Permit (100) CITY OF TIGARD1111 MECHANICAL PERMIT
S` COMMUNITY DEVELOPMENT Permit#: MEC2016-00248
T[GA A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/04/2016
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9585 SW WASHINGTON SQUARE RD Y04
Project: Starbucks Kiosk Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Installing a 2.5 ton ductless split system and roof mounted exhaust fan.
Contractor: PROTEMP ASSOCIATES INC Owner: PPR WASHINGTON SQUARE LLC
9788 SE 17TH AVE PO BOX 847
PORTLAND, OR 97222 CARLSBAD, CA 92018
PHONE: 503-233-6911 PHONE:
FAX: 503-238-9767
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/04/2016 $325.23
Class of Work: ALT Type of Const: IIB Plan Review 05/04/2016 $81.31
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 05/04/2016 $39.03
Stories: 1 Info Process/Archiving-Lg$2.00(over 05/04/2016 $6.00
11x17)
Project Valuation: $9,200.00
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 $451.57
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Mini split
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 opy of the rules
or direct questions to OUNC by calling 503.232.1.87 • .c:..
Issued By: _
41eXli
Call 503.. 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 OI I•I( F t SF OyFv
City of Tigard Received
g ��C r Permit No.: App. ,
411 13125 SW Hall Blvd.,Tigard,OR 97223 G Date/By:Pl ✓!�� _ ,- , /I
s Phone: 503.718.2439 Fax: 503.598.196 Date/By: 01.1 ` le Other Permit: a i� •t 0.I .,
Inspection Line: 503.639.4175
TIC.r\K D 2 �0�6 Date Ready:y: la See Page 2 for
Internet: www.tigard-or.gov APR Notified/Method:S /+ Supplemental Information
ITYOF
TlUd�R� �•�,t1�.�
TYPE OF W'<' COMMERCIAL FEE* SCRED JLE—USE +GIM IST--
- 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 ❑,tber: mechanical materials,equipment,labor,overhead,and profit.
Value:$$9,200.00
CATEGORY OF CONSTRUCTION RESIDENTIALEQI)IPME T/ STEMS S"
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:9585 SW Washington Square Rd Furnace 100,000 BTU(ducts/vents) 46.75
`City/State/ZIP:Tigard Or 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.:#190 Project name:Starbucks 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
DESCRIPTION OF WORK; Gas fireplace/insert 33.39
Flue vent for water heater or gas
Install 2.5 ton ductless split system and roof mounted exhaust fan fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0 PROPERTY OWNER 0 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 APPLICANT 0 CONTACT PERSON Other: 23.32
Fuel piping:
Business name:Protemp Associates
$14.15 for first four;$4.03 for each additional
Contact name:Bruce Butner Furnace,etc.
Address:9788 SE 17th ave Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Portaland Water heater
Phone:(503)519-6199 Fax::(503)238-9767 Fireplace
Range
E-mail:bruce@protmp.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Same as above Other:
MECHANICAL PERMIT FEES*
Address: 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.:38868 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name:Bruce Butner Date:4/11/16
I\Building\Permits\MEC_PermitApp_040113.doe 440-4617T(11/02/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
9585 SW WASHINGTON SQUARE RD Y04,
TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2016-00248
Jeff Grove
Violation Summary:
Inspector Contractor