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Permit (28) CITY OF TIGARD MECHANICAL PERMIT ,1111 COMMUNITY DEVELOPMENT Permit It: MEC2015-00856 Tigard OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: 04/20/2016 Trr,;�r<r� g Parcel: 1S1260000300 Jurisdiction: Tigard Site address: 9569 SW WASHINGTON SQUARE RD B04 Project: Godiva Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S Project Description: HVAC modifications 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 04/20/2016 $601.71 Class of Work: ALT Type of Const: IIB Plan Review 04/20/2016 $150.43 Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 04/20/2016 $72.21 Stories: 1 Info Process/Archiving-Lg$2.00(over 04/20/2016 $20.00 11x17) Project Valuation: $20,000.00 Info Process/Archiving-Sm$0.50(up to 04/20/2016 $2.00 11x17) Fuel Air Handlers Fuel Types: Natural Gas Units<10000 cfm: Gas Pressure: Units> 10000 cfm: Furnaces Boilers&Compressors Fumaces< 100K BTU: 0-3 HP: Fumaces>=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: 2 Vent Systems: Total $846.35 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) 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 questions to OUNC by calling 503.232.1987 or 1.8 2.2344. Issued By: Permittee Signatur • r Call 503. . 175 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. 1 Mechanical Permit Applidt ,EIVEf Foiz of i i is t ,l.: 0y1.1 Cityof Tigard Received f� g Date iv �, Permit No.:' l 6. IN • 13125 SW Hall Blvd.,Tigard,OR 91424, q 8 2015 y eir ` 5---60 w a.1VJ . �gg !r Plan Rev'- Phone: 503.718.2439 Fax: 503.59 Date/By: �erp ' Z. Z Other Permit:64 PJc�S.-O0 3-Ka I I t n,l) Inspection Line: 503.639.4175 c \ Date Ready :•. loris: ® See Page 2 for Internet: www.tigard-or.gov Cit Ur �� Notified/Method: % ..r.• „,, Supplemental Information 1 ..� • e. ,,,Y!„:.'-, a � ;'"'!"'"'''''''"r”: .,I I;.'i _..._ ,. .,..7: tib -1,---••-r:,,,,,-- ::,... . �' ' Mechanical permit fees*are based on the value of the work 0 New construction A Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all mechanical materials,equipment,labor,overhead,and profit. 0 Demolition ❑Other: Value $ r „.' ' ' '- b' = a.w s zwv tw ❑ 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 Job • 's ''e address:. ''I ''°� t t Air cing/coo mg Air conditioning 46.75 s: !�fa� U t i. ' ' I, Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: (AV a.... ©� ,M Furnace 100,000+BTU(ducts/vents) 54.91 cit.‘ Heat pump 61.06 Suite/bldg./apt.no.: Project name: 6G 4 Q_, 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 Other: 23.32 Subdivision: \..00,_%\r\'��%�; `V� �Ct� Lot no.:3 Other fuel appliances: Tax map/parcel no.: ly, Water heater 23.32 � _ �s t s Gas fireplace/insert 33.39 Flue vent for water heater or gas �g(Nt\ I eVtS-tl J"�(,0C '. fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ; a Other: 23.32 s a . - .�....., ,.. . . ;�. Environmental exhaust and ventilation: Name: (51V Range hood other kitchenn Address: `333 IN. . ( Cleqothes t 33.39 Clothes dryer exhaust 33.39 City/State/ZIP: �� 1� D 0 I Single-duct exhaust(bathrooms, n ' 1 1 toilet compartments,utility rooms) 23.32 Phone:`41) (, - , i( Fax:(�21 1 i4 --1,(4p Attic/crawispace fans 23.32 1 _ t �) ... , Other 23.32 Business name: Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: PkINAA.)4, �,P c.lj Furnace,etc. Address: qs V�) Gas heat pump L4/ \, Wall/suspended/unit heater City/State/ZIP: J(jw I k c{ 1 1 Water heater Phone:( ( (02 f?_ q I Fax: ( V 1 u Lig?, _q...?__ _;1 Fireplace E-mail: 1 _l [t Range .L. ry t t L (1(t( r Barbecue _° _ -'... ":',!'",",-,-1_'”'- i ,Ii ....?'','''F'-',.:`4'4%4.44‘'. , �; Clothes dryer(gas) Other: �/• Business name: �/1/3 Address: I b 3 3() b u,) —r-,..,,,La--,yII1Coate..__. , q ,,:—. .-4- Subtotal,.,;0.. City/State/ZIP: - c P__ 9 7 o(y'� Minimum permit fee($90.00) ` 2-jt�w Plan review(25%of permit fee) . 3 Phone:(5b3) {Q ci -1 5(y S Fax:( ) State surcharge(12%of permit fee) L CCB lic.: ,Jl /Q 97 TOTAL PERMIT FEE f g ' Ito This permit application expires if a permit is not obtained within 1810 days atter it has been accepted as complete. Authorized signature: �, I * Fee methodology set by Tri-County Building Industry Service Board Print name: `P ,n"-A-A t` , (pelts Date: I 1 ...(4— S I:\BuildingWermits\SEEC_PermitApp_040113.doc 440-4617T(11/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 9569 SW WASHINGTON SQUARE RD B04, TIGARD, OR, 97223 Commercial - Mechanical 699 Mechanical ﬁnal PASS - No C of O MEC2015-00856 Jeff Grove Violation Summary: Inspector Contractor