Permit IL CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2019-00354
T i[;ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/12/2019
Parcel: 1 S 126BC01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD 555
Project: V-Tech Subdivision: None Lot: None
Project Description: Installing a 3 ton ductless system in server room and relocate(1)supply for TI.
Contractor: WILLAMETTE HVAC LLC Owner: TOWMAN ONE EMBASSY CENTRE LLC
3075 SW 234TH AVE.#206 BY TOWMAN LLC
HILLSBORO, OR 97123 25425 BASCOM AVE STE 230
CAMPBELL, CA 95008
PHONE: 503-259-3200 PHONE: 503-595-9685
FAX: 503-848-2597
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/12/2019 $319.61
Class of Work: ALT Type of Const: VA Plan Review 06/12/2019 $79.90
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 06/12/2019 $38.35
Stories: Info Process/Archiving-Sm$0.50(up to 06/12/2019 $8.00
Project Valuation: $8,965.00 11x17)
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: 1
Appliances
Vent Fans: Vent Systems: Total $445.86
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
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 f• w the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. ou may •itain a copy of the rules
or direct questions to OUNC • calling 513.23,., 987 or 1.81 32.234
Issued By: /` / / Permittee 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 Y r n y Received Permit Nop �(�,
IN Date/By: � {1 tCl�� 1 \�� 'V 1"t"� )�
13125 SW Hall Blvd.,Tigard,OR 97223
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 �ti. 7019 Date/By: 9f, Other Permit: C l \�
Inspection Line: 503.639.4175 ' `` J t�
T i G A R D Date Ready/By: 1. / Juris: 10 See Page 2 for
Internet: www.tigard-or.gov �}� Supplemental Information
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:$$8,965.00
' CATEGORY OCONSTRUCTION ,',` ,,
m ,.
RESIIilIFNTIAL EQUIPMENT I SYSTEMSFEES*
❑ 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
`" Heating/cooling:
SOB 'I'E; `ORMATION`AND LOCATION. '
Air conditioning
Job site address:9020 SW Washington Square Rd. (requires site plan showing placement) 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.:555 Project name:V-Tech Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
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
Subdivision: Lot no.: Flue/vent for any of above 23.32
Other: 23.32
Tax map/parcel no.: Other fuel appliances:
'1'w;A.; DESCRIPTION CIF AVORIC n Water heater 23.32
Install a 3 ton ductless system. /(/)-f S�c V Cl' I'ooU 1 ,Ol 1 /� (oc — Gas fireplace/insert 33.39
' ! / ( � Flue vent for water heater or gas
O1 C S'a fireplace 23.32
�� Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY;,OWNER : : E] TENANT .ery
Other: 23.32
Name: Environmental exhaust and ventilation:
Address: Range hood/other kitchen
equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms,
Phone:( ) Fax:( ) toilet compartments,utility rooms) 23.32
® APPLICANT; 0 CONTACT:PERSON Attic/crawlspace fans 23.32
Business name:same as below Other: 23.32
Fuel piping:
Contact name: $14.15 for first four;$4.03 for each additional
Address: Furnace,etc.
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone:( ) Fax::( ) Water heater
Fireplace
E-mail:
Range
, .CONTRACTOR. Barbecue
Business name:Willamette HVAC,LLC Clothes dryer(gas)
Other:
Address:3075 SE Century Blvd Suite 206 MERAMCAL PERMIT FEES*
City/State/ZIP:Hillsboro,OR 97123 Subtotal
Minimum permit fee($90.00)
Phone:(503)259.3200 Fax:(503)848.2597 Plan review(25%of permit fee)
CCB lic.:56951 State surcharge(12%of permit fee)
_ TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized Signature: days after it has been accepted as complete.
Print name:michael malstrom Date:05/20/19 * Fee methodology set by Tri-County Building Industry Service Board
I:\Building\Permits\MEC-PermitApp.doc 03/07/12 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Family Fee Schedule:
$0.00 to$500.00 Minimum fee$69.06 wr
$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\Pernuts\MEC-PennitApp.doc 03/07/12 2
City of Tigard
1111 " COMMUNITY DEVELOPMENT DEPARTMENT
■
T1cARD Building Permit Review — Commercial - No Land Use
tP
Building Permit #: IN\C—c_ kOk-G,--(Lc S ,
Site Address: ¶QjQ ('v,/ wa;Aiih‘ Cf rkrL 1U. Suite/Bldg#:
Project Name: \I-It'J,\v
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review y
Proposal: 1,4\/.110 Ivv °�-�1t)i SyS�i , iA�� irvl (2'14\ ii(A-F- CV 5vM(/
Existing Business Activity: Oklt
Proposed Business Activity: (AU
ILYVerify site address/suite#exists and active ' permit system.
' er Terrace Neighborhood: V Yes ❑ No
Wilg: ��‘
mitied Use. Yes ❑ No ❑ Spec Space
LTJ' Confirm no land use required.
ljusiness License:
Exists: El Yes El No,applicant notified to obtain business license
Notes: PU=(7(7k k,v + LA Ak k 5tln 67 S`PttaAL
CILApproved by Planning: Date: S Viii
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved El Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved El Not Approved
Building Permit Submittal
Original Submittal Date: 'kg
Site Plans: #
Building Plans: #
Building Permit#: El Enter building permit#above.
Workflow Routing: L� lanning Ig/Building
Workflow Sign-off: 21/Sign-off for Planning(include notes from planning review)
Route Application Documents: Ig Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician:. Date: I'? 'f ( ‘C
I:\Building\Forms\BldgPen mtRvw_COM_NoLandUse 060116.docx
A
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
O SDC Fees Entered: Wash Co Trans D 'Tax: 0 Yes 0 N/A
Tigard Trans S C: 0 Yes 0 N/A
Parks SDf
0 Yes 0 N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
9020 SW WASHINGTON SQUARE RD 555, June 18, 2019 at 10:45:16 AM
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2019-00354
Inspection Type: Inspector:
699 Mechanical final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor