Permit (160) CITY OF TIGARD MECHANICAL PERMIT
IIICOMMUNITY DEVELOPMENT Permit#: MEC2019-00212
13125 SW Hall Blvd.,Ti Date Issued: 04/04/2019
T .1>:O and OR 97223 503.718.2439 9
Parcel: 1 S135BA00100
Jurisdiction: Tigard
Site address: 10205 SW WASHINGTON