Permit 71 CITY OF TIGARD MECHANICAL PERMIT
s . COMMUNITY DEVELOPMENT Permit #: MEC2009 00520
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503.639.4171 , Date Issued: 10/06/2009
Parcel: 1 S 1260000300
Jurisdiction: TIGARD
Site address: 9659 SW WASHINGTON SQUARE RD M06
Subdivision: Lot: 0
Project: Spencer Gifts
Project Description: Change -out VAV fan, new ductwork layout & grilles
Owner: FEES
PPR WASHINGTON SQUARE LLC Description Date Amount
BY THOMPSON PROPERTY TAX SERVUCES,
2235 FARADAY AVE STE #0 Permit Fee 10/06/2009 $269 03
Plan Review 10/06/2009 $67.26
PHONE. 12% State Surcharge - Mechanical 10/06/2009 $32.28
Contractor:
ARROW MECHANICAL
10330 SW TUALATIN RD
TUALATIN, OR 97062
PHONE 503 - 692 -1565
FAX: 503- 691 -1879
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Occupancy Load:
Stories:
Fuel Air Handlers
Fuel Types Units < 10000 cfm
Gas Pressue: 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 $368 57
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 Notifica : - - -r Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100 You may obtain a copy of the rules
or direct que.tions to 0 C by callin. 503 246.6699 or 1.800 332 2344.
Issued By: , /, ecouli Permittee Signature: , ! , /
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
_ _ _�_w,..v _ s _
Mechan Perm A !watio _ I ` ; 1� Flc i tl� < � � I
City of Tigard ve
Receid
I PII
13125 SW Hall Blvd ,Tigard, OR 97223
OCT 0 6 2009 Date Received Plan Review /% o g Permit N Other Permit
iVecvaer F-OD S )
., @ :' ; Phone: 503.639.4171 Fax. 503.598 1960 Date/By
NT ti3 A R D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By ty✓ ® See Page 2 for
rt Internet: ww v.tigard -or gov Notified/Method T
I Supplemental Info
`� 4,,I ?®141 - , r
TY OF WORK COMMERCIAL FEE " :SCHEDULE '— USE CHECKLIST
Mechanical permit fees' are based on the value of the work
❑ New construction ddition/ alteration /replacement performed. Indicate the value r. + s. • o the n e a r e s t . . , of all
❑ Demolition ❑ Other: mechanical materials, -. '. ent, a.or, overhead, and profit.
CATEGORY OF CONSTRUCTION
Value: $ ? 2 ,90 r ne.
RESIDENTIAL E 0 . MENT / SYSTEMS FEE '
❑ 1- and 2- family dwelling jCornmercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other- Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATI Heating /cooWtg
L y Air conditioning or heat pump
Job site address: 9 . �s s� j�� rl t / s A , (requu n site plan showing placement) 14.00
City /State/ZIP. riP710 OA , Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ Bill (ducts/vents) 17.90
Suite/bldg. /apt. no.. Project name: Gas heat pump 14.00
Cross street/directions to job site Duct work / 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc 14.00
Flue /vent for any of above 6.80
Subdivision: Lot no.
Other- 10.00
Tax map /parcel no.: Other fuel appliances
i DESCRIPTION OF WORK
Water heater 10.00
Gas fireplace 10.00
7% )t �1� » € (9,..-g- Flue vent for water heater or gas
- n J �'/���� fireplace 10.00
(I) r Tin r+v�'�dA- /38x ` A ' Log lighter (gas) 10.00
(f G 1 W J a k / q1 0 � /w
4— Cg fe:ZS Wood /pellet stove 10.00
(/ � � f� Wood fireplace /insert 10.00
,,� Chimney /liner /flue/vent 10.00
❑ PROPERTY OWNER /�7
Oth- 10.00
Name: se ..? , , „g / T" / J - .9i4 g.q ' Environmental exhaust and ventilation
Range hood /other kitchen
Address. 6/0/3 e ep / aiA ( SVit ii_a equipment 10.00
City/State/ZIP.
- 77, 4- 4/3.-12. (9, J Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone ( ) Fax ( ) toilet compartments. utility rooms) 6.80
T PERSON Attic /crawlspace fans 10.00
❑APPLICANT CONTACT 1
Other 0.00
Business name A- /ee(pgjyJ! -Np� /i Fuel piping
Contact name /hey` 5L ?4.(P127/e, $5.40 for first four, $1.00 for each additional
.� / - ,Q Furnace, etc
Address. /(,;3 S te fAA- [ //,( / Gas heat pump
City /State/ZIP i ' //sr d/ 9' } � / - , 9'706- WalUsuspended/unit heater
/ p ( .0) CQ(' /P / ( Water heater
Phone. ( Std �C - ���� Fax KJ
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Clothes dryer (gas)
i/ 4 9 y e /
Business name. /`je�vl�/ /¢� other,
` Address: /0330 Sr ? 9 / ,ice /Plr MECHANICAL PERMIT FEES"
City / State/ZIP 72��1� � 67,4 �O Ct. Subtotal
-- Minimum permit fee ($72.50) alep9, e Phone' ) ✓54� (5 Fax 7) e /7 Plan review (25% of permit fee) ],9,0
CCB lie State surcharge (12% of permit fee) 3 p'l
S/ TOTAL PERMIT FEE ( per �'�`(�
This permit application expires If a permit is not obtain within 180
Authonzed signature /20.. .Pt�✓ days after it has been accepted as complete.
1)....i ..'.,,N i i,,tP
�/z T SC/����>�/P � 1 I 3 D Q Q I . Fee methodnloey set by Tn- County Buddme Industry Service Board