Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00066
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/24/2011
Parcel: 1S1260000300
Jurisdiction: TIGARD
Site address: 9591 SW WASHINGTON SQUARE RD B10
Project: Victoria's Secret Subdivision: WASHINGTON SQUARE MALL Lot: 0
Project Description: Ductwork, grilles, diffusers, change -out of (5) VAV boxes. Approved plans are on same plan with BUP2011- 00011.
Contractor: ARJAE SHEET METAL CO, INC. Owner: PPR WASHINGTON SQUARE LLC
5510 SE MCLOUGHLIN BLVD. 2235 FARADAY AVE STE #0
PORTLAND, OR 97202 CARLSBAD, CA 92008
PHONE: 503 - 231 -7717 PHONE:
FAX: 503 - 230 -4888
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/24/2011 $728.71
Class of Work: ALT Type of Const: IIB Plan Review 03/24/2011 $182.18
Occupancy Grp: M Occupancy Load: 12% State Surcharge - Mechanical 03/24/2011 $87.45
Stories: 1
Project Valuation: $25,000.00
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
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:
Heat Pump:
Appliances
Vent Fans: 2 Vent Systems: Total $998.34
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: VAV
Duct Work: 1
Fire /Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or " work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the 0 on
Utility stification Ce - . These rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may o•tain a copy of th- ules
or d' ect que ions to OUN• •y cal • 03.232.1987 or 1.800.332.2344.
Iss Jed By: dig / Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available inspe '>f.' date. , .
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
I
Mechanical Permit Applicaficrir li fr-in r( OFFICE USE ()NEN
City of Tigard i.„ k..0. 5 , , e ',.. , 1 .1 ReeOived 4 . -
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pe,.11■1 No . lige A n - Oao bCp
, - • 13125 SW Ilan Blvd . Tigard, oR 97223
Ili • "• '-# rhaediy. oc (S ii ,
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' 11 . Phonc 503.639.4171 Fax S 03.59S. 4 I 5 2011 5 )1 u,h,. Pettnn
1.)ntel3y.
Inspection Line: 503.6:39 4175
TIGARD Oat.: keadk.11y Inf. 93 Set Page 1 tor
Internet: www.tigard,or.gos. CITY OF T1GA9D
I Supmental information
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j LCl/MMENICIA.I, FEE*- SC.IIF.DUI.E - li$E C.HECKLIST
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0 New const ruin tor i 1:2: , ,
Add it i opfal tem i ionideplacernem i I Mechanical permit Iers UR` hied on the value i) td he work
- I performed. Indicate . value (rounded to the nearest dolbr) of all 1
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I 0 Demolition 0 Other: [ meehanical materials, equipment, labor, overhead. and prout .....
. I" CATEGORY OF, CONSTRUCTION --' i Value: S i6i
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- 4 1 aEsint.Nr 1:44, EQUIPMENT I ASTEMS FEES*
0 I. and 2- family dwelling. CommoviatInclostrial 0 Ace.
e.sory building
Description For spct.sit utfilifiaciue.ot Z.j.ce dleCA
0 Muld-fa.mily MastcT builder 0 Other:
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JOB srrE INFORMATION AND LOCATION Mari :leopling
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Air condining I i
Job si C
te address: r' , 4 5 j.ktr) !.,7,...j v..) ..... ..t.,_) INS rkILIA, tio TC 46 . 7 - i I
i 01:quito: tin: plito siiiivons 4_ . I_ • • • i
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els.friti.. i i 4-t. 75 '
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i nun..., iO4)000-, Bit! idue.14,•yznisr 54.91 1
i Suite/bldg./dot no r )-, .„.. Projeet name! I ...t..._. .
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Cross street/directions to job site: I 1>irct wink 1 .'3 .2 . 4 * __, ■..
livilronie iii. water system
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ReSidential boiler (radiator or
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I Unit heaters is fuei-type. not electric)
suspnded. .
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in-wall. in-duct, e etc. 4
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I 46 75 1 .
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---- •- l'It4.4etti for any Of tINIVC i 23 32 I
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S !Alai v ;skin: 1 l_or no.: I
Other I 2132
Tax map/panel do.: ' Other fuels
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DES( :RIPTION OF WORK Water heater 1 1 23...";2
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Gas forTlace . 1 33.39 I i
. . - 17. • .- ) ,0 c. 1 ,
---4- ' • ry.-ls ( .......2.1.,..1..,,X„:::C..,.....i . .L 1 F: toe • for water heater or gas I t
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. ., . . ---r- ....., . ■ • limplace 1 23.32
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1: • - A tii"C ) C . A .:... ' • : ,T1 1 Woildlyeiler stove
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1 -- ""`• r '-'' tAinineyilinerillue4kan I 23.32
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I-- I other: .__.L. 23.32 L
- 1. _ _ .. _Eui exhaust !tad vearilsejun
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Runge hoodiother kitchen 1 i
I Address: tis .,-.,k-...4 ...._1` -.1:11._ i 33 .19
equipEnent
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CilyiState/ZIP(T‘ ( 0, , L .:". ). 1 I (10,1,es drver exhaust
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I Phone: ( Cs ''' 9 --t , 1 , .. t .,.,p .-;)Ct . . .. --1. . . I 1
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0 APPI,ICANT tyCONTACT PERSON Attieierawlanice fans I :?3.12
Other .
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BILSinCSS name: N'',' r -...,-„, ..
t ‘,.. A k.." UPI ::t;;;;;js FiElpipitaz
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1 (.'ontact name: V'y \ eNR N L..- ... 14„. y i 1 ‘.....1 1 .. 14' -4:::: i $I4,1S fur tiro four; $4.03 for each additional _ ......... 1
I Address: ' . 5 „ H . .) , 1 [Furnace- etc. 1 I
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, .., . i i Gas heat Qum_ I
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t.ity,Satell1P. I )i- N i , \ i v's I \.) is (:::-..„ ( ' 1r-A - 1 1,...L I Wallisuspe9dediunit heater ; --I-
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Business narrit=;- p g-1 GI .: I rt" 4 .....•
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; Addmss 1 5 6 ta )`A_C■ t 0 NIEC.RANICAI, PERMIT FEES*
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I (it viState.211': 12:T & 4 - T) C'i a. 9 72-P- - 1 I Subtotal 1 . ,
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minium permit 1LT ($90.901 I
I Phone: ii-• - 71 ( -7 I ht .: I' i
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Plan review i 25% of permit feer i -4
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CCI3 ik.: i ".-S•7 6.- I State surcharge (12% of permit f....: i
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TOTAI. PERMIT FEE I j
- ,ri .----- rats oartior application expiret. it a permit is nut dinstined wilbiu )811
.Nothimized s:ignature: .'-- ,„... . t ' , ..""'
days after it has beta accepted an rumpling
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Print name: : T . ,
1 ' I v:•• on'ttp'. ••:,:t 1.n. fri-ciiiiiii>. Building Indin.w.- Snil-ice iInn1-0
.: ;Aut..:
4 i i
) tuasiai •1 ,40. 'i$ 0' s.k...14,1'''t (ii.,:11 OktVoTgt
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