Permit (28) CITY OF TIGARD MECHANICAL PERMIT
g ' COMMUNITY DEVELOPMENT Permit#: MEC2016-00155
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/08/2016
Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9374 SW WASHINGTON SQUARE RD R05
Project: Verizon Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Installing new fan coils,duct work,and grilles for TI. Mini split system for server room will be permitted under a
separate permit.
Contractor: MILLENNIUM HVAC INC Owner: PPR WASHINGTON SQUARE LLC
2723 NE 159TH CIRCLE PO BOX 847
RIDGEFIELD,WA 98642 CARLSBAD, CA 92018
PHONE: 971-235-3699 PHONE:
FAX: 360-546-0512
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/08/2016 $589.01
Class of Work: ALT Type of Const: Plan Review 03/08/2016 $147.25
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 03/08/2016 $70.68
Stories:
Project Valuation: $19,500.00
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 $806.94
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Fan coils
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 questions to OUNC by calling 503.232.1987• .:!•.332344.
Issued By:AL 'S _ ' ee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspe date./
This permit card shall be kept in a conspicuous place on the job site until mpletio of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE l SI.O\I.1
City of Tigard Date/By:Received 3 / Permit No.: !/ ,,,
1,1 . 13125 SW Hall Blvd.,Tigard,OR 972
Plan Review
Phone: 503.718.2439 Fax: 503. �11� Date/By: Other Permit:,. )'0 157... .' '
Inspection Line: 503.639.4175 p J Date Ready/By: ^. See Page 2 for
Internet: www.tigard-or.gov Q rQ Notified/Method: Supplemental Information
r. P\� " , t� � l'iq. d ,
'"' " - - "'"" `` (1/4 � Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteralioit dit performed.Indicate the value(rounded to the nearest dollar)of all
mechanical materials,equipment,I
a or,overhead,and profit.
`{
❑ Demolition ❑Other: �1v
CA`i�R bE +CONSCRUCT1lON Value $
�.. , _., IlDElq'1�A�I��CtI��'�1r1 `-" l''''''''- *
❑ 1-and 2-family dwelling Commercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
Jam°"I�4,.. „ AN LocATCOl�1
ea n coo ng:
I Air conditioning 46.75
Job site address: c/.35-5— 34J &)RS 1 .7. gei
""y � `" ( Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: T. 414/
sJ Furnace 100,000+BTU(ducts vents) 54.91
O Heat pump 61.06
Suite/bldg./apt.no.: V I Project name: Ye„r t Zcn LJT.14 1
Duct work 23.32
Cross street/directions to job site: /..L.4--c....„ Hydronic hot water system 23.32
ST
/..L.4--c....„ Residential boiler(radiator or
ace hydronic) 23.32
J M-5--- kb 7 Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
131415 P M,1- gt"sird Flue/vent for any of above 23.32
Z0(E 0037 Other: 23.32
Subdivision: Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
.weir 3N .'WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
--2--/15"Ta d lte.a..,i T'Rel tat r, 01 ttC-+c.).Yk_' fireplace 23.32
/
•
3/".' I/e 7S ., Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0 PROPERTY OWNER Q TENANT Other: 23.32
- 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
.0.APPLACANT C3 CONTACT PERSON Other: 23.32
Fuel piping:
Business name: /II' t'k /44 V ) mi C . $14.15 for first four;$4.03 for each additional
Contact name: `"� 48 ��A.0,,L,-ID Furnace,etc.
Address: 2 7z-3 /YE /5-7-AS C it/'e...4...) Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: A.e t -74, _ &IA- 9�'6f2-- Water heater
Phone:(7-7/ ) �3S 36,TT I Fax: :(3j,p) 546- 1,57 z., Fireplace
Range
E-mail: _.Ir,It
ie-!C": ,,,67_,,,__,!'r �� `e
Barbecue
.1. .
dryer(gas)
d er( as)
Business name: Other:
...-''''.'71,).1.:';44''..,14:,;44,'
'FH`k d"'"":':::',:C
: '-.
541,4.
Address: a-ff1'� QS y �J Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( )
State surcharge(12%of permit fee) ,
CCB lie.: /-5.--9 1J 76,E( TOTAL PERMIT FEE 1 �. �.eiLi
This permit application expires if a permit is not obtainer within 180
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name: g'C{ iSeti_ Date: ,.'f 8.4,
1:Building Permits MEC Permit pp 040113.doc 440-46171(1 102 COM WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
1:Building\Pennits\MEC_PcnnitApp_040113.doc 2
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
9374 SW WASHINGTON SQUARE RD R05,
TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2016-00155
Chip Barnett
Violation Summary:
Inspector Contractor