . � '�� 011ut venial:
T 1 G A R D Inspection Lint`: 503.634.417$ SEp 2 20 Date handy y: 1. is, ® tic? rape 2 fur
I rttrntet: ,\•,v,c.tigmtl- t T;otifwtI'1 ihcnl: Si,R;4etneolal
I :., .: : .. L SCI(LDS LL .. . .
. ....:.: :: .:.:;.7;1'1 C� 01� ..3� �� � C�111hfLRC1 1 L __.. .. ....... ..
: "' .` .'.''. . . ' .. -- -• }i► - - -' ' t Mechanical permit firs' arc basal on the value of the work
t ❑ New construction n AdditionlalteraUunfrepl(tcement 1 performed. Indicate the ,:due (rounded to the nearest dollar) ol'all
❑ 13enw)lition ❑ Other: nK'cl _.._.._ equipment.. - --_-
:tat !c � •nl Gdxtr.oretheac,:ux�le n.
tical maicria
V alue: S l�U 1 t 60 1
:• .. c . � : 1�.co>t�' OJ { O>\I Ir
- - 12FSIDGN71.&L:1 Qti[irlM.trST.: S YSTIFMSTF .L� `
::.
t- and 2- family dwelling XK'onnnerctalfindusllral ❑ Acccss(ny building
For special i,rf',rn,ruiu,r uc• rhrrRlsr
\1
0 u{ti- funtl O \la (] stcr builder Oilier: Ik
er: x -
criptitto l v`)•- I Fa. I Total
: :.. 1 :.. ; Ileatiug /coolittr: - -
JOR: SF' fi? c1N1! URi�fATIQN :AI\D }aC'AT1 >.;? : 1:):':'ii;:?:.'r :P -- - - -
-• _.. ( r ) - � �U (r
/ n unu t ten t 45.75
.fob site address: 0 0 JLs- iYti5t - Zr'1 Seeu.a.n 1 c1.. I / ,�t pl:+�c —_...
} t -- c Furnace 1011,0(10 BTU U (ductsvenU) 1 - 46.7. J _
City/Stale/ZIP: : j !. r al�, l •�.
' ) t --- '- � Furnace IQO,(l t E 3711(duct: \tntsl 54.91
uite ;bldg.iapi. no.: Ae / ! Project Itatnt. ` r? - L ! / t--f �, ,,, I 116
�i ��_ � — j
S ... lieu I wnt 61.
' -_-• --
C'ross su'ectidirt ctians to job silt: Duct work 21.32
— _ - --- ..._.\ - - -
jj /, y 1�chonic Ito' miter - '3.32
14/15: W . .a ...4 1 s tf ,. . '6 1,...t h .._ �', :� ��( �r ,, l . - -. Rcsidcntia! boiler (radiator o
U •dronic) - 23.32_
_ (!nil heater.: (Curl -type• not ckcnic ).
- in -wall, in duce. Suy,auletl, etc. 46.75
- -- Plue%vatl for an • al above 23.32
Subdivision: — _- ._._._ — (l.ol no.: ._ _... -__ - 23.32
Other:
Tax nunpipareel no.:
Other titer ajpliances _ ----- ...---
: .;:.:. . . .. . . .... c a firepkicc 33.34
;/1
�.__ . :. : .'LLT' __nt_Ci( C \1 t)) _' - ?. 11 •--M ! ✓)FFZ -(i 1 tu. veld for wilier heater rq gas
fireplace _ 23.3 2
Lo ti fitter (Eas) --- ...- = ...23.32
Wool. nllet stove 33.34
.- Wood rcpl Ice irucrt _ 23.32
('hiuntc dlin r ilucfvcyu • 23.32
• :;:: ::D ri orrr ;i: vii4 ::::; >: ; : (; ;.: I1. , 11 ..:. .. :............:.... oll«f _ _ - = 133 _ ..._..-__--.-_.
Name: I•.n\'ironuuutai c�hnits( and vnrtiln ion --
— __- _-_,___- —_• -- ._....__.___-- -.-- -- + Range hoal:(dhcr kitchen
Address: aiipneut .33.39 .._ .... __ --._ -_
City /State /ZIP: - - Clothes dryer exhaust 33.39
_ -. __. • - Single -duct exhaust (bathrooms.
Phone: ( ) l=ax: ( ) toilet compaiIntents. utility rooms) 2. ._.._....._..._
.::.: , ) w l
.::::>;:::;• ::::,. � CIL4C.+: ....':i1Rf . ,.
,... ,,., . .:: :.:
.. ;
.... .,. . . .. . O!' A
ld 'l; '�' <.:`:r::''::':' _ c ta %pa c - ....___
Business I ne: •� ��
ta & _ !a-f . 4 4'2'- hue( pipiut
t $14 t'or fi rs ( lo ur; 54.03 for each add itional
Crntulct Hann:. L�'_I GYM ( � t1 ,t. `� � �� - - 1 — — .__..._..._._
_.. _ _......_ Puns. ec, etc. I ,
Address: j 53((53( i-� -5('. l.L E..a'1- . cz.> -- Gas heat nnp
City /Slate /L.iI': 4 ?_• c 7 ier1 Wall%sustxrwlcd ` unithalter
-
_-
' ( s - ` j :9 (n .. U3 J 1 F ax:: ( , >' 5/ - G ala • (-i5 -t/.3 „':nit heater
—_. —.. .._.._ _._ ._. Fireplace __._-- ..... .._...._
•
I•: Itlail: .��1')• �•7Y'1RY7 (:)��(!.'['C`m ►? Tn' 1 Ratly_e --- •- .--- -- ...
:::: . n ri tc ft B.r, l,a
•n
: co o Clothes li s d er (gas)
Business name: ..-) Oe G) C -!. /1 - yam' .7 _ Uther: �-
Si' u ;;; .Mt.:c1 `: i.■.I( . .. tLI'. . RMI1 }L S _.: _; . !::'. .i. : - :
Address: `- ;-'f9"" •.�.fx;q 6-10 6-10 � Pt Pt l/ f� « d'1 it .. . . .. . . . ......... A..........................:...._ ....
r) _ E tie_ q Subtotal 3) 1
City/State/ZIP: i U! " ��CZ {` Ill (r)�- — 1 ) :) c�� • _.... -._ - _- � �(�,.
)_._.- -- Minunam permit fcc (S90.00) i
Phone: ( ) I Far: ( ) Plan review (25% or permit 6:0_ "I.x•tR�!
C'C fi lie.: ' I State sotc h:ug(: (12% of permit fie) c9.c "L
.— - -- — - - —_.__ 'I'ol:kl. PERMi•1 hl'.F. 733, La
tic,x
h h
- ' t i Ihia 11(11
Authorized signah 7 L, ! , J - P?rnul dar ' n after it ha.: been areeplet1 astcotmplrte. (, tri , / r {a Pee ntclhpth,logc >cl by ti•('nuur Building uiah;• kc I)U;al
f'r Hann: }th. E_ �`'l -!. � L�Z� , Dam: 9- a'r� rL .. -
1: Itanldm; 1'nntn. MI C.I Into (n .1-10-161 01020M \'111)