Permit (58) CITY OF TIGARD MECHANICAL PERMIT
1 . ' COMMUNITY DEVELOPMENT104
Permit#: MEC2019 00035
Date Issued: 01/17/2019
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9567 SW WASHINGTON SQUARE RD BO3B
Project: Na Hoku Subdivision: None Lot: None
Project Description: Mechanical for TI: Extending duct work and installing new grilles.
Contractor: TRI TECH HEATING INC Owner: PPR WASHINGTON SQUARE LLC
6603 NE 137TH AVE PO BOX 847
VANCOUVER,WA 98652 CARLSBAD, CA 92018
PHONE: 360-891-2002
PHONE: 503-580-3845
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/17/2019 $474.71
Class of Work: ALT Type of Const: Plan Review 01/17/2019 $118.68
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 01/17/2019 $56.97
Stories: Info Process/Archiving-Lg$2.00(over 01/17/2019 $2.00
11x17)
Project Valuation: $14,966.00
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 $652.36
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 502.32.987 .• .:00.332. - .
Issued By: 'e ature:- ........_ - 4: 1/
Call 5o /7,./Ci',.. ..''' ,:-....... 4 /....T.r.._
.639.4175 by 7:00 a.m.for the next available inspection dat .
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FO R O I I I( I I. .F ()NI 1
Eiew
PermitNo.. l —
dtDf /" ) -r/I131SWHallBlvdTigard,OR 97223FIE�. ;? "
I Phone: 503.718.2439 Fax: 503.598.196 Date/By: Other Permit: A` r i
1 U i1 it a Inspection Line: 503.639.4175 'IPA; Date Ready/By: See Page 2 for
Internet: www.tigard-or.gov JAN t"n�� Notified/Method: Supplemental Information
TYPE OF W COMMERCIAL FEE* SCHEDULE �-USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 14 Q(.(.(.►cc)
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT,SYSTEMS FEES*
❑ 1-and 2-family dwelling 4 Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
475-4,-7{ JOBB SITE: "INFORMATION AND LOCATION Heating/cooling:
a"t " n Air conditioning 46.75
Job site address: Wf ea ►I S g4
pot Ct 41' )C)3 1s? Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: t$1.1"-C1
_ )g,, C 22.3 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: (.L
'� we/Jim./ 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
DE RIPTION OF ORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
(6 fireplace 23.32
Log
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 0 CONTACT PERSON Other: 23.32
�+ Fuel piping:
Business name: 1 c\Vzeir 1. $14.15 for first four;$4.03 for each additional
Contact name: 7(3\11 (L ^ Furnace,etc.
Address: lip 3 N E 131.11`"^ p JE Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: UCD(AA,Aa(" tArA Of Wpe2_ Water heater
Phone:(..),0 ) QIg1- c200a Fax::(Nor)) soil- /qI a Fireplace
Range
E-mail: Too Y &Tr(=pi1t4. *c,„p.,, Barbecue
/ OR Clothes dryer(gas)
Business name: II.' Id��C..� g\ Other:
MECHANICAL PTIt1aTFEES*
Address: 6,4903 N t t31'13. fosjF. Subtotal
City/State/ZIP: t� yN�t,�%)� ,
ec IU,�- t,� (:L �'��2 Minimum permit fee($90.00)
V�" ' Plan review(25%of permit fee)
Phone:(%O) ell,- a. Fax:(.:.. 0,0) 3 i—iiii6 State surcharge(12%of permit fee)
CCB lic.: i t" 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:• f/�� _.. * Fee methodology set by Tri-County Building Industry Service Board
Print name:'....---
ame:�1� z ,e4 Date:/,/7-757
1:\Building\Pennits IEC Permit p_040t13.doc 440-4617T(11/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9567 SW WASHINGTON SQUARE RD B03B, March 15, 2019 at 9:10:59 AM
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2019-00035
Inspection Type: Inspector:
699 Mechanical final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor