Permit irLCITY OF TIGARD MECHANICAL PERMIT
n
` ! ; COMMUNITY DEVELOPMENT Permit#: MEC2016-00088
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/08/2016
Parcel: 1S126CB00500
Jurisdiction: Tigard
Site address: 9300 SW WASHINGTON SQUARE RD
Project: Macy's Subdivision: None Lot: None
Project Description: Install 95%suspended gas furnace with associated venting and gas piping.
Contractor: CK INDUSTRIES INC Owner: MACY'S DEPARTMENT STORES INC
PO BOX 762 ATTN:TAX DEPARTMENT
BEAVERTON, OR 97075-0762 7 WEST SEVENTH ST
CINCINNATI, OH 45202
PHONE: 503-245-1770 PHONE:
FAX: 503-245-2264
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/08/2016 $235.31
Class of Work: ALT Type of Const: Plan Review 02/08/2016 $58.83
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 02/08/2016 $28.24
Stories: Info Process/Archiving-Sm$0.50(up to 02/08/2016 $1.00
11x17)
Project Valuation: $6,000.00
Fuel Air Handlers
Fuel Types: Natural Gas Units< 10000 cfm:
Gas Pressure: Units> 10000 cfm:
Furnaces Boilers&Compressors
Furnaces< 100K BTU: 1 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 $323.38
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or rect questions . SUNC b . ing 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: ki
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit �
t J • Received A PP pl >�
City of Tigard Date/By: R 8' /!o A Permit No.:.tiediclk, e
lig 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review • 1
1 ' Phone: 503.718.2439 Fax: 503.5 ,,!1' Other Permit:
Inspection Line: 503.639.4175 8 Date/By:
;,I r Date Ready/By: loris: ® See Page 2 for
Internet: www.tigard-or.govl � e��r� L� Notified/Method: Supplemental Information
TYil tibi 4 fAVISIO COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
!' 1 1` Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replacement
performed.Indicate the value(rounded to the nearest dollar)of all
mechanical materials,equipment,labor overhead,and profit.
❑Demolition 0 Other: Value:$ ,6 0.6.6
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling �mmercial/industrial 0 Accessory building For special Information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Job site address: (1?,000 5i,() t4,4 4f1 A/6_7--0A1 5Q , rzo. Air conditioning 46.75
City/State/ZIP: 1 17 22 3 Furnace 100,000 BTU(ducts/vents) ' 46.75
Suite/bldg./apt.no.: Project name:IA'51.44A/(,r L/1472z- Furnace 100,000+BTU(ducts/vents) , 54.91
Cross street/directions to job site: H/1-cy ' .S Heat pump 61.06
Duct work 23.32
Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
Subdivision: Lot no.: in-wall,in-duct,suspended,etc. 46.75
Tax map/parcel no.: Flue/vent for any of above I 23.32
DESCRIPTION OOF►)`15 WORK Other: 23.32
/N574L-C_ qs7 (? futeiV/4C,k--
Other fuel appliances:
Water heater 23.32
Gas fireplace/insert 33.39
Flue vent for water heater or gas
fireplace 23.32
Ye
PROPERTY OWNER TENANT
Log lighter(gas) 23.32
/ y Wood/pellet stove 33.39
Name: /V�
Wood fireplace/insert 23.32
Address: 73ccj 5 c.tJ #//(,-TsQ . 20
Chimney/liner/flue/vent 23.32
City/State/ZIP: -776--44.0, C4f4 97
Other: 23.32
Phone:( ) Fax:( ) Environmental exhaust and ventilation:
)2 APPLICANT 0 CONTACT PERSON Range hood/other kitchen
Business name: equipment 33.39
C� I�D s=ue + NC' Clothes dryer exhaust 33.39
Contact name: d 77-leo/ipso N Single-duct exhaust(bathrooms,
�' toilet compartments,utility rooms) , 23.32
Address: 4, 34 5w aLr1QV/e)_Te.0 1-114ci
City/State/ZIP: Q Attic/crawlspace fans 23.32
�fZs4 N'1/ � [7 22-I Other: 23.32
Phone:(5.3) ,a45-_ 1-17 V Fax::(St a ) i45-- 57 S4 Fuel piping:
E-mail: 0,IU KID v5172/Ls3 Owe-Tr-0PP'CE t Nei- $14.15 for first four;$4.03 for each additional
CONTRACTOR Furnace,etc.
Business name: Gas heat pump
Address: 5 'i s 11-6 Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax:( ) Fireplace
CCB tic.: //i/403 Range
Barbecue
Authorized signature: Clothes dryer(gas)
Print name: egitilobic - 2_/51/Date: 2_/51/co Other:
MECHANICAL PERMIT FEES*
t:\Building\Permits\MEC_PermitApp_040I13.doc 440-4617T(11/02/COM/WEB) � /._, _ V 3x3 3 8'