Permit .! CITY OF TIGARD MECHANICAL PERMIT
• COMMUNITY DEVELOPMENT Permit #: MEC2011 -00314
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/05/2011
• Parcel: 151260000300
Jurisdiction: TIGARD
Site address: 9502 SW WASHINGTON SQUARE RD J03
Project: Wetzels Pretzels Subdivision: WASHINGTON SQUARE MALL Lot: 0
Project Description: Install VAV, (2) exhaust fans, grilles, registers & diffusers, HVAC controls, air balance.
Contractor: GREY WOLF HVAC INC. Owner: PPR WASHINGTON SQUARE LLC
7306 NE 37TH AVE 2235 FARADAY AVE STE #0
VANCOUVER, WA 98665 CARLSBAD, CA 92008
PHONE: 360 - 588 - 3207 PHONE:
FAX: 360 - 326 -8506
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/05/2011 $191.86
Class of Work: ALT Type of Const: Plan Review 07/05/2011 $47.97
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 07/05/2011 $23.02
Stories: 2 Info Process /Archiving - Lg Sheet (over 07/05/2011 $4.00
11x17)
Project Valuation: $4,500.00 Info Process /Archiving - Sm Sheet (up to 07/05/2011 $11.50
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:
Appliances
Vent Fans: 2 Vent Systems: Total $278.35
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Registers
Duct Work: 1
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 fol ow 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 direc uestions to c . NC b - li g 503.232.1987 or 1.800.332.2344.
Issued y: , /a t 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.
r3 la el r s $ ., µ SF ,A1 1 . • rt,,,, olvim "• ,7 „ , P
Mechanical Permit Application ; ,, k, x t o Pol eiFF cE ,� s % "' il Tl'' 1♦
t it Ci o T igard p �f i>L} teisy 7 L�J� � i y. , Permit Na.: k' e, .� //..149, l
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I ° 13125 SW Hall Blvd., Tigard, OR 97223 b 'r 1 an Rest f�=
t ttri .t. d i ., Phone: 503.718.2439 Fax: 503.598.1960 - irate/By: i' Other Permit:
y ltl o! / ��
TIG{ARD: Inspection Line: 503.639 JUL 0 5 2011 Date Ready! y: Juris: H See Paget for
.t 't_- ek ht,tW Internet: www.tigard - or.gov Notified /Method: Supplemental Information
CITY OF TIGARD
,.
i PE OI=4 W �) t .`.: i C0114MERCM F , SCHEDULE U5 CH a
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 ❑ Other: mechanical materials, equipment, lab overhead, and profit.
Value S la by,
150 '
' k A C 1TEGOR OF`'CO STRI GTIgN ; ` + ¶ RE i1 A „ QU PMLNT [ _ _, -,, 1 - c
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total
; !'' SOB SiTE I O RIYI IO19 A TrON , ` ,- n Heating/cooling:
Air conditioning
Job site address: 9 SW Washington Square Road, Ste. J03 (requires site plan showing placement) 46.75
•
City /State /ZIP: Portland, OR Furnace 100,000 BTU (ducts /vents) 46.75
Furnace 100,000+ BTU (ducts /vents) _ 54.91
Suite /bldg. /apt. no.: J03 Project name: Wetzel's Prtzels 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:
„i , DESCRI YelogQS WORD - (q '' ` , a ; , Water heater 23.32
a=c f 1
, , Wiz-. �;4feA. :4-i10::= x,' ... - _.a..i,a,,w ':,,&.,max, ....
Install VAV, (2) exhaust fans, grilles, registers & diffusers, HVAC controls, Gas fireplace 33.39
Flue vent for water heater or gas
air balance fireplace 23.32
Log lighter (gas) 23.32
Wood /pellet stove 33.39
Wood fireplace /insert 23.32
t y( Chimney /liner /flue /vent 23.32
PROPRTYQWNER [ ..H... Other: 23.32
Name: Macerich Westcor Corp. Offices Environmental exhaust and ventilation:
Address: 11411 N. Tatum Blvd. Range hood /other kitchen
equipment 33.39
City /State /ZIP: Phoenix, AZ Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: (602)953 -6757 Fax: ( ) toilet compartments, utility rooms) ,
`Z �S � s , s i tie. � � y *f - - �' fi� �-fi .
,, „” i ®A'LIC �� , ; �[ CONTACT PERSbN�4 - Attic /crawlspace fans 23.32
Other: 23.32
Business name: Grey Wolf HVAC, Inc.
Fuel i m
P p g:
Contact name: Darrell Osborne $14.15 for first four; $4.03 for each additional
Address: 7306 NE 37 Avenue Furnace, etc.
Gas heat pump
City /State /ZIP: Vancouver, WA 98665 Wall/suspended/unit heater
Phone: (360) 635 -6117 Fax: : (360) 326 -8506 Water heater
Fireplace
E -mail dosborne@greywolfhvac.com
Range
. w remit f CONI CTtJR k r t v ° ' � € Barbecue
Business name: Same as above. Clothes dryer (gas) _
Other:
Address: 41 1 - W , , .: ...
CI;f�1NIC_�r.L PFRIVTI�T�kLk,S,, ,
City /State /ZIP: Subtotal
Minimum permit fee ($90.00)
Phone: ( ) F. ( ) Plan review (25% of pennit fee)
CCB lie.: 165139 State surcharge (12% ofpennit fee)
„1 ∎ TOTAL PERMIT FEE
Authorized signature: / ; I "' � This permit application expires if a permit is not obtained within 180 IIII g .' Air _ days after it has been accepted as complete.
Print name: Darrell Osborne Date: 7/1/11 " Fee methodology set by Tri- County Building Industry Service Board
I: \Building \Permits \MEC- PermitApp.doc 04/09/t0 440 -4617T (I I /02 /COM /WEB)