Permit CITY OF TIGARD MECHANICAL PERMIT
, COMMUNITY DEVELOPMENT Permit#: MEC2014-00606
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/15/2015
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9650 SW WASHINGTON SQUARE RD G15
Project: Iviwa Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Modification of ductwork,install new diffusers,grilles and registers.
Contractor: GREY WOLF HVAC INC. Owner: PPR WASHINGTON SQUARE LLC
7306 NE 37TH AVE PO BOX 847
VANCOUVER,WA 98665 CARLSBAD, CA 92018
PHONE: 360-635-6117 PHONE:
FAX: 360-326-8506
FEES
Specifics: Description Date Amount
Type of use: COM Permit Fee 01/14/2015 $601.71
Class of Work: ALT Type of Const: Plan Review 01/14/2015 $150.43
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 01/14/2015 $72.21
Stories:
Project Valuation: $20,000.00
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 $824.35
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility = . .• Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or s ect questions to . NC b calling 503.232.1987 or 1.800.332.2344.
Is:ued By: f. � I Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
RECEIVED
Mechanical Permit Application FOR OFFICE USE ONLY
C T 3 0 Received
City of Tigard 201 Date/By: /i /0 PamitNo.: H 96/1/-60 404
• 13125 SW Hall Blvd.,Tigard,OR 97223
Plan Review
' II Phone: 503.718.2439 Fax:
503.598.1 5 OF r G A"" Date/By:
other Permit: f�j/41_602-
Inspection Line: 503.639.4175
G DNiS10N Date Ready/By: Buns: la See Page 2 for
Internet: www.tigard-or.gov piTYi DiN 1 Notified/Method: __If Supplemental Information
BUILDING S/ /'
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$ f O O
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ I-and 2-family dwelling ®Commerciallindustrial ❑Accessory building For special information use checklist.
❑ Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. 1 Total
gee/60 JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address;jfrS.W.Washington Square Road Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Portland,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.:are Project name:Ivivva Washington Square Duct work 23.32
Cross street/directions to job site:S.W.Scholls Ferry Road 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.:1S1260000300 Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
L Flue vent for water heater or gas
(041- (1GL on (R -e-,\Atl 3 Ct Ac,i (AJO , ,.,�1`i n'S1 a ti fireplace 23.32
Oil n ctA) d L f kts.e its sillies a `c1
Log Wood/pellet(gas) 23.32
� Wood/pellet stove 33.39
reg(S f-l&r S Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER ® TENANT Other: 23.32
Environmental exhaust and ventilation: _
Name:Lululemon Athletics Canada,Inc. Range hood/other kitchen
equipment 33.39
Address:1818 Cornwall Avenue Clothes dryer exhaust 33.39
City/State/ZIP:Vancouver,BC V6J1C7 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(604)732.6124 Fax:( J Attic/crawlspace fans 23.32
® APPLICANT ® CONTACT PERSON Other: 23.32
Business name:MBH Architects Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Lilly Sippel Furnace,etc.
Address:2470 Mariner Square Loop Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Alameda,CA 94501 Water heater
Phone:(510)814-3457 Fax::(511)4(e,-. 1,(01,I Fireplace
Range
E-mail:lillys @mbharch.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:TBD
Other:
MECHANICAL PERMIT FEES*
Address:
Subtotal (J1;7/
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee) /-5-(),'/3
Phone:( ) Fax:( ) State surcharge(12%of permit fee) 7A..A/
CCB lic.: `4,Sr,7 q TOTAL PERMIT FEE a4 3,j
�O/ • This permit application expires if a permit is not obtaine 'within 180
days after it has been accepted as complete.
Authorized signature: 4 / * Fee methodology set by Tri-County Building Industry Service Board
Print name: ilt 11 . D /# -ei Date: ID/t f/ f t
1:1Buildingwennits\MEC_Pe App_040113..,• 440-4617T(11/0?/COM/WEB)