Permit CITY OF TIGARD MECHANICAL PERMIT
111111 COMMUNITY DEVELOPMENT Permit #: MEC2013 00317
T IGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/15/2013
Parcel: 1 S135BA00102
Jurisdiction: TIGARD
Site address: 10124 SW WASHINGTON SQUARE RD
Project: Strada Street Food of Italy Subdivision: OAKBURG Lot: 9
Project Description: Gas piping only
Contractor: MODERN PLUMBING Owner: PPR SQUARE TOO LLC
11120 SW INDUSTRIAL WAY PO BOX 847
TUALATIN, OR 97062 CARLSBAD, CA 92018
PHONE: 503 - 691 -6166 PHONE:
FAX: 503 - 691 -6771
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/15/2013 $130.46
Class of Work: ALT Type of Const: IIB Plan Review 07/15/2013 $32.62
Occupancy Grp: A -2 Occupancy Load: 12% State Surcharge - Mechanical 07/15/2013 $15.66
Stories: 1
Project Valuation: $2,500.00
Fuel Air Handlers
Fuel Types: Natural Gas 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 $178.74
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 qu ' ns UNC by calling 503.232.1987 or 1.800.332.2344.
Issued 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.
► us ONI
Mechanical Permit A �l�ca � ri �ti11� c Eiv 1 ' o
r a or� ` -
City of Tigard u.j Received I Permit No.:
bat , ef1� 1 �v3G
13125 SW Hall Blvd., Tigard, OR 97223
U Phone: 503.718.2439 Fax: 503,598.1960 U N 0 2 O 3 Plan Review Other Penn' /� y� AMI 11 IIII 10k DDate/13y: �(�p�I� - eV/ '
41
Inspection Line: 503.639.75
TIGAR Dale Ready/By: Juris: El See Page 2 for
_, Internet: www.hgard- or.gov CITYOFTIGARD Notified/Method: 7I ( Supplemental Information
BUILDING DIVISION .
TYPE - OF WORK; COMMERCIAL FEE" .' 4, USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction 51- Addition /alteration/replacement perforated. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value
$ �S`00 00
CATEGORY, OF CONSTRUCTION;,,
RESIDENTIAL EQUIPMENT /SYSTEMS FEES' ,'
❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building For special information use checkllst.
❑ Multi - family ❑ Master builder ❑ Other: Description 1 Qty. 1 En. 1 Total
- JOB, SITE =TNFORMMATION AND LOCATION . Healing/cooling;
Air conditioning
Job site address: / e2 I) y s L,.., wx.Slun9 L - .5 9.. /` C e / (requires site plan showing placement) 46.75
-�� p � ! Furnace 100,000 BTU (ducts/vents) 46.75
/
City /Stale /ZIP: (% Cad 1 9 /2_. ( 7; ..,2 Furnace 100,000+ BTU (ducts /seats) 54.91
Suite/bldg. /apt. no.: Project name :s 4./& AS/cl.c.s. - e..w(, 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) 23.32 _ t
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:
DFSCR!PTION' OF. \4'ORK Water heater 23.32
M � ^ Gas fireplace 33.39
1 Yin. yf cy - Flue vent for water heater or gas
I fireplace 23.32
'� OVAS � ) I Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
0 PROPERTY OWNER' TENANT .
Chimney /liner /flue /vent 23.32
I„ '.: Other: 23.32
Name: Environmental exhaust and ventilation:
Address: Range hood /other kitchen
equipment 33.39 }1
City /State /ZIP: Clothes dryer exhaust 33.39 j
Phone: ( ) Fax: ( ) Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 23.32
. ' 0 APPLI'CANT ; 0 CONTACT PERSO,\ Attic /crawlspacc fans 23.32
Business name: Other: 23.32
Fuel piping:
Contact name: S14.15 for first tour; S4.03 for each Add1(10mll
Address: Fut: }aee�te g t' u r I e r I
City /Slate /ZIP: pump Fr y p - I
WalNsuspendedkrniNseater B ve n
Phone: ( ) Fax: : ( ) Water heater /
E-mail: .Iiirspltsce/ s Coo ke I
Range /
CONTRACCOR' BarbeeoeyI4 0.�CC v tas .y` I
Business name ,/�,, /J Clothes dryer (gas)
Other: / r I ve,-1 tie I
f 7 i
Address: / /' v j ,/ ,-,e-( &)cty q. ' MECHANICAL PERMIT FEES ° .
City /State/ZIP: Tt e ih. 0 P76 ‘, Subtotal 3)).7
Minimum permit fee ($90.00)
Phone: ( 5 - D3 )4, 91 G/ 6 l F Fax: 3 6 // • 6 7 7
Plan review (25% of permit fee)
CCB lie.: / 9 d k State surcharge (12% of permit fee)
/5 TOTAL PERMIT FEE
Authorized signature: ' This perndt application expires If a permit Is not obtained within ISO
days after it has been accepted as complete.
Print name: a , /1. r u e A. ..s-k-.' I Date: 6, ( I 3 • Fce methodology set by Tri- County Building Industry Service Board
I: WuildinyiPermils \.MEC.PermihApp.doc 09!09 /10 4401617T(1UO2/COM'YEB)
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
10124 SW WASHINGTON SQUARE RD,
TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
2013-10-22 (null)
MEC2013-00317
PASS - No C of O
Violation Summary:
Inspector Contractor