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Permit • CITY OF TIGARD MECHANICAL PERMIT '� I COMM DEVELOPMENT Permit #: MEC2011 00017 r D 1 3125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/26/2011 T: i 11RD Parcel: 1S1260000300 Jurisdiction: TIGARD Site address: 9530 SW WASHINGTON SQUARE RD H10 Project: Apple Store Subdivision: WASHINGTON SQUARE MALL Lot: 0 Project Description: Mechanical for TI in breakroom. Contractor: ARROW MECHANICAL Owner: PPR WASHINGTON SQUARE LLC 10330 SW TUALATIN RD 2235 FARADAY AVE STE #0 TUALATIN, OR 97062 CARLSBAD, CA 92008 PHONE: 503 - 692 -1565 PHONE: FAX: 503 - 691 -1879 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 01/26/2011 $252.17 Class of Work: ALT Type of Const: IIB Plan Review 01!26/2011 $63.04 Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 01/26/2011 $30.26 Stories: 2 Info Process /Archiving - Lg Sheet (over 01/26/2011 $2.00 11x17) Project Valuation: $6,600.00 Info Process /Archiving - Sm Sheet (up to 01/26/2011 $6.50 11x17) 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: 1 Appliances Vent Fans: Vent Systems: Total $353.97 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 • INC by calling 503.232.1987 or 1.800.332.2344. Issued By .kigr Altilb Permittee Sign 0 Call 50 •.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 14. i OFFLCE SE O NL Y City of Tualatin 18880 SW Martinazzi Ave. Date received: 1 I1 I i Pit # n1 r7to1 / i 7 Tualatin, OR 97062 V 6,,, p )10 16- j l Phone:503- 691 -3044 Fax: 503- 692 -0147 www.ci.tualatin.or.us Date Iss ed 1' 6 1 2T (I By: Receip I TYPE QF WORK COMMERCIAL FEE SCHEDULE - USE CHECKLIST. ❑ New construction ® Addition /alteration/replacements V Mechanical permit fees are based on the value of the work performed. Indicate ❑ Demolition ❑ Other. liss' °% '' ''''7' the value (rounded to the nearest dollar) of all mechanical materials, n� P� r equipment, labor, overhead, and profit. CATEGORY OF .CONSTRU ,TIIN 'i \ V ,�� � © Value: $ 4'60 - ❑ 1- and 2- family dwelling :4 Commercial/indust \ buiirdia RESIDENTIAL EQUIPMENT / SYSTEMS FEES. El Multi- family ❑ Master builder ❑ Ofher 'i \� 3 .r�1 v�� •"..\\A For For special information use checklist. JOE SITE INFORMATION A ND LOCA1ION ` v Description Qty. I Ea. I Total Job site address: • ,. 94M Heating /coaling Furnace, incl. ductwork, vent, and liner I 15.00 City /State/ZIP: / AR D , OP-- X 17 4 3 Air conditioner (site plan required) 15.00 Suite/bldg./apt. no.: I Project name: Ai't''t'E _ 39_6,1K ,,.... Heat pump (site plan required) 15.0Q Duct work alterations and additions 15.00 Cross street/directions to job site: _ Hydronic piping system 15,00 Residential boiler (radiator / hydronic) 15.00 - Unit heaters (fuel'-type, not electric in -wall, in -duct, suspended, etc. 15.00 Flue/Vent for any of the above 15.00 Subdivision: I Lot no.: Other: , Tax map /parcel no Other fuel appliances Water heater I 15.00 :: , , DESCl2IPTTON OF W ORK .' „ ` € < Gas fireplace /insert/stove 15.00 0/F.4._-) A 4-7 Qi.)-KQ ‘ Dve__It- C- tom //5 Gas log/log lighter 15.00 / Pool or spa heater, kiln* 15.00 Wood/pellet stove/msert 15.00 Wood fireplace 15.00 Chimney/liner /flue /vent w/o appliance 15.00 PROPtRTY OWNER Oil tanks /gasldiesel gererators 15.00 M " 0 TENANT _..,. �.,�A a_..,.... Other. Name: Environmental exhaust and ventilation Address: Range hood/other kitchen equipment 15.00 Clothes dryer exhaust 15.00 City /State/ZIP: Single -duct exhaust (bathrooms, toilet — compartments, utility rooms) 15.00 Phone: Fax;: Attic /crawlspace fans 15.00 '4 APPLICANT'' Whole house ventilation or Radon •, ,,.- ... , , 7- ,.., . „_. . ,. _ �_ r - 1 mitigation 15.00 Business name: ?P J /Eel N16 i'he_. i 5, "JC. Other: Contact name: , e6 /Al p;,Q�� 5 3:-....-1....15/ i k _ Fuel piping (, /" $15.00 for first four, $7.50 for each additional Address: /4 ) er L % //...) ROAD D Furnace City /State/ZIP: 1)/ l4` 7, j / t9l7__ o, 7‘,-1.-- . Wall/suspended/unit heater Phone: 3.•�,2- /mod . S - I Fax: 34)3 _ �‘'/ /8 9 Water j Fireplace/log.iighter /gas log E-mail: A -R ° 44 6. t• t• g F 17f 2 . a-c - t Range , t^..3i S 3 k 3 T. .,1 S-- Q' 3%' lE - NM s t K =f.N ' .� �K CON7IIACTOR f g 5 , ; {a.a� i," x Y A Barbecue • ,a , w,, . . ..a.., ,�a, x ,f:<.e . ,- ,pia.....; t, < ..,,k. ,�, �w..y, �-a ✓.zj Business name: AJ Z. F..cji,3 t '>" ,_37 /rae5 A), Clothes dryer /T� > Other: Total Outlets Address: /1)3 349 J 7-a �- p) go)� MECH ANICAL P ERMIT FEES City/State/ZIP: r' Fee Type Amount Date Paid / Permit Fee (minimuat $60.00) Phone: L _ f Z /5 - z . 5-- I Fax: 5'53 ‘, /- /977 Plan review ( 65 % of permit fee) — E-mail: i tetZee,i,3 If� . FP / ?-_- Fire, life safety (45% of permit fee) ` CCB lie.: 5 / � j 3 I City or metro lic.: 2 c../76 State surcharge (12% of permit fee) TOTAL PERMIT FEE , Authorized This permit application expires if a permit is not obtained within 180 signature: days after it has been accepted as complete. I _ . 1 _