Permit CITY OF TIGARD MECHANICAL PERMIT
II COMMUNITY DEVELOPMENT Permit#: MEC2014-00153
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/21/2014
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9508 SW WASHINGTON SQUARE RD J01
Project: Pandora Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Mechanical for TI:Vav box,duct tork,and electric water heater installation.
Contractor: DIRECT MECHANCIAL CONTRACTORS Owner: PPR WASHINGTON SQUARE LLC
PO BOX 872472 PO BOX 847
VANCOUVER,WA 98687 CARLSBAD, CA 92018
PHONE: 360-901-6063 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/21/2014 $423.91
Class of Work: ALT Type of Const: IIB Plan Review 05/21/2014 $105.98
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 05/21/2014 $50.87
Stories: 1 Info Process/Archiving-Lg$2.00(over 05/21/2014 $20.00
11x17)
Project Valuation: $13,000.00
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 $600.76
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: vav
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuan.- • • ork is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Uti• • Notification • • -r. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
• direct questions to OU by 50,3.232.1987 or 1.800.332.2344.
ssued By: /� � Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
•
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Received Mr Arm
iii ,"
13125 5W Hall Blvd.,Tigard,OR 97223 DateB : Permit No: - • - •`its
Phone: 501718.2439 Fax: 5 Date/By: �,� �t r,' r Permit: >/r ' CV - Q •'
•
Inspection Line: 503.639.4175'�� �' ' See �e
T I G A R D Date Ready. See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
PR 2014 s. u= `� i� 1_if,
TYPE OF WOR '(i(Ap r- �C QtAL FEE* SCHEDULE - USE CHECKLIST
1 4 1,�+'-" M Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/al .` s. F•pi i performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: 0 • !77''���, mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$ ��r U�
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
`Tog JOB SITE INFORMATION AND LOCATION Heating/cooling:
Job site address Air conditioning 46.75
,1583"S�W.Washington Square RD Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigar,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.:JO1 Project name:Pandora Duct work 1 23.32 23.32
Cross street/directions to job site:SW Scholls Ferry RD and Highway 217 Hydronic hot water system 23.32
Residential boiler(radiator or
Washington Square Mall,North End near interior Macy's Entrance 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:VAV Box 1 23.32 23.32
Other fuel appliances:
Tax map/parcel no.:1S1260000300 Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
TENANT IMPROVEMENT TO CONSTRUCT 800 SQUARE FEET OF fireplace 23.32
RETAIL SPACE Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32 _
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER ® TENANT Other:Elec Wtr Htr 1 23.32 23.32
Environmental exhaust and ventilation:
Name:Ben Bridge Jeweler/Pandora Range hood/other kitchen
equipment 33.39
Address:2901 Third Ave,Suite 2001 Clothes dryer exhaust 33.39
City/State/ZIP:Seattle,WA 98121 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(206)239-6841 Fax:(206)448-7459 Attic/crawlspace fans 23.32
® APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name:The Klinkam Company Fuel piping:
$14.15 for first four,$4.03 for each additional
Contact name:Craig Klinkam Furnace,etc.
Address:2820 40t Ave W Gas heat pump
Wall/suspended/unit heater _
City/State/ZIP:Seattle,WA 98199 Water heater
Phone:(206)624-9735 Fax::(206)448-7459 Fireplace
Range _
E-mail:eraig @klinkam.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: i 12 Q T l lfeF+f 13 leA L___ 0_,,..1,..).7-12,10-7--(..)z,-) ( Other: *
Address MECHANICAL PERMIT FEES
�t' X 8 7 7',1, Subtotal 69.96
City/State/ZIP ex) ‘igi2_ 1,0,i_ 9% to ( 7 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone: 31.00_ /0 f - ,0 , ']. Fax: , State surcharge(12%of permit fee)
CCB tic.: 19G-6---(9.� a kill'`--=- TOTAL PERMIT FEE
•J This permit application expires if a permit is not obtained within tan
days after it has been accepted as complete.
Authorized signature: ` er-••■°' ' Fee methodology set by Tri-Counh Building Industry Service Board
Print nameC_ (� V 1V te.,,C4` 4 Date: LA 13/14
I.Building\perm its\AMEC_Pcnni(App.040113.doe 440-4017T I I I/02/COMWEBI
r•
COMcheck Software Version 3.9.3
Mechanical Compliance Certificate
2010 Oregon Energy Efficiency Specialty Code
Section 1: Project Information
Project Type:Alteration
Project Title : Pandora
Construction Site: Owner/Agent: Designer/Contractor:
9585 SW Washington Square Road Pandora John Passantino
Suite J01 Henderson Engineers,Inc
Tigard,OR 97223 8345 Lenexa Drive
Lenexa,KS 66214
913.742.5000
Section 2: General Information
Building Location(for weather data): Tigard,Oregon
Climate Zone: 4c
Section 3: Mechanical Systems List
Quantity System Type&Description
1 Water Heater 1:
Electric Instantaneous Water Heater,Capacity:0 gallons
No minimum efficiency requirement applies
Section 4: Requirements Checklist
In the following requirements,blank checkboxes identify requirements that the applicant has not acknowledged as being met. Checkmarks
identify requirements that the applicant acknowledges are met or excepted from compliance. 'Plans reference page/section'identifies where in
the plans/specs the requirement can be verified as being satisfied.
Requirements Specific To:Water Heater 1 :
• 1. Newly purchased equipment meets the efficiency requirements. No efficiency requirements for electric instantaneous water heater.
• 2. Service water-heating equipment performance efficiency.Water heating equipment efficiency has been verified through data furnished
by the manufacturer or through certification under an approved certification program.
✓ 3. Temperature controls.Service water-heating equipment have controls to allow a setpoint of 110°F for equipment serving dwelling units
and 90°F for equipment serving other occupancies.The outlet temperature of lavatories in public facility rest rooms is limited to 110°F.
Plans reference page/section: F2. d
✓ 4. Heat traps.Water-heating equipment not supplied with integral heat traps and serving noncirculating systems have heat traps on the
supply and discharge piping associated with the equipment.
`
Plans reference page/section: 1 /i \ 92.0
Generic Requirements: Must be met by all systems to which the requirement is applicable:
• 1. All service water heating requirements are listed in requirements section specific to the system.
Section 5: Compliance Statement
Compliance Statement: The proposed mechanical alteration project represented in this document is consistent with the building plans,
specifications and other calculations submitted with this permit application.The proposed mechanical alteration project has been designed
Project Title: Pandora Report date:03/19/14
Data filename:J:\Lenexa\Programs\P-T\Pandora11 4 50000 0 7 6 Pandora-Washington Square-Portland OR\000\Energy\1450000076
COMcheck.cck Page 1 of 2
to meet the 2010 Oregon Energy Efficiency Specialty Code,Chapter 8,requirements in COMcheck Version 3.9.3 and to comply with the
mandatory requirements in the Requirements Checklist.
i 1-k - � I
Name-Title mectvm"1 " ht4Qn Signature Date
Section `6:1 PosYt'"Construction CCompliance Statement
❑ HVAC record drawings of the actual installation,system capacities,calibration information,and performance data for each equipment
provided to the owner.
❑ HVAC O&M documents for all mechanical equipment and system provided to the owner by the mechanical contractor.
D Written HVAC balancing and operations report provided to the owner.
The above post construction requirements have been completed.
Principal Mechanical Designer-Name Signature Date
Project Title: Pandora Report date:03/19/14
Data filename:J:\Lenexa\Programs\P-T\Pandora\1450000076 Pandora-Washington Square-Portland OR\000\Energy\1450000076
COMcheck.cck Page 2 of 2
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9508 SW WASHINGTON SQUARE RD J01,
TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
June 11, 2014 at 1:18:39 PM
MEC2014-00153
Chip Barnett
Violation Summary:
Inspector Contractor