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Permit
CITY OF TIGARD MECHANICAL PERMIT IIIII s COMMUNITY DEVELOPMENT Permit#: MEC2014-00036 T E( A lt.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/05/2014 Parcel: 151260000300 Jurisdiction: Tigard Site address: 9767 SW WASHINGTON SQUARE RD D07 Project: AMERICAN EAGLE OUTFITTERS Subdivision:VASHINGTON SQUARE ESTATES NO Lot: S Project Description: Mechanical for TI:(3)new VAV boxes and duct work. Contractor: VERTEX MECHANICAL LLC Owner: PPR WASHINGTON SQUARE LLC 111 SW 5TH AVE STE#1850 PO BOX 847 PORTLAND,OR 97204 CARLSBAD, CA 92018 PHONE: 503-963-4732 PHONE: FAX: 503-963-4730 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 02/05/2014 $652.51 Class of Work: ALT Type of Const: IlB Plan Review 02/05/2014 $163.13 Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 02/05/2014 $78.30 Stories: 1 Info Process/Archiving-Lg$2.00(over 02/05/2014 $6.00 11x17) Project Valuation: $22,000.00 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: 1 Vent Systems: Total $899.94 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: VAV Boxes Duct Work: 1 and diffusers Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility N ifi . '. Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or ct questions to. NC • : lin 503.232.1987 or 1.800.332.2344. I sued By: + • / Permittee Signature: mil/ /2 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE ONLY Received City of Tigard 6(10)0 DateBy: 1/i.1 i if /g- . Permit No �� /if'aoo 36 • 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.59 Plan B ew _ L r• Other Permit: r Inspection Line: 503.639.4175 �1 Date/By: �Lf p2(,(�^L7i� T l G A R D p Date Ready/By: J Juris: ® See Page 2 for Internet: www.tigard-or.gov n�01 Notifi ethod: , v i/� ,i Supplemental Information TYPE OF WORK '� O ICjF�" v� COMMERCIAL FEE* SCHEDULE — USE CHECKLIST f l� `l,� Mechanical permit fees*are based on the value of the work ❑New construction Addition/alterati t 1 c_cgtel6N performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition /❑Other: �`fUO��V mechanical materials,equipment,labor,overhead,and profit. Value:$ ,? ( in CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling Commercial/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 46.75 Job site address: 76 sG.,! L,lc ;,J / Furnace 100,000 BTU(ducts/vents) 46.75 . City/State/ZIP: 7-77x-,,,,/ ©P ! Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: 07 Project name: 4/ *4 rry r I`7 D pump 23.32 f a'rt, f Du Heat ct ct work 23.32 Cross street/directions to job site: 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 Flue/vent for any of above 23.32 Subdivision: Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas / fireplace 23.32 7 /1 Cam./ V.4/ hex e-r 'Dee/4--".-t' Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ❑ PROPERTY OWNER I ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name: Range hood/other kitchen equipment 33.39 Address: Clothes dryer exhaust 33.39 • City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 _ ❑ APPLICANT ❑ CONTACT PERSON Other: 23.32 / Fuel piping: Business name: Vet--k-- Me n, C.( / $14.15 for first four;$4.03 for each additional Contact name: /4/ 1,7lv'4" r Furnace,etc. Address: /// 5'� ra �i� Ss" ' 4�So Gas/sus pump Wall/suspended/unit heater City/State/ZIP: j T f-4„J ©,- 9'7 `/ Water heater Phone:(5D! ) /G l 477 l Fax::(0!Z ) '/J 7 T D Fireplace Range E-mail: es-eklbei/eve--fe,k-n e-ehr r«.- /. ('" it Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name: s'G?/"v2 a S 06o1).2 MECHANICAL PERMIT FEES* Address: Subtotal City/State/ZIP: Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) CCB lie.: /gq L/t G TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name: A/ 6-f(6 e� I Date: //?,, /y I:\Buildin 440-4617T 11011 OM/WEB g�PermitsV�C_PermitApp_040113.dac ( /2 ) 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. I:\Building\'ermits\MEC_PermitApp_040113.doc 2