Permit CITY OF TIGARD MECHANICAL PERMIT
I.' COMMUNITY DEVELOPMENT Permit#: MEC2015-00128
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/04/2015
Parcel: 1S 135BA00102
Jurisdiction: Tigard
Site address: 10206 SW WASHINGTON SQUARE RD
Project: Ulta Beauty Subdivision: OAKBURG Lot: 9
Project Description: HVAC for new retail beauty store
Contractor: ARROW MECHANICAL Owner: PPR SQUARE TOO LLC
10330 SW TUALATIN RD PO BOX 847
TUALATIN, OR 97062 CARLSBAD, CA 92018
PHONE: 503-692-1565 PHONE:
FAX: 503-691-1879
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/04/2015 $1,488.21
Class of Work: ALT Type of Const: VB Plan Review 05/04/2015 $372.05
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 05/04/2015 $178.59
Stories:
Project Valuation: $55,000.00
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: 2 Vent Systems: Total $2,038.85
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
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
Utility Notifi - .• 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 direc •uestions to •UN ailing 503.232.1987 or 1.800.332.2344.
Issue. By: ,o /J Permittee Signature:
W r� t
Call 503.639.4175 by 7:00 a.m.for the next available inspection da .
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 Appli WEjVEj FOR OFFICE USE ONLY
City of Tigard Received �� M He . pi 5„..6949 e iv P� No.: GC a(
+ 13125 SW Hall Blvd.,Tigard,OR 97223, -
g y Plan Revi .w:Om •Phone: 503.718.2439 Fax: 503.598.1960 I 1 2015 Date/By:Re �� a her Permit:
.1 1),A R I� Inspection Line: 503.639.4175 Date Ready t y. luris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
) I,. I..r f. 1 1,(` a.,<• 5„u
TVA-• '" RI ' ' COMMERCIAL FEE* SCHEDULE- 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:TI mechanical materials,equipment,labor,overhead,and profit.
Value:S 55,000
CATEGORY OF CONSTRUCTI:
RESIDENTIAL EQUIPMENT/SYSTEMS FEES'
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special in%nrmatinn use checklist.
❑Multi-family ❑ Master builder ❑Other: Description Qty. I Ea. I Total
JOB SITE INFORMATION AN.I;TAL Heating/cooling:
Air conditioning 46.75
Job site address:10206 SW Washington Square Rd. Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard, OR 97223 Furnace 100,000+BTU(ducts/vems) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: I Project name:Ulta Beauty
Duct work 23.32
Cross street/directions to job site:Square Too Shopping Center 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: 2332
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39 _
Flue vent for water heater or gas
Tenant Improvement work for a new retail store:Ulta Beauty fireplace 23.32
Log lighter(gas) 2332
Wood/pellet stove 3339
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER I ® TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Ulta Beauty Range hood/other kitchen
equipment 33.39
Address:1135 Arbor Drive Clothes dryer exhaust 33.39
City/State/ZIP:Romeoville,IL 60446 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fes:1 I Attic/crawlspace fans 23.32
❑ APPLICANT ® CONTACT PERSON Other: 23.32
Business name:Chipman Design Architecture Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Juan Castillo-Project manager Furnace,etc. 1
Address:2700 South River Road-4th Floor Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Des Plaines,IL 60018 Water heater
Phone:(847)298-6900 Fax: :( ) Fireplace
Range
E-mail:jcastilloCchipman-design.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name 1, j j.. ti g•C we to 1 e f}L tither:
MECHANICAL PERMIT FEES*
Address: ) 9 - Gam-r-V , T) 13 -12NX Subtotal
City/State/ZIP. Minimum permit fee($90.00)
Phone: G 9,.. t Gip C'. Fax:( ) Plan charge(22%ofpermit fee)
State surcharge(12%of permit fee)
CCB lie.: 6-1 9 3 h i, o TOTAL PERMIT FEE
� This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete.
Authorized signature: 1-4 ciff. • Fee methodology set by Tri-County Building Industry Service Board
Print name:Juan Castillo I Date:03/11/15
1:13uiidingPermits`MEC_PemiitApp_040113.doc 440-4617T(I I/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:ABuilding\Permits\M EC_PermitApp_0401 13.doc 2
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
10206 SW WASHINGTON SQUARE RD,
TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00128
Chip Barnett
Violation Summary:
Inspector Contractor