Permit 14 q CITY OF TIGARD MECHANICAL PERMIT
3 COMMUNITY DEVELOPMENT Permit#: MEC2015 00592
T EGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/03/2015
Parcel: 1 S 126CA00700
Jurisdiction: Tigard
Site address: 9350 SW WASHINGTON SQUARE RD
Project: JC Penneys Furniture Subdivision: FAIRVIEW PLACE CONDO Lot: 20
Project Description: Installation of earthquake valves down stream of existing gas meters.
Contractor: MCKINSTRY COMPANY LLC Owner: PPR WASHINGTON SQUARE, LLC
16790 NE MASON ST., STE. 100 BY J C PENNEY 0288-1
PORTLAND, OR 97230 TAX SERVICES
PO BOX 10001
DALLAS,TX 75301
PHONE: 503-331-0234 PHONE:
FAX: 503-331-6907
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/03/2015 $99.76
Class of Work: ALT Type of Const: Vg Plan Review 09/03/2015 $24.94
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 09/03/2015 $11.97
Stories: 1 Info Process/Archiving-Sm$0.50(up to 09/03/2015 $2.50
Project Valuation: $1,500.00 11x17)
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 $139.17
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: earthquack
Duct Work: valves
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090./ou may obtain a copy of the rules
or direct cttec
' s to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued B _ _ /_ A ` / Permittee Signature: i
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Appli to FOR OFFICE USE ONLY
City of Tigard �C t. ��E D Received
- Tigard O epAI MP� Permit No,1-kie�b/c 60 O.
" 13125 SW Hall Blvd.,Tigard,OR 97223 _ �Tl� J
Phone: 503.718.2439 Fax: 503.59 \1 K� 1 2 7 2015 Date/By:an R a 011/ -! d� Other Permit
T IGARD Inspection Line: 503.639.4175 Date Ready/By furls RI See Page 2 for
Internet: www.tigard-or.gov CRY OF-{ICARD Notified/Method: q �" Supplemental Information
r
TYPE OF WORK £° a '''°,>., C a IMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ i!SO(5
CATEGORY OF CONSTRUCTION
ION RESIDENTIAL EQUIPMENT/SYSTEMS Fe.:ES*
❑ I-and 2-family dwelling `Commercial/industrial ❑Accessory'building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 9.55-0 gw jA_Air(t/tJ6TUl•3 SQ . /}.D Furnace 100.000 BTU(ducts/vents) 46.75
City/State/ZIP: I l6hp.,0/ O.(2 / cr )Z Z 2) Furnace 100,000+BTU(ducts/vents) 54.91
( Heat pump 61.06
Suite/bldg./apt.no.: Project name: __ +;aori as'Itilp. Duct work 23.32
Cross street/directions to job site: p S� .NN�y -IA a1'TGI' f Hydronic hot water system 23.32
5W W PS +L/\f l�To N S Q I\OPt'0 S (A1 6 a e-EN ,vac, Q a. 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
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
_INS 1A-LL _ E.-AO 54QUA-Il E UfaL1fE3 odUJ'N fireplace _ 23.32
Log lighter(gas) 23.32
5 T t2 }NV tt F e")c-I ST t Al 6 G 745 AA 2 S Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other:FARTy-as,,i Y-+• k i-J "L7 23.32 eo29. 49
PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation:
Name: j \ A-LE---a_ l G H Range hood/other kitchen
equipment 33.39
Address: Gi'S$'j 5 W JAI I AJ GTd S Q Ott12 E J241cp Clothes dryer exhaust 33.39
City/State/ZIP: f a ;LAX 4) I Single-duct exhaust(bathrooms,
42 2 toilet compartments.utility rooms) 23.32
Phone:(4503 ) G 3 a-$g"( S Fax:( ) Attic/crawlspace fans 23.32
` LAPPLICANT 121,CONTACT PERSON Other: 23.32
Fuel piping:
Business name: e_ t N 5 Tilt-'1
S14.15 for first four;54.03 for each additional
Contact name: M U C L L - R Furnace,etc.
Address: I // Gas heat pump
l lD O C D N �T2 EL-:---1-
Wall/suspended/unit heater
City/State/ZIP: pa 2_-r _A-Alp /cji le- ( q'?Z 2 o Water heater
Phone:(! ) Fax:( ) Fireplace
503 3 0"1 _ci (S I Range
E-mail: /"I AQ�.M M g U -IckA3STt-V . GaM Barbecue
`� CONTRACTOR Clothes dryer(gas)
M e_k_ (A.jSTQ-Y Other:
Business name: MECHANICAL PERMIT FEES*
Address: (6')9 O 's/J E MA-5 4A -]�-E
Subtotal
City/State/ZIP: Pa p.-r-L f}N p / Ot2 f q ? 7'3o Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(c03) '3 Q -O ( s ( Fax:( ) State surcharge(12%of permit fee)
CCB lie.: 1 '? 2 q I 1 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: A-pA_M l"`J EL_ /. oz. Date: $`/2 4 2/C/S
I\Building\Permits,mEc Permit.App 040113 doc 440-4617 (11 ObUWEB)
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
9350 SW WASHINGTON SQUARE RD, TIGARD,
OR, 97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00592
Chip Barnett
Violation Summary:
Inspector Contractor