Permit (52) CITY OF TIGARD MECHANICAL PERMIT
I COMMUNITY DEVELOPMENT Permit#: MEC2016 00457
T tGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/21/2016
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9402 SW WASHINGTON SQUARE RD P01
Project: Dicks Sporting Goods Subdivision: None Lot: None
Project Description: Removal of exhaust at fitting rooms back to main. Addition of new supply grill to relocated fitting rooms.
Contractor: JAMES GILBERT CO Owner: PPR WASHINGTON SQUARE LLC
17635 NW COREY RD PO BOX 847
NORTH PLAINS,OR 97133 CARLSBAD,CA 92018
PHONE: 503-888-2296 PHONE:
FAX: 503-647-9301
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/21/2016 $601.71
Class of Work: ALT Type of Const: Plan Review 06/21/2016 $150.43
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 06/21/2016 $72.21
Stories: Info Process/Archiving-Sm$0.50(up to 06/21/2016 $1.50
11x17)
Project Valuation: $20,000.00
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 $825.85
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.801 344.
Issued By: i e------ •ermittee Signature: rl D
\--)1-6
Call 503.635.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
F
Mechanical Permit Application , y
a 1,-(w t)rrl( h: I tii;()NIACit of Tigard 04(ki '.i Received
City g y 0 Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 Plan l� al �� �`(�e /4-6
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 2 � 16 Other Permit:
Date/By:
I I(� 1 I:I) Inspection Line: 503.639.4175 �� lie Ready/By: lues:
Internet: www.tigard-or.gov ` t ice' y o Supplemental See Page 2 for
CtI`i ��'� I>3. Sotif�/Me[hod: Information
, -. (IU
• Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
o Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 2e) 000.
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
o Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
„. eatin cooling:
, ., -... . .. . ... -.- Air conditioning 46.75
Job site address:.9O42 W Washington Square Rd Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: I Project name:Dicks'Sporting Goods
Duct work 23.32
Cross street/directions to job site:SW SCHOLLS FERRY RD 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
Other: 23.32
Subdivision: 1 Lot no.:
Other fuel appliances:
Tax map/parcel no.:W398482 Water heater 23.32
Gas fireplace/insen 33.39
.. `' .. '` " " Flue vent for water heater or gas
Removal of exhuast at fitting rooms back to main.Addition of new supply fireplace 23.32
Log lighter(gas) 23.32
grill to relocated fitting rooms Wood pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
• , Environmental exhaust and ventilation:
Name:DICK'S SPORTING GOODS-CRISPIN CONKLIN Range hood/other kitchen
equipment 33.39
Address: 9402 SW WASHINGTON SQUARE RD Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms,
City/State/ZIP:TIGARD/OR/97223 toilet compartments,utility rooms) 23.32
Phone:(724)273-3591 Fax:( ) Attic/crawlspace fans 23.32
23.32
Fuel piping:
Business name:COLAB ARCHITECTURE
$14.15 for first four;$4.03 for each additional
Contact name:ROBBIN GRAY Furnace,etc.
Gas heat pump
Address:930 NW 14TH AVE,SUITE 280 Wall/suspended/unit heater
City/State/ZIP:PORTLAND Water heater
Fireplace
Phone:(503)416-0151 I Fax::( ) Range
E-mail:ROBBIN@COLABARCHITECTURE.COM Barbecue
Clothes dryer(gas)
�. Other:
Business name: �1c`'"�e� i. Y OA
Address `--1 ki? h\.,k.D COC•+ Subtotal
City/State/ZIP \--- \--N ?\utS —\\�3s.
Minimum permit fee($90.00)
i Plan review(25%of permit fee)
Phone. ' ,03,` te.ZZ`\(p Fax: j, (..0 ----1 ,c13o\. State surcharge(12%of permit fee)
CCB lic. `A.,1 --�j . ./A(/4g TOTAL PERMIT FEE ep 53Y-5
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: y \ - 'biC7, . * Fee methodology set by Tri-County Building Industry Service Board
Print name: 2,::,166,h Co ' Date: • 21
1:\Building\Permits\MEC_PermitApp_040I 13.doc 440-4617T(I I/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
$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.
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