Permit (106) _ CITY OF TIGARD MECHANICAL PERMIT
: ■ COMMUNITY DEVELOPMENT Permit#: MEC2018-00717
Date Issued: 10/15/2018
12SW HallBlvd.,Tigard OR 97223 503.718.2439
T l c;A l= 1
D. 3 5 g Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9693 SW WASHINGTON SQUARE RD C09
Project: T-Mobile Subdivision: None Lot: None
Project Description: Mechanical for TI.
Contractor: HORIZON RETAIL CONSTRUCTION Owner: PPR WASHINGTON SQUARE LLC
1500 HORIZON DR PO BOX 847
STURTEVANT,WI 53177 CARLSBAD, CA 92018
PHONE: 262-638-6000 PHONE:
FAX: 262-638-6015
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 10/15/2018 $855.71
Class of Work: ALT Type of Const: VB Plan Review 10/15/2018 $213.93
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 10/15/2018 $102.69
Stories: Info Process/Archiving-Lg$2.00(over 10/15/2018 $6.00
11x17)
Project Valuation: $30,000.00
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: 1 Vent Systems: Total $1,178.33
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 100
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 5 3.232.1987 or 1.800.332.2344.
�
"Issued By: s.GO /i +moi •ermi"ee Si- 07gnature: ,rr„, ,cv l
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
FOR OFFICE USE ONLY
City of TigardRECEIVE -
{'eceived
M 13125 SW Hall Blvd.,Tigard,OR 97223 aate/By: q�%(,1 J Permit No.: /yoy �, 7/
1,11 _ Phone: 503.718.2439 Fax: 503.598.1960 Plan Review // / i
T I G A RD Inspection Line: 503.639.4175 ,E P 4 2018 01 p Date Re 9' Other Permit: 44/9;a7—ed/215)
)ry I or� �
Internet: www.tigard-or.gov t) Date Ready/By: kids: Ed See PaagCer2(f(or
No'ted/Metho..
CITY
Tri ''11 GAR
/1 7� I Supplemental Information
i . , l'i
. ,i'
.; i -rirMilz 4,,A, 1 ", . i iI� '. $'i 9 j " 0,.:4,i"g t-
Mechanical permit fees*are based on the value of the work
0 New construction egAddition/alteration/replacement
0 Demolitionperformed.Indicate the value(rounded to the nearest dollar)of all
0 Other: mechanical materials,equipment,labor,overhead,and profit."''
-:. �:` It Z'°,f Value:$ �
� ...u.; EI 6 ( 1 N ;' :gam
❑ 1-and 2-family dwelling Vtommercial/industrial ❑Accessory building
For special information use checklist.
❑Multi family ❑Master builder
Other: I Qty.
• Description
t I Ea. I Total
r �t1 8 ' It Heatin coolin_
4„ ` Air conditionin.
Job site address: (��q 2 t± .> S _ 46.75
7 Sw A &#✓� ("CJ Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: /�
Gd) o - % �j Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: pcj I Project name: Heat 'um. 61.06
V,le ,ve, Duct work 23.32
Cross street/directions to job site:
Hydropic 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: U'" I Lot no.: Other: 23.32
Tax map/parcel no.:
Other fuel appliances:
;.� ., �,. Water heater 23.32
F ,� Gas fire'lace/insert33.39
Flue vent for water heater or gas
C.Nvvmer C i cj k-c-V\tAAA-- \INA.7n)Jec,k I re(Q_ fire.lace 23.32
CQN\ Lo:li:hter :as) 23.32
Wood/pellet stove 33.39
Wood fire.lace/insert 23.32
Chimney/liner/flue/vent 23.32
, , , r - Other:k*-44:11**/)''ll'Aiii: 23.32
Name: -, ,,v,' ,fis, ---,-, ',t:%,,,fru- Environmental exhaust and ventilation:
��\ .� Range hood/other kitchen
Address: 12�tQ L ���S\— equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: I�4tR � (�, Single-duct exhaust(bathrooms,
Phone:(L �� �?� Fax:_l ( toilet com.artments,utilit rooms) 23.32
�, ,®1 -t � v � Attic/crawlspace fans 23.32
‘ a „r .. i .. U". • � ,, 47 Other: 23.32
Business name: a Fuel 'i'in :
°LC\Si m.\ et. M $14.15 for first four;$4.03 for each additional
Contact name: i,.e i i p ue S
1f Furnace,etc.
Address: IA - ,004'4'• �•q Gas heat pump
City/State/ZIP: ( y� — Wall/sus'ended/unit heater
-t t�°1 ,C,1 b Water heater
Phone:( ) ({4 3 C'5 I Fax::(Uri p) Fire.lace
E-mail: aim ' ` S i L t Range
1=
5 Barbecue
3, Ja
.. ��' � _�.,� ,. : .�. � �, �� � � ? Clothes. er :as)
Business name: ex. �f� 16.--fit 0 C iS7u , Other:
Address: I - ' ..'' ',`: ,.„i,,, ,,,, ,,,,,:,
STD LL �lAn 'n U� , ,,,, ,, „,_,:,
tIZE .` + I "
Or Subtotal 2,((3,51
City/State/ZIP:s�u }r v k� s.--& /22
Minimum permit fee($90.00)
Phone:( ) / I Fax:( ) Plan review(25%of permit fee) ,(03
State surcharge(12%of permit fee)
CCB lic.: /G_ /! /I TOTAL PERMIT FEE
e. (�Y r This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry Service Board
I Print name: 444• k ki\ '( tie, I Date: q b 4- I
I:\Building\Permits�IvIEC=ermltApp 040113.doc C 440-4617T(I 1/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9693 SW WASHINGTON SQUARE RD C09, November 29, 2018 at
TIGARD, OR, 97223 9:27:19 AM
Record Type: Record ID:
Commercial - Mechanical MEC2018-00717
Inspection Type: Inspector:
699 Mechanical final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor