Permit CITY OF TIGARD MECHANICAL PERMIT
F� E COMMUNITY DEVELOPMENT Permit#: MEC2014-00181
T t G A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/24/2014
Parcel: 1 S126CA00700
Jurisdiction: Tigard
Site address: 9350 SW WASHINGTON SQUARE RD
Project: JC Penney Subdivision: FAIRVIEW PLACE CONDO Lot: 20
Project Description: Replace existing RTU with like-sized unit
Contractor: JOHNSON CONTROLS INC Owner: PPR WASHINGTON SQUARE, LLC
4011 SE INTERNATIONAL WY STE 605 BY J C PENNEY 0288-1
MILWAUKIE, OR 97222 TAX SERVICES
PO BOX 10001
DALLAS,TX 75301
PHONE: 503-793-2868 PHONE:
FAX: 503-654-1158
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 04/24/2014 $688.07
Class of Work: ALT Type of Const: IIB Plan Review 04/24/2014 $172.02
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 04/24/2014 $82.57
Stories: Info Process/Archiving-Sm$0.50(up to 04/24/2014 $15.00
11x17)
Project Valuation: $23,342.00
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 $957.66
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 N. .-nter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dir- questions to O■NC b c.11in• 503.232.1987 or 1.800.332.2344.
Issu=. By: /' 1,1 / Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection •ate.
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 Applica ;• i FOR OFFICE USE ONLY
VED Received
City Tigard ��
Date/By: 40'7��of Nl r -a��g/
CI of Permit No.:
•• 13125 SW Hall Blvd.,Tigard,OR ' 2 t A Plan Review �.l t O ��r
IMII
Phone: 503.718.2439 Fax: 503.598.1960 P R DateBy: �J L Other Permit:
TIGARD Inspection Line: 503.639.4175 y 2 3 2014 Date Ready/By: / / ^, turfs: ® See Page 2 for
Internet: www.tigard-or.gov �I Notified/Methody/a344/C Supplemental Information
O Ti Min . ll[ M CIAL FEE* SCHEDULE — USE CHECKLIST
)#t..I,t 11J1'{f1Ll \��°,`Q"f► i.)f V
nPl: tn� WORK �11��A`
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$23,342
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
935t) JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site addresSW Washington Square Rd Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Portland,OR 97223 Furnace 100,000+BTU(duets/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: I Project name:JC Penney Furnature RTU Duct work 23.32
Cross street/directions to job site:JCPenney Furnature Store Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
4 g , Unit heaters(fuel-type,not electric),
) in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision:
/\)(- --- ----------
I 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
Replace existing roofop air handling unit with new like-size unit. fireplace 23.32
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:JCPenney Range hood/other kitchen
equipment 33.39
Address:6501 Legacy Dr Clothes dryer exhaust 33.39
City/State/ZIP: Plano,TX 75024 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) _ 23.32
Phone:(503)620-0750 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT ® CONTACT PERSON Other: 23.32
Fuel piping:
Business name:Johnson Controls,Inc.
$14.15 for first four;$4.03 for each additional
Contact name:Tony Hunt Furnace,etc.
Address:4011 SE International Way,Suite 605 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Milwaukie,OR 97222 Water heater
Phone:(503)793-2868 I Fax::(503)654-1158 Fireplace
Range
E-mail:tony.m.hunt @jci.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Johnson Controls,Inc.
Other:
MECHANICAL PERMIT FEES* c
Address:4011 SE International Way,Suite 605 Subtotal ' (r g',c>) 0• )
City/State/ZIP:Milwaukie,OR 97222 Minimum permit fee($90.00) .-- \�
Phone:(503)793-2868 Fax:(503)6544158 Plan review(25%of permit fee) 1791.•0 (9
State surcharge(12%of permit fee) ga•C7
CCB lie.:65320 V,91/K TOTAL PERMIT FEE 95-'70/Pip
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: l * Fee methodology set by Tri-County Building Industry Service Board
Print name:Tony Hunt Date: 7 /l�
I:\Building\Permits'MEC_PermitApp_040113.doc I7f(I I//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.
I:\Building\Permits\MEC_PermitApp_0401 13.doc 2