Permit (89) CITY OF TIGARD MECHANICAL PERMIT
___
11-. COMMUNITY DEVELOPMENT Permit#: MEC2019-00070
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/06/2019
T t r;;t r 1) g Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9339 SW WASHINGTON SQUARE RD T11
Project: Amerisleep Subdivision: None Lot: None
Project Description: Installing HVAC duct work and(1)bathroom exhaust fan for TI.
Contractor: RIVER CITY NW MECHANICAL LLC Owner: PPR WASHINGTON SQUARE LLC
5200 MEADOWS RD SUITE 54 PO BOX 847
LAKE OSWEGO, OR 97035 CARLSBAD, CA 92018
PHONE: 503-591-9950 PHONE:
FAX: 503-536-6615
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/06/2019 $652.51
Class of Work: ALT Type of Const: Plan Review 02/06/2019 $163.13
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 02/06/2019 $78.30
Stories:
Project Valuation: $22,000.00
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: 1 Vent Systems: Total $893.94
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 952-001-0 90. You may obtain a copy of the rules
or direct questions to OUNC by calling 5.232.1987 or 1.800.332.2344.
Issued By: it/ j_ •ermittee Signature: )
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 OFF ICF FSE OMLI
71 City of Tigard Date/B
3
17 ,1011
13125 SW Hall Blvd.,Tigard,OR 97223 r LUij Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 !
Date/By: Other Permit:
I.1 G. t� Inspection Line: 503.639.4175 Date Ready/By: Juris: H See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
;a. rF M'�Y /,�w//,a>i✓�/ i c A s !" S 3-�`Y E° e�� is
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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 ❑Other: mechanical materials,equipment,labor,overhead,and profit.
t
;axa,,, z
O 1—and 2-family dwelling CO Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total
1 •
". `_i ,�y '� � � Heating/cooling:
l ��•
Air conditioning 46.75
Job site address:9339 SW Washington Square Road 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.:Tl l Project name:Amerisleep Duct work 23.32
Cross street/directions to job site:Store between Sephora and Lulu Lemon 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
fireplace/insert _ 33.39
Vii' � .� �,,,� Flue vent for water heater or gas
Installation on HVAC duct work and bathroom exhaust fan as shwon on project fireplace 23.32
drawings. Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
23.32
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
�n
�,�,« • • ������ •�'•�'� Other: 23.32
Business name:River City NW Mechanical Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Ian LaSalle Furnace,etc.
Address:5200 Meadows Road,Suite B135 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Lake Oswego,OR 97035 Water heater
Phone:(503)591.9950 Fax::( ) Fireplace
Range
E-mail:ian@rivercitynwmechanical.com Barbecue
iii
/ �� �;� z4'>„ Clothes dryer(gas)
Business name:River City NW Mechanical Other
Address:5200 Meadows Road,Suite B135 Subtotal
City/State/ZIP:Lake Oswego,OR 97035 Minimum permit fee($90.00)
Phone: Plan review(25%of permit fee)
(503)591.9950 Fax:( )
State surcharge(12%of permit fee)
CCB lie.:199619 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: tiKi,Q,_, * Fee methodology set by Tri-County Building Industry Service Board
Print name:Ian LaSalle Date: Z'w I/O(°1
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9339 SW WASHINGTON SQUARE RD T11 ,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2019-00070
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor