Permit 111 n CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2009 -00163
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 04/27/2009
Parcel: 1S1260000300
Jurisdiction:
Site address: 9724 SW WASHINGTON SQUARE RD F06 & F07
Subdivision: Lot: 0
Project: GAP
Project Description: Mechanical TI. New VAV boxs, new dustwork, grills, and registers
Owner: FEES
PPR WASHINGTON SQUARE LLC Description Date Amount
BY THOMPSON PROPERTY TAX SERVUCES, Permit Fee 04/27/2009 $470.45
2235 FARADAY AVE STE #0 Plan Review 04/27/2009 $117 61
PHONE: 12% State Surcharge 04/27/2009 $56 45
Contractor:
ARROW MECHANICAL
10330 SW TUALATIN RD
TUALATIN, OR 97062
PHONE 503 - 692 -1565
FAX: 503 - 691 -1879
Type of Use: COM
Class of Work: ALT Type of Const: IIB
Occupancy Grp: M Occupancy Load:
Stories: 1
Fuel Air Handlers
Fuel Types. Units < 10000 cfm 4
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. 30 -50 HP.
Vents w/o Appliances 50 or Greater HP
Air Conditioning:
Heat Pump:
Appliances
Vent Fans. Vent Systems: Total $644 51
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
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utili i'cation Ce ..Those s are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
I ued By: Permittee Signature: A 110/
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.
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Mechanical Permit Application RECEIVED FOR OFFICE USE ONLY
Received
City of Tigard Permit No
° 13125 SW Hall Blvd., Tigard, OR 97223 A PR 17 2009 Plan Re • I � -� � (� ��. ��
E. Phone: 503 639.4171 Fax 503 598 1960 Plan Review
CITY OF TIGARD I Other Permit
Date /By _ . � - , .. 1h�! , 0, °i d
T IGARD Inspection Line: 503.639 Date Ready,By 1u 0 See Page 2 for
Internet www.tigard- or.gov BUILDING DIVISION 'Notified/Method Supplemental Information
- - TYPE OF WORK " " COMMERCIAL FEE* SC IEil3L1; — 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 Value: $ a 1-7 6 5- O . 0.0
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building RESIDENTIAL EQUIPMENT t SYSTEMS FEES'
❑ Multi- family El Master builder ❑ Other. For specs! information use checklist
Description Qty. Ea. I Total
„7JOOBB INFORMATION ANI) LOCATION Heating/cooling
Job site address:SW.IVASHINGTON SQUARE RI) Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State /ZIP. TIGARD OREGON 97223 -4452 Furnace 100,000 BTU (ducts /vents) 1400
Furnace 100,000+ BTU (ducts /vents) 17 90
Suite /bldg /apt. no.. F 06 Project name GAP,GAP, BODY Gas heat pump 14.00
Cross street /directions to J ob site: Duct work 14 00
Hydronic hot water system 14 00
Residential boiler (radiator or
hydronic) 14 00
Unit heaters (fitel - 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, NEW VAV BOX'S, NEW DUCTWORK, GRILLS AND Flue vent for water heater or gas
REGISTERS, CH /) fireplace 10.00
Log lighter (gas) 10 00
Wood /pellet stove 10 00
Wood fireplace /insert 10.00
0 PROPERTY OWNER I El TENANT Chimney /liner /flue /vent 10 00
Other 10 00
Name: GAP,GAP, BODY Environmental exhaust and ventilation
Address. 9677 SW. WASHINGTON SQUARE RD Range hood other kitchen
equipment 10 00
City /State /ZIP: TIGARD OREGON 97223 -4452 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
Other 10.00
Business name Arrow Mechanica, Inc.
Fuel piping
Contact name: CAMERON MOSS $5.40 for first four; $1.00 for each additional
Address. 10330 SW TUALATIN RD Furnace, etc
Gas heat pump
City/State/ZIP TUALATIN OR Wall /suspended/unit heater _
Phone (503) 692 -1565 Fax. (503) 691 -1879 Water heater
Fireplace
E -mail
Range
CONTRACTOR " Barbecue
Business name: Arrow Mechanica, Inc. Clothes dryer (gas)
Other:
Address: 10330 SW TUALATIN RD MECHANICAL PERMIT FEES*
City /State /ZIP: TUALATIN OR Subtotal
Phone: (503) 692 -1565 Fax (503) 691 -1879 Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lie.: 5193 State surcharge (8% of permit fee)
TOTAL PERMIT FEE 4446
��� This pe application expires if a permit is not obtained within ISO
Authorized signature: �/ lac days after it has been accepted as complete.
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