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Permit (17) CITY OF TIGARD MECHANICAL PERMIT .. COMMUNITY DEVELOPMENT Permit#: MEC2017-00192 -F 1 G R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/16/2017 Parcel: 1S 126CB00500 Jurisdiction: Tigard Site address: 9300 SW WASHINGTON SQUARE RD Project: LensCrafters Subdivision: None Lot: None Project Description: (3)supplies and(2)return ducts for LensCrafters in Macy's. Contractor: PROTEMP ASSOCIATES INC Owner: MACY'S DEPARTMENT STORES INC 9788 SE 17TH AVE ATTN: TAX DEPARTMENT PORTLAND, OR 97222 7 WEST SEVENTH ST CINCINNATI, OH 45202 PHONE: 503-233-6911 PHONE: FAX: 503-238-9767 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 03/16/2017 $139.67 Class of Work: ALT Type of Const: Plan Review 03/16/2017 $34.92 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 03/16/2017 $16.76 Stories: Project Valuation: $2,800.00 Fuel Air Handlers Fuel Types: Units<10000 cfm: Gas Pressure: Units>10000 cfm: Furnaces Boilers&Compressors Furnaces< 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: Vent Systems: Total $191.35 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: 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 cop _„of,the rules or direct questions to OUNC by calling 503.2 . • • 1.:•!.- . 44. Issued By: - .,'ttee Signature: Call 513.639.4175 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 OFF ICE t SE()NE) Cityof Tigard r I w Received Permit No.: 131SW Hall Blvd.,Tigard,OR 97223. y ' Date/By: r /7 r1f C ( a Plan Review Phone: 503.718.2439 Fax: 503.598.14 M Date/By: Other Permit: ...gib—DateB : .ifj Inspection Line: 503.639.4175 TIGARD q j Date Ready/By: piM Ed See Page 2 for Internet: www.tigard-or.govq 6 ./U'' Notified/Method: Supplemental Information TYPE OF WORK*moi (\f. \ IS'''‘'''ret � COMMERCIAL FEE* SCHEDULE—USE CHH1 CI{LZST •_ Mechanical permit fees*are based on the value of the work ❑New construction ®Addition/alteratiott/relnoltl •M' performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: `` mechanical materials,equipment,labor,overhead,and profit. 1 Value:$$2,800.00 CATEGORY OF CONSTRUCTION RUCTIt)N RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling A/ Commercial/industrial 0 Accessory building For special information use checklist. 0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address:9300 SW Washington Square Rd Furnace 100,000 BTU(ducts/vents) 46.75 IP•Tigard Or 97223 Furnace 100,000+BTU(ducts/vents) 54.91 Ci /State/Z a d tY g Heat pump 61.06 Suite/bldg./apt.no.: I Project name:Lens Crafters @ Macy's 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: 1 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 3 supplies and two return ducts per drawings 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: 23.32 El PROPERTY OWNER 0 TENANT 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 Rifle. fay.. Areti/crawhpuec Ams 2332 {] APPLICANT © CONTACT PERSON Other: 23.32 Business name:Bruce Butner Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Gas heat pump Address: Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) ( Fax::( ) Fireplace Range E-mail:bruce@protmp.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:Protemp Associates Other: MECHANICAL PERMIT FEES* Address:9788 SE 17u'Ave Subtotal City/State/ZIP:Milwaukie Oregon 97222 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)519-6199 Fax:(503-)238-9767 State surcharge(12%of permit fee) -�-4`� CCB lit.:38868 TOTAL PERMIT FEE i ej i, ..Y-- This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: t, * Fee methodology set by Tri-County Building Industry Service Board Print name:Bruce Butner Date:3/15/17 1:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9300 SW WASHINGTON SQUARE RD, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Mechanical MEC2017-00192 Inspection Type: Inspector: 699 Mechanical final Chip Barnett Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor