Permit CITY OF TIGARD MECHANICAL PERMIT
'' I 3 COMMUNITY DEVELOPMENT Permit#: MEC2015-00589
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/03/2015
Parcel: 1 S 1260000300
Jurisdiction: TIGARD
Site address: 9585 SW WASHINGTON SQUARE RD
Project: Washington Square Mall Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Installation of earthquake valves down stream of existing gas meters.
Contractor: MCKINSTRY COMPANY LLC Owner: PPR WASHINGTON SQUARE 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 $843.01
Class of Work: ALT Type of Const: IIB Plan Review 09/03/2015 $210.75
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 09/03/2015 $101.16
Stories: 1 Info Process/Archiving-Sm$0.50(up to 09/03/2015 $2.50
11x17)
Project Valuation: $29,500.00
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>= 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 $1,157.42
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: earthquack
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 folk 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 ma obtain a copy of the rules
or direct stions to NC by calling 503.232.1987 or 1.800.332.2344.
Issu d By: -ot 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 Appli xjo FOR OFFICE USE ONLY
d l
E IJ Received
City of Tigard DateBy: : a7 Arm",
Permit No.: �e c-OO •
MI" 13125 SW W Hall Blvd.,Tigard,OR 97223 Plan Review t.��
Phone: 503.718.2439 Fax: 503.59>�11�6 2 7 2015 Other Permit:
Date/By: /� ��
TIGARD Inspection Line: 503.639.4175 Date Ready/:y: Juris ® See Page 2 for
Internet: www.tigard-or.gov 1 Notified/Method: ' - Supplemental Information
CITY OF`��I���RD �f �� , PP
rah li. :;,: 1,"�"I �
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TYPE OF WORK -COCIMERCIAL EWSCHEDULE - 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.tabor nverhead andprofit.
Valued 2.°1(5410 k
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS F>t:ES*
❑ 1-and 2-family dwelling -Ef-Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑ Master builder ❑Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: Q5 g-5 3t-.-' AA, *, ,-e)� AD Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: T�6Af_Di Q i f ct')Z Z 3 Furnace 100,000+BTU(ducts/vents) 54.91
t'--f/1-11- Heat pump 61.06
Suite/bldg./apt.no.: Project name: 4jAsi4 SquAls 'CVts Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
SW Ix)fts6tiv rON SQ Rem 4- S (J 6amuava6 RP 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 S 1 A-L L EA0-7/4 Q U ft+L E WA-L.1/I5 061.0110 fireplace 23.32
Log lighter(gas) 23.32
5 112-E-AltA ds 6-S-t Ti S AS 6 Co A-s M ER S Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other:rgQTitQvAKP VAL'J 1 ) 23.32 621. 04
It PROPERTY OWNER ❑ TENANT
Environmental exhaust and ventilation:
Name: AA Az_E12_ 4 C Range hood/other kitchen
equipment 33.39
Address: 9.5$5- 5W UJksttlN4Ta sQVkF PhD Clothes dryer exhaust 33.39
City/State/ZIP: Pa LRN 0 / Q2 of-7 7 7 3 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:('503) 6 3 a--$$to c Fax:( ) Attic/crawlspace fans 23.32
VII,APPLICANT cd,CONTACT PERSON Other: 23.32
p� Fuel piping:
Business name: (-`4 k t A)51-0-- $14.15 for first four;$4.03 for each additional
Contact name: A 0 AM M U U r L L p Furnace,etc.
Address: 1 6,"I4 a N - M A'S D N ' T1- eZ-��-- Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Pt,( .1--L A-ND /d R ( CO Z 3 0 Water heater
Phone:(563) 3 D ) _oil g- I_ Fax::( ) Fireplace
pAM M U & Me_kl
Range
E-mail: �S'r-12 y _ cam M Barbecue
CONTRA("I'OR Clothes dryer(gas)
Business name: M k_,Ais-r,2- Other
l fECHANICAL PERMIT FEES*
Address: (6'-).1 o 4l N E MA-5 0.A1 S Subtotal
City/State/ZIP: Po g_-r--LA.N 0 J f' ? 2.'�o Minimum permit fee($90.00)
l Plan review(25%of permit fee)
Phone:(503) /a'') -OI 1 S I Fax:( ) State surcharge(12%of permit fee)
CCB lie.: ,'7 '2. ea i TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
A ---- --------- days after it has been accepted as complete.
Authorized signature: • Fee methodology set by Tri-County Building Industry Service Board
Print name: A-04-At M J el, i_ Ell Date: Vb.4, /5"
l.\Building\Permits�C_PermitApp 040113.doe 440-4617T(II 2/COM/WEB)
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
9585 SW WASHINGTON SQUARE RD, TIGARD,
OR, 97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00589
Chip Barnett
Violation Summary:
Inspector Contractor