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Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit #: MEC2012 -00071 Date Issued: 02/07/2012 TIGAR.D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1S126BC01506 Jurisdiction: TIGARD Site address: 9020 SW WASHINGTON SQUARE RD 500 Project: Datalink Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 108 Project Description: TI Contractor: WILLAMETTE HVAC Owner: WISCO REAL ESTATE EQUITY FUND I 3075 SW 234TH AVE. #206 1501 SW TAYLOR ST STE 100 HILLSBORO, OR 97123 PORTLAND, OR 97205 PHONE: 503 -628 -6841 PHONE: 503 - 294 - 0400 FAX: 503 - 848 -2597 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 02/07/2012 $78.27 Class of Work: ALT Type of Const: Plan Review 02/07/2012 $19.57 Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 02/07/2012 $9.39 Stories: Project Valuation: $750.00 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 $107.23 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. r)v,.../.02(< Issued By - Permittee Signature: Call 503.639.4175 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. • Mechanical Permit Application eN, FOR OFFICE USE ONLY. . . . City of Tigard `\� Date /By , Permit No . ^ -' 1111 - " 13125 SW Flail Blvd., Tigard, OR 97 ti (d-- ��,7 Plan Review �_�� � Other Permit ` Date /By: i / , / ) C�C) T IGAR` Phone: 503.718.2439 Fax: 503.59 D, Inspection Line: 503.639.4175 ®„1 �� ��. �� Date Ready/By: See Page 2 for Internet: www.tigard- or.gov N��� Notified /Method: Supplemental Information ,, 7 ; . , r. 4 ~ , st '. Ir1L FEE....: H - ° ;; ;,,, ,,,,;,•.... TYPE - OF W ©RK ,-�:.,�� , ::H ��d ��.,., b.. , -.... .. ,s,';' (ii, �....... ED[1L U C , E K � S..., .: C � m Mechanical permit fees* are based on the value of the work ❑ New construction ® Addition /alteration /re tjaaacement performed. Indicate the value (rounded to the nearest dollar) of all 1=1 Demolition ❑Other: j mechanical materials, equipment, labor, overhead, and profit. ,,,, Value: $ 5750.00 VaI ;.,, ..:CATEGORY OF 'CONS1 RUCTION, :4 y�, , mow:. �, ,�,. �.,:., „� „�.�,;; ..•- ...._:_;,. , .,� NTIALEQLIIPM -ENT /SY.STEMS,FEES -. ❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total ''''''''°,* r r .. MAC,,, Heating/cooling: ', JOB'' STI E INFORMATION -:AND` LOCATION ;r 9 g :, '_ ., ::• .. s;a„ F =:, Air conditioning Job site address: 9020 SW Washington square Rd (requires site plan showing placement) 46.75 Furnace 100,000 BTU (ducts /vents) 46.75 Ci /ZIP: tigard or 97223 Furnace 100,000+ BTU (ducts /vents) 54.91 Suite/bldg. /apt. no.: 500 Project name: Emb one 0 j / Heat pump (requires site plan showing placement) 61.06 Cross street /directions to job site: 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 Subdivision: Lot no.: Flue /vent for any of above 23.32 Other: 23.32 Tax map /parcel no.: Other fuel appliances: ,r ).; iiESCIt!PT10N OF WORK , '> ```' _ e,° ,),° Water heater 23.32 Gas fireplace 33.39 relocatg/regtsters to accommodate new office layout , - Flue vent for water heater or gas fireplace 23.32 Log lighter (gas) 23.32 Wood /pellet stove 33.39 Wood fireplace /insert 23.32 ,t . 5 ,.. R=: •:,, Chimney/liner/flue/vent 23.32 ®';: P..ROPERTY -OWNER - ❑ TENANT a;.: Other: 23.32 Name: Environmental exhaust and ventilation: Address: Range hood /other kitchen equipment 33.39 City /State /ZIP: Clothes dryer exhaust 33.39 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32 °,` '";, ®” A'RPLICANT ,- ❑ CONTACT P ERSON V Attic /crawlspace fans 23.32 Business name: same as below Other: 23.32 Fuel piping: Contact name: $14.15 for first four; $4.03 for each additional Address: Furnace, etc. Gas heat pump . City /State /ZIP: Wall /suspended /unit heater Phone: ( ) Fax: : ( ) . Water heater Fireplace E -mail: Range ,.; tl ' ;if : :,CONTRA T R �°�::., y Barbecue ,. ..�:��a�a• *� , . - -. �1, om.. C O ,.a , ,. , ,, �a:`:. ..... r.. a becue Business name: Willamette FIVAC, LLC Clothes dryer (gas) Other: Address: 3075 SW 234 Ave Suite 206 :1 IECHANICAL PERMIT,FEES *; `,:;a `'' "' ' City /State /ZIP: Hillsboro OR 97123 Subtotal 767; . 7 Minimum permit fee ($90.00) --- Phone: (503) 259.3200 Fax (503) 848.2.597 _ _ - Plan- review_(25 %- of_permit fee) -- /9, L7 CCB lie.: 56951 State surcharge (12% of permit fee) / e3, '. 9 TOTAL PERMIT FEE` }1 / 07 )-j Authorized signature: _ �� This permit application expires if a permit is not obt med within 180 days after it has been accepted as complete. Print name: Michael Malstrom Date: 2/7/12 * Fee methodology set by Tri- County Building Industry Service Board C \Bwlding \Permits \MEC- PermitApp.doc 09/09/10 440 -4617T (11/02 /COM/WEB)