Permit CITY OF TIGARD MECHANICAL PERMIT
111 I COMMUNITY DEVELOPMENT Permit#: MEC2015-00207
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/14/2015
Parcel: 1S 1260000300
Jurisdiction: TIGARD
Site address: 9530 SW WASHINGTON SQUARE RD H10
Project: Athleta Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: (3)VAV boxes and duct work.
Contractor: DIRECT MECHANCIAL CONTRACTORS Owner: PPR WASHINGTON SQUARE LLC
PO BOX 872472 PO BOX 847
VANCOUVER,WA 98687 CARLSBAD, CA 92018
PHONE: 360-901-6063 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 04/14/2015 $614.41
Class of Work: ALT Type of Const: Plan Review 04/14/2015 $153.60
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 04/14/2015 $73.73
Stories:
Project Valuation: $20,500.00
Fuel Air Handlers
Fuel Types: Units<10000 cfm:
Gas Pressure: Units>10000 cfm:
Furnaces Boilers 8 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 $841.74
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: VAV Boxes
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 . _ 2344.
Issued By: Permittee Signature:
f►3
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR 011.I( 1: FSF ON I.)
City of Tigard �,v�� Received _
G Date/By:ive -I ®/ I - Permit No /}tom, 7oIS 1y�1 �7
;� • 13125 SW Hall Blvd.,Tigard,OR 9 Plan Review ttr b Ko(J
Phone: 503.718.2439 Fax: 503.59 1 7- \c3 Other Permit:
Date/By: i Lf • �/y-I./, 1,
1'I c,,\1 u Inspection Line: 503.639.4175 eR l Date Ready/By: Juris r. See Page 2 for
Internet: www.tigard-ocgov �` GMAO Notified/Method: PJ^ Supplemental Information ork
TYPE OF W4O,N� COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
8 "' Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 'j,Q s 0 0
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 1 Qty. _ Ea. I Total
E INFORMATION AND LOCATION Heating/cooling:
Job site addrese• q S -X11 Air conditioning 46.75
In . O. M q�, f 1 d Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Po ,4%. � 4R L Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump
Suite/bldg./apt.no.: Project name: A 4.J) rt 1 c 2
Duct work 23.32
.32
Cross street/directions to job site: Ac y CS S f et r V Nei• :♦S Hydronic hot water system 23.32
Residential boiler(radiator or
*rge C AA f ,i4., Y ..b 11%. fain(a O MS„ 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
/� n v o r ll Flue vent for water heater or gas
(3) V f7 V IA , d uCT u" i fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
❑ PROPERTY OWNER ❑ TENANT
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
Si APPLICANT ❑ CONTACT PERSON Other: __ 23.32
Fuel piping:
Business name: 0;ii 4 f C 116-4 C 41.1 Cc o 4--YRC r T $14.15 for first four;$4.03 for each additional
Contact name: DAM;,c \ (1q\pJ Furnace,etc.
Address: T�G 5 /Z'1'1 't Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: VW1GOMVtr, VIA X11 t 1 Water heater
Qcc)gQ h 6 aql ( ) Fireplace
Phone: Fax::
Range
E-mail: Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name: S.okit w.4 ,{j 13 y It MECHANICAL PERMIT FEES*
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( )
State surcharge(12%of permit fee)
CCB lic.: •/ -1 ' 0,S S ZQ TOTAL PERMIT FEE VV. 7y
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature:�'� -. + Fee methodology set by Tri-County Building Industry Service Board
Print name: 10 avV,+t( ilibli%„/ Date:L j- 1 y-is
t:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
1:\Building\Permits\MEC_PermitApp 040113.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9530 SW WASHINGTON SQUARE RD H10,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2015-00207
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor