Permit 1111 CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2014-00620
Date Issued: 02/02/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9620 SW WASHINGTON SQUARE RD G06
Project: Michael Kors Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Mechanical for TI of existing space for new tenant.
Contractor: VERTEX HEATING AND COOLING LLC Owner: PPR WASHINGTON SQUARE LLC
19245 SW WRIGHT ST PO BOX 847
ALOHA, OR 97007 CARLSBAD, CA 92018
PHONE: 503-888-4272 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/02/2015 $601.71
Class of Work: ALT Type of Const: IIB Plan Review 02/02/2015 $150.43
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 02/02/2015 $72.21
Stories: 1 Info Process/Archiving-Lg$2.00(over 02/02/2015 $8.00
11x17)
Project Valuation: $20,000.00
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: 1 Vent Systems: Total $832.35
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: VAV
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
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 by calling 503.232.1987 or 1.800.332.2344. ( (�
Issued By: 0 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.
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Mechanical Permit Application Fuit OFrict 1:st ONI.V S
JV L L 2014 Received of Tigard Dit f ,y
,-;" Pcnil>�o,,yeazoiy�o��
13125 SW Hall Blvd.,Tigard.OR 972 y`�, ((, rl Plan Itmiew /a., It
°. Phone: 503.718.2439 Fax: 503.598.11lJf Rim Date/By: v.V' OtAcrPerm L(Pdo/y Q0 y
T I C A R D Inspection line: 503.639.4175 Utisn)�jlt�ln�� Date Ready/By: fans: ®See Page 2 for
Internet: svtvnr.tigard-or.gov I�L�II`1�1 3 " NotifiedrAmNlwd/:-//41 ill i Supplemental Information
•
TYPE OF WORK COI, E' JAL FEE" SCHEDULE-USE CHECKLIST
Mechanical permit fees'are based on the value of the work
❑New construction J'Addition/alteration/replacement performed.Indicate the%% NC(rounded to the nearest dollar)of all
❑Other: mechanical materials.equipment,labor overhead,and rofit.
❑Demolition Value:S
CATEGORY OP CONSTRUCTION RESIDENTIAL EQUIPMENT/SVSrEmSFEES°
❑ I-and 2-family dwelling rgtCoi unercial/industrial ❑Accessory building For special information use checklist
❑Multi-family ❑Master builder ❑Other: Description I Qty. 1 Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
t/(51,0 Air conditioning 46.75
Job site address: 5 1401,511{tili(7Y., vLotrz Pei . Furnace 100,000 BTU(ducts/vents) 46.75
City/Slate/ZIP: qQ r d 0 q12-72. furnace 100,000+BTU(ductarsents) 54.91
Heat pump 61.06
Suite/bldg./op!.no.: 7.016ciQ I Project name: / n/G ^' r La'S I 1 I
poet work 23.32
Cross streel/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit healers(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
f J C Flue/vent for any of above 23.32
Subdivision: /4).(c-bole 6f v�ash Irby ) Se9 Oft( Lot no.: Other: 23.32
Irby Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas lreplace/insert 33.39
Fine vent for water heater or gas
�,naLrt-i" /hip n Yenit- -t-i- p nyez-1" a/ 4 H- fireplace 23.32
e t 10)1,11 1 1/11 re / 9i GC- /1 a Log lighter(gas) 23.32
�jY Wood/pellet stove 33.39
A4/c / S $f e rg... Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32 ,
Pk/PROPERTY OWNER ❑ TENANT Environmental exhaust mid ventilation:
Name: A
A Ate 1,1 e .T Range hood/other kitchen
_I equipment 33.39
Address: �0/ 1 v/!ay(r� gjvt. ft s.k 0 70e) Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms,S-Dl t t- on t CA- .74w/of toilet compartments,utility rooms) /
23.32
Phone:(...9 0) g qq-61.2 SS Fax:( ) Attic/crawlspace fans 23.32
JKAPPLICANT ❑ CONTACT PERSON Other: 23.32
r�- Fuel piping:
Business name: Pey`yt,(, / 0 e 1 oiy S14.IS for first four;S4.03 for each additional
Contact name: _.56.e7 W-- ."-DGt.s of Furnace,etc.
Address: /-/(� S,0 . L a to A-,e- #.32-3 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: pQJ et_0621„1_et_ Cs} Tr(U / Water heater
Phone:((u 2(o) 5 Lf 5 - 213/ I Fax::(t r PE) -7 r Z- 591:-/__ Fireplace
Range
E-mail:
pe. e L{-s-1p daAi ' Gc.o/• Cc -L Barbecue
CON'fttACTOR Clothes dr)er(gas)
^-,:y....? •Business name: Y �,.�� 11-� Odter:
f�(l��1 �� ��)���• 'J AIEC'ti.11�'[GV,PERAII'!'FEES'
Address: it?�,S 5c%) 6„4/1710-1*. ✓ Subtotal
�"a Minimum permit fee(590.00)
� b _
City/State/ZIP: e de 47, 0"� Plan review(25%of penult fcc)
Phone:(563 ) iy7' IA'-7)., Fax:( ) State surcharge(12%of permit fee)
CCB lie.: 0 0 ,.7 �/l y//c. TOTAL PERMIFF FEE ;Mini in1-j
'Phis permit application expires if permit is not obtaiac'within 180
days after it has been accepted as complete.
Authorized signature: ' Fee methodology set by Tri•County Building Industry Service Board
Print panto: • L>Q"<< . 10-rIL Date: 1 1-\Z 4 I (3) V4V e r i e c/'
I'ituitdiaf'PermnswlEC PeemiiA rip-ai6113.doe 440-16177(1iro2;COarI\'e13)
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9620 SW WASHINGTON SQUARE RD G06,
TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2014-00620
Jeff Grove
Violation Summary:
Inspector Contractor