Permit p CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT
Pe COMMUNITY MEC2015-00211
I IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/07/2015
Parcel: 1 S 135BA00102
Jurisdiction: Tigard
Site address: 10218 SW WASHINGTON SQUARE RD
Project: Noodles&Co. Subdivision: OAKBURG Lot: 9
Project Description: Mechanical for TI: Installing(1)RTU unit,exhaust fans,duct work,and dampers.
Contractor: JACOBS HEATING&AIR CONDITIONING Owner: PPR SQUARE TOO LLC
4474 SE MILWAUKIE PO BOX 847
PORTLAND, OR 97202 CARLSBAD, CA 92018
PHONE: 503-234-7331 PHONE:
FAX: 503-296-5351
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/07/2015 $1,787.01
Class of Work: ALT Type of Const: Plan Review 05/07/2015 $446.75
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 05/07/2015 $214.44
Stories: Info Process/Archiving-Sm$0.50(up to 05/07/2015 $12.50
11x17)
Project Valuation: $67,000.00 Info Process/Archiving-Lg$2.00(over 05/07/2015 $16.00
11x17)
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 $2,476.70
Hoods: Comm Incinerators:
Woodstoves. Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance • • .irk is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utilit otification Ce - . T rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may 0• ain a copy of the rules
or.irect questions to OUN■ . callin. 50 .232.1987 or 1.800.332.2344.
Issued By: i- A/, / k Permittee Signature: --..,�%/�
Call 503.639.4175 by 7:00 a.m.for the next available inspection .•te.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application l•OU 01 1 1( 1 1 S1 O1I.\
Received
City of Tigard ` I�� Date/ay: 6 14 Permit No.: _
• 13125 SW Hall Blvd.,Tigard,OR 97223 \ V
G \ Plan Review Other Permit: I 01---.2 •- i
:1111 II Phone: 503.718.2439 Fax: 503.598.�Df� Date/By: rj (p r ii
T I C.A I:t� Inspection Line: 503.639.4175 �V �01� Date Ready/By: See Page 2 for
Internet: www.tigard-or.gov PQ�15 �Q Notified/Method:,, ea ,� n Supplemental Information
i
P` m /EP iM'7ri
TYPE OF WO a` IZ ! ''CO I I' 'CIAL x. ' " SCHEDVVTLExi—rTJS .CRECKLWST
1 .'. .f
` � Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/l� binent 9Jl performed.Indicate the value(rounded to the nearest dollar)of all
µ
❑Demolition ❑ Other: mechanical materials,equipment,labor,over ead,and profit.
Value:$. � ODD
CATEGORY OF CONSTRUCTION IRESIIIENTIALtEQuIPMENTISYSTE FEES* :
❑ 1-and 2-family dwelling ®Commercial/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:
Air conditioning 46.75
Job site address:10218 SW Washington Square Road 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.: Project name:Noodles&Company 50510 Duct work 23.32
Cross street/directions to job site:SW Greenburg Road 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: Lot no.: Other: 23.32
Other fuel appliances:
_ Tax map/parcel no.: Water heater 23.32
tc S 4I i`=~DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
INSTALL RTU UNIT AND EXHAUST FANS fireplace 23.32
INSTALL NEW DUCTWORK AND DAMPERS Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Oth
❑ PROPERTY OWNER I ❑ TENANT 23.32
T'
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:( ) I fax:( 1 Attic/crawlspace fans 23.32
❑ APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name:Jacobs Heating and Air Conditioning
$14.15 for first four;$4.03 for each additional
Contact name:Lally Wilder Furnace,etc.
Gas heat pump
Address:4474 SE Milwaukie Ave Wall/suspended/unit heater
City/State/ZIP:Portland,Or 97202 Water heater
Phone:(503)234-7331 Fax::(503)296-5351 Fireplace
Range
E-mail:COMMC@ JACON+BSHEATING.COM Barbecue
71'''''.** 5r: . . .. -.:..*CONTRACTOR-." ' i Clothes dryer(gas)
Business name:Jacobs Heating and Air Conditioning Other:
?MECiHA"itIIfiA7LiPB1R{Y)TI'SEEB' r....._^ffi t,'
Address:4474 SE Milwaukie Ave Subtotal
City/State/ZIP:Portland,Oregon 97202 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)234-7331 Fax:(503)296-5351
State surcharge(12%of permit fee)
CCB lie.:1441 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: / • Fee methodology set by Tri-County Building Industry Service Board
Print name: Lk 1 (N t,,j,i 19 Gj2_ Date: /tolp
I:1Building\Permits\MEC PermitA/°040113.doc 440-4617T(11/02/COM/WEB)
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
114 _ Transmittal Letter
t i k;,\1. I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: V\__L auk.-- DATE RECEIVED:
DEPT: BUILDINd VISION RECEIVED
MAY 4 2015
FROM: LL~I( (A) 1 1 VFv2 CITY OF TIGARD
l BUILDING DI ' N
COMPANY: SAO,B S -H VA C_
PHONE: (5a S — 8 0 3- 2377 By:
RE: WWC9ols—Oo 1 l
(Sit ddress) (Permit Number)
n-eta0 ' 11-0.10 '
(Projec e or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Oth (ex ain): n
REMARKS: S L ,� /� LA-a
P0
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: Initials:
Fees Due: ❑ Yes ❑No Fee Description: Amount Due:
$
$
$
$
Special
Instructions:
Reprint Permit(per PE): _ ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
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
10218 SW WASHINGTON SQUARE RD,
TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00211
Jeff Grove
Smoke test on hvac done
Exhaust and grease trap on roof ok
Hood balancing report due at final
Violation Summary:
Inspector Contractor
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
10218 SW WASHINGTON SQUARE RD,
TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
Scheduled
MEC2015-00211
Jeff Grove
Smoke test on hvac done
Exhaust and grease trap on roof ok
Hood balancing report due at final
Violation Summary:
Inspector Contractor