The URL can be used to link to this page

Permit CITY OF TIGARD MECHANICAL PERMIT 1111 COMMUNITY DEVELOPMENT Permit#: MEC2015-00577 � 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/05/2015 TIGARD Parcel: 1 S 1260000300 Jurisdiction: TIGARD Site address: 9642 SW WASHINGTON SQUARE RD G12 Project: Lolli&Pops Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S Project Description: HVAC modification of TI retail space 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 11/05/2015 $474.71 Class of Work: ALT Type of Const: IIB Plan Review 11/05/2015 $118.68 Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 11/05/2015 $56.97 Stories: 1 Info Process/Archiving-Lg$2.00(over 11/05/2015 $6.00 11x17) Project Valuation: $15,000.00 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 $656.36 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Registers Duct Work: Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: ` Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of th oject. Approved plans are required on the job site at the time of each inspection. ��,,jj''++ r Mecha, mica/ Permit Applicat i CEIVEP FOR OFFICE 1 SE O\1 1 City of Tigard _ Permit ti� > > III g Date/By: iS a(t t) C-e)6/5'—Cx 5-77 -• 13125 SW Hall Blvd.,Tigard,OR 972 U G 2 4 2015 Plan Review q Phone: 503.718.2439 Fax: 503.598.1960 Date/By: r lG7..J ( 'Ir. cr Permit: TI G A R[� Inspection Line: 503.639.4175 CITY OF n� 1.16AR D Date Ready/By Jur s WI See Page 2 for Internet: www.tigard-or.gov Ill Notified/Method: l oZ.?//'5- 3 y' Supplemental Information BUILDING [?IU..,.. (13 ct,-.,,.1 ' CO LM '/,CIAc( FEE* SCHEDULE - USE CHECKLIST TYPE OF WORK Mechanical permit fees*are based on the value of the work ❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ /5-)6100 CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/ YSTEMS FEES* ❑ I-and 2-family dwellin g ®Commercial/industrial El Accessory building For special information use checklist ❑ Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address:9642 SW Washington Square Rd. Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.:G12 Project name:Lolli and Pops 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 T.1.-Remodel of(E)retail space fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ❑ PROPERTY OWNER I ® TENANT Other: 23.32 Environmental exhaust and ventilation: Name:Lolli and Pops Range hood/other kitchen equipment 33.39 Address:49 Powell Street Clothes dryer exhaust 33.39 City/State/ZIP:San Francisco,CA 94102 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(415)445-4501 Fax:( ) Attic/crawlspace fans 23.32 ❑ APPLICANT ® CONTACT PERSON Other: 23.32 Fuel piping: Business name:Permit Resources $14.15 for first four;$4.03 for each additional Contact name:Mary Ryan Furnace,etc. Address:P.O.Box 3749 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Mission Viejo,CA 92690 Water heater Phone:(949)582-3735 Fax: :(949)768-8436 Fireplace Range _ E-mail: mary(a%permitresources.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:T.B.D. 7/2_4-7C-7- / 6 1V'9/J/�'•¢U Other. Address: �© B� � MECHANICAL PERMIT FEES* x f 7a y2� 04/71�3e7e,es Subtotal City/State/ZIP: ,,✓e era v 4/g 9 Q/_J1 7 Minimum permit fee($90.00) l v S� Plan review(25%of permit fee) Phone:(3 qQ/— / Fax:( ) a5t, h��" rP � Al C C6 State surcharge(12%of permit fee) / 3 CCB lie.: / g5� 2j cif rex f M Nc ,yeti ,��/rte TOTAL PERMIT FEE 1 ,, - This permit application expires if a permit is not obtained within 180 /// //s 41/71r— days after it has been accepted as complete. Authorized signature: • Fee methodology set by Tri-County Building Industry Service Board Print name:Mary Ryan Date:8/21/15 1.\Building\Permits\MEC PermitApp_040113.doc 440-4617x(11/02/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 9642 SW WASHINGTON SQUARE RD G12, TIGARD, OR, 97223 Commercial - Mechanical 699 Mechanical ﬁnal PASS - No C of O MEC2015-00577 Jeff Grove Violation Summary: Inspector Contractor