Permit 1.
111 q CITY OF TIGARD MECHANICAL PERMIT
� . COMMUNITY DEVELOPMENT MECHANICAL
MEC2009 -00084
Date Issued: 05/22/2009
T, t G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.639 4171 Parcel: 1 S 1260000300
Jurisdiction: TIGARD
Site address: 9751 SW WASHINGTON SQUARE DR D01
Subdivision: Lot: 0
Project: Signature Day Spa
Project Description:
Owner: FEES
PPR WASHINGTON SQUARE LLC Description Date Amount
BY THOMPSON PROPERTY TAX SERVUCES, Permit Fee 05/22/2009 $141.50
2235 FARADAY AVE STE #0 Plan Review 05/22/2009 $35.38
PHONE: 12% State Surcharge 05/22/2009 $16 98
Contractor:
BID ALL CONSTRUCTION
18428 SE PINE ST STE 102
PORTLAND, or 97233
PHONE: 503 - 665 -6100
FAX•
Type of Use: COM
Class of Work: ALT Type of Const: IIB
Occupancy Grp: M Occupancy Load:
Stories: 1
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: 21 50 or Greater HP:
Air Conditioning'
Heat Pump'
Appliances
Vent Fans Vent Systems Total $193 86
Hoods Comm Incinerators:
Required Items and Reports (Conditions)
Woodstoves Gas Fireplaces
Clothes Dryers' Other Mech Units'
Gas Outlets Other Desc:
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 by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
Issued By: 0 A , ' n Q ` Q n , Permittee
\ Call 503. 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.
t
Mecla�
ti Permit Application Fo►z orhlcr USE ONLY
Ci of Tigard t Date/By I 04 _ J V ��fi
11,
q 13 125 SW Hall Blvd., Tigard, OR 97223
C Plan Review
Phone: 503.639.4171 Fax: 503.598 1960 1 2 ( Dagy Other Pet
- I 1 G A R I_) Inspection Line: 503.639.4175 1 `� v Date Ready/By. HI See Page 2 for
Internet: www.tigard- or.gov Notified/Method EN Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction Mechanical Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
❑ 1- and 2- family dwelling Commercial/industrial ❑ Accessory building RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
[
For special information use checklist.
❑ Multi- family 0 Master builder ❑Other:
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: Q S W W 0 s \,...\\ \h G� v S t<� (n Air conditioning pl plan showing or o hwing pump
J (requires site plong placement) 14.00
City / State/ZIP: •-r T U,r c r � tZ - A- Z '2 3 y 1 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: S 5 �v, G D �, , 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
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
❑ PROPERTY OWNER I Chimney /liner /flue /vein 10.00
❑ TENANT Other: 10.00
Name: Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City / State/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Other: 10.00
Business name:S \ c. t` \ ( Sk C v c t 't Fuel piping
Contact name: `I—� A $5.40 for first four, $1.00 for each additional
Address: 1 Furnace, etc.
�5.L..1...2 ` a 1 1.. \ c-
Gas heat pump
City /State /ZIP: `P�,_ ..i ` �� r-.) c r, ? 2 R .3 Wall/suspended/unit heater
F es; ; �'1 Water heater
Phone:
( ) ` Sob • Col LOO ( 03 ) cO (o ki l Q Fireplace
E-mail: S`Q SSE fCCD Lcat r- c, \ L S1 \ k_ . c 1 1'ah • C 0.1^ Range
CONTRACTOR Barbecue
Business name: Clothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES*
City /State/ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lie.: State surcharge (12% of permit fee)
TOTAL PERMIT FEE
Authorized sill. .: ture: 9 71 `2 5 5- -- 2 , S O This permit application expires If a permit is not obtained within 180
^ _ days after It has been accepted as complete.
I • v.... ...w L- .1..1..,... -... u.. T.: Imo... —w. D...1.1..... T- .1....... C..... -- D.. --.!
This form is recognized by most Building Departments in the Tri- County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
14 BUILDING DIVISION
C
T I G A R D TRANSMITTAL LETTER
a
TO: ;..) AN DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
MAY 14 2009
FROM: CITY OF TIGARD
COMPANY BUILDING DIVISION
PHONE: BY
RE: 75( U0c( h1 , C0
r ion Siete mse (Sit e Address) mse mber)
'e N a!' - 10 (Prt name or su iv name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
REMARKS:
FOR OFFICr USE ONLY
Routed to Permit Technici . Date: a ' - (l s I 09 Initial L
Fees Due: ❑ Yes o Fee Description: Amount Due
$
$
$
$
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
1 \Building\ Forms \TransminalLener - Revisions.doc 4/4/07 . 1 q7 90