Permit CITY OF TIGARD MECHANICAL PERMIT
s COMMUNITY DEVELOPMENT Permit#: MEC2014-00374
T[GARLD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/13/2014
Parcel: 1 S135BA00102
Jurisdiction: Tigard
Site address: 10114 SW WASHINGTON SQUARE RD
Project: Spec Space Subdivision: OAKBURG Lot: 9
Project Description: 300 ft.of gas piping from meter to space for landlord work.
Contractor: MODERN PLUMBING Owner: PPR SQUARE TOO LLC
11120 SW INDUSTRIAL WAY PO BOX 847
TUALATIN, OR 97062 CARLSBAD,CA 92018
PHONE: 503-691-6166 PHONE:
FAX: 503-691-6771
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/22/2014 $130.46
Class of Work: ALT Type of Const: IIB Plan Review 07/22/2014 $32.62
Occupancy Grp: A-2 Occupancy Load: 12%State Surcharge-Mechanical 07/22/2014 $15.66
Stories: Info Process/Archiving-Sm$0.50(up to 07/22/2014 $0.50
Project Valuation: $2,500.00 11x17)
Fuel Air Handlers
Fuel Types: Natural Gas 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 $179.24
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questi OUNC by calling 503.232.1987 or 1.800.332.2344.
i
Issued By: C Permittee Signature: dr�
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Jul. 18. 2014 12:51PM Modern Plumbing No. 5179 P. 1 '"' a
Mechanical Permit Applit >, EEIVEP FOR OFFICE USE ONE
City of Tigard ' 7� ��i PenaitNo,; Al_,cap! - 7y
d 13125 SW Hall Blvd.,Tigard,OR 97223 `�
i C Pisa R r i Other Permit:
Phone: 503.718.2439 Fax: 503.598. Q 2 1 2014 �wprill �� ` �a0/L�_ • i
.11(.,AItD Inspection Line: 503.639A 175 U` fi 1 Date•..,• ;r See Page 2 far
Internet: www.tigard-or.gov OF N ifed(Merbod: Su temenlalInformotion
_ CITY 0 �,�' . ,,„ar P-
'6.:TYP r't �' IIy4); ! S vl,li-r.z.:. a,Et. . .Qgo .P S�,SCHED _E, .I1�E C�HErs. -��T.+i
S., s'�ax is fr
Mechanical permit fees*are based on the value of the work
❑New construct ion NI-Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment.labor,overhead,and rofit.
<�� Value:$ D o•19 u
t)2°' .s.: .': . : ::t::ATEGOR 0-" 0NSTRU(11T0 1., me Y Eh g , .. . .;„
❑ 1-and 2-family dwelling ISI•Commereialiindustrial ❑Accessory building For special lr fornratlon use checklist.
❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea 1 Total
,.n...,,,c.,,-:,,.f .NS-. 7.:r Heating/cooling:
^,,- -��JODaS1TE $ORM�T10 AIVD _;'�;;;�
`"` 1-1 Air conditioning 46.75
•
Job site a • W 1`V L Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:r 1 4 h a.6 Qla_ q 1 y-3 4 !fie._ - Furnace loo 000+BTU(duds/mats) 54.91
I • r y Heat pump 61.06
Suite/bldg./apl.no.: Project name:L -.._4:sl2k1VlalaalalrAi Duct work 23.32
Cross street/directions to job site: .r( l 'C in NI 2- Hydronic hot water system _ 23.32
r� �t VC I rl �/� Residential boiler(radiator or
„_ k7 Tel 5A-IJ tC FJVI'tl-i- 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: I Lot no.: Other: 23.32
Other fuel appliances: _
Tax map/parcel no.: Water heater 23.32
N: t .,jitiCifunytii=4 : Gas fireplace/insert 33.39 _
L�,1nLD �mn v
Flue water heater or gas
`1 y 2 V/1-�-qi\ /� �-r�-�---�� fireplace 23.32
Log KV N 300 r G AS 1" 1(' F� 41 C/t fife d/pellrtsto 23.32
c�A tt�. Wood/pellet stove 33.39
'l v s Mt,6 Wood fireplace/iinscn 23.32
Chimney/liner/flue/vent 23.32
j 23.37
. ❑ PAOPETY 1)1YN7 7 I `C. ��v-5z - Environmental exhaust and ventilation: _
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/Stale/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Anic/crawlspace fans 23.32
.1,;,.:_.0 ArPLICANf ,r4 L; z-5,11111 CO A I * i , Other: 23.32
Business name: Fuel piping:
s14.15 for first four;54.03 for each additional
Contact name: Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Wider heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail: Barbecue
'' } ' ?. G R± �� 4 Clothes dryer(gas)
0 `,T mi a
Bllsinessnamehl0-Y) j Pm411316 G Other: 00' Z*lII,SPACE' (� t 1;(fl l3pt-fb
.q
11120 51A.) AI/ }• `( 1(r Q:3 � t�..__ 13 `�
Addh�ess- � � � Subtotal i] tp
City/State/ZIP:TI A r 1N 0g_ ci 70(91- Minimum pemiitfee(590.00)
Plan review(25%of permit fee)
Phone: 3) (Q(1i (DI we Fax:(9)' j / a r , -i--u State surcharge(12%of permit fee) t riot
CCB tic.: S 7' a(9 �0 ,D TOTAL PERMIT FEE I 16,n
This permit►pplitntton expires if a permit Is ooh*brained 1 in 180
1 days after iI has been accepted as complete.
Authorized Signature' ' Fee methodology set by Tri-County Building Industry Service Board
lPrint name: / f-a s Date: r1 ( /IS 11Y .
l Buildin ermilsl51EC Permi App 040I11.dpc 440-46rn (IIIO21COWWEB)
nv RECEIVED
Lc 1 of by u- -Fu.fu P/ o 7
JUL 21 2014
CITY OFTIGARD
BUILDING DIVISION
•
bO
-c CITY OF TIGARD
REVIEWED FOR CODE COMPLIANCE
Approved:
PP [tom
OTC: [ j
LAAEc 2 O t4—
'
Permit#: 37
/-p pon, 300 Address:
Suite
P„ b 61 0_,5 By: Date: .7[ 2.-((4_
mow
OFFICE COPY