Permit CITY OF TIGARD MECHANICAL PERMIT
1111 COMMUNITY DEVELOPMENT Permit #: MEC2011 -00431
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718 2439 Date Issued: 09/30/2011
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9597 SW WASHINGTON SQUARE RD B13
Project: Lush Subdivision: Lot:
Project Description: Install VAV box, exhaust fans, ductwork & grills.
Contractor: ARROW MECHANICAL Owner: PPR WASHINGTON SQUARE LLC
10330 SW TUALATIN RD BY THOMSON PROPERTY TAX SERVICES
TUALATIN, OR 97062 ATTN HILARY RAYMOND
CARLSBAD, CA 92008
PHONE. 503 - 692 -1565 PHONE:
FAX• 503 - 691 -1879
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/30/2011 $378.19
Class of Work: ALT Type of Const: Plan Review 09/30/2011 $94 55
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 09/30/2011 $45 38
Stories: Info Process /Archiving - Lg Sheet (over 09/30/2011 $4.00
11x17)
Project Valuation: $11,200 00 Info Process /Archiving - Sm Sheet (up to 09/30/2011 $2 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 Vent Systems Total $524 62
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 • - suspended for more the 180 days. ATTENTION Oregon law requires you to follow the rules adopted by the Oregon
Utility • ification Center hose rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or • ect questions to OUNC by : g ! .232.1987 or 1.800.332.2344.
Is sued By:
y: ` � � ! y 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.
Mechanical Permit A 1 '111 ems, T`, p FOR OFFICE U,SE ONI Y
{ City of Tigard �' Y V �1/ Received !, , . - ,rte
li t.:•.:.„3:-= Da te /By 7 �� (l Permit No - deed / NA 71/ 13125 S W Hall Blvd., Tigard, OR 972 ��� 2 , 3 pp q ry nn g f Plan Review r CAA 2 [, lJ ! I Date /By Other Permit Phone: 503.718 2439 Fax 503.59 0 9 6.40,04/-0e1/7/ T IG1tR'D` Inspection Line: 503.639.4175 Date Ready/By j / )ims 0 See Page 2 for
_.. Internet. www tigard or.gov CITY OF TIGARD NotifiedMlethod - / /�� /, Supplemental Information
BUILDING DIVISION u� ,.: ;, ,
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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, and profit
equipmen a�or „gvertea a o
r
Value
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❑ 1- and 2- fanuly dwelling ® Colnmercial/mdustrial ❑ Accessory building For special information use checklist.
❑ Multi-family ❑ Master builder ❑ Other. Description 1 Qty 1 Ea. I Total
:;
,,. mg /cooling:
(?CATION.. . : eat
;< :;; JOCSITF "`II�F NIA) LQ %A#�D %"r .: ".;: ='. ' -r...' : = r ."'r::
: % % =,;-�'.. : :.; .. ;. - „ ,.. T O;:. Air conditioning
Job site address' 9 SW Washington Square Road (requires site plan showing placement) 46.75
/ Furnace 100,000 BTU (ducts/vents) 46.75
City /State /ZIP: Tigard, OR 97223
Furnace 100,000+ BTU (ducts /vents) 54 91
Suite /bldg /apt no - B13 Project name Lush Cosmetics I'Ieat 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 (filet-type, not electric),
in -wall. in -duct, suspended, etc. 46 75
Subdivision. 1 Lot no. Flue /vent for any of above 23.32
Other: 23.32
Tax map /parcel no . Other fuel appliances:
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Water heater 23 32
33 39
VAV Box, exhaust fan, ductwork, and grills Gas fireplace
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
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tei
23.32
Otl
Name: Environmental exhaust and ventilation:
Address Range hood /other kitchen
4 equipment 33 39
City /State /ZIP: Clothes dryer exhaust 33.39
\/
Single-duct exhaust (bathrooms,
V Phone. ( ) Fax. ( ) toilet compartments, utility rooms) 23.32
. ;; ,,; . ": • C , ",., :... , ttic /crawls ace fans 23.32
Business name. Arrow Mechanical Contractors, Inc. Other 23 32
Fuel piping:
6 Contact name: Kevin Kruszewski $14.15 for first four; 84.03 for each additional
Address. 10330 SW Tualatin Road Furnace, etc
1 - Gas heat pump
M City /State /ZIP: Tualatin, OR 97062 Wall/suspended/unit heater
Phone: (503) 692 -1565 Fax (503) 691 -1879 Water heater
Fireplace
E-mail' arrowmech@frontier.com
_Range
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Business name" Arrow Mechanical Contractors, Inc. Clothes dryer (gas)
Other:
Address: 10330 SW Tualatin Road MECJW I(AL PFRM1'E FE 5'.:` =: M'::,: =; ( =
City/State/ZIP Tualatin, OR 97062 Subtotal
Phone: (503) 692 -1565 Fax' (503) 691 -1879 Minimum permit fee ($90 00)
Plan review (25% of permit fee)
CCB lic " 5193 State surcharge (12% of permit fee)
TOTAL PERMIT FEE 594 69r
This permit application expires if a permit is not obtained within 180
Authorized slgitatur ✓� �/ , days after it has been accepted as complete.
Print name: Kevin Kruszewski Date• 9/27/2011 * Fee methodology set by Tn -County Building Industry Service Board
1 \ Building \Permits \MEC- PermitAppdoc 09/09/10 440- 4617T(11/02/COM /WEB)