Permit y CITY OF TIGARD MECHANICAL PERMIT
n
._ , COMMUNITY DEVELOPMENT Permit #: MEC2013 -00126
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/12/2013
Parcel: 1 S 135BA00102
Jurisdiction: TIGARD
Site address: 10164 SW WASHINGTON SQUARE RD
Project: Hannah Pet Clinic Subdivision: MYERS ESTATES Lot: 5
Project Description: Install a 1" 2 lb. gas line
Contractor: BEAVERTON PLUMBING INC Owner: PPR SQUARE TOO LLC
13980 SW TV HWY PO BOX 847
BEAVERTON, OR 97005 CARLSBAD, CA 92018
PHONE: 503 - 643 -7619 PHONE:
FAX: 503 - 643 -7620
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/12/2013 $191.86
Class of Work: ALT Type of Const: VB Phan Review 03/12/2013 $47.97
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 03/12/2013 $23.02
Stories: 1 Info Process /Archiving - Sm $0.50 (up to 03/12/2013 $0.50
11x17)
Project Valuation: $4,500.00
Fuel Air Handlers
Fuel Types: Natural Gas Units < 10000 cfm:
Gas Pressure: Units > 10000 cfm:
Furnaces Boilers 8 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 $263.35
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
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 Noti - •• • er. Those rules are set forth in OAR 952 - 001 -0010 through OAR 9 !090. You may obtain a copy of the rules
or dire questions to OU b : lin. 503.232.1987 or 1.800.332.2344.
` � ' e r
Iss ed By: II �` / Permittee Signature:
." •I
mo► � .� .• ,
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.
RECEIVED 1•01 01
: 4•1(T 1.ISE ONI.N
Mechanical Permit Application
R.0..,iv.,1 e pen„it
City of Tigard FEB 2 8 2013 Date/13Y•
, 13125 SW Ilan Blvd., Tigard, OR 97223
•
Plan Review p other Permito
• ' o • Phone: 503.718.24:30 Fax: 503.598.pary oF TIGARD
II I
Dmtedliy: Apv .,
InsPec6on Line: 503.639.4175
1)ate Ready/ :7 iwrio; lil See Page 2 tin-
I 1 GARD . .
DING DIVISION .
• t6 .
Internet: www.ligard-or.gov BUILDING
Neti Gad/Method: Supplemental information
1' I. . r )- ZeZ
''' '''''' " ' ' ''' '' '' 'i '''''' : :: ' " ''''' '.: '
„ ' ; .' lk.: Mechanics/permit fees° are based on the value of the wink
.. , .,.
0 New ConsBUCti011 -I Addition/alteration/replacement pertintned. Indicam the value (rounded to the nearest dollar) of all
mechanical materials. equipment, labor, overhead. and pm6t,
0 Demolition 0 Other:
ex ,
; -.. 60 Valu: $
77"'''',•-:':;':::: ':';' • :T:7 : 7 ,. !': 0*itiv . .. , „OkiqiAp,: . .1... * \ . , 4, ., ..;., ,',, ;4, .,:! .v,' !;:;',..:,, :;;,... A,ResiEsENTIAL Q 1 $14§TEAS ?i .• ' :. : .., „ •
0 1- and 2-family dwelling Ej Commercial/industrial 0 Accessory building For Verlag infontialinls sae checklivt
0 moi-nunil 0 Master builder 0 Other: Description _ Thrty- I Ea_ .
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- • - r• - • ' ' ' •""I" ' 4 ., '' , ;.: :: /,',:', : , ',:'/F , ■:;'.;:',? : ,1!,: Heating/coaling:
''',.:.,.:',,;'•.j:;i' . : ,`‘ : ::.: : '•, '.'' Air conditioning
Job site address: 1, 10164 SW Washington Square Rd (pguirea site Mao *bowing placattenl.) _ 46.75
. .. ,
• . - - _ - -- Furnace 1(X),000 BUT (duct-Amt.) , 46.75
City/State/ZIP: Tigard, OR 97223
i.'ornace 100,000+1.3'11] (duets/vents) 54.01
.. - _... ,
Suite/bldg./apt. no.: Project name: 'Hannah Society Heat pump
.. _ 61.06 (rewires site glee showing alseesaem)
.,
Cross street/directions to job site:
Duet work 23.32
... ..
. ..
Hydronic hot water system 23.32
. Residential boiler (radiator or
_
••• ' ' ..... ..
hydrnnic) 23.32
- -- ., link heaters (fuel-type, not elt,ctric),
in.wall in-duct, suspended, etc. 46.75
,..,
Subdivisicm:
Flue/vet for any of above 23.32
Lot rin,:
._ ,
- Other: , 23.32
Tux map/parre1 no.:
Other fuel appliances:
, ,, .: ,,H..-=7,777..7,1'. Water Treater 2332 ., -
...-
il3-as firtplacetinsert 33.39
install a 1" 2 pound gas line
.. Flue vent for water heater or gus
23.32
titepluce
_
„..
