Permit (71) 71 CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2017-00319
Date Issued: 08/07/2017
-Ft GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9632 SW WASHINGTON SQUARE RD G09
Project: Bath&Body Works Subdivision: None Lot: None
Project Description: HVAC modifications for TI
Contractor: GREY WOLF HVAC INC. Owner: PPR WASHINGTON SQUARE LLC
7306 NE 37TH AVE PO BOX 847
VANCOUVER, WA 98665 CARLSBAD, CA 92018
PHONE: 360-635-6117 PHONE:
FAX: 360-326-8506
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/07/2017 $550.91
Class of Work: ALT Type of Const: IIB Plan Review 08/07/2017 $137.73
Occupancy Grp: R-4 Occupancy Load: 12%State Surcharge-Mechanical 08/07/2017 $66.11
Stories: Info Process/Archiving-Lg$2.00(over 08/07/2017 $6.00
11x17)
Project Valuation: $18,000.00
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 $760.75
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: 3 VAVs and
Duct Work: 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- •les i• • o OUNC by calling 503.232.1987 or 1.800.332.2344.
Iss ed By: I / .P. Permittee Signature: B 0S6.14„..),
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 IOR()III(I( I, ( Sl:Oil,v
City of Tigard r Received S 9 /7 , l e
II PermitNo.:�� �7 X31
_ 13125 SW Hall Blvd.,Tigard, '9 - ! Plan Revre
Phone: 503.7182439 Fax 503+§911 40" Date/By: 01 . 1 ' (( l Other Permit:
T I G A R D Inspection Line: 503.639.4175 Date Ready L.y: Judy H See Page 2 for
Internet: www.tigard-or.gov Notified/Method
�t 2 1 f ,...4
Supplemental Information
-; d 1�4 GA p„ ". CO i 131' UE SLE' 4-
Mechanical permit fees*are based on the value of the work
❑New construction El Addit t (i l7replA 6t e>ti't' i
}V e -gip_• ,, ,,, , .-„ �_ performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$$18,000.00
' CATE0-a-OF COC`
N I'ION
RES11t N1'I L E+>r}Ii111 1 iTISX Mg '
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist
❑Multi-family 0 Master builder 0 Other: Description IQty. I Ea. ` Total
JOiTSITE ENFORIWATION"AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address W 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.:-fstit.G9 I Project name:Bath&Body Works 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 ol+w Gas fireplace/insert 33.39
. .�
Flue vent for water heater or gas
TI-Remodel of(E)retail space fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0:111000111 OWNER r® Other: 23.32
Environmental exhaust and ventilation:
Name:Bath&Body Works Range hood/other kitchen
equipment 33.39
Address:Three Limited Parkway Clothes dryer exhaust 33.39
City/State/ZIP:Columbus,OH 43230 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(614)415.7000 Fax:(614)415.7349 Attic/crawlspace fans 23.32
❑'APPLICANT r, .cONTACI` PERSON Other: 23.32
Fuel piping:
Business name:Permit Resources
$14.15 for first four;$4.03 for each additional
Contact name:Mary Ryan Furnace,etc.
Address:P.O.Box 3749 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Mission Viejo,CA 92690 Water heater
Phone:(949)582.3735 Fax::(949)768.8436 Fireplace
Range
E-mail:mary@permitresources.com Barbecue
CONTRACTOR Clothes dryer(gas)
tod.et TOR Other.
Business name: i$?
Address: 2 lttA1�1TAL.P1 PERMIT FEU*
7 7 D f+ I Subtotal
City/State/ZIP: V y N A o g g 6)4$ Minimum permit fee($90.00)
Phone:( ) Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lic.: 1451 51 5 ITOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature:_Ri * Fee methodology set by Tri-County Building Industry Service Board
Print name:Mary Ryan Date:5/9/17
I:\Building\Permits\MEC_PermitApp_040113.doc 440-461Tr(11/02/COM/WEB)