Permit CITY OF TIGARD MECHANICAL PERMIT
1 COMMUNITY DEVELOPMENT Permit#: MEC2013-00634
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/13/2013
Parcel: 1 S 135 BA00102
Jurisdiction: TIGARD
Site address: 10164 SW WASHINGTON SQUARE RD
Project: Hannah Pet Clinic Subdivision: MYERS ESTATES Lot: 5
Project Description: Installing low pressure ducting at existing air handlers AC-1,AC-2 and AC-5.
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 11/13/2013 $1,254.49
Class of Work: ALT Type of Const: IIB Plan Review 11/13/2013 $313.62
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 11/13/2013 $150.54
Stories: 1 Info Process/Archiving-Sm$0.50(up to 11/13/2013 $14.50
11x17)
Project Valuation: $45,679.00
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: 3 Vent Systems: Total $1,733.15
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Low pressure
Duct Work: ducting, Heat
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC b calling 503.232.1987 or 1.800.332.2344.
Issued By: , Permittee Signature: —... .,, ■
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. ■
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application , FOR OFFICE USE ONLY
City of Tigard Received I
- ? Date/By: jQ� /I.� a'1I Permit No.: io' J 1' - 00- -
° 13125 SW Hall Blvd.,Tigard,O" , 3 r �'\ Plan Review ! Y�
Phone: 503.718.2439 Fax: 503.'•N.-960 ( DateBy: (1 ( Other Permit: /1
Inspection Line: 503.639.4175 O �h r1.019.--00:25-1
T I G A R D Fd Date Ready y: luris See Page 2 for
Internet: www.tigard-or.gov ��� ki,:.,r,,*\ Notified/Method:// /L /3 `'''r �6 Supplemental Information
TYPE OF A' OMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction g Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 4./5 607'
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 161 S,v.i. vaAs EI:'..>6-r.." e .-go,„1/4-D Fumace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: ir: 1,..p....4. Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.:-150, I Project name: L�4.�.vJ42...1-1 Gam.tTY Duct work , 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
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
1 DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
fireplace 23.32
--- --A.i.S-771 CC 1,0 w -.2.t5..-,i,e4 fur ,✓ ...A i Log lighter(gas) 23.32
re 75-r'-....1 ;,? /��t�+./T�C_.z__ AG- //2 e Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER I ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
❑ APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name:
A;2_ .�:Te- ��,, ?rZc'J L / ..-tG ; $14.15 for first four;54.03 for each additional
Contact name: Furnace,etc.
��sl ,Z �/
Sri:-.r y Gas heat pump
Address: 1 l0 Z 3 Esc. (o-}'^ A' Wall/suspended/unit heater
City/State/ZIP, : .,--Fa..(2._.--c t,,A,J-D t 0-4 c=177 2-14 Water heater
Phone:(5'D 3) 23s_036Yb Fax:: 3) Z-3 /_67-749" Fireplace
Range
E-mail: -'.5A"-/. SC1 el 442_ 2:77c_ L. ,J%2aL.- o 67i✓ Barbecue
CONTRACTOR
Clothes dryer(gas)
Other:
Business name: A J R_ -Z;77.-... GA.v i?,D (- . ) -, *
/ MECHANICAL PERMIT FEES
Address: /(o Z3 St 6,r^ _06}s[.E . Subtotal
City/State/ZIP: �J�i2Tt sk.0-- f�2, 9-7 Z I Minimum permit fee($90.00)
cam' Plan review(25%of permit fee)
Phone:( rD*3) a36 -0365 Fax:(S�3) 7-341-- 7 ` r State surcharge(12%of permit fee)
CCB lie.: Co 3302_ TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signatu • Fee methodology set by Tri-County Building Industry Service Board
Print name: __,. Si=p✓ Date: /o/z//Z0/5
I:\Building\Permits\MEC_PermitApp_040111.doc / 440-4617T(11/02/COM/WEB)