Permit N ., CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2012 -00084
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/14/2012
:TIGARD ARD g Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9636 SW WASHINGTON SQUARE RD G10
Project: Buckle Subdivision: Lot:
Project Description: (3) VAV boxes, ductwork and grills for new tenant.
Contractor: ARROW MECHANICAL Owner: PPR WASHINGTON SQUARE LLC
10330 SW TUALATIN RD BY THOMSON PROPERTY TAX SERVICES
TUALATIN, OR 97062 ATTN HILARY RAYMOND
2235 FARADY AVE, STE 0
CARLSBAD, CA 92008
PHONE: 503 - 692 -1565 PHONE:
FAX: 503 -691 -1879
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/14/2012 $347.71
Class of Work: ALT Type of Const: Plan Review 02/14/2012 $86.93
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 02/14/2012 $41.73
Stories:
Project Valuation: $10,000.00
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 $476.37
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 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 q n OUNC b calling 503.232.1987 or 1.800.332.2344.
Issued B A /' I Permittee Signature: � J
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 Application .. `. OFFICE.'t SE ON
City of Tigard Date/By: �� PermitNo.: , O /.2 ems
111 ® 13125 SW Hal( Blvd., Tigard, OR 97223
Plan Review
Phone: 503.718.2439 Fax: 503.598.196 DateBy: Other Permit. zuealel (-06 O
TIGARD Inspection Line: 503.639.4175 Date Ready/By: tuns: El See Page 2 for
Internet: www.tigard- or.gov Notified/Method: Supplemental Information
TYPE OF WORK . COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction J Addition/alteration /replacement performed. Indicate the value (rounded to the nearest dollar)of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $ L nnQ
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES *• .
❑ 1- and 2- family dwelling [2 Commercial/industrial ❑ Accessory building For special information use checklist.
❑ Multi -famil ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
9 (l/ ` JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: - c ? l) - (requires site plan showing placement) 46.75
Furnace 100,000 BTU ( ducts/vents) 46.75
City/State /ZIP: 7764 Aa> / O2... 97 2. Z Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: (T - % D Project name: TO U GI4L./Z". 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) 2332
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:
'DESCRIPTION., OF.: WORK: ' _ ' Water heater 2332 •
(.3..) ()AO r XS 7) L k Tt 5LS4 Gas fireplace vent 33.39
/ �� l��s � Flue vent foor water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert 23.32
1 PROPERTY =:OWNER Chimney/liner /flue /vent 23.32
Other: 2332
Name: Environmental exhaust and ventilation:
Address: Range hood/other kitchen
equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Phone: ( ) Fax: ( ) Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 23.32
❑.'APPLICANT ', ❑ CONTACT PERSON `. ; _ Attic/crawlspace fans 23.32
Business name: fmtot, M � )3, 0l4C_. e j� 1 r Other: 23.32
— hN+��l O(C 5, /.eJ C .
Fuel piping:
" � p p g
Contact name:
/ai/j) 11gL350/rzi- 51 1 $14.15 for first four, $4.03 for each additional
Address: / 7CJ/C.gj/, g 4) Furnace, etc.
Gas heat pump
City/State/ZIP: ...7 .77 / Oz 470‘ Z Wall/suspended/unit heater
Phone: (503 ) 6 / Cs Fax: : ($;)3 ) 61/- / /7g Water heater
Fireplace
E -mail: ARP-oe-) M Ci-4 L.c'Rp.Jil rz� , eor'K
- Range
F CONTRACTOR Barbecue
Business name: 4�2a>) L , , Jte Clothes dryer (gas) r
/+�1� 1/�C 4'»72,ac�ZS /sJG Other:
Address: /O33A j:,,) "7 - 4.494 /i.J 11-l7 MECHANI PERMIT FEES° ; ; =�"r' "' ' � iii. �'
City/State/ZIP: 7 T j � / o X 17062 Subtotal
Phone: (3) �; �Z - I S'� Fax: (, ) 61/- / X75 Minimum perm fee r$90.00
Plan review (25% o permi fee)
CCB lie.: .5 3 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
Authorized signs _,:n111.1* This permit application expires if a permit is not obtained within 180
�� _ ` G/ days after it has been accepted as complete.
r* '•' ^� ^ ^^' ^' T...... • Fee methnrinlnov set by Tri.r:nnnty Rnil` line Industry Service Rnard
X' b' A.) /jLG -e. 5 266,05 /Ce s 12 -i - / 2--