Permit (107) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2018-00718
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/02/2018
fit ' Parcel: 1 S 126CD00300
Jurisdiction: Tigard
Site address: 9500 SW WASHINGTON SQUARE RD
Project: JC Penney Subdivision: None Lot: None
Project Description: Replacing rooftop chiller.
Contractor: APOLLO SHEET METAL INC Owner: PPR WASHINGTON SQUARE, LLC
2300 SW 1ST AVE#104 BY J C PENNEY 0288-1
PORTLAND, OR 97201 TAX SERVICES
PO BOX 10001
DALLAS,TX 75301
PHONE: 503-222-6343 PHONE:
FAX: 503-222-2935
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 10/02/2018 $3,338.71
Class of Work: ALT Type of Const: Plan Review 10/02/2018 $834.68
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 10/02/2018 $400.65
Stories: Info Process/Archiving-Sm$0.50(up to 10/02/2018 $15.50
11x17)
Project Valuation: $125,000.00
Fuel Air Handlers
Fuel Types: Electricity 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 $4,589.54
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: water chiller
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 1.800.33.2344.
Issued By: Permittee . 6//://7
Call 503.•39.175 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 OFFICE USE ONLY'
City of Tigard Received
Date/By: , 1 ,4,10 Permit No.: X/111
13125 SW Hall Blvd.,Tigard,OR 9722223 Plan Revie
Phone: 503.718.2439 Fax: 503.598.1960 sEp 4. ( ,Q DateBy: „J
) j1 Other Permit:
I-1 G API) Inspection Line: 503.639.4175 Date Ready/By: Juris: H See Page 2 for
Internet: www.tigard-or.gov rsir r a Ti6Ptilloi Notified/Methodn i Supplemental Information
i SJ Bury a .//.
Mechanical
P erfor .� t I • ms 's
permit fees*are based on the value of the work
El New construction ®Addition/alteration/re lacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition El Other: mechanical materials,equipment,labor,overhead,and profit.
Value: 125,000
! ' ! ! !
El1— information use checklist.
1—and 2-family dwelling ® For Commercial/industrial Accessory buildingspecial1
❑Multi-family ❑Master builder ❑Other: Description I Qry. I Ea. I Total
Heating/cooling:
Air conditioning 46.75
Job site address:9500 SW Washington Square RD Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Portland,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.:JCP Project name:JCPenney Chiller-1 Replac 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: Lot no.:
Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
aZI ` e 1I ® ! • replace/in33.39
` Gas
Fluefivent for watersertheater or gas
Replace existing chiller. fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Oth : 23.32
Environmental exhaust and ventilation:
Name:JCPenney Range hood/other kitchen
equipment 33.39
Address:9500 SW Washington Square RD Clothes dryer exhaust 33.39
City/State/ZIP:Portland,OR 97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
�� ;� .�: �,:. ►a ! _(0 ' :• $.._ Other: 23.32
Business name:Apollo Sheetmetal Inc Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Brian Schain Furnace,etc.
Address:7555 SW Tech Center Dr Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Tigarad,OR 97223 Water heater
Phone:(503)358-7367 Fax::( ) , Fireplace
Range
E-mail:brian.schain@apollomech.com Barbecue
.. ws.,: .' _.'.:` ! ' ` "' . , ,.iy,:: , Clothes dryer(gas)
Business name:Apollo Sheetmetal Inc Other:
Address:PO Box 7287
Subtotal
City/State/ZIP:Kennewick,WA 99336 Minimum permit fee($90.00)
Phone:( ) Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lie.:56241 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
Print name: Brian Schain Date:9/4/18
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Famil Fee Schedule:
} } 3*r.% 126-1,
$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:
9500 SW WASHINGTON SQUARE RD, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2018-00718
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor