Permit 111 . CITY OF TIGARD MECHANICAL PERMIT
� . COMMUNITY DEVELOPMENT MECHANICAL
MEC2013 -00279
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/28/2013
Parcel: 1S135BA00102
Jurisdiction: TIGARD
Site address: 10164 SW WASHINGTON SQUARE RD
Project: Hannah Pet Clinic Subdivision: MYERS ESTATES Lot: 5
Project Description: Ductwork modification
Contractor: AIR RITE CONTROL INC Owner: PPR SQUARE TOO LLC
1623 SE 6TH AVENUE PO BOX 847
PORTLAND, OR 97214 CARLSBAD, CA 92018
PHONE: 503 - 238 -0388 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/28/2013 $207.21
Class of Work: ALT Type of Const: Plan Review 05/28/2013 $51.80
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 05/28/2013 $24.87
Stories:
Project Valuation: $5,000.00
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 $283.88
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 Notifica • nter. 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 estions to O NC b calling 503.22321 or 1.800.332.2344.
Issu By: _ G���/�� l / ` Permittee Signature: /}��__ )1—--i.
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 FOR O• 11t 1. I SF ()Nil
City of Tigard R FCEWED Received t Permit No.: ilge e 9,0 1 /5_404 1 2 s
II = • 13125 SW Hall Blvd., Tigard, OR 972 y
Plan Review •
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: / S u A
Insection Line: 5036394175
Inspection '' r+.Y
TIGARD 2 8 2013 Q 13 Date Ready /By Juris: ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
CITY OF TIGARD „
TYPE oI ( ING DIVISION COMMERCIAL' S C H EDULE - 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.
Value: $ $500000
t , , c , CATEGOR OF C q ;, b , k 1,14''':',,,, r :
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
�
JOB SITE INFORMATION AND LOCATION .,k , Heating/cooling:
•: Air conditioning 46.75
Job site address: 10164 SW Washington Square Road #B05 Furnace 100,000 BTU (ducts/vents) 46.75
City/State /ZIP: Tigard, OR 97223 Furnace 100,000+ BTU (ducts/vents) 54.91
Heat pump 61.06
Suite/bldg. /apt. no.: #B05 I Project name: Hannah Society Duct work 23.32
Cross street/directions to job site: Washington Square TOO TI Hydronic hot water system 23.32
Residential boiler (radiator or
Greenburg and washington Square Road hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Flue /vent for any of above 23.32
Subdivision: I Lot no.: Other: 23.32 _
Other fuel appliances:
Tax map /parcel no.: Water heater 23.32
i '. - g * E : OF or f -i , ,: 401:::*,;-" Gas fireplace /insert 33.39
Flue vent for water heater or gas
Revise Existing Exposed spiral ducting to accommodate new offices fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner /flue/vent 23.32
0, t 4 .. . �o, l Other: 23.32
- - °° � Environmental exhaust and ventilation:
Name: Hannah's LLC Range hood/other kitchen
equipment 33.39
Address: 16820 McGillivray Blvd Clothes dryer exhaust 33.39
City /State /ZIP: Vancouver WA 98683 Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 23.32
Phone: ( ) Fax: ( ) Attic /crawlspace fans 23.32
ti i .: N APPLICAN 7 9X-4.0 . 1! A ,...::. ili '` Other: 23.32
Fuel piping:
Business name: Air Rite Control, Inc.
$14.15 for first four; $403 for each additional
Contact name: Barry Sevy Furnace, etc.
Address: 1623 S.E. 6 AVE. Gas heat pump
Wall /suspended/unit heater
City /State /ZIP: Portland, OR 97214 Water heater
Phone: (503) 238 0388 Fax: : (503) 234 6749 Fireplace
Range
E -mail: barry.sevy @airritecontrol.com Barbecue
CONTRACTOR Clothes dryer (gas)
Business name: Air Rite Control, Inc. Other:
� ,P , a> 'MEC lANICAL PERIVI4 ' ”:31 .; 1 1
Address: 1623 S.E. 6 AVE. Subtotal
City/State/ZIP: Portland, OR 97214 Minimum permit fee ($90.00)
Plan review (25% of permit fee)
Phone: (503) 238 0388 Fax: (503) 234 6749
State surcharge (12% of permit fee)
CCB lic.: 63302 TOTAL PERMIT FEE #A3, Esc
This permit application expires if a permit is not obtained within 180
\ / days after it has been accepted as complete.
Authorized signature: X • Fee methodology set by Tri -County Building Industry Service Board
Print name: Barry Sevy ` Date: /22/2013
I: \Building\Permits\MEC_PermitApp 040113.doe 440 -4617r (I I /02/COM/WEB)
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10164 SW WASHINGTON SQUARE RD,
TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
2014-02-12 00:00:00
MEC2013-00279
PASS - No C of O
Violation Summary:
Inspector Contractor