Permit • n CITY OF TIGARD MECHANICAL PERMIT
°: -- COMMUNITY DEVELOPMENT Permit #: MEC2009-00158
T [ GARD 13125 SW Hall Blvd , Tigard OR 97223 503 639 4171 Date Issued: 04/14/2009
Parcel: 151260000300
Jurisdiction:
Site address: 9665 SW WASHINGTON SQUARE RD CO2
Subdivision: Lot: 0
Project: ARITZIA
Project Description: TI - install (3) duct heaters, thermostats, new duct work, registers, grilles, replace (2) VAV boxes
Owner: FEES
PPR WASHINGTON SQUARE LLC Description Date Amount
BY THOMPSON PROPERTY TAX SERVUCES, Permit Fee 04/14/2009 $455 60
2235 FARADAY AVE STE #0 Plan Review 04/14/2009 $113.90
PHONE. 12% State Surcharge 04/14/2009 $54 67
Contractor:
ARROW MECHANICAL
10330 SW TUALATIN RD
TUALATIN, OR 97062
PHONE 503 - 692 -1565
FAX
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: M Occupancy Load:
Stories:
Fuel Air Handlers
Fuel Types Units < 10000 cfm 2
Gas Pressue 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 1 30 -50 HP:
Vents w/o Appliances: 50 or Greater HP.
Air Conditioning.
Heat Pump
Appliances
Vent Fans: Vent Systems: Total $624 17
Hoods: Comm Incinerators
Required Items and Reports (Conditions)
Woodstoves Gas Fireplaces
Clothes Dryers: Other Mech Units:
Gas Outlets Other Desc:
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
issuan - - " . • suspended for more the 180 days. ATTENTION Oregon law requires you to follow the rules adopted by the Oregon
Utili otification Center Thos- . -s are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100 You may obtain a copy of the rules
Issu - • By: / � #4)9 Perm ittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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 OFFICE USE ONLY
City of Tigard
Re l ! / �/ Permit No tf et .3.00 - '06/ 5
I ll • 13125 SW Hall Blvd., Tigard, OR 97223
° ' Phone: 503 639 4171 Fax 503 598 1960 Plan Revie 4 0 ( 3r Other Permit
Date /By , Pik
TI GA RD Inspection Line. 503.639 4175 Date Rea': y 0 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 ® Addition/alteration/replacement
performed Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment- labor, overhead, and profit
CATEGORY OF CONSTRUCTION Q� •� Value: $ - w'�i� -fr�
r �
❑
1- and 2- family dwelling " ' SIDENTIAL EQUIP( I 'T,rSY . EMS FEES'
g ® Comniercial/mdustnal ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder
Other. Description Qty. Ea. Total
- - .. .IOU SITE INFORMATION AND LOCATION Heating /cooling
Job site address WASHINTON SQUARE , 9665 SW. WASHINGTON SQUARE RD Air conditioning or heat pump
(requires site plan showing placement) 14 00
City/State/ZIP TIGARD OREGON 97223 Furnace 100,000 BTU (ducts /vents) 14 00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite /bldg /apt. no CO2 Project name: ARITZLA TENANT IMPROVMENT Gas heat pump 14 00
Cross street /directions to job site. Duct work 14 00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
• in -wall, in -duct, suspended, etc. 10 00
Subdivision. Lot no : Flue /vent for any of above 10.00
Other: 10 00
Tax map /parcel no Other fuel appliances
DESCRIPTION OF WORK Water heater 10 00
— Gas fireplace 10 00
TENANT IMPROVEMENT ADD TREE ELECTRIC DUCT HEATERS, NEW Flue vent for water heater or gas
DUCT WORK THROUGHOUT SPACE , (3) NEW THERMOSTATS, GRILLS & fireplace 10.00
Log lighter (gas) 10.00
REGISTERS Wood /pellet stove 10.00
Wood fireplace/insert 10 00
0 PROPERTY OWNER 0 TENANT
Chimney/liner/flue/vent 10.00
Other: 10 00
Name: , ,q /f ' 177'// 7 ... Environmental exhaust and ventilation
Address WASHINTON SQUARE , 9665 SW. WASHINGTON SQUARE RD Range hood other kitchen
equipment 10 00
City /State/ZIP: TIGARD OREGON 97223 Clothes dryer exhaust 10.00
Single - duct exhaust (bathrooms,
Phone ( ) Fax: ( ) toilet compartments, utility rooms) 6 80
- ❑ APPLICANT -- ❑ CONTACT PERSON Attic /crawlspace fans 10 00
Business name. ARROW MECHANICAL Other 10 00
Fuel piping
Contact name CAMERON MOSS $5.40 for first four; $1.00 for each additional
Address. 10330S.W. TUALATIN RD Furnace, etc
Gas heat pump
City /State /ZIP: TUALATIN OR 97062 Wall /suspended/unit heater
Phone: (503) 692 -1565 Fax: : (503) 691 -1879 Water heater
Fireplace
E-mail arrowmech @verizon.net Range
. CONTRACTOR . . Barbecue
Business name: ARROW MECHANICAL Clothes dryer (gas)
Other:
Address 10330S.W. TUALATIN RD MECHANICAL PERMIT FEES*
�f .;
City/State/ZIP TUALATIN OR 97062 Subtotal
Phone (503) 692 -1565 Fax. (503) 691 -1879 Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB he . 5193 l( r 5/t6 State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature , / This permit application expires if a permit is not obtained within 180 ....
J days after it has been accepted as complete. y‘
iii0w ,---;„,
ui'lding Division
Over- The - Counter (OTC) Mechanical Permit
Ti� n►p. Check List
Description of Project: `Ur( ") 1' #Z/ Ti
GENERAL INFORMATION
Class of Work:* AI T Floor Furnace: Evap. Coolers:
Type of Use:* Unit Heaters: Vent Fans:
Occupancy Group: Vents w/o Appl.: Vent Systems:
Stories: I Boilers, Comp, Heat Pump, A /C: Hoods:
Fuel Types: 0 - 3 HP: Domestic Incinerator.
ELC / GAS / NG / OIL / OTHER 3 -15 HP: Com. /Ind. Incinerator:
Max Input: BTU: 15 - 30 HP: Repair Units:
Fire Dampers: 30 - 50 HP: Wood Stoves:
Gas Pressure: H / M / L >50 HP Clothes Dryer.
No. of Units: Air Handling Units: Other Units:
Furnace <100k BTU: <_10,000 CFM: ?j Gas Outlets:
Furnace >_100k BTU: _ _ >10,000_CFM: POCT 11!
L
Notes: Y [ ` , D2_
INSPECTIONS I I FEES DUE
Post /beam mechanical $ . (4) Permit Fee
Gas line $ '54 • ,7 State Surcharge
Mechanical rough -in $ 13 10 Plan Review Fee
Fire damper $ Additional Permit Fee
Duct work $ Additional Plan Review Fee
Smoke detector $ Investigation Fee
Investigation inspection $ Misc. Fee
Misc. inspection $ Hourly Rate Fee
Final inspection $ Hourly Rate State Surcharge
$ L,2A.17 Total Fees Due
OTHER PERMITS REQUIRED
Building Electrical
Plumbing Site Work
•
*OPTIONS: •
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo;
FND = foundation; FPS = fire protection system; NEW = new OTR = other (use for fences, decks, retaining walls, signs, awnings
or canopies); REP = repair.
I: \Building\Forms\OTC- MEC.doc 09/22/06
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