Permit y CITY OF TIGARD MECHANICAL PERMIT
2, COMMUNITY DEVELOPMENT Permit #: MEC2013 -00106
`TIGARD' 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/25/2013
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9759 SW WASHINGTON SQUARE RD D05
Project: The Art of Shaving Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 108
Project Description: HVAC modification for TI, add duct work and (1) VAV box.
Contractor: DIRECT MECHANCIAL CONTRACTORS Owner: PPR WASHINGTON SQUARE LLC
PO BOX 872472 PO BOX 847
VANCOUVER, WA 98687 CARLSBAD, CA 92018
PHONE: 360- 921 -2175 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/25/2013 $235.31
Class of Work: ALT Type of Const: IIB Plan Review 02/21/2013 $58.83
Occupancy Grp: M Occupancy Load: 12% State Surcharge - Mechanical 02/21/2013 $28.24
Stories: 1 Info Process /Archiving - Sm $0.50 (up to 02/21/2013 $0.50
11x17)
Project Valuation: $6,000.00
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: Vent Systems: Total $322.88
Hoods: Comm Incinerators:
•
Woodstoves: Gas Fireplaces:
Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: VAV
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
Utili otificatio , -nter. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
o irect questions to Ob C • calling 503.232.1987 or 1.800.332.2344.
ssued By: , Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available inspection da
This permit card shall be kept in a conspicuous place on the job site until comp on of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicatio FOR OFFICE USE ONLY
City of Tigard � � I ' D DateBy: `7—iii 113 Permit No. / ( 3- ov/ a c
n 13125 SW Hall Blvd., Tigard, OR 97223
n: Plan Review Phone: 503.718.2439 Fax: 503.598.1960 FEB 1 2013 Date/By: Tyvo 2�?� Other Pennit: &LP g.00- j.(o
TIGARD Inspection Line: 503.639 Date Ready/By: Juris: El See Page 2 for
Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method: 1 ( , Supplemental Information
BUILDING D VISA
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction Ai Addition/alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition F] Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ rp C C v a
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1 - and 2- family dwelling IN Commercial/industrial ❑ Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: 0 1 7 5 ' VV A S H' N G- c N S a R u (requires site plan showing placement) 46.75
Furnace 100,000 BTU (ducts/vents) 46.75
City/State /ZIP: "I"'; S ^r ` � r Q R.. Fumace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name: a r At 0; S6 4 \VIS 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:
DESCRIPTION OF WORK Water heater 23.32
j� �t Gas fireplace/insert 33.39
'� 1 V A C J CI 4s C} V o (1L 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
❑ PROPERTY OWNER I ❑ TENANT Chimney /liner /flue /vent 23.32
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
❑ APPLICANT 49 CONTACT PERSON Attic /crawlspace fans 23.32
Business name:
Other: 23.32
Fuel piping:
Contact name: bQ A -1 A\ P - J \Q V $14.15 for first four; $4.03 for each additional
Address: p b,..), z 2M Z, Fumace, etc.
Gas heat pump
City/State /ZIP: N a cto" t. r t , � 4 cl i 6 Wall/suspended/unit heater
Phone: (3CQ ) S R ) - 6 GI Fax: : ( ) Water heater
E -mail: Fireplace
Range
CONTRACTOR Barbecue
l ',r....1 Clothes dryer (gas)
Business name:, t rk t k M Z Ci cr Ct Ai ( � Ci"Ct fS
Other:
Address: C 6 CX g iZ y - 1 2 MECHANICAL PERMIT FEES*
City/State /ZIP: \J r A C C ,, A V i rr A ma G Subtotal
G
Phone: ("3 l — 6 C 31r 9 a Fax: ( ) Minimum permit fee ($90.00)
1 ! G� a,1 Plan review (25% of permit fee)
CCB lie.: l ei 5 () /1 /. 1 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
signature: This permit application expires if a permit is not obtained within 180
Authorized si
�,,�� V days after it has been accepted as complete.
Print name: (1 1 I'q , v 1c d Date: Z . - 1v\ — 1Z • Fee methodology set by Tri -County Building Industry Service Board
\
1:\BuildingPerrnits\ME C- PermitApp.doc 03/07/12 440-4617T (11 /02/COM/WEB)
Mechanical Permit Application - City of Tigard— }
Page 2 - Supplemental Information
Commercial & Multi - Family Fee Schedule: -
Total Valuation: Permit' Fee:
$0.00 to $500.00 Minimum fee $69.06
$500.01 to $5,000.00 $69.06 for the first $500.00 and
$3.07 for each additional $100.00 or
fraction thereof, to and including
$5,000.00.
$5,000.01 to $10,000.00 $207.21 for the first $5,000.00 and
$2.81 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,000.01 to $50,000.00 $347.71 for the first $10,000.00 and
$2.54 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,000.01 to $100,000.00 $1,363.71 for the first $50,000.00 and
$2.49 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first $100,000.00 and
$2.92 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
1:\Building\Pertnits\MEC- PermitApp.doc 03/07/12 2
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9759 SW WASHINGTON SQUARE RD D05,
TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
03/21/2013 00:00
MEC2013-00106
PASS - No C of O
Air balance complete
Violation Summary:
Inspector Contractor