Permit •
,, CITY OF TIGARD MECHANICAL PERMIT
'' ° '-! ;, COMM UNITY DEVELOPMENT Permit #: MEC2012 -00072
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/07/2012
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9532 SW WASHINGTON SQUARE RD H11
Project: The Body Shop Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 108
Project Description: Grills, ducts and registers.
Contractor: GREY WOLF HVAC INC. Owner: PPR WASHINGTON SQUARE LLC
7306 NE 37TH AVE BY THOMSON PROPERTY TAX SERVICES
VANCOUVER, WA 98665 ATTN HILARY RAYMOND
2235 FARADY AVE, STE 0
CARLSBAD, CA 92008
PHONE: 360 - 588 -3207 PHONE:
FAX: 360- 326 -8506
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/07/2012 $130.46
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 02/07/2012 $15.66
Occupancy Grp: Occupancy Load: Plan Review 02/07/2012 $32.62
Stories:
Project Valuation: $2,500.00
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 $178.74
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 503.232.1987 or 1.800.332.2344.
1111111V . r
Issued By: Permittee Signature:
• allir .4175 by 7:00 a.m. for the_next.available_inspection 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.
FROM <TUE)FEB 7 2012 12: 47 /ST. 12: 40 /No. 75201183e4 P 1
Mechanical Permit Application �,
Received
I • City of Tigard Date /By: ' 7 PenneNv.: M l) _
1,
13125 SW Hall Blvd„ Tigard, OR 97223 ( s , ^ " 1� I o�
Plan Review - -
Phone: 503,718.2439 Fax: 503,598x1'960 Ao. O�� Other Permit: Date/By: � 24r n av+ 1_00)-(0).._
TI C, A K n Inspection Line: 503. 639.4175 0, I �\ Date Ready /By: Faris: See Page 2 for
Internet: www.tigard or.gov ts - U Notified /Method: 1 Supplemental Information
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;., u -_ ;' _ - e^ ` \ _�8 � Mechatrical permit fees* are based on the value of the work
❑ New construction ® Addition /alteration/Aepttaement performed. Indicate the value (rounded to the nearest dollar) of all
®
❑ Demolition ❑ Other: Y , �c mechanical materials, equipment, labor, overhead, and profit.
w L Value: S 1j�7Od '�
..:ri .___ qty 4 - 1` g,ii..E :�•cSv; • �� ° ! s.a. y - _ _
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❑ 1- and 2- family dwelling ® Commercial /industrial El Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
- _W w --- - -- ` ", ---- e' "... -_-tim. tit , ,,:.. w: Heating/cooling:
r t I 't t .5 ;� t Air conditioning
Job site address: 9532 SW Washington Square Rd. (requires site plan showing piecemeal) 46.75
City /State /ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts/vents) 46.75
Furnace 100,000+ BTU (ducts/vents) 5491
Suite/bldg./apt. no.: Project name: The Body Shop Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
Washington Square Mall 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
Subdivision: Lot no.: Flue /vent for any of above 23.32
Other 23.32
Tax map /parcel no.: Other fuel appliances: _
_ -.»i __- +- , g ` f f �` � �; =: - _" Water heater 23,32
Gas fireplace 33.39
HVAC service, clean & rebalance, new GRDs
Log � .\ Flue vent for water heater or gas
GP s '. ( 9 t I ' S S S 1J1Gt L 23-32
�, t ,( Log lighter (gas) 2332
Wood /pellet stove 33.39
Wood fireplace/insert 23.32
- -- Chimney /liner /flue/vent 23.32
: ...,_.�,.,, �� _.... b � _..._ _..- ...._.._.., ,,,,..,,. Other: 23.32
Name: Environmental exhaust and ventilation:
Address: Range hood/other kitchen
equipment 33.39
City/State /ZIP: Clothes dryer exhaust 33.39
Fax: Single -duct exhaust (bathrooms,
Phone:
( ) ( ) toilet compartments, utility moms) , 23.32
" .'' '� -�• •' '' ; '"T-:
' Attic /crawispace fans 23.32
_ _ r �..__...._.. Other: 23.32
Business name: Grey Wolf HVAC, Inc.
Fuel piping:
Contact name: Darrell Osborne $14.15 for first four; $4.03 for each additional
Address: 7306 NE 37 Ave. Furnace, etc.
Gas heat pump
City /State /ZIP: Vancouver, WA 98665 Wall /suspended/unit heater
Phone: (360) 635 -6117 Fax: : (360) 326 -8506 Water heater
Fireplace
E -mail: dosborne ®greywolfhvac.com = Range
_ r r:
- R R:
ue
- ._. -- - .. t�•'C�Y� .. - �. - - : Barbee
Business name: Grey Wolf HVAC, Inc. Clothes dryer (gas)
Other
Address: 7306 NE 37 Ave . f{ w :::,:.- - _ -. , ......:..:.. .: _-:....-:.-. _..,.... .�:.....::.i T
.'= ="-:= !: =`-- 'x:;;11___ t VIII _)EESt`-- ;�;_k__`;`1_
City /State /ZIP: Vancouver, WA 98665 Subtotal I3 L{( -
Phone: (360) 635 -6117 a (360) 326 -8506 Minimum permit fee ($90.00) — 1 �
Plan review (25% of permit fee) 74\ t� 6 k
CCB lie.: 165139 / A A State surcharge (12% of permit fee) . I j
gn , Arlitilliril!liWil7-- IT t obt ith 7Y TOTAL PERM This permit application expires if a permit IT EE d with 180
Authorized si ature: • al d ays a fter it has been accepted as complete.
Print name: Darrell Osborne f Date: 2/7/12 * Fee methodology set by Tri- County Building Industry Service Board
Ir Building 'Permits \MEC- PermitApp.doc 09 :09.10 440-161 7T (1 I.01,COM'WEB)