Permit CITY OF TIGARDN MECHANICAL PERMIT
p ' '= COMMUNITY DEVELOPMENT Permit#: MEC2020-00077
Date Issued: 02/18/2020
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9619 SW WASHINGTON SQUARE RD M06
Project: Pottery Barn Subdivision: None Lot: None
Project Description: Replace(4)VAV boxes and(3)fan powered boxes. New boxes to have SCR heat and stand alone controls.
Contractor: AMERICAN HEATING INC Owner: PPR WASHINGTON SQUARE LLC
5035 SE 24TH AVE PO BOX 847
PORTLAND, OR 97202-4765 CARLSBAD, CA 92018
PHONE: 503-239-4600 PHONE:
FAX: 503-239-7038
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/14/2020 $1,886.61
Plan Review 02/14/2020 $471.65
Class of Work: ALT Type of Const: VB
12%State Surcharge-Mechanical 02/14/2020 $226.39
Occupancy Grp: M Occupancy Load:
Info Process/Archiving-Lg$2.00(over 02/14/2020 $6.00
Stories: 1 11x17)
Project Valuation: $71,000.00 Info Process/Archiving-Sm$0.50(up to 02/14/2020 $12.50
11x17)
Fuel Air Handlers
Fuel Types: Electricity Units< 10000 cfm: 5
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 $2,603.15
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 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 503.232.1987 or 1.800.332.2344.
Permittee Signature:
Issued By: Permittee
��
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 Applicat'i u "` a;c.:
1 FOR OFFICE USE ONLY
City of Tigard a n_ DatPlanRev;ee/By: /�%,2() Permit No C'�20'aco72
. ■ 13125 SW Hall Blvd.,Tigard,OR 97223 4 202 / ��
Phone: 503.718.2439 Fax: 503.598.1960IN
ew
Date/By: cl: .10 --"ItOther Permit:
T I G A R D Inspection Line: 503.639.4175 .,OF.f i , Date Ready/By: Juris: ® See Page 2 for
Internet: www.ti and-or. ovg(rl t^ �
g g Notified/Metho : Supplemental Information
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/'/,i% " OF WORK � '� co„
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
O Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit.
QF CONST ' � ; .y ": ' Value. ";
,
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
,,, , Heating/cooling:
9II',SI`1€'E IN�-,,„ �-4 T{';!N //SA ,.
Air conditioning 46.75
Job site address:9619 SW Washington Square Rd.,SPC COLA 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.: 1 Project name:Pottery Barn 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
Other: 23.32
Subdivision: Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
%% o ECRIPTIO3N ,� Gas fireplace/insert 33.39
'""`"", . ' ` Flue vent for water heater or gas
Replace(4)VAV boxes and(3)fan powered boxes.New boxes to have SCR heat and fireplace 23.32
stand alone controls. Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
ram, ; .+ Other: 23.32
i
�, 43IY - .., ;; 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
4, .a eco41A, 8'^,e '1. Other: 23.32
Business name:American Heating Inc. Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Amanda Bostic Furnace,etc.
Address:5035 SE 24th Ave Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Portland,OR.,97202 Water heater
Phone:(503)239-4600 Fax::(503)239-7038 Fireplace
Range
E-mail:a.bostic@americanheating.net Barbecue
c CO11T1tRA{TOlt ""41 Clothes dryer(gas)
Business name:American Heating Inc. Other:
Address:5035 SE 24th Ave Subtotal
City/State/ZIP:Portland,OR,97202 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)239-4600 Fax:(503)239-7038
State surcharge(12%of permit fee)
CCB lie.:33135 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
' bi0../4,C)tea, days after it has been accepted as complete.
Authorized signature' rn"((( E�f"0 * Fee methodology set by Tri-County Building Industry Service Board
Print name:Amanda Bostic iECJJJ(((///"` Date: c),� rg
I:\Building\Permits\MEC_PermitApp_040113.doc 44 4617 (11/02/COM/WEB)