Permit (132) CITY OF TIGARD MECHANICAL PERMIT
' COMMUNITY DEVELOPMENT Permit#: MEC2019 00548
'TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/09/2019
Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9412 SW WASHINGTON SQUARE RD K10
Project: Box Lunch Subdivision: None Lot: None
Project Description: Reuse HVAC with some new mechanical ducts for new tenant.
Contractor: SOCAL RETAIL SERVICES INC Owner: PPR WASHINGTON SQUARE LLC
18345 PASADENA ST PO BOX 847
LAKE ELSINORE, CA 92530 CARLSBAD, CA 92018
PHONE: 951-674-9500 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/09/2019 $474.71
Class of Work: ALT Type of Const: VB Plan Review 09/09/2019 $118.68
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 09/09/2019 $56.97
Stories: Info Process/Archiving-Lg$2.00(over 09/09/2019 $6.00
11x17)
Project Valuation: $15,000.00
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 $656.36
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 fo. n ., ' 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 o 1.800.332.23,
Issued By: Permittee Signature:
1U )
Cal 50 .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 . g t : ,Deae/B y.7/a•-�/ Permit N e ,... 0.5"1
14
- 14 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review p v
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: g' i''' i 9- Other Permit:
( Ig n.
Inspection Line: 503.639.4175 1JULl- 4 4 /.U i 9 Date Read B Juris: H See Page 2 for
TIGARD Ready/By: g
Internet: www.tigard-or.gov ified Method: / Supplemental Information
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Mechanical permit fees*are based on the value of the work
0 New construction El Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit.
1 >- , 1 as _ Value $ 15 000
-57 �_ iii,,4r,, 4 I CTIt i '1'i y� r . 1 i,'RESID° 0 ,` r 1Tdr ,A kii-
0 1-and 2-family dwelling ® Commercial/industrial ❑ Accessory building For special information use checklist.
0 Multi-family 0 Master builder ❑ Other: Description I Qty. I Ea. I Total
rii srr i ,. x i' �t o ! i� �1 it [ i= l Heating/cooling:
-%,-,..---_,.'1, inl,ea r I i1tM t,17$t ,. l - r'
Air conditioning 46.75
Job site address: t r W Washington Square Rd.,Space K10 Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Portland,OR 97223 Furnace 100,000+BTU(duets/vents) 54.91
Suite/bldg./apt.no.: K10 I Project name: Box Lunch
Heat pump 61.06
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: I Lot no.: Other:thermostat/sensor 1 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
ix-r q 1TE'i4°4 of 9 gi '` 4 4 'I' . ii= t Gas fireplace/insert 33.39
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Reuse HVAC with some new mechanical ducts Fluervent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
i 1R i a r€ i
' t 4 ` � di Other: 23.32
I d �` 16 iII' , -„
Environmental exhaust and ventilation:
Name: Box Lunch Range hood/other kitchen
18305 E.San Jose Ave. equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: City of Industry,CA 91748 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) 310-938-5552 Fax:( ) Attic/crawlspace fans 23.32
g, ' i ,4 4) 13: 4i1� tE i.i 4�,aj
Other: 23.32
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Business name: ArcVision Inc Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: Samantha Olendorff Furnace,etc.
Address: 1950 Craig Rd.,Ste 300 Gas heat pump
Wall/suspended/unit heater
• Water heater
Phone:( ) 314-415-2400 Fax::( ) 314-415-2300 Fireplace
Range
E-mail: samo@arcv.com Barbecue
1 tt 14 'liL OP lIk uta Vt ,a 1 ' -c,-`r9 w,� r Clothes dryer as
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Business name: be deterP1t Other:
14, 4`�r� (A44--9-e.)
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Address: If 3/j - / )-4 w
City/State/ZIP: o ��l �,-h� si'/ /YA ✓ Subtotal
_
/ Minimum permit fee($90.00)
` /0.,-;,-.7
r -i- e)cc i en 1'�-. 0 Plan review(25%of permit fee)
Phone:( ) 5-7 l e ( ) State surcharge(12%of permit fee)
CCB lic.:ai �{ I 0 146 'Yh TOTAL PERMIT FEE
p� ! I V 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: Sa i ha Olendorff Date: 1•eq 2 . Ici
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