Permit , CITY OF TIGARD MECHANICAL PERMIT
f� 2 ''• COMMUNITY DEVELOPMENT Pe rmit #: MEC2011 -00348
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/20/2011
Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9627 SW WASHINGTON SQUARE RD FCO2
Project: Sonic Subdivision: WASHINGTON SQUARE MALL Lot:
Project Description: Moving ducts and grills.
Contractor: SUN GLOW INC Owner: PPR WASHINGTON SQUARE LLC
2428 SE 105TH BY THOMSON PROPERTY TAX SERVICES
PORTLAND, OR 97216 ATTN HILARY RAYMOND
CARLSBAD, CA 92008
PHONE: 503 - 253 - 7789 PHONE:
FAX: 503 - 253 -7693
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/20/2011 $277.46
Class of Work: ALT Type of Const: Plan Review 07/20/2011 $69.37
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 07/20/2011 $33.30
Stories:
Project Valuation: $7,500.00
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: Vent Systems: Total $380.13
Hoods: Comm Incinerators:
Required Items and Reports (Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
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. • : • .:.I.
Issued By i . Permittee Signature:
Call 503.. ' •.417 ,.00 a.m. for the next available inspection date.
This permit card shall be ept 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.
Pg � `N GioNe GG y. � Mechanical Permit Application � �''� —00349 �j //- Op Itq.
I A Washington County www.co.washington.or.us Phone: 503 846 - 3470 Fax: 503 - 846 - 993
155 N. l AV, Suite 350 - 12 Inspection Request Line: 503 - 846 -3699
G1 - o Hillsboro, OR 97124
Land Use Approval: Project #: Permit #:
TYPE OF WORK. COMMERCIAL FEE SCHEDULE — USE. CHECKLIST '
❑ New construction , Addition/alteration/replacement Mechanical permit fees arc based on the value of the work performed. Indicate
111 Demolition ill Other: the value (rounded to the nearest dollar) of all mechanical materials,
equipment, labor, overhead, and profit.
' CATEG ORY.' 'OF CONSTRUCTION
. Value: $ 76'00
❑ I - and 2- family dwelling .Commercial /industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS- :FEES
❑ Multi - family ❑ Master builder ❑ Other:
For special information use checklist.
JOB SITE„, INFORMATION AND LOCATION Description Qty. I Ea. I Total
Job site address: ® Heating /cooling
�✓S�it�!g �n �(���' Furnace, incl. ductwork, vent, and liner 8.75
City /State /ZIP: SpaGe Fe-2 Air conditioner (site plan required) 8.75
Suite/bldg. /apt. no.: Project name:
t"'' ' "� Heat pump (site plan required) 8.75
V t Duct work, alterations and additions 8.75
Cross street/directions to job site:
Hydronic piping system 8.75
Boiler, incl. vent ** State Permit Required
Gas heaters /unit in -wall, in -duct,
suspended, etc. not incl. vent. 8.75
Other:
Subdivision: Other fuel appliances
ubdivision: Lot no.:
Water heater 8.75
Tax map /parcel no.: Gas fireplace /insert/stove 8.75
DESCRIPTION OF WORK .. Gas log/log lighter 8.75
Pool or spa heater, kiln* 8.75
1 Phee, E ki'u(SI- P-444- J- 64t 1 S Wood/pellet stove /insert 8.75
./7.4h 0A Dom ,, ( u , i1 i / c .. ! 1 t G ,_ c Wood fireplace 8.75
Pe - 'IGe S'v n �� ✓e f`T /I�tJV` b'r.7 Chimney /liner /flue /vent w/o appliance 8.75
O Oil tanks /gas /diesel generators 8.75
Other:
❑ PROPERTY OWNER ❑ TENANT Environmental exhaust and ventilation
Range hood /other kitchen equipment 8.75
Name: Clothes dryer exhaust 8.75
Address: Single -duct exhaust (bathrooms, toilet
compartments, utility rooms) 8.75
City /State /ZIP: Attic /crawlspace fans 8.75
Whole house ventilation or Radon
` Phone: ( ) Fax: ( ) mitigation 8.75
N : APPLICANT Other:
v
B name: Fuel piping
% 1 $8.75 for first four; $1.05 for each-additional
# Contact name: L' �� r S ! a /4c den Furnace By outlet #
v
Address: ( Wall/suspended/unit heater By outlet #
SUN GLOW, INC. Water heater By outlet #
City/State /ZIJ Fireplace/log lighter/gas to B outlet #
Heating & Air Conditioning p g log By
Phone: ( 2428 SE 105th Ave. Portland, OR 97216 Range By outlet#
E -mail: 1 (503) 253 -7789 FAX (503) 253 -7693 Barbecue By outlet#
_. Clothes dryer By outlet #
CONTRACTOR Other:
Business name: MECHANICAL PERMIT FEES
Address: Subtotal $
Minimum permit fee $62.00
City /State /ZIP: Plan review (65% of permit fee) $
Phone: ( ) Fax: ( ) State surcharge (12% of permit fee) $ ,
TOTAL PERMIT FEE $ ' 53T) ,. ( i
E -mail:
This permit application expires if a permit is not obtained within 180
CCB lic.: L(6973 f City or metro lie.: days after it has been accepted as complete.
Authorized C, * Site plan required for outdoor unit
** State B
e Building ding Di Codes Divisivision's 's approval required
signature: 4...___
Printname:CM i s , /46k/Lar1L Date: _11 440- 4617T(06 /1l /COM /WEB)