6 • "" , _ Log lighter (8as) 23.32
.. Wood /pellet stove 13,39
• • - ._._
_ .
77-2 Wood fireplace/insert 23.32
•••••°' Au A ''''' s ,•''' 777 . , - .!•••••' •,• Chinmey/linertflueivimt 23.32
.,;.:.,,,..,„,:„;:,..7"::;',;.:F,'•,.0.:;:.‘;0*600ity?..4*; ralt";,.,:':',...•.:•r,•';`,'..''.:77.,-.:y.: :,': •;.i .:. t`M1'.' ,,-....• , : :,''',: ‘•::/ ::. other: .23.32
,
.
Name:
Environmental exhaust and ventilation:
Range hood/other kitchen
Address;
33.39
equipment .
,
• .. ,
("Ay/State/ZIP:
Clothes dryer exhaust
_., 33.39,
- . - •-• • • - Single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( )
toilet comparunentautility rooms 23.32
•
• • " • .- • .:.:.: 4.: ...,, ' • .' r TH,-,,,' Arw" ''''•; ::. '.: • •.:.;::-•,•..:...1.,•4"•:,.■:',.,•;•...;;:?1,:.:,.,iii:46.1,0iitt..:40:geit.::::-,.:,,:,; Atticicrawlspace tau s _ , ., 23.32
.,•,:,;, ;' . '... - ..i'. -. •::::, ;• • • :' :- . : ',.. ,•.■. : 1 ':',`'' . .*K . ti' . .-' 4 !,'`IA:.;'-'7'.., 1 ";',•:',':, ...:',•'','''.;:, .,'''.''''''•'•`• • '•• .• • -: ':' , - . 2.. ,,,, ut nen ' 23.32
Business name: Beaverton Plumbing, INC
_. Fuel pipbcw
Contact name: Casey Stephens /Roxanne Grier
_
_ Fames eta.
$14.15 for Bret four; $40:1 for each addidonal
. ,.
...
,.
Address: 13980 SW TualtIn Valley Hwy
. .
Gas heat pump
City/State/ZIP: Beaverton, Oregon 97005
- '-
Wall/suspended/unit /mato-
• ''-
Phoi3e: (5iY3) 643-7619 I FfIX: : (503) 643 Wator heater .... , -
. - .
Fireplaee
E-muil: Roxlmnn.kt) . _ heavertunplimihing.com
Railli!. ..
:.,.::, ,•,:,,.,.,,,,......,,,,:-.",.........,.,..:.'.:',.•;-.;:!s,,'.7:7,....-...,',„keobliti4.6#0.ii!,;;:',...:...;:•K:,!..,:;:::::..:.:=,''-:, ,:..':-.: ;,-.:;'.-.:;,.;,,•: ,..,:,:/-;..';';..:•..;;;,;:.:; .i.,. Barbecue
Business name: Beaverton Plumbing. 114C Clothes titter (gas)
.
- • - •
Other:
Address: 13980 SW Tualtin Valley Hwy .7
. W.,!'!..PlIAWA'. .-,-. ...- ' •:..,, '''
....
City/State/ZIP: Beaverton, Oregon 97005
.. _ . subtotal
Phone: (503) 643-7619
Fax: (503) 643-7620 • - -- --- • - Minintutu perrnit fee ($90.00)
- ---- Plan review (25% of pernair fee) -‚
CCB lie.: 12889
-- Stale surcharge (12% of permit f:ee)
„ .
TOTAI, PERMIT FEE Kt., - A
...
This permit application expires if a permit's not obtalucti within 18
Ai CM signature: CV , t as a_Ak_.&k / • days after if h been accepted us complete.
[W - • • • • • .-
ilt name: Roxanne Grier Date: 1.12/28/201.3 * Fee methodology act by Tri-Coinny Building lodatary Service Board
InBuilduumenuieoloc-PmailAup.der 03/f17/17. 410-.161n (1 VOWCOM/WEE)
> BE1LVERT�I1 Pt UIB B111
„R„
13980 SW Tualatin Valley Hwy_
Beaverton OR 97005
503.643.7619
Fax 503.643.7620
CCB# 012889
Roxanne pbeavertonplunting.corn
TO FROM
Dan Roxanne Grier
COMPANY : DATE:
Beaverton Plumbing INC. - �
FAX #: TOTAL NUMBER OF PAGES g March 5, 2013
503- 624 -3681 2 including cover
PHONE #: REF:
Plan Review for Mechanical Permit
Hi,
Attached you will find the drawing for the review as we discussed on the phone yesterday. This
review will be for the permit pending for the project name Hannah Society located at 10164 SW
Washington Square Rd. Tigard, Oregon 97223.
Please let me know if there is anything you may need.
Thank you,
Roxanne Grier
Beaverton Plumbing, Inc
503.643.7619 (P), 503.643.7620 (F)
Roxanne @beavertonplumbing.com
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10164 SW WASHINGTON SQUARE RD,
TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
2014-02-13 (null)
MEC2013-00126
PASS - No C of O
Violation Summary:
Inspector Contractor