Permit CITY OF TIGARD MECHANICAL PERMIT
2. COMMUNITY DEVELOPMENT Permit #: MEC2013 -00340
T f G A R O 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/19/2013
Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9520 SW WASHINGTON SQUARE RD H06
Project: L'Occitane Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Interior alterations to existing retail store.
•
Contractor: ARROW MECHANICAL Owner: PPR WASHINGTON SQUARE LLC
10330 SW TUALATIN RD PO BOX 847
TUALATIN, OR 97062 CARLSBAD, CA 92018
PHONE: 503 - 692 -1565 PHONE:
FAX: 503 - 691 -1879
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/19/2013 $164.23
Class of Work: ALT Type of Const: Plan Review 06/19/2013 $41.06
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 06/19/2013 $19.71
Stories:
Project Valuation: $3,600.00
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressure: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0 - 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 $225.00
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 Notifi er. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct stions to OU by calli 3.232.1987 or 1.800.332.2344.
Issued Ey: Permittee Signature: (4.9
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.
Mechanical Permit A I I lie. t ,,, 1 OR OFl rcl 1ISE ONLY
t
R
Ciy a ,; 'y� � , / y��5
I � ' ^ Dafe/B �L i Permit No.: �Cv1�G��C.C/
, - ° 1312 t SW of H all Tig Blvd. , Tigard, O' °23' ' Plan Review
Phone: 503.7182439 Fax: 503 .59 8. 9� 1 20 3 Date/By: Other Pt rmit
Inspection Line: 503.639.4175 g
T I G A IZ D Date Ready/By: luris: See Page 2 for
Internet: www.tigard or.gov Notified/Method: Supplemental Information
�
CITY OF OFTIGARD
OT
TYPE DIVISION COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction 2/Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar)of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead,rofit.
Value: $ Zh2& )
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling Iommercial/industrial ❑ Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
( .) JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: if l 5,-
. ,- 7217 (requires site plan showing placement) 46.75
�� br Furnace 100,000 BTU (ducts/vents) 46.75
City/State/ZIP:77 4.7i ` f3� ( Q Furnace 100,000+ BTU ( ducts/vents) 54.91
Suite/bldg. /apt. no.: N4, Project name: OC e ( f�- 0 L 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
/ n Gas fireplace 33.39
/u - / L- 4 Flue vent for water heater or gas
;1 . a d-A ,.,- fireplace 23.32
/J / -
�� 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
Phone: ( ) Fax: ( ) Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32
Other: 23.32
Business name: -
Fuel piping:
Contact name: $14.15 for first four; $4.03 for each a dditional
Address: Furnace, etc.
Gas heat pump
City/State /ZIP:
WalUsuspendcd/unit heater
Phone: ( ) Fax: : ( ) Water heater
E -mail: Fireplace
Range
CONTRACTOR Barbecue
Business name: AA.� / ,�� / _ Clothes dryer (gas)
Address: I ' 3 3 P ` _ Other:
SGc, . /L-�: �-c�q7 /� i MECHANICAL PERMIT FEES*
City/State /ZIP: /e_•c c _4-72 ....L. iebt4C Subtotal
Minimum permit fee ($90.00)
Phone 3)
ea,. 2 .. `. - 1 Fax: ) ? �, J � 9
• Plan review (25% of permit fee)
CCB lic.: 6 '3 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
Authorized SI � This permit application expires if a p ermit is not obtained within 180
`�/ days after it has been accepted as complete.
n-: ^• ...,...,,. n...... I • Fee methndnlnov set by Tri•rounty Rnildino Indnctry Service Rnard
/ I - 6.i a – iZ Lc -zg v t je..z- ,/ 9 - 1