Permit (116) CITY OF TIGARD MECHANICAL PERMIT
: •• COMMUNITY DEVELOPMENT Permit#: MEC2018-00791
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/03/2018
TIGARD 9 Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9716 SW WASHINGTON SQUARE RD F03
Project: Lucky Brand Subdivision: None Lot: None
Project Description: Adding(4)new VAV boxes,new ducting,and diffusers for TI.
Contractor: MILL CREEK HEATING Owner: PPR WASHINGTON SQUARE LLC
PO BOX 428 PO BOX 847
AUMSVILLE, OR 97325 CARLSBAD, CA 92018
PHONE: 503-749-1000 PHONE:
FAX: 503-743-2469
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 10/03/2018 $1,147.81
Class of Work: ALT Type of Const: Plan Review 10/03/2018 $286.95
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 10/03/2018 $137.74
Stories: Info Process/Archiving-Lg$2.00(over 10/03/2018 $6.00
11x17)
Project Valuation: $41,500.00
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 $1,578.50
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: (4)new VAV
Duct Work: 1 boxes and
Fire/Smoke Dampers:
l
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 50 .232.1987 or 1.800.332.2344.
Al
Issued By: ......4 •//� ermittee Signature: 41---,
/
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 Applt L it•:.s" FOR OFFICE USE ONLY
Cl of Tigard ryry Received �
1114 111 13125,SW Hall Blvd.,Tigard,OR 97223 �� _ La�� Date/By: 1 Air A
_ I .1
Plan Review ���
Phone: 503.718.2439 Fax: 503.598.19 69 y O i7'�i• ,�
Inspection Line: 503.639.4175 afl�Y Off- I IG RD Date Ready/By: Iur� !a See Page 2 for
TIGAIip
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
. OP WORK t s ,f .. ..,. CO RCIAL a...a, ' . .ti' n C1 .;
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$41500
Ca
A te CO B ; eil) l�?I lA>4
; .�.
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
+ -6-,,,, ,,. Heating/cooling:
:. SOB SITEINFORMATION.�.I+IA �ON
n.- Air conditioning 46.75
Job site address:9716 SW Washingtin Square Road Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.:F03 Project name:Lucky Brands Duct work 23.32
Cross street/directions to job site:Washington Square Mall-entrance Hydronic hot water system 23.32
Residential boiler(radiator or
betweem Sears and the parking garage. 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
,, DES et T7-,. O)9 OI WO z 0.„,t, fireplace/insert33.39
Gas
"`` �{ Flue vent for water heater or gas
Tenant Improvement with 4 new VAV boxes,new ducting and diffusers fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
° if
` Other: 23.32
tROPETY atef x
. . .,
z ,"A.. ....:,, Environmental exhaust and ventilation:
Name:Lucky Brands Range hood/other kitchen
equipment 33.39
Address:540 S.Sante Fe Ave Clothes dryer exhaust 33.39
City/State/ZIP:Los Angeles CA 90013 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(213)443-7500 Fax:( ) Attic/crawlspace fans 23.32
,,,g4.- - „7 II" N* Other: 23.32
., m "❑ AP)E', .", Y "® .CONI x e
gni � xv *.� � �-.hen
Business name:Mill Creek Heating LLC Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Rob Simpsno Furnace,etc.
Address:5185 Delaney Road Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Turner OR 97392 Water heater
Phone:(503)749-1000 Fax::(503)743-2469 Fireplace
Range
E-mail:rob@millcreekhtg.com Barbecue
--po le,,•,.- v....„,..," # a;.'I ,
t !1‘,.. e Clothes dryer(gas)
x„�a� ... . . x fir:§
Business name:Same Other:
t
1kIE!s . ®,x'� I_v .E. '$;:.*, ,' i;
Address: Subtotal 1160.5
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee) 290.13
Phone:( ) Fax:( ) State surcharge(12%of permit fee) 139.26
CCB lie.:159527* t �-^i 7 --/(1.5-/)-0 TOTAL PERMIT FEE 1589.8
77 This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized Signature: s Fee methodology set by Tri-County Building Industry Service Board
Print name:Rob Simpson Date:10/2/18
I:\Build ng\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-FamR Fee Schedule:
6 � .._ .",� s FC1
$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:
9716 SW WASHINGTON SQUARE RD F03,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2018-00791
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor