Permit INp CITY OF TIGARD MASTER PERMIT
I - COMMUNITY DEVELOPMENT j Permit#: MEC2014-00494
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 �� ��» Date Issued: 09/10/2014
BJ ri/� fO Parcel: 1S1260000300
A /BSI f` Jurisdiction: Tigard
Site address: 9571 SW WASHINGTON SQUARE RD B05
Subdivision: WASHINGTON SQUARE ESTATES NO.3 Lot: S
Project: Made in Oregon
Project Description: Mechanical for TI:VAV box,duct work,exhaust fan,and grilles.
BUILDING
Floor Areas Required Setbacks Required
Stories: Bedrooms: First: sf Basement: sf Left: Parking Spaces:
Height: Bathrooms: Second: sf Garage: sf Front: Smoke
Dwelling Units: Third: sf Right: Detectors:
Total: sf Value: $8,400.00 Rear:
PLUMBING
Sinks: Water Closets: Washing Mach: Laundry Trays: Rain Drain: Urinals:
Lavatories: Dishwashers: Floor Drains: Sewer Lines: SF Rain Storm Sewer:
Tubs/Showers: Garbage Disp: Water Heaters: Water Lines: Drains: Catch Basins:
Bckflw Prevntr:
Footing Drain: Ice Maker: Hose Bib: Backwater Value:
Drywell-Trench Drain: Other Fixtures:
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: Clothes Dryers:
Heat Pump: N Hoods: Other Units: 3
Furn<100K: Vents: Woodstoves: Gas Outlets:
Furn>=100K:
ELECTRICAL
Residential Unit Service Feeder Temo Srvc!Feeders Branch Circuits
1000 sf or less: 0-200 amp: 0-200 amp: W/Svc or Fdr:
Ea add'I 500 sf: 201-400 amp: 201-400 amp: W/O Svc/Fdr:
Mfd Home/Feeder/Svc: 401-600 amp: 401-600 amp:
601-1000 amp: 601+amp-1000v:
1000+amp/volt:
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: VAV box,exhaust fan,grilles Ecompasing: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT COM
Owner: Contractor:
PPR WASHINGTON SQUARE LLC ARROW MECHANICAL Required Items and Reports(Conditions)
PO BOX 847 10330 SW TUALATIN RD
CARLSBAD,CA 92018 TUALATIN,OR 97062
PHONE: PHONE: 503-692-1565
FAX: 503-691-1879
Total Fees: $423.77
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 m- •• - - •• of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: //�■— sue- Permittee Signature: ���
Call 50 "Ir.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.
CITY OF TIGARD MECHANICAL PERMIT
11111 • COMMUNITY DEVELOPMENT Permit#: MEC2014-00494
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/10/2014
T I G A R n 9 Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9571 SW WASHINGTON SQUARE RD B05
Project: Made in Oregon Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Mechanical for TI:VAV box,duct work,exhaust fan,and grilles.
Contractor: ARROW MECHANICAL Owner: PPR WASHINGTON SQUARE LLC
10330 SW TUALATIN RD PO BOX 847
TUALATIN,OR 97062 CARLSBAD, CA 92018
PHONE: 503-692-1565 PHONE:
FAX: 503-691-1879
FEES
Specifics: Description Date Amount
Type of Use: Permit Fee 09/10/2014 $302.75
Class of Work: Type of Const: Plan Review 09/10/2014 $75.69
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 09/10/2014 $36.33
Stories: Info Process/Archiving-Lg$2.00(over 09/10/2014 $4.00
11x17)
Project Valuation: $8,400.00 Info Process/Archiving-Sm$0.50(up to 09/10/2014 $5.00
11x17)
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 $423.77
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: _ Permittee Signaturik___
IOW
Call 503.6 •.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
11111 City of Tigard ���� Date/By. � 0 Permit No py�
13125 S W Hall Blvd.,Tigard, I 4:. Y ` `Q�1 L
1 Plan Review
Phone: 503.718.2439 Fax: 50 ' '09 0 Date/By ' 1 (0 •, Other Permit.II Inspection Line: 503.639.4175 Re ■
Ti GA R D �41� Date Ready/B . ` luns 0 See Page 2 for
Internet: www.tigard or.gov Q Q A !//
�P Notified/Method l V, , dot Supplemental Information
..,"A1) ` G. st (t!
TYPE OF :WORD` i '" COMMERCIAL FEE" SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑ New construction ed' Additioii/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑ Other: mechanical materials,equipment,labor,overhead,an profit.
Value:$ eq t,lj
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ I-and 2-family dwelling ® Commercial/industrial ❑Accessory building For special information use checklist
El Multi-family ❑Master builder ❑Other: Description Qty. Ea. 1 Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Job site address: `� )" ! J� /„ y/A Ui'J eA� K4 `�
Air conditioning 46.75
.�V Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: J/c-4-z-:;) 0)2- 9223 O Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: j5- Project name: ebr2 h.,) t37_,a_
Duct 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
r Flue vent for water heater or gas
V 4V Boor / 06.1-/„JC. / k71.4'5/ 1-•41/1/4-1, 4:,t cii//65 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 ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
Address:
equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) lax:( ) Attic/crawlspace fans 23.32
T ❑ APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name: ____. Fuel piping:
i
{ •` S 6.-- mil --- $14.15 for first four;$4"03 for each additional
Contact name: Furnace,etc.
Address: Gas heat pump
Wallsuspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
E-mail: Range
Barbecue
CONTR%CTOR Clothes dryer(gas)
Business name: fl . I /4c,. �)� �y? Chher: ,
!`�-�'2J eh/4A)/cf4<- (�0l 4,144045 i /Aic
MFCIANICAL PR MIT FEES*
Address: /c)33 o J 1 v JA - - Subtotal
City/State/ZIP: Tv / ' vZ 576z Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(,,z,3) L Z _/5 Fax:(5c3 ) 6' / _ /V 76--- State surcharge(12%of permit fee)
CCB lie.: 5-, 5.3 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized sign ure• �) * Fee methodology set by Tn-County Building Industry Service Board
t
Print name:/i ce,,;‘,/ L6i!ee52EerJs/!-( Date: •j . s v ./
I\Building\Penmts\MEC_PemirtApp_040113.doc 440.46171'(11/02/COM/WEB)
P , ' Building Division
Over-The-Counter (OTC) Mechanical Permit
T i c'n li D Check List
Project Description: -T-1
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: ( Occupancy Group: �}'l Type of Construction: Z('_
*Type of Use: Oregon Specialty Code: 16 14—
Number of Stories:
FUEL FURNACES
Type: Furnace < 100K BTU Furnaces>= 100K BTU
Gas Pressure: Roof Top Unit(RTU) Tons
Floor Furnaces Unit Heaters
Vents without Appliances Air Conditioning
Heat Pump
AIR HANDLERS HOODS
Units <= 10000 cfm i _ Type 1 Hood Type 2 Hood
Units > 10000 cfm Grease Duct 1 Hour Shaft
Fire Wrap
APPLIANCES
Boiler(BTUs) Vent Fans Gas Line
Solid Fuel Fireplace/ Clothes Dryers Gas Outlets
Woodstove Duct Work , Gas Fireplace
Fire/Smoke Dampers Other Mechanical Units—Describe:
Total Project Valuation: $ 8 .Tc� FEES DUE
-I5— $ �. echanical Permit Fee
-9.(d rAgral::. Plan Review
3(0,33 $ -,„: ir; 12%State Surcharge
a -au $ . ' ,ova Info Proc/Arch,Lg(over 11x17$2.00)
Sod $ ----g7f' Info Proc/Arch,Sm(up to 11x17 $0.50)
$ Misc.Admin Fee
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Other:
$ Other:
Building Staff: if 25 77
Date/Time: TOTAL FEES DUE
*OPTIONS:
TYPE OF USE: COM=commercial;CMS=commercial manufactured structure.
CLASS OF WORK ACS=accessory;ADD=addition;ALT=alteration;FND=foundation;DEM=demo;
FND=foundation;FPS=fire protection system;NEW=new;OTR=other(use for fences,decks,retaining walls,signs,awnings or canopies);
REP=repair.
I:\Building\Forms\OTC-MEC.docx 01/13/2011
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
9571 SW WASHINGTON SQUARE RD B05,
TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2014-00494
Chip Barnett
Violation Summary:
Inspector Contractor