Permit (168) qoh CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2019-00127
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/05/2019
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9685 SW WASHINGTON SQUARE RD C07
Project: Casper Subdivision: None Lot: None
Project Description: Replacing existing registers and adding(1) register.
Contractor: ARCTIC HEATING& REFRIGERATION Owner: PPR WASHINGTON SQUARE LLC
5809 SE JOHNSON CREEK BLVD PO BOX 847
MILWAUKIE, OR 97222 CARLSBAD, CA 92018
PHONE: 503-735-2808 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: Permit Fee 03/05/2019 $229.69
Class of Work: Type of Const: Plan Review 03/05/2019 $57.42
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 03/05/2019 $27.56
Stories: Info Process/Archiving-Lg$2.00(over 03/05/2019 $2.00
11x17)
Project Valuation: $5,800.00
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 $316.67
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 110.0_1112344..800332.2344.
Issued By: Permittee Signature:
C. 43.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE ISE oyl.v
Cityof Tigard Received
g Date/By: lr, jl� Permit No.: 0 t' .- L
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960Date/By: 'I Other Permit: r ''y 1` -a
R 1) Inspection Line: 503.639.4175 RECEIVED
Date Ready/By: See Page 2 for
Internet: www.tigard-or.gov y G Notified/Method: liniSupplemental Information
5
'.. ' TYPE OF WORRKAR 2019 COMMERCIAL.FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction Addition/alters US��� performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: llppkRD
i mechanical materials,equipment,labor,overhead,and profit.
Value:$ 518o 0
CATEGORY OF CONSTRUCTION
.:' ,�i,. RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
0 I-and 2-family dwelling ,!^l Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION ' Heating/cooling:
GC�'� = Air conditioning 46.75
Job site address: 1'G SS- SCJ h2 ca.t,.q�Grt �9•�� Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: ��LL��
, O l'7'F-(2.23 Furnace 100,000+BTU(ducts/vents) 54.91
a►" Heat pump 61.06
Suite/bldg./apt.no.: Project name: - 7-_Q,e- 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
DESC IN ot*QRK 'P. :PP4 Gas fireplace/insert 33.39
Flue vent for water heater or gas
g/, ,X1r-u
.CJCi,`J4.7 ,-,. .,75/..c.,-,3-
75f.Grf- •9.e [AlJ v` fireplace 23.32
Log lighter(gas) 23.32
Q��" / Qibg. / /)74f' Wood/pellet
stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Q-.T,PROPERTY OWNER ..: x ❑ TENANT""'; .-
,I, er: 23.32
'},.}., . " ". Environmental exhaust and ventilation:
Name: Range hood/other kitchen
Address: equipment 33.39
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
APPlii:141T 0 CONTACT EEisON)r,
Other: 23.32
Business name: G /.7Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: '').Z
t-1 A-(4-is c„,7 Furnace,etc.
Address: OrriW 93019 / 1 j7 Gas heat pump
�v Wall/suspended/unit heater
City/State/ZIP: /30.1,,.k/ct,7 e: 07 ?��3 c7 Water heater
(9jj
Phone: ) '3.3 .25- O€ `J,` Fax::( ) Fireplace
D Range
E-mail: Q- 2 Q 4/n5n ! M Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: A/C�(tL1"
LT .6-
Other:
MECHANICAL PERMIT FEES*
Address: 9319 x,... „ lc9„01/ Subtotal
City/State/ZIP: X2n <„,,.....eearl Minimum permit fee($90.00)
Phone:( ) Plan review(25%of permit fee)
�t✓ 3 1 0$ Fax:( ) State surcharge(12%of permit fee)
CCB lic.: .207- .2- 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: (.... 5.- / * Fee methodology set by Tri-County Building Industry Service Board
Print name: �y „�
C - 0-�_. Date:3/��9
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$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
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9685 SW WASHINGTON SQUARE RD C07, March 15, 2019 at 7:17:49 AM
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2019-00127
Inspection Type: Inspector:
699 Mechanical final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor