Permit (16) CITY OF TIGARD MECHANICAL PERMIT
'1 '. COMMUNITY DEVELOPMENT Permit#: MEC2016-00305
T L AR O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/17/2016
l
Parcel: 1 S 135BA00102
Jurisdiction: Tigard
Site address: 10140 SW WASHINGTON SQUARE RD
Project: Zoup! Subdivision: OAKBURG Lot: 9
Project Description: RTU replacement,modify duct distribution,exhaust fans
Contractor: OREGON HEATING&AIR CONDITIONING LLC Owner: PPR SQUARE TOO LLC
19300 SW 118TH AVE PO BOX 847
TUALATIN, OR 97062 CARLSBAD, CA 92018
PHONE: 503-691-9699 PHONE:
FAX: 503-691-8556
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/17/2016 $863.33
Class of Work: ALT Type of Const: VB Plan Review 05/17/2016 $215.83
Occupancy Grp: A-2 Occupancy Load: 12%State Surcharge-Mechanical 05/17/2016 $103.60
Stories: 1 Info Process/Archiving-Lg$2.00(over 05/17/2016 $4.00
11x17)
Project Valuation: $30,250.00 Info Process/Archiving-Sm$0.50(up to 05/17/2016 $7.50
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: 3 Vent Systems: Total $1,194.26
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dir questions • OUN •y calling 503.232.1987 or 1.800.332.2344.
lss ed By: A I 4 0�`�` / , Permittee Sign- ure: �$ 4
Call 503.639.4175 by 7:00 a.m.for the next available ins•-ction 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 Application 1 Olt OI I l( I I s1 ()\1.1
City of Tigard t.v ' r-cll.) Received l,
;. - 13125 SW Hall Blvd.,Tigard,OR 97
UPIF
DateBy: ,/ Permit No.: al f-G'jog,.0j 3G 5'
� Plan Revie
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: A� �/ Other Permit:
lit ,`i.i) Inspection Line: 503.639.4175 i,>,y is 3 2016
O 1 G Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov t U�1 Notified/Method: Supplemental Information
TYPE UTI.ti iGARI) COMMERCIAL FEE* SCHEDULE'—USE CHECKIJ
, j`i
""'' DI Y ISDN Mechanical permit fees*are based on the value of the work
❑New construction ®Additioterattoepcemen performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$$30,250.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOBSat INFORMATION AND LOCATIONHeating/cooling:
Air conditioning 46.75
Job site address:10140 SW Washtington Square Rd 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:Zoup WA Square Duct work 23.32
Cross street/directions to job site: 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
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
RTU replacement,duct distribution modifications,exhaust fans, fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
❑ PROPERTY OWNER 0 TENANT
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:( ) Fax:( ) Attic/crawlspace fans 23.32
❑ APPLICANT ® CONTACT PERSON Other: 23.32
Business name:Oregon Heating Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Clint Latimer Furnace,etc.
Address:19300 SW 118th ave Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Tualatin,OR 97062 Water heater
Phone:(503)849-8162 Fax::(503)691-8556 Fireplace
Range
E-mail:clintL@oregonheating.com
Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Oregon Heating Other:
MECHANICAL PERMIT FEES*
Address:19300 SW 118th Ave Subtotal
City/State/ZIP:Tualatin,OR 97062 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)691-9699 Fax:(503)6914556 State surcharge(12%of permit fee)
CCB lie.:137653 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
----.0 -
days after it has been accepted as complete.
Authorized Stgnaturel � • Fee methodology set by Tri-County Building Industry Service Board
Print name:Josh Foster Date:05/02/16
1\Building\Pain tsVMEC_PennitApp_040113.doc 440-4617T(11/02/COM/WEB)