Permit t y n
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2015-00593
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/03/2015
Parcel: 1 S135BA00102
Jurisdiction: TIGARD
Site address: 10100 SW WASHINGTON SQUARE RD
Project: Washington Square Too-Building A Subdivision: OAKBURG Lot: 9
Project Description: Installation of earthquake valves down stream of existing gas meters.
Contractor: MCKINSTRY COMPANY LLC Owner: PPR SQUARE TOO LLC
16790 NE MASON ST., STE. 100 PO BOX 847
PORTLAND, OR 97230 CARLSBAD,CA 92018
PHONE: 503-331-0234 PHONE:
FAX: 503-331-6907
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/03/2015 $191.86
Class of Work: ALT Type of Const: VB Plan Review 09/03/2015 $47.97
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 09/03/2015 $23.02
Stories: 1 Info Process/Archiving-Sm$0.50(up to 09/03/2015 $2.50
11x17)
Project Valuation: $4,500.00
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>=1001<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 $265.35
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: earthquake
Duct Work: valves
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notificati.i Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. ou may o• ain a copy of the rules
or direct.•-stions to • NC by calling 503.232.1987 or 1.800.332.2344. /
Issued ,:y: � Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard ' ! Received permit No.:
. Data'Re
'i 13125 SW Hall Blvd.,Tigard,OR 97223 plan Rev e1
Phone: 503.718.2439 Fax: 503.59A19 2 7 2015 �f a( Other Permit
Pan Re +, `mil
Inspection Line: 503.639.4175 !� See Page_for
TIGARD Date Ready/:y: Suds
Internet. www.tigard-or.gov CITY Y- i1 RD Notitiedilvtethod: Q 11(5---477.- Supplemental Information
i l.�' `�lr�t
TYPE OF WORK `� /*i' " COMMERCIAL FEE* SCHEDULE - USE CIEIECRZIST
Mechanical permit fees*are based on the value of the work
❑New construction gAddition/alteration/replacement performed. Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑ Other: mechanical materials.equipment,labor,overhead,and profit.
Value:$ y,5'O0 )it
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 Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heatino/cooling:
Air conditioning 46.75
Job site address: /0100 46_t,c;, k`) c_2HI 1.-)67-c 41/4-= o PrD Furnace 100.000 BTU(ducts.vents) 46.75
City/State/ZIP: Ti6 2..0/ Q'(-. / ('?2-Z Furnace 100.000+BTU(ducts,vents) 54.91
Suite/bldg./a t.no.: / Project name: l Heat pump 6 L06
P J t„1�� /NTt� �)CI Duct work 23.32
Cross street/directions to job site: K■t,-P t 1-.-VD A Hydronic hot water system 23.32
ROAD boiler(radiator or
SW WRSfitAFGT4N S ROAD ti- S W 6Q.�NbvIZG R. 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
‘N 5- L L LR _ Q 4L E Urf�t_l�CS (�AY_/l1 fireplace 2332
Log lighter(gas) 23.32
5-172.-E r r 1 A n ffv-I,51 ►Af G Cc,A-S /N CTEI c Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/clue/vent 23.32
Other.%�a.T-''1•tr',_� ((1; ,.1- 23.32 •--'
PROPERTY OWNER ❑ TENANT Environmental exhaust and ventilation:
Name: /V\i_G.EP k C Range hood/other kitchen
equipment 33.39
Cr Address: - S15- 5 UJ lij J9-5 ti k N G-I-d to S 4 V-F tPcA-D Clothes dryer exhaust 33.39
City/State/ZIP: Pa(LT LA-1. 0 / 02 / 4r.)Z 2 3 Single-duct exhaust(bathrooms.
toilet compartments.utility rooms) 23.32
Phone:1'5-03) G 3 a_$$6 S Fax:( ) Attic/crawlspace fans 23.32
`,L1PPLICANT (sCONTACT PERSON Other: 23.32
Fuel piping:
Business name: e.k..t N$-j-
514.15 for first four:54.03 for each additional
Contact name: A 0 AM AA V Y L L E R Furnace.etc.
l l Gas heat pump a`' cr O v g MA-so IQ .S.-\---(2- e-4.-_--- Wall/suspended/unit/unit heater
City/State/ZIP: ?e, T LA-,J /d ( q'12_;O Water heater
Phone:(� ) Fax::( ) Fireplace
`�G3 3 D 7 -� �//s n J Range
E-mail: r�p�-M mu Cw /"\e-k-k N}STI2-'I . I O M Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
'A1�
Business name: / v \L k t A.1.67--,Y
, I MECHANICAL PERMIT FEES*
Address: f 6) D ¢0¢I N E /v1/r5 d'AJ ;TA-gel- Subtotal
City/State/ZIP: Pey p-r LAN® / 012_ r t '? 2.. c, Minimum permit fee($90.00)
J Plan review(25%of permit fee)
Phone:( 703) 3 O'7 _Q i S ( Fax:( ) State surcharge(12%of permit fee)
CCB lic.: 1 '--) 2 I ' TOTAL PERMIT FEE
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: A-QAM M U EL E,2 Date: g/2(A /�
1`Building\Permits'\[EC PermitApp_040113 dot: 440-4617T(I 1 0' ON1AVEBI
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
10100 SW WASHINGTON SQUARE RD,
TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00593
Chip Barnett
Violation Summary:
Inspector Contractor