Permit (113) CITY OF TIGARD MECHANICAL PERMIT
B . COMMUNITY DEVELOPMENT Permit#: MEC2016 00158
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/09/2016
Parcel: 1S 1260000300
Jurisdiction: Tigard
Site address: 9477 SW WASHINGTON SQUARE RD A07
Project: Yankee Candle Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: TI for new tenant.
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 $266.22
Class of Work: ALT Type of Const: Plan Review 03/09/2016 $66.56
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 03/09/2016 $31.95
Stories: Info Process/Archiving-Lg$2.00(over 03/09/2016 $10.00
11x17)
Project Valuation: $7,100.00
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 $374.73
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct qu-: • • OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued : : Permittee Signature: -
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit ApnlicatifiEC-1
id
t IVEP FOR OFFICE USE ONLY
City of Tigard Received` �� , Permit GAn�' /jig
Date/B+ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan R i / �c.0��
II PIanRi • /1 A oify ,
Phone: 503.718.2439 Fax: 503.598.1960M A R 8 2 n 15 Date/By: Other Permit:yeui//
T I G A R D Inspection Line: 503.639.4175 `
wDate Ready/By: Iuris: H See Page 2 for
Internet: ww.tigard-or.gov CITY/OF T;£ p Notified/Method: Supplemental Information
i .Pi i,�,
El New construction - Mechanical permit fees*are based on the value of the work
®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
W'AwkifcgoViRaiRMOytn ` rw � Value:$�,(�-av
❑ 1-and 2-family dwelling ' ]Commercial/industrial 0 Accessory building For special information use checklist
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
{' 4 Heating/cooling:
'. Air conditioning 46.75
Job site address: 94,7 7 ii.) Sl // o/J squipec
A.J 40 Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: '7 ' l D,e... 97A2.3 Furnace 100,000+BTU(ducts/vents) 54.91
/^� Heat pump 61.06
y�
Suite/bldg./apt.no.: Project name: fY� Ljd„)>jg
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
4`M1 y ,mow '? 4'�Il Gas fireplace/insert 33.39
_.. ..m. - s,>.M . . . ..... . s .•.e-$1,,,,,,: ,,,,;
`" �""" """ " "" """ ""`"�`"' Flue vent for water heater or gas
I) 1.44✓ 'VO)( PVC- // ‘74///3 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: 23.32Rei ` L .N . , , "
: -.., ., ,i >.F. w r r,_, ,. r , � ,
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address:
Clothes dryer exhaust 33.39
City/State/ZIP: Single duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
y y itxfii-tt f Offi5 * y Other: 23.32
r ,
Business name: 1+7z ,t(GE4 /,.,)yell L ei,00724.05 JN` Fuel piping:
/ $14.15 for first four;$4.03 for each additional
Contact name: 414,,d /ppn, s-z4 W 3K./ Furnace,etc.
Address: /0330 5 `'' / 49,4 E0AD Gas heat pump
� Wall/suspended/unit heater
City/State/ZIP: 7-4)46 _ 1/ O� 77cX? Water heater
Phone:(123)692._/5- 5- Fax::( (3 ) .0/ -/8-77 Fireplace
Range
E-mail: A,�7UC,j f4,t, 'M dtl- i‘ 'E_I-- .:QC.Y"L Barbecue
nOnewst . mot `6. w. �, Clothes dryer(gas)
Business name: /4RIZc)t.1 �(/te/�J�tslt?RC 7Q,g2f�@) Other
/63,36 W4L1471nS ff 4D //Iv ttaafeaff t i t "'r.
tinlati
Address: � Subtotal
City/State/ZIP: T0.,Lr1?/x, D J 7O Minimum permit fee($90.00)
Phone:($-4}) 4 j9Z /'j E-r / Fax (563) Z'J.-/877 Plan review(25%ofpermfee)
i/ State surcharge(12%of permit
fee)
CCB lic.: 57 Y 3 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized Signa tire: " 14,1 Lf Cc * Fee methodology set by Tri-County Building Industry Service Board
Print name:/Z‘v.t� / c is 2EW-5141`
' Date:2 6 -// '
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