Permit CITY OF TIGARD MECHANICAL PERMIT
1111111 1° - COMMUNITY DEVELOPMENT Permit#: MEC2015-00595
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/03/2015
Parcel: 1 S135BA00102
Jurisdiction: TIGARD
Site address: 10206 SW WASHINGTON SQUARE RD
Project: Washington Square Too-Building C 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 $207.21
Class of Work: ALT Type of Const: VB Plan Review 09/03/2015 $51.80
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 09/03/2015 $24.87
Stories: 1 Info Process/Archiving-Sm$0.50(up to 09/03/2015 $2.50
11x17)
Project Valuation: $5,000.00
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>=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 $286.38
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: earthquake
Duct Work: valves
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility 'cation Cen - . Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You ma obtain a copy of the rules
or • ect questions to OUNC • ••j g 503.232.1987 or 1.800.332.2344.
ssued By: / ,e Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application . • FOR OFFICE USE ONLY
16 City of Tigard I } ? _ ; i Receis,ed , /, PermitNo.: r
. Dat,Re
'. 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Re -AN
Phone: 503.718 2439 Fax: 503.59A11196a 2 '� 2015 4 �L.` 31 I Other Permit:
� Date/By:
Inspection Line: 503.639.4175 _ E3 See Page 2 for
T 1 GA RD Date Ready/:y: lurk:
Internet: www.tigard-or-gov Cf Y �N .7 '-.•,--•- RD NotifiediMethod: S 3�/l� e Supplemental Information
i. r} J.
TYPE OF WORK OMME L t SCFI 'LE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replacement performed. Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials.equipment.labor,overhead,and profit.
Value:$ 5/000 )t
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. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: tD AO 4/ cL.C, l)C� ��,,�� -^^�t
�.►ry`J%f/11t't'n%�?/J �j �D Furnace 100.000 BTU(ductsrvents) 46.75
City/State/ZIP: l ,GM�-0` all ( (472-Z 2. `� Furnace 100.000+BTU(ductsrvents) 54.91
Suite/bldg./apt.no.: Project name: (.ti15�i',kcal j`v 0 Heat pump 61.06
Duct work 23.32
Cross street/directions to job site: t../. ■ L,rj 1 1....N Q, Hydronic hot water system 23.32
p Residential boiler(radiator or
SW WPeS�L/ T-N SQ Rar�n� S W Gr2E�Nbl!(LC, QA 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
n15 T kL L E'A&TH Q U PNl E lJA-t._V E-5 0 411 M fireplace 23.32
Log lighter(gas) 23.32
S lP-El4Nt e ES(-l 5T►N G &its M CTS 2 S Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other:%ecIT-1 )' 4,1-_,1-"::- - 23.32 2,--- .
PROPERTY OWNER ❑ TENANT Environmental exhaust and ventilation:
Name: /V\A-t_El9 rl C H Range hood/other kitchen
` equipment 33.39
Address: �S$s S v1/41 A-5 ii l Al 6Td P1 S o 0 F t1-oA D Clothes dryer exhaust 33.39
City/State/ZIP: f a c LAX 0 / 02 / -1'7 22 3
Single-duct exhaust(bathrooms,
toilet compartments.utility rooms) 23.32
Phone:(45-03) 63 a,s s-‘s-- Fax:( ) Attic/crawlspace fans 23.32
YL4PPLICANT {CONTACT PERSON Other: 23.32
_Fuel piping:
Business name: C.'t e. k k A)$T 1i'/
S14.15 for first four:51.03 for each additional _
Contact name: A-0 Am AA u 1`L L R Fumace.etc.
Address: I _ Gas heat pump
Q C �T2 �_ Wall/suspended/unit heater
City/State/ZIP: ? .T-LA-JAo / g.. ( q772 o Water heater
Phone:(503) 30--1 -9 S l I Fax: :( ) Fireplace
Range
E-mail: pi l ,A-M M U (/n� M -k k N sTR-y . C o M Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name: G /� ,�tSTl'�Y MECHANICAL PERMIT FEES*
Address: 6 7 at D 501/v/ E A./ /-5 d N �'�-EST Subtotal
City/State/ZIP: Pa(22-1--L AN D / att 'or? 2 30 Minimum permit fee($90.00)
q Plan review(25%of permit fee)
Phone:(.503) 3 0'7 _-1 ( s ( Fax:( ) State surcharge(12%of permit fee)
CCB lic.: 1 '? 2 q ( ` TOTAL PERMIT FEE
/4-------
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-O A_M l"`U , /- E/Z Date: 5'4 4//s
I.`.Buildin\Permass MEC PermitA 040113.doc 440-46177-11 0J \'\
S _ PP_ 1 CO,L VEB)
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
10206 SW WASHINGTON SQUARE RD,
TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00595
Chip Barnett
Violation Summary:
Inspector Contractor