Permit r 'r
CITY OF TIGARD MECHANICAL PERMIT
I
COMMUNITY DEVELOPMENT Permit #: MEC2010 00563
1 3125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/24/2010
A RI) Parcel: 1S1260000300
Jurisdiction: TIGARD
Site address: 9524 SW WASHINGTON SQUARE RD H08
Project: H & M Subdivision: WASHINGTON SQUARE MALL Lot: 0
Project Description: Mechanical for TI.
Contractor: PACE HEATING & AIR Owner: PPR WASHINGTON SQUARE LLC
1884 FESCUE ST SE 2235 FARADAY AVE STE #O
ALBANY, OR 97322 CARLSBAD, CA 92008
PHONE: 541 - 926 -4328 PHONE:
FAX: 541 - 926 -4543
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/24/2010 $2,225.25
Class of Work: ALT Type of Const: IIB Plan Review 11/24/2010 $556.31
Occupancy Grp: M Occupancy Load: 12% State Surcharge - Mechanical 11/24/2010 $267.03
Stories: 2
Project Valuation: $84,554.00
Fuel Air Handlers
Fuel Types: Units < 10000 cfm: 1
Gas Pressure: 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: 1
Heat Pump:
Appliances
Vent Fans: 4 Vent Systems: Total $3,048.59
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, 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 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: t , A ,`..-- ei ��
Call 503.639.4175 by 7:00 a.m. for the next available inspe tion date.
This permit card shall be kept in a conspicuous place on the job site unti completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE US ONLY
• Received
71 City of Tigard CEIVED Date /By: � I 1� Permit No • : -_ — c"--(2- . 1 iii
v 13125 SW Hall Blvd., Tigard, OR 97 � Plan Review��11 / � _ •
Phone: 503.639.4171 Fax: 503.598.' ` i D ate /B ' �� I l l Other Permit: P � o )1 ct
T LGA R D Inspection Line: 503.639.4175 Date Ready /By: Juris H See Page 2 for
'4: Internet: www.tigard or.gov NOV 4 2010 Notified,Method: ir) r 'IiiJ an 1 ? j Supplemental Information
`st``) t / iii M h T 6i,.. P*
TYPE Oh' �N COMMERCIAL FE SCHEDULE — USE CHECKLIST
❑ New construction ®Addition /a 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: S 584,554.00
. RESIDENTIAL EQUIPMENT/ SYSTEMS FEES *' •
❑ 1 and 2 family dwelling ® Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description j Qty. I Ea. I Total
JOB, SITE INFORMATION AND LOCATION • Heating /cooling
Air
Job site address: 9524 SW Washington Sq. #I1 -08 (requires site plan showing placement) 46.75
City /State /ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts /vents) 46.75
Furnace 100,000+ BTU (ducts vents) 54.91
Suitelbldg. /apt. no.: 11-08 Project name: H &M US 220
Heat pump 61.06
Cross street/directions to job site: Washington Square Mall 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 -duct, suspended, etc. 46.75
Flue /vent for any of above 23.32
Subdivision: l Lot no.:
Other: 23.32
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33.39
V 2. ' - r
S' 'c RV PC:. _ �( C L .C--1 S()1■• Flue vent for water heater or gas
C 5ks L A F X In ch JL1 �-CA,f1S ne v(ut~-� �y(t L l igh 23.32
1 > > Log lighter (gas) 23.32
rQ-C r�CS -• Ckc1. � C LC Wood /pellet stove 33.39
` Wood fireplace /insert 23.32
Chimney /liner /flue /vent 23.32 • I=1 PROPERTY OWNER. TENANT -
Other: 23.32
Name: H &M Hennes & Mauritz LP Environmental exhaust and ventilation
Address: 47 West 34 St 3' Floor Range hood /other kitchen
equipment 33.39
City /State /ZIP: New York, NY 1001 Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
. ® APPLICANT II CONTACT PERSON Attic /crawlspace fans 23.32
' Other: 23.32
Business name: Pace Heating & Air
Fuel piping
Contact name: Trisha Marshall 514.15 for first four; 54.03 for each additional
Address: 1884 Fescue St SE Furnace, etc.
Gas heat pump
City /State /ZIP: Albany, Oregon 97322 Wall /suspended /unit heater
Phone: (541) 926 -4328 Fax: : (541) 926 -4543 Water heater
Fireplace
E -mail: trisham @pacecomfort.com Range
CONTRACTOR Barbecue
Business name: Pace Heating & Air Clothes dryer (gas)
Other:
Address: 1884 Fescue St SE MECHANICAL.PERMIT FEES*
City /State /ZIP: Albany, Oregon 97322 Subtotal 2,225.
Minimum permit fee ($90.00)
Phone: (541) 926 -4328 Fax: (541) 926 -4543
Plan review (25% of permit fee) 556
CCB lie.: 7713 State surcharge (12% of permit fee) 267
TOTAL, PERMIT FEE 3048
//� This permit application expires if a permit is not obtained within 180
Authorized signature 1 inrla_ w ' �` ha t/ y days after it has been accepted as complete.
Print name: Trisha Marshall Date: 11/1/2010 * Fee methodology set by Tri- County Building Industry Service Board
L \Building \Permits \MEC- PermitApp.doe 10/01/09 440 4617T(1I /02 /COMAVEB)
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.
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