Permit (79) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2016-00434
TEGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/11/2016
Parcel: 151260000300
Site address: 9624 SW WASHINGTON SQUARE RD G07 Jurisdiction: Tigard
Project: Amazon Books Subdivision:
Project Description: Mechanical for TI:Installing VAV boxes,and relocating duct work and grilles. None Lot: None
Contractor: ICE BUILDERS Owner: PPR WASHINGTON SQUARE LLC
421 E CERRITOS AVE PO BOX 847
ANAHEIM, CA 97805 CARLSBAD, CA 92018
PHONE: 541-459-5253 PHONE:
FAX: 714-333-9756
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/10/2016 $1,109.71
Class of Work: ALT Type of Const: IIB Plan Review 08/10/2016 $277.43
12%State Surcharge-Mechanical 08/10/2016 $133.17
Occupancy Grp: M Occupancy Load:
Stories: 1 Info Process/Archiving-Lg$2.00(over 08/10/2016 $12.00
Project Valuation: $40,000.00 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: 4 Vent Systems:
Hoods: Total $1,532.31
Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: 4 VAV's
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notific :nn renter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090You may obtain a copy of the rules
or dire estions to 0 C • ailing 503.232.1987 or 1.800.332.2344.
Is ed By:
Mk, _ \ 1 4 Permittee Signature: 1
•
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City11,
of Tigard ), Received
'`A' S Date/By: Pennit No.:
Il 13125 SW Hall Blvd.,Tigard,OR 9 • r Y-.�.�i /.►A // /I
Plan Revle i
Phone: 503.718.2439 Fax: 503.598. gips ther Permit: +-
III ■ �;`' v Date/By: Ni tt.'l�rIga" p _ f6, 3
Inspection Line: 503.639.4175 "h
T I G A R D p s S 7,0 1l Date Ready/B • El See Page 2 for
Internet: www.tigard-or.gov }1)14 I. Notified/Method: IMI Supplemental Information
1 vpoli' W- .. Ai ,i" ` : r x{ al' ..sn.,,. L f . 1 ,:: �' _.:r ,«
4,a-x ' ' ' Mechanical permit fees*are based on the value of the work
0 New construction Addition/altertdetillleeirlent performed.Indicate the value(rounded to the nearest dollar)of all
mechanical materials,equipment,labor,overhead,and profit.
❑Demolition ❑ Other: eq P
Value:$ 17./Q.GOC)
4...i."41(110"(of GONIR IN , •r 1 .
Ets; -
, '.. .% .'. ; . ,r,. 1E5Ib �� .Ee 1,',It YT7Ss l � _�
,
0 1-and 2-familydwelling Commercial/industrial 0Accessory building
For special information use checklist.
0 Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total
*' ;-' `r ° Heating/cooling:
�®$ Ill'11' � � °MAT ® SAND�+1�CATTN � g'
."t �/' Air conditioning 46.75
Job site address: Y-S `"'7 "� �/ ,j1/ 3� ?� Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: %2s . S w L -, .'r $ Ab Furnace 100,000+BTU(ducts/vents) 54.91
2 Heat pump 61.06
Suite/bldg./apt.no.: rj -/67 Project name: 11 yyl,.� e,,‘.i ISoo,ADuct 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: 1 Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
,. f11 DISC#' ON'o�WOR , ' .4.1 ,, k. Gas fireplace/insert 33.39
111." t1t111 Flue vent for water heater or gas
Xw4-n..� L /41 -rcit` fireplace 23.32
Log lighter(gas) 23.32
_ 431t if 11, OW y»„,__,..1 ,.,(4- ' 'k'
Citi:YWood/pellet stove 33.39
eiAt/t `-1 (.. 41,`'- ,;� /(e,,.S , J Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
vx *., . Tll n Other: 23.32
'`**"'" .-'` - h'' '. `10 --- *v "t-Z- Environmental exhaust and ventilation:
Name: /4
,yl/}..2 c>,-1, Range hood/other kitchen
Address: r� �� 2 26 equipment 33.39
1'Q Clothes dryer exhaust 33.39
City/State/ZIP: 11- UJA 1 , g Single-duct exhaust(bathrooms,
i.-.....) toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
q 11.15-1,i,,,,,,-.1111;.:21 x � ,�' , '..t:puri;., �:.,q s.
a .� O3A P '._e i ., Other: 23.32
Business name: - Fuel piping:
^-r� c'/7 8,../` /42_ S $14.15 for first four;$4.03 for each additional
Contact name: 444 e Ic (V L k'e-Cvq_4 Furnace,etc.
Address: t r Gas heat pump
` 2- i F - CP/?' t-e-)' WalUsuspended/unit heater
City/State/ZIP: 4 4•A k(' 1``1fC 4 1 2c:) 5 Water heater
Phone:(71 LO Li i 2 - 3 51‘ Fax::( ) Fireplace
Range
E-mail:
ill mti t: ke-&vr-2 e f4 �`')
Barbecue
iz -,.; { .. Clothes dryer(gas)„ til...-,:„.:!:.)."**, s.s ,, _..", # 4,
Business name: 'ZC l� Other:
�u, 7
ii l�rz2 S r'x-� r '.:1:.11(10#
eak,�
Address: �'I Z 1 - •f"-z.,
� � � 4�e&�Ot,. ���:�.* ?!„:11'1) .� �t'r�:r^ r�, a ,�..
�c`rr (v /� N
T � 1��= Subtotal
City/State/ZIP: 4,vg 1 r 1• ,,,..„ G A 9 2.{�-1;,= Minimum permit fee($90.00)
/ Plan review(25%of permit fee)
Phone:( 7i Li) 'Z 3 S Fax:( ) State surcharge(12%of permit fee)
CCB lic.: /14 2. 3 3 l 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: J p4 w 1, Re„, p...7-et, Date: 6 -13 .-1-e.
I:ABuilding\Permits\MEC_PermitApp_0401I3.doc 440-4617T(1 I/02\COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
'' 'otal Y tlon: :F` t `ee:
$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.
I:\Building\Permits\MEC PermitApp_040113.doc 2
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
9624 SW WASHINGTON SQUARE RD G07,
TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2016-00434
Chip Barnett
Violation Summary:
Inspector Contractor