Permit (114) CITY OF TIGARD MECHANICAL PERMIT
IN
II: COMMUNITY DEVELOPMENT Permit#: MEC2016-00016
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/09/2016
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9610 SW WASHINGTON SQUARE RD G01
Project: The Walking Company Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Mechanical for TI.
Contractor: ARROW MECHANICAL Owner: PPR WASHINGTON SQUARE LLC
10330 SW TUALATIN RD PO BOX 847
TUALATIN, OR 97062 CARLSBAD, CA 92018
PHONE: 503-692-1565 PHONE:
FAX: 503-691-1879
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/09/2016 $263.41
Class of Work: ALT Type of Const: IIB Plan Review 03/09/2016 $65.85
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 03/09/2016 $31.61
Stories: 1 Info Process/Archiving-Lg$2.00(over 03/09/2016 $4.00
Project Valuation: $7,000.00 11x17)
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: 1 Vent Systems: Total $364.87
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: VAV
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 quest•- • sUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By -ammo'
,� d I 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 `i�Q FOR 011.1( I. 1 SF O\I.\
CityCit of Tigard _ GeN`� Date/By:ed ` _
g Permit No.: �y1,+/62
;t " 13125 SW Hall Blvd.,Tigard,OR7 + Fj (g � �«��f ltf
= Phone: 503.718.2439 Fax: 503.59 .1960 5 � 1 Plan Re e� 1 Other Permit: !6
\ Date/By. ) ( c ec7
Inspection Line: 503.639.4175 r4 - GP ,t Date Ready : Juris: See Page 2 for }��'�((�
TIGARD p J� �� .J-w'
Internet: www.tigard-or.gov \‘ ‘ _, O\x l`s`o Notified/Method: '/�j /e, TSO Supplemental Information
�;r 7 be .�n'S "��£'S+t ep, �t t ��, ®.m I � z � ` a :, � -41---: f�
E.d i S .� n-, ,,, ..R P';'44-4"i'''''''. .i:ffi' �'
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 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value $ ')60(
-, �, .�- ,�� e3 .fz..-.4,...,,,,.,,,t,„,.. e >,...� :: s y.-s�.tip,' 8'M E t,,d'�.t& ",(r � � 9f £' e in ix
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder ❑Other: Description I Qty. I Ea. I Total
s ' • • r4 ;: 7,, l txi• : Heating/cooling:
• •ng:
; „• �� t" °`s Air conditioning 46.75
Job site address ' :5 SW Washington Square Rd Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Portland OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.:GO! I Project name:The Walking Company 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:Washington Square 1 Lot no.:GO1
Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
• ' ..:,, --Sr,' -4:1,14,
: -a__ ,a F r - Flue vent
insert 33.39
Flue vent for water heater or gas
tenant improvement-new ductrowk,relocation of unit 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: 23.32t o t
Environmental exhaust and ventilation:
Name:The Walking Company Range hood/other kitchen
equipment 33.39
Address:2475 Townsgate Rd Suite 200 Clothes dryer exhaust 33.39
City/State/ZIP:Westlake Village,CA 91361 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(805)496-3005 Fax:( ) Attic/crawlspace fans
23.32
le
3i „ .. a �_ . i ,- ; Other: 23.32g -1:- �• . A,41.- ' -'- f
Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name:Amy Diekevers Furnace,etc.
Address:75-60th St SW Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Wyoming MI 49548 Water heater
,' Phone:(616)493-9334
Fax::(616)493-9351 Fireplace
Range
E-mail:amyd@precisionpermits.com Barbecue
m
� Tv � afv: r *P' other:Clothesdryer(gas)
Business name: Other
Address: 7.7:177:47,11.04.77.71
Subtotal '/2, g?j
City/State/ZIP: Minimum permit fee($90.00)
°hone: review(25%of permit fee) 5 ,E
hone:( ) Fax:( ) State surcharge(12%of permit fee) ..0 liB lic.: Cj 1 [ TOTAL PERMIT FEE ze
This permit application expires if a permit is not obtained within 180
y days after it has been accepted as complete.
horized signature: �l.(.C.Ge� * Fee methodology set by Tri-County Building Industry Service Board
ame:Amy Diekevers I Date:12-30-15
"ermits4MEC_PermitApp_040113.doc 440-4617T(I 1/O2/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
9610 SW WASHINGTON SQUARE RD G01,
TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2016-00016
Jeff Grove
Violation Summary:
Inspector Contractor