Permit p CITY OF TIGARD MECHANICAL PERMIT
• COMMUNITY DEVELOPMENT Permit#: MEC2014-00314
-f t G.A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/24/2014
Parcel: 1S135BA00102
Jurisdiction: Tigard
Site address: 10144 SW WASHINGTON SQUARE RD
Project: Spec Space Subdivision: OAKBURG Lot: 9
Project Description: Install fire smoke dampers
Contractor: JACOBS HEATING&AIR CONDITIONING Owner: PPR SQUARE TOO LLC
4474 SE MILWAUKIE 401 S.WILSHIRE BLVD.
PORTLAND,OR 97202 SANTA MONICA,CA 90401
PHONE: 503-234-7331 PHONE: 310-899-6437
FAX: 503-808-9108
FEES
Specifics:, Description Date Amount
Type of Use: COM Permit Fee 06/24/2014 $155.02
Class of Work: ALT Type of Const: Plan Review 06/24/2014 $38.76
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 06/24/2014 $18.60
Stories:
Project Valuation: $3,209.00
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 $212.38
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or ' ct question o OU ,y calling 503.232.1987 or 1.800.332.2344.
I ued By: i/ Permittee Signature: /
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. I'
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Se o H S trLA 4)e
w/p t;• o4V
Mechanical Permit Appl' r°" Icllt c1I I,c I I �I t)Nl
City of Tigard F Received
`J Date/By: / Permit No.: f
114
13125 SW Hall Blvd.,Tigard OR 97223 '• er
= Dan Review nom{n n^/ / i
Phone: 503.718.2439 Fax: 503.598,14 2 4 2014 Dan Review Other Permit: r f OY/ L/
i i t_ i,i� Inspection Line: 503.639.4175 r Date Ready/By: Juris ® See Page 2 for
Internet: www.tigard-or.gov CITY 0 116A1L Notified/Method: Supplemental Information
1
1 ) r!}Il'IRInf
TYPE O ORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ '3�1
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. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: l6 I 1 4 S w W S H rAlG�a S OA4 r1 2 E Furnace 10 ,0 00
BTU(duets/vents) 46.75
City/State/ZIP: �t G F)(Ls, �- 723_ ,Furnace 100,000+BTU(ducts/vents) 54.91
j 5AtL �P�-� Heat pump 61.06
Suite/bldg./apt.no.: Project name: Y Duct work 23.32
Cross street/directions to job site: S,W G C N B k R G R o /AN 17 Hydronic hot water system 23.32 _
Residential boiler(radiator or
Syl( yilA6 I iN(,fi6 N c a UA124: ' 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
10 61 A 11 r,nr: 5./Vi 0 lee pAMf1 25 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: 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: IA
fi C6 QS N Ea-4-iN 6 p_ AI a Ca N n,U N I A)(, $14.15 for first four,$4.03 for each additional
Contact name: Lt4l 1 il w i I DES-- Furnace,etc.
++ii
,,
Gas heat pump
Address: e.
4 1I 1,4t1 1 Wall/suspended/unit heater
City/State/ZIP: L.20 Yet LA-to, 0 E- 17 202- Water heater
Phone:(o'3) Z Fax::(fo3) Fireplace
y_ 33) Range
E-mail: G M M 69 f rC 03 lickfuN G. CC M Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: 3-AGQ8S NtottAr(> Av17 Ii(y CoNmj/dAiYN6) Other:
MECHANICAL PERMIT FEES*
Address: L1`7 S� g io, �+E
1 �' �Vl, poi E Subtotal `Jtsn=-
City/State/ZIP: F Minimum permit fee($90.00)
ein- ANr) O _ct7 2oz
Plan review(25%of permit fee) 5g.76P
Phone:(5o3 ) Z 34-733/ Fax:(503)29 6-53 51 State surcharge(12%of permit fee) /if,(00
CCB lic.: /Y.171/ TOTAL PERMIT FEE ja,3 g
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized sign "ow Q� �;' f� * Fee methodology set by Tri-County Building Industry Service Board
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
10144 SW WASHINGTON SQUARE RD,
TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
July 11, 2014 at 8:52:01 AM
MEC2014-00314
Chip Barnett
Violation Summary:
Inspector Contractor