Permit (11) CITY OF TIGARD MECHANICAL PERMIT
2 COMMUNITY DEVELOPMENT Permit#: MEC2019-00012
Date Issued: 01/08/2019
T t C A D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9577 SW WASHINGTON SQUARE RD B07
Project: Morphe Subdivision: None Lot: None
Project Description: (4)VAV boxes and(1)exhaust fan for TI.
Contractor: HVAC INC Owner: PPR WASHINGTON SQUARE LLC
5188 SE INTERNATIONAL WAY PO BOX 847
MILWAUKIE, OR 97222 CARLSBAD, CA 92018
PHONE: 503-462-4822 PHONE:
FAX: 503-462-6555
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/08/2019 $1,168.13
Class of Work: ALT Type of Const: Plan Review 01/08/2019 $292.03
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 01/08/2019 $140.18
Stories: Info Process/Archiving-Lg$2.00(over 01/08/2019 $10.00
11x17)
Project Valuation: $42,208.00 Info Process/Archiving-Sm$0.50(up to 01/08/2019 $4.00
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: 1 Vent Systems: Total $1,614.34
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: VAV Boxes
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. Yqu ray obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or .;i i._--. 44.
1/` l
Issued By: ✓ '` Permittee Signature: I
It‘
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 I. ONLY
City of Tigard Date/By: / "7 /1 wr Permit No.: „ -�`,�U,
Iii . 13125 SW Hall Blvd.,Tigard,OR 9 2 1 Received
Plan Revie
S Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: (4 7 j . , c
Inspection Line: 503.639.4175 1^' i Date Read /B Juris: ®See Pageifor
TIGARD AN 7 2019 Ready/By:
Internet: www.tigard-or.gov Notified/Method: - -T'� Supplemental Information
TI OF TIGARD ��
roVggag-t4:7-0-Alti4,vozilmaittirj-,,-- _.-'-i,-,:ifi 6 *- 1 1 4
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.
ID Demolition ❑Other:
Value:$$42,208.00
0 1-and 2-family dwelling ®Commercial/industrial D Accessory building For special information use checklist.
0 Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total
g Heating/cooling:*
s ' -.° e ,, . _ - -.. -. ""_ P Air conditioning
46.75
Job site address:
BSSW WASHINGTON 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.:B07 Project name:MORPHS
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
Iau Gas fireplace/insert 33.39
T ,., ' Flue vent for water heater or gas
(4)NEW VAV'S&1 FAN FOR NEW TI 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
.. �.` � , ,c . , _ ,,_ � ` ..' . 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
Pl ti i' i1F ' ' Other: 23.32� .
Business name:HVAC,INC. Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:JODY DEPEW Furnace,etc.
Address:5188 SE INTERNATIONAL WAY Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:MILWAUKIE,OR 97222 Water heater
Phone:(503)462-4822 Fax: :(503)4626555 Fireplace
Range
E-mail:jodyd@hvacincorp.com Barbecue
- -_ V , Clothes dryer(gas)
r 1 , " . .:_ .
Business name:HVAC,INC. Other:
IMIONNOW:GC;4414041000000,48iggk
Address:SAME AS ABOVE Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lic.:50897 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
i
Print name:JODY DEPE Date: 1/8/19
I:ABuilding\Permits\MEC PermitApp_040113.doc 440-4617T(1 1/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9577 SW WASHINGTON SQUARE RD B07,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2019-00012
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor