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Permit CITY OF TIGARD MECHANICAL PERMIT - COMMUNITY DEVELOPMENT Permit #: MEC2011 -00568 Date Issued: 02/07/2012 .TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1S1260000300 Jurisdiction: Tigard Site address: 9573 SW WASHINGTON SQUARE RD B06 Project: The Limited Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 108 Project Description: Mechanical for TI Contractor: ARROW MECHANICAL Owner: PPR WASHINGTON SQUARE LLC 10330 SW TUALATIN RD BY THOMSON PROPERTY TAX SERVICES TUALATIN, OR 97062 ATTN HILARY RAYMOND 2235 FARADY AVE, STE 0 CARLSBAD, CA 92008 PHONE: 503 - 692 -1565 PHONE: FAX: 503 - 691 -1879 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 02/07/2012 $982.71 Class of Work: ALT Type of Const: IIB Plan Review 02/07/2012 $245.68 Occupancy Grp: M Occupancy Load: 12% State Surcharge - Mechanical 02/07/2012 $117.93 Stories: 1 Project Valuation: $35,000.00 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: 1 Vent Systems: Total $1,346.32 Hoods: Comm Incinerators: Required Items and Reports (Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: VAV's 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 • the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. .0 may obtain a / •op of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. / . Issued By: '�� , , � + Permittee Signature: , Cali.503.639.4175.by_7:00- a.m.- for_the- next.available -i = : = tion -date — This permit card shall be kept in a conspicuous place on the job sit til compt"io of lie project. Approved plans are required on the job site at the ti • e of each in- pe io Mechanical Permit Applicat °i;l FOR OFFICE t ONLY t�,, , ElvED City of Tigard Rai "� Permit No.: // te /A© / / f�, On 'G2� 7 : • 13125 SW Hall Blvd., Tigard, OR 97223 CC 9 201 Plan Review 's. Phone: 503.718.2439 Fax: 503.598.19601J C C Date/By: �� A 4 . Other Permit: f 1 G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: IB See Page 2 for Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method: Supplemental Information BUILDING DIVISION TYPE OF WORK ' COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New construction ® Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition CO Other: Retail TI mechanical materials, equipment, labor, overhead, and profit. • Value: 5 n 'CATEGORY °OE CONSTRUCTION - RESIDENTIAL EQUIPMENT / SYSTE EES* ❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building For spedal information use checklist. ❑ Multi - family ❑ Master builder ® Other: Retail TI Description I Qty. Ea. Total Heati JOB SITE INFORMATION, AND LOCATION °' °� coolin g' v '' .. Air conditioning Job site address: 9573 SW Wahington Sq. Rd. (requires site plan showing placement) 46.75 Furnace 100,000 BTU (ducts/vents) 46.75 City/State /ZIP: Portland, Oregon 97223 Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: Project name: The Limited Store Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: Washington Square Mall Duct work 23.32 SW Hall Blvd. Hydronic hot water system 23.32 Residential boiler (radiator or SW Greenburg 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: ;DESCRIPTION.OF'WORK ; .. " , ; •y," ;f '' ° , Water heater 23.32 Gas fireplace 33.39 Retail TI to reduce the size of an existing Limited store to build out a new Flue vent for water heater or gas Limited store. A portion of the space will be returned to the LL fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 ❑ PROPERTY .OWNER ' .. - ti., '. TENANT . ` Chimney/liner/flue/vent 23.32 Other: _ 23.32 Name: The Limited Company Environmental exhaust and ventilation: Address: 7775 Walton Pkwy. Range hood/other kitchen equipment 33.39 City/State /ZIP: New Albany, OH. 43054 Clothes dryer exhaust 33.39 Single -duct exhaust (bathrooms, Phone: (614)289 -2200 Fax: ( ) toilet compartments, utility rooms) 23.32 ; , .. ®' APPLIC s ,, •' , ,, . ,.• : ® CONTACT :PERSON;, : r Attic /crawlspace fans 2332 Business name: Property Service Other: 23.32 Fuel piping: Contact name: Gary Palmer $14.15 for first four; $4.03 for each additional Address: PO Box 23534 Furnace, etc. Gas heat pump City/State /ZIP: Eugene, Oregon 97402 Wall/suspended/unit heater Phone: (541) 603 -4191 Fax: : ( ) Water heater Fireplace E -mail: psconsultants@asbcglobal.net Range 'T ;CONTRACTORt:. f • pv' • • er , a. � r. • Barbecue Business name: - 2IrrA / g-- eil'9-11// e. Clothes dryer (gas) Other: Address: 7,?' 310 S(!l �( '97:64 —7 70c / A -.. ,6 • "'. • .... MECHANICAL PERM IT FEES * ' ' • City /State /ZIP: 77' '9Z4r jr"/ c Je 9706 �... Subtotal • (j3) o ? /� Fax: Minimum permit fee ($90.00) Phone: "� 65 ) Plan — CCB lic.: .. 579 // / /3 /j .2.-_ State surcharge (12% of permit fee) TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 -� - 0 d ays after it has been accepted as complete. Print name: Z�.Q� � Date: 12/8/2011 * Fee methodology set by Tri County Building Industry Service Board \ I. Building \Permits \MEC- Perm it 09 440 - 46171• (11 /02/COM/WEB)