Permit (45) IN , CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2017-00284
TtGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/14/2017
Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9710 SW WASHINGTON SQUARE RD F01
Project: Untuckit Subdivision: None Lot: None
Project Description: TI
Contractor: TRI TECH HEATING INC Owner: PPR WASHINGTON SQUARE LLC
6603 NE 137TH AVE PO BOX 847
VANCOUVER,WA 98652 CARLSBAD, CA 92018
PHONE: 360-891-2002 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/14/2017 $474.71
Class of Work: ALT Type of Const: IIB Plan Review 06/14/2017 $118.68
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 06/14/2017 $56.97
Stories: 1 Info Process/Archiving-Lg$2.00(over 06/14/2017 $8.00
11x17)
Project Valuation: $15,000.00 Additional Plan Review 06/14/2017 $90.00
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: 1 Vent Systems: Total $748.36
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 1.800.332.2344.
Issued By: y permittee Signature: //�lt/
r
Call 503.639.4175 by 7:00 a.m.for the next available inspection dat .
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
-
City of TigardCEIVEI) Received �/
.114 a 13125 SW Hall Blvd.,Tigard,OR '+ • DateBy: `7 `o� / Permit No.: �Cl /�,/'
Phone: 503.718.2439 Fax: 503.598.1960 Plan Revrew _ a v'�
TI G n R D Inspection Line: 503.639.4175 DateBy Other Permit: pc'cv 7�e os—
Internet www.tigard-or.gov Date Read thod • ` Innis:
g APR 2 4 2017 //Z//, I Supplemental
See Page 2 for
Notified/Method .`iI� Supplemental Information
o New construction ddit'.Ili l "1111/Pt,Pr OK ION Mechanical permit fees*are based on the value of the work
performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
ted,
� � t �� , Value $ D7 1
❑ 1-and 2-family dwelling 'Commercial/industrial 0 Accessory buildingc " �
❑Multi-family For special information use checklist.
0 Master builder 0 Other: Description I Qty. I Ea. I Total
-i.',-f;'''4. Heating/cooling:
Job site address: ^e( if ,n n Air conditioning 46.75
y�tl.I'� K&A= Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: ,\t D� `� Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: --F-0"1 I Project name: ddd0.\-\ CL ' Heat pump 61.06
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,,\�`�)- ' �zt ` I Lot no.: i Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater
23.32
=, 3 l' ,- ' • Gas fireplace/insert 33.39
`, Flue vent for water heater or gas
1�Y1CLA/L` i r - NeNe r\'( fireplace
23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
r� 5 -,V;.,..,5,7,25:‘, %� \ Other: 23.32
a ' '�' _>.�\ ar, Environmental exhaust and ventilation:
Name: -6 C�1• Range hood/other kitchen
Address: h� \ R, ,� equipment 33.39
lob N' r\.c t1 i Tut) Clothes dryer exhaust 33.39
Ciry/State/ZIP: �l t 1 t�� ( Single-duct exhaust(bathrooms,
Phone:(1�L 7 10 Fax toilet compartments,utility rooms) 23.32
t J ( )
��// l// �� �� � s �� cm Attic/crawlspace fans 23.32
m; .. ,-, _ .L, ,p-A,,-,,.,, ., . ' ' '' Other: 23.32
Business name: --9.c. . , '--t-: Fuel piping:
C �1 t( m tj $14.15 for first four;$4.03 for each additional
Contact name: -b.;a (ie iS Furnace,etc.
Address: r) h ,,i sal...) Gas heat pump
��qq
Wall/suspended/unit heater
City/State/ZIP:
V 1A,t ' INA IA k 4C cti7 Water heater
Phone:(( I ,r t/q ,, : I Fax::(t'b) 472,03,c7 Fireplace
Range
E-mail:
i v►yt. • ' ► t t (.04'---. Barbecue
! ,:,,, x ., Clothes dryer(gas)
Business name: / , *etfOther:
Air
7 Address: l .�.., t ;,, . ., ;, ,,t, I
� J"3 �' 3? Subtotal � �1 1
D City/State/ZIP: L ict.r,i 1 C.4/4 d S ) Minimum permit fee($90.00)
Phone:( ) t y 1,,, G�, Fax:(6 ) L Plan review(25%of permit fee)
0 � 1 $ 4,y
f State surcharge(12%of permit fee) , of q
CCB lie.: / Gf1 TOTAL PERMIT FEE L'9'.
!7y This permit application expires if a permit is not obtained within 180
Authorized signature:„ �� days after it has been accepted as complete.
t�Jlll1—/ * Fee methodology set by Tri-County Building Industry Service Board
Print name: 01 4.,u.er_... Date: 14_ 20-(el
I:\Building\PermitAMEC_P _040113.doc 1
440-4617T(11/02/COM/WEB)
FOR OFFICE USE ONLY-SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it .rovides hel.s the review 'rocess and res.onse to our .r°Sect.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
0
' Transmittal Letter
IN
I d(,a A f n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or gov
TO: ,A 1;eC)\, DATE RECEIVED:
DEPT: BUILDING DIVISION
RECEIVE])
FROM: (,' V7Lf kn�1Q(\ MAY 2 3 2017
COMPANY: a I r m ,1 "�'�'OF TIGJ
PHONE: to l__LAI .___? : �' a4
BUILDING t ' ",
RE: c ,; �S �`C1 -x
rte gess vt ` '01- �L`l_�U Q 2 oil— X016 .
ermit um er
•\1 t' %r\; n - .r\ F t nit{. "nom Z '1 Oo1 y
roject name or su 1 4 ivision name an!' of num 1 er ,
ATTACHED ARE THE FOLLOWING ITEMS:
EinfaMMAISMIa
Ai*x s xs ,.
Additional set(s) of plans. 4'14:4!,n4
Cross section(s) and details. _ � Revisions: ��_,��� 4��ti-� ��l�.,l
Floor/roof framing. ---- Wall bracing and/or lateral analysis.
_______ Beam calculations. ----- Basement and retaining walls.
__ Other(explain): Engineer's calculations.
REMARKS: L A
ge � . .Routed to Permit . • Z Date: s-- y Initials:
II
�Fees Duerjs n:T'"o Fee Descri.tion: Amount 11 ue:s �� r�� ' �
� -'� $
Special $ 14.
Instructions:
Re.rint Permit('er PE): ❑ Yes
A
A. 'licant Notified: Date:
NO ❑Done
Initials:
I:\Building\FormslTransmittalLetter-Revisions.doc 05/25/2012
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9710 SW WASHINGTON SQUARE RD F01 ,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2017-00284
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor