Permit CITY OF TIGARD MECHANICAL PERMIT
111 COMMUNITY DEVELOPMENT Permit#: MEC2016-00283
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/27/2016
I ''�i:.I-) 13125
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9625 SW WASHINGTON SQUARE RD FC01
Project: Sarku Japan Subdivision: None Lot: None
Project Description: Type I hood
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 04/27/2016 $221.26
Class of Work: ALT Type of Const: IIB Plan Review 04/27/2016 $55.32
Occupancy Grp: A-2 Occupancy Load: 12%State Surcharge-Mechanical 04/27/2016 $26.55
Stories: 2 Info Process/Archiving-Lg$2.00(over 04/27/2016 $2.00
11x17)
Project Valuation: $5,500.00 Info Process/Archiving-Sm$0.50(up to 04/27/2016 $1.00
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: Vent Systems: Total $306.13
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dir questions to 9 UN .' ailing 503.232.1987 or 1.800.332.2344.
Is ued By: ,���J/ Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard y-"� Received
`J g 3i 1{ Date/B As---4, Pecmit No.: fe /�-cool�'3
4 13125 SW Hall Blvd.,Tigard,, 7 3 4 c: ,
Plan Revs
4 Phone: 503.718.2439 Fax: 503.598.1960 Date/By:I ' y1 .4 Other Permit:
T 1 G A R D Inspection Line: 503.639.4175 �) i t Date R .. : : 7�`� Jens: H See Page 2 for
Internet: www.tigard-or.gov APR 2 "�) 2016 Notified/Method: 11 4JC(/✓� Supplemental Information
sow
' _ .+,sg 2 f Y V TF$ ' . jirt� ".� S� ` P; g.Wtt f:. §E MCiC"ilFAI:J��'":fit
..g,:. "..g . i • .:",,g".... ;. g ,•7_ p - ;�" 4 . . .. .. ... .... Mechanical permit fees*are based on the value of the work
❑New construction �Ac i u�1 e 3{ib1 1Slit�di t performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition +�❑Other:
,s?ccyyy�p;� Yaf ♦ y �p mechanical materials,equipment,
labor,overhead,
yand profit.
:.,.c,. ,,f_.y tizAzo f'�.kx 'Sr :Foti t?< r M�w 2 . .. `^' .K�` Mi� S ttira i
Value $ Sib 2:)
❑ 1-and 2-family dwellingommercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description 1 Qty. I Ea. I Total
Hea o0
'N-....--,',.,','''"'"'''''''''''''''1'"'""'"'"''''''' Air conditioning 46 75
Job site address: GllftS H SL2 ,O. .^ Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 7)�rq Q DR Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.:`40p i I Project names" e_ Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
-gam aju 4-c 2-`m / 4.-4,z7,2 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: I Lot no.: er' 23.32
Oth
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
r li f-�tlr ` ..l Gas fireplace/insert 33.39
,.,. ... .:; "� _ ,_... " ,".,.,, .".- . ..," ..,. .. . , ...•x.,. ..... . .--:.:b Flue vent for water heater or gas
2 E.t-44%.E 1 SPL GE /2,7-4 IE A) i---k cD 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:
xr ?sgt 23.32
,.>. _,.11a z 4 y',* t _.::., :,: f.: ,>. ,'a ..,i fMf ., , Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/StatelZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
t :< 1u a , ' s .}. Otamy Other: 23.32
Business name:A/4,2°2_, II ,, Fuel piping:
M FG/'rA IJ/[/Q(„_L/l>G, $14.15 for first four;$4.03 for each additional
Contact name: /Lf�✓)N /L, c,,5 7 E�c.)�/� Furnace,etc.
Address:J 0,3‘.3 ., .....(4.e.) / 77AJ 7 Gas pump
Wall/suspended/unit heater
City/State/ZIP:�ALiI?7N. Da Water heater
Phone:.Gp3)j -15[os Fax:.&33 )G6-/ - As 7 / Fireplace
peace
E marl !7/2 0 2-CJ /U 4-414 1/1-DA1,i L:/L SIM .... Barbecue
, is s r Clothes dryer(gas)
Other
Business name:
A/1- , ,,, ,t F-G�f Aiti l G fFL L,UL. ` . . ' � 1 *w :.,_� z
Address: `D 3 3 t:J J L,J ' !!.i 4
4,
4- -;1j /2)) . Subtotal
City/State/ZIP T" G'��D� Minimum permit fee($90.00)
LE fl Z' Plan review(25%of permit fee)
Phon6v3 )1,,e.7 2 y /ss- I Fax:677&) l /- 1 6 7 G State surcharge(12%of permit fee)
CCB lie.: _C/Gf ' J TOTAL PERMIT FEE i.3/"6/3
This permit application expires if a permit is not obtainithin 180
days after it has been accepted as complete.
Authorized signa G y ,4 ' * Fee methodology set by Tri-County Building Industry Service Board
Print name:4 or/'A.) ,LL24.4s 76 ce_45/' Date:4-z.f2 _,4„,
I:\Building\Pamits\MEC_PermitApp_040113.doc 440-4617T(11/O2/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9625 SW WASHINGTON SQUARE RD FC01 ,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2016-00283
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor