Permit (167) CITY OF TIGARD MECHANICAL PERMIT
-I * • COMMUNITY DEVELOPMENT Permit A: MEC2019-00242
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/07/2019
I �R�� g Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9573 SW WASHINGTON SQUARE RD B06
Project: Abercrombie&Fitch Subdivision: None Lot: None
Project Description: Installing new VAV fan boxes,ductwork,and grills.
Contractor: DIRECT MECHANCIAL CONTRACTORS Owner: PPR WASHINGTON SQUARE LLC
PO BOX 872472 PO BOX 847
VANCOUVER,WA 98687 CARLSBAD, CA 92018
PHONE: 360-901-6063 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/07/2019 $652.51
Class of Work: ALT Type of Const: VB Plan Review 05/07/2019 $163.13
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 05/07/2019 $78.30
Stories: Info Process/Archiving-Lg$2.00(over 05/07/2019 $14.00
11x17)
Project Valuation: $22,000.00
Fuel Air Handlers
Fuel Types: Units<10000 cfm: 2
Gas Pressure: Units>10000 cfm:
Furnaces Boilers&Compressors
Furnaces<100K BTU: 0-3 HP:
Furnaces>=100K BTU: 3-15 HP:
Floor Fumaces: 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 $907.94
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
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 O by calling 503.2` 1987 or 1.81+.332.2344.
Issued By: • rmittee Signature:
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 Tigard RECEIVED Received L` 1, /, ' vC ` / ^`� v)
- y Date/By: (i �
III
13125 SW Hall Blvd.,Tigard,OR 9.7223 Plan Review
Phone: 503.718.2439 Fax: 503.598,1960 APR 1 6 2019 Date/By: � �
.•� - ) 1 Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Read /B orris:
Internet: www.ti and-or. ov Ready/By: ® See Page 2 for
g g Notified/Metho /� Supplemental Information
CITYur . tGACC3 ,
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TI�PE OF O' - ,
`COMMERCIAL.FEE* SCHEDULE —VSE CHECKLIST
Mechanical permit fees*are based on the value of the work
0 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:$$22,000.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:9573 SW 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.:B06 Project name:Abercrombie&Fitch Duct work 23.32
Cross street/directions to job site:Inside Washington Sq Mall 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: 1 Lot no.:
Other fuel appliances: _
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Install new VAV fan boxes,install new ductwork,install new grilels 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 PROPERTY OWNER IOther: 23.32
0 TENANT
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: 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
®'APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name:Direct Mechanical Contractors LLC
$14.15 for first four;$4.03 for each additional
Contact name:Daniel Pavlov Furnace,etc.
Address:PO Box 872472 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Vancouver,WA 98687 Water heater
Phone:(360)901-6063 Fax: :( ) Fireplace
Range
E-mail:direct_mechanical@comcast Barbecue
CONTRACTOR Clothes dryer(gas)
_.
Other:
Business name:Direct Mechanical Contractors LLC
MECHANICAL PERMIT FEES*
Address:PO Box 872472 Subtotal
City/State/ZIP:Vancouver,WA 98687 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(360)901-6063 Fax:( ) State surcharge(12%of permit fee)
CCB lic.: 195520 G` /a4n 47 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
y'�/.�J' ,_----- days after it has been accepted as complete.
Authorized signature�„/! * Fee methodology set by Tri-County Building Industry Service Board
Print name:Daniel Pavlov Date:4/16/19
•
I.\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
Mechairical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Family Fee Schedule:
Total Valuation: Permit Fee.
$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.
l:U3uudngUermits\MbC_t'ermitapp_040113.doc 2
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
9573 SW WASHINGTON SQUARE RD B06,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2019-00242
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor