Permit 1111 CITY OF TIGARD MECHANICAL PERMIT
' C OMMUNITY DEVELOPMENT P ermit #: MEC2011 -00106
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/11/2011
Parcel: 151260000300
Jurisdiction: TIGARD
Site address: 9534 SW WASHINGTON SQUARE RD H -12A
Project: AT & T Subdivision: WASHINGTON SQUARE MALL Lot: 0
Project Description: Duct work and grills.
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 03/11/2011 $238.12
Class of Work: ALT Type of Const: Plan Review 03/11/2011 $59.53
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 03/11/2011 $28.57
Stories:
Project Valuation: $6,100.00
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressure: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0 - 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 $326.22
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
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 da s. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth i a • • •- -I 1 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 . :I. 2.2344.
•
Issued By: �/ `�, i- -1."_ - ermittee Sig ture:
Call i 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 01 +1( lc l? USE. (IN F\
City of Tigard Received
Permit No.;
14
13125 SW Hall Blvd., Tigard, OR 97223 Date/By: ��' • (' , '
1 1 Phone: 503.639.4171 Fax: 503.598.1960 ' t t \\ Plan Review Date/By: Other Permit: ;. / / y W t>
I �, ,11: h Inspection Line: 503.639.4175 1 or r mot
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Internet: www.tigard or,goy Mp 1 Noti fied/Meed/Me thod: S see page2For
Supplemental Information
A � !tJ a r� % u :.s ti
- - �i}., .T;+ ..J fig: �. S p�L � 1 .0...� 2 ����.'i��4";r��A" a 111 zt.,w? A7',v aa 4 44 *T „00 T';01400a*'�!"i -''
❑ New construction it Addition/alteration/replacement Mechanical permit fees* arc based on the value of the work
❑ Demolition performed. Indicate the value (rounded to the nearest dollar) of all
❑ Other:
mechanical materials equipment, labor, overhead, andprofrt
r
WN t f g .,, 3'iis�- ' rl ifg r 4; Value: $ ,Q
❑ I_ and 2-Family dwelling t% Commercial/industrial El Accessory building w < e ` c _ < ,. s g . .. f : ., ; = , r ' - ,�,
❑ Multi - family ❑ Master builder ❑ Other: For special information use checklist.
Description
& n , d t ? -- �' Z i > f Qt Ea. I Total
_ ��. ,�s� �r ,..�.. Heating/cooling site address: Air conditioning
-3w r //f..//4-,-) • ,. 42 (requires site plan showing placement) 46.75
City/State /ZIP: -'--”? A-2/7 e7C Furnace 100,000 BTU(ducts/vents) 46.75
Suite /bldg. /apt. no.: Project name: •7""
Furnace 100,000-f BTU (ducts /vents) 54.91
`r Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
l.J �� �. Ilydronic hot water system 23.32
��� / A r , 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
i r ` ,,, ¢ wa z'X, ,, p� ",, �, ' '° c s , 1 , ,' r . a ' <, , f Water heater 1 23.32
t Gas fireplace 33.39
7::)t-eC tT/_.e 9 � 0 ( _.••1/1...." / �Lr�� Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood /pellet stove 33.39
Wood fireplace/insert 23.32
S x fi r �". , J Chimney /liner /flue /vent 23.32 •
_ 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
r. , - a ,,
t ,. r * -., :, , ,:,,,,:p70.46''''):: , 't t ``` " ' Attic/crawlspace fans 23.32
x n ; � ,t., r ,< ,ate;,.., 3 n .:. �<�mq
Business name: Other: 23.32
Fuel piping
Contact name: $14.15 for first four; 14.93 for each additional
Address: Furnace, etc.
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E-mail: —
[ rS t _ k t i 4 4W w g . 'Y.n :axy retry 9 �at�nQ7 �zt4 u a v", s ' q t ' ., „, Barbecue
RRange . , r.ity s , s , ,',.a W :' Y t' } aG t s ¢ A :t?
y i .:3
Business name: z.., - ; Clothes dryer (gas)
h _ Other:
s + .
6, ;317 sc.j �z,„ft, .A-»Ti N /[�I✓ ; � °yx 3
City/State/ZIP� ,..4. �L - i) c `) D � 2- ^ Subtotal ?t, I),
A Minimum permit fee ($90.00)
C � 12
Phonc: 5 - I.t'OS Fax: 9 La 4 / - I
Plan review (25% of permit fee) , S3
CCB lie.: -' I 3 State surcharge (12% of permit fee) 9-r, 5-7
TOTAL PERMIT FEE sn , -'
Authorized sign.' - This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print .,.,,,,P• Than. I * Fee methodology set by Tit- County Building Industry Service Board
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