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Permit _ CITY OF TIGARD MECHANICAL PERMIT 2- II COMMUNITY DEVELOPMENT Permit#: MEC2015-00087 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/19/2015 Parcel: 1S1260000300 Jurisdiction: Tigard Site address: 9706 SW WASHINGTON SQUARE RD F09 Project: Kiehl's Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S Project Description: Ducts 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: COM Permit Fee 02/19/2015 $164.23 Class of Work: ALT Type of Const: Plan Review 02/19/2015 $41.06 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 02/19/2015 $19.71 Stories: Project Valuation: $3,600.00 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 $225.00 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: 1 Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: rmittee Signature: > Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Applicat' FOR OI 1 l( I: i SI• ()\► City of Tigard CEIVEII Received L`I Permit No.: f • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Re: !� __- III Plan Review I Phone: 503.718.2439 Fax: 503.598.1960 Other Permit: C DateBy: Z-. a i., . S I.1 t `IZ 0 Inspection Line: 503.639.4175 FEB 19 2015 Date Ready/By- ® See Page 2 for Internet: www.tigard-or.gov Notified/Method Supplemental Information CITY OFrTIGARD - TYPE �o G DIVISION COMMERCIAL FEE" SCfiEULitE-?USECHEC_KLIST Mechanical permit fees*are based on the value of the work ❑New construction .,Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ ., 4‘..a U rZi°" CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES* ❑ 1-and 2-family dwelling -Commercial/industrial ❑Accessory building For special information use checklist ❑Multi-family ❑Master builder ❑Other: Description Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling:1 Air conditioning 46.75 , Job site addressqs 8 CA,-U 4/4.s 4-0_, J:1 • Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: -7-/,gs,etitzz, 8)Q C -2. 2 g Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.:/ Project name: ,�,+ 4.„ 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 / Flue vent for water heater or gas # u S A /�A D --- -r fireplace 23.32 / III nn /� Log lighter(gas) 23.32 NLC aJ s. A. s//4A �.'L./,L LA'S Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 ❑ PROPERTY OWNERT Environmental exhaust and ventilation: Name: /L /1vL s' Range hood/other kitchen equipment 33.39 Address: S 8 s ) Lt445i r Clohes dryer exhaust 33.39 City/State/ZIP: ) ^44.-a 6 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 APPLIECANT ©'CONTACT PERSON Other: 23.32 Business name: A 7 - Fuel piping: 1'J r`�s�LH ' ��N'f •r .t . $14.15 for first four;$4.03 for each additional Contact name: tiv 6/,/ 1✓ /` s 2�e„./s/G; Furnace.etc. Address: /v 33 J S1,,,0 --" ��� Gas heat pump Wall/suspended/unit heater City/State/ZIP: L.„,,,,, Z. Cp le ei iO(r 2- Water heater Phone?3) i"12.,-,ç ( Fax: j '� co 9 i- /6?-7 Ci Fireplace Range E-mail: /,CQ�-U tom/ /`--,ea=� /� /t-�f-rY.1,- , C� )/-1 Barbecue CONTRACTOR Clothes dryer(gas) Business name:Q^ Other: �1/L/d L .-c.J /u E e t�I , euttJT, ,,1/JG MECHANICAL PERMIT FEES" Address:/0 3 3l i SI�CJ t-7-2..e, ,4---n ., /2,D Subtotal City/State/ZIP: <-72.4 ri..L c.)/2 €=)---2 U(o Z Minimum permit fee($90.00) Plan review(25%of permit fee) Phone: ), 2 -. /-i-z.„ Fax j `dJ State surcharge(12%of permit fee) CCB lie.: S-/ 9 TOTAL PERMIT FEE S ad This permit application expires if a permit is not obtain within 180 days after it has been accepted as complete. Authorized signa.411111111b' e,./-.---- -" • Fee methodology set by Tn-County Building Industry Service Board Print name:/14""y l4,2,€.4.b 2`t.4.,sr c, Date: 9 ./.z --/$ i.\Building\Permits\MEC_PermitApp_040113.doc 440-46177(1 t/02/COM/WEB)