Permit (33) CITY OF TIGARD MECHANICAL PERMIT
IIIe COMMUNITY DEVELOPMENT Permit#: MEC2017-00331
T(GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/10/2017
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9504 SW WASHINGTON SQUARE RD J02
Project: Tumi Subdivision: None Lot: None
Project Description: Ductwork modification for 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 07/10/2017 $449.31
Class of Work: ALT Type of Const: IIB Plan Review 05/15/2017 $112.33
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 07/10/2017 $53.92
Stories: 1 Info Process/Archiving-Lg$2.00(over 07/10/2017 $6.00
11x17)
Project Valuation: $14,000.00
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 $621.56
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: 1 VAV
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 direct questions to OUNC by calling 503.232.19 . 32.2344.
Issued By: ' mittee Signature: 4-:,(;"
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.
VEI) ,
Mechanical Permit App I FOR OFFICI:USE ONLY
City Of Tigard n Received
' g y 7 2 U�7 Day /S I- C-.. .4
Permit No.: E/t 4 i 17-DO J5'
13125 SW Hall Blvd.,Tigard,OR A 1 plan Revie �»'V
3 Phone: 503.718.2439 Fax: 503.598.1 60
�i ther Permit:
Date/Ry
T I G A R D Inspection Line: 503.639.4175 T Date Re t
Internet: www.tigard-or.gov 1��OF ��.� � o ram1u"': See Page 2 For
_ Notified/Me od: 5 % , Supplemental Information
i
�- � : . _ �� t ► DTV15I_O� � ftp
',..... ...r @ r ® A' 'r a I� I� E39 �, lain r i 4_tB
r-. _ " f T , - ter ,
New construction
e in i permit fees*are based on the value of the work
0or-Addition/alteration/replacement performed Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
� � _ ® 6 els oA .t.: „- : Value $ Q Q�
4
� tt ,,1 ,ro t)t�,ta+ ki 8� ai;t., nva";75.10 ;
❑ 1-and 2-family dwelling , Commercial/industrial 0 Accessory building For special information use checklist.
o Multi-family 0 Master builder 0 Other: Description1Qty- I Ea. I Total
iv
® ,-j1 04v4,..„-00`4_.1 :..„ Heat npfcooling:
Job si .a.dress: `c Air condrtionin$ 46.75
✓W ktift9')/.47 O SG)V i:- AD Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: ,011i77j747l4,1 01- 91Z-43 Furnace 100,000+BTU(ducts/vents) 54.91
. Heat pump 61.06
�
Suite/bldg./apt.no.: JO Z I Project name: vn'i/
Ductwork 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
"'.4y3�FjJ 52rtm, �:.- 6 J `tom
. z � r A'i-l !' b �a ' o iiiNT I Gas fireplace/insert 33.39
�� Flue vent for water heater or gas
�`�g M7 � 47' Qb-n'I/S to,$'imLL- /WI-) dace 23.32
/ IO) /'/Y "S CG-7Gi/�,�GddYL/l^� G✓ Lt ye1/�t sl/?�3 Log d/pelletsto 23.32
Wood/pellet stove 33.39
i L4 /n7/14'' AP') 57Iui1/Z/1/P' I viz- d t - Wood fireplace/insert 23.32
1. /YIrnriY 171.x.- Chimney/liner/flue/vent 23.32
ty ® � ®%" ,01, Y1)ya baa` Othe[: 23.32
_,"� i" � ' Environmental exhaust and ventilation:
Name: /7/'I}/IG/i1 dt/4/14oblAS Range hood/other kitchen
Address: /00/ l7 H9M Mrli equipment 33.39
/7 ` Clothes dryer exhaust 33.39
City/State/ZIP: SG1f4M 1 ,NJ °7o�b Single-duct
(bathrooms,
toilet compartments,utility rooms) 23.32
Phone (?O ) 0. 111/00 X7OS! Fax ( )
,�- Attic/crawlspace fans 23.32
7,i �s1 'E , j " 1? , , '' ®) ' Other: 2332
Business name: G/,,jv 6'� 6 g yfie-rir 14Fuel piping:
/ $14.15 for first four;$4.03 for each additional
Contact name: Z ZAA
"!{1i1t/ /201144fr.jFurnace,etc.
Address: "i 7,15-- / S o 1 L- ao Gas heat pump
1 / Wall/suspended/unit heater
City/State/ZIP: bnib we,a/ � ,s-z,9 Water heater
Phone:(l'I Z.)11,11-(,S-7'/ Fax::( ) Fireplace
E-mail:
mail KrCil`j14t- 4 'a-hie Range
't,1:',,'''%.;.'•: :4511'-=a - • Barbecue
rc,r' nr4xeeA4 -v µ G` t1z : z�VZ-',^ a
Clothes dryer(gas)
Business name: / /.,it -/?'' 4)4
/11-6(4-
J(4Owther
;
� t4, .. _$ o t
i> 74Address: �Ga.3 A)1:43 // C-
Subtotal
City/State/ZIP: lLG"�'LU�1/ 4,,..) G.5� rZ
Minimum permit fee($90;00)
Phone:(3' ) 9 iQ 2 Fax:( ) Plan review(2596 of permit fee)
/� State surcharge(12%of permit fee)
CCB lic.: 16,+L-�2(j 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
2
Print name: / Z[.rf/ve./ E0yy�41..J Date: S�y//7
I:\uuiidingWermiis\MEC_I'ermitApp_040113.dac 440-46171(11/02/COM/WEB)