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Permit (182) CITY OF TIGARD' 2. .IN MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2018-00765 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/24/2018 T[GARD Parcel: 1S1260000300 Jurisdiction: Tigard Site address: 9520 SW WASHINGTON SQUARE RD H06 Project: L'Occitane Subdivision: None Lot: None Project Description: Relocating diffusers and grilles,and installing new duct work. Contractor: MPS HEATING&COOLING LLC Owner: PPR WASHINGTON SQUARE LLC PO BOX 5597 PO BOX 847 BEAVERTON, OR 97006 CARLSBAD, CA 92018 PHONE: 503-319-7798 PHONE: FAX: 503-746-6117 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 09/24/2018 $170.37 Class of Work: ALT Type of Const: Plan Review 09/24/2018 $42.59 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 09/24/2018 $20.44 Stories: Info Process/Archiving-Lg$2.00(over 09/24/2018 $8.00 11x17) Project Valuation: $3,750.00 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 $241.40 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: 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 503.232.1987 or 1.800.332.2344. /11/7 Issued By: • Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspect' 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 OFFICE USE ONLI' Received Cityof Tigardj,, Permit No.: r _ f:, 411 131SW Hall Blvd.,Tigard,OR 97223 �4CE • 'anateRe: 6 /� T _ & 1 len Review Phone: 503.718.2439 Fax: 503.598.1960IIIII Date By: Other Permit: ,,i,.4 „: _ ,r 2 TI G n R D Inspection Line: 503.639.4175 Date Ready/By: la See Page 2 for Internet: www.tigard-or.gov ') -p s' 4 ,)018 Notified/Method: lin Supplemental Information TYPE OF W©Ieyti k It Ol+"1'IVA ' MMERCIAL FirBCHE JSE CHECKLIST $xr� � Mechanical permit fees*are based on the value of the work 0 New construction ❑Addition/alter iL 4 performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ '?;:-/VL; CA. ,, u.. . .. ION 1 s.. RESIDENTIAL EQUIPMENTI)SYSTEMS FEES* 0 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total •* $� r'= Heating/cooling: JOB SITE' O s t, •AND LOCATION , ` Air conditioning 46.75 Job site address: `` 0 GG. t c.7'4 fy S ` �' `i'9 tij t•:ic,sit,,lC �1 ��.'C IPFumace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: tiG r,C, i'-‘'.,' c,,i c) i. Cj '� di az J Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: 1)Project name:tri) C C.i r e 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 Other: 23.32 Subdivision: Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater 23.32 I , n. - l"`-' rM -..'1V-',,'P.P., Gas fireplace/insert 33.39 ,' ,M Tta0l ' "424 -Wt:: Flue vent for water heater or gas I/4 L- , t �j AAJ .,„/ L. I j fireplace 23.32 Log lighter(gas) 23.32 :: 1,Le) Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 • xx. . !.*:":454' ' . 1 i , Other: 23.32 '4''''' ,•s ® - ' . lP = P ❑ TEA2NT . , Environmental exhaust and ventilation: Name: Range hood/other kitchen Address: equipment _ 33.39 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 4PLIC* . 0 CONTACT PERSON Other: 23.32 17 •:, Business name: Fuel piping: G S 60,7 5/�(rG,I ' d P) $14.15 for first four;$4.03 for each additional Contact name: J V`0_(.7.11.G CJ Furnace,etc. � � �� E'`1Ct, Address: /1 by �n ..P k t J C(1 1-e- 6 -5-c Gas heat pump C Y,� S CL j Wall/suspended/unit heater City/State/ZIP: o.ci eie-. to 7 a . r- Water heater Phone:( i ) S 'i --z.--).,I G Fax:: )c 9(t (c, .-. C ci 6, G Fireplace �[ 7 Range E-mail: //✓1 Ci c j1Ci.C) 0 £:-L--S-- Co' :mss.T7`'Jt 1-c 't C'a:-. Barbecue CONTRACTOR` " ,, Clothes dryer(gas) Other: Business name: 1 Zn ! e" ;M1�IE1~•'RANICAL ItERTtIIT FEES* y Address: , ;1r\' r �G' 7 /- i Subtotal City/State/ZIP: �tJ'' (//f `- ��, )C, Minimum permit fee($90.00) Phone:(`)c''�) ( ) Plan review(25%of permit fee)` 7-y y' Fax: State surcharge(12%of permit fee) l [ '1 TOTAL PERMIT FEE CCB lic.: t . voy -,i.='!u This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: lr:� * Fee methodology set by Tri-County Building Industry Service Board Print name:"''�� 2 r ' Date /iZe(A5.— t 1:\BuildingWermits\MEC 'tApp_040113.doc 440-4617T(11/02/COM/WEB) 11 k Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Family Fee Schedule: total°Valuation: ` Permit Fee: x � arF $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\MEC_PermitApp_040113.doc 2 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9520 SW WASHINGTON SQUARE RD H06, November 20, 2018 at TIGARD, OR, 97223 9:13:51 AM Record Type: Record ID: Commercial - Mechanical MEC2018-00765 Inspection Type: Inspector: 699 Mechanical final Chip Barnett Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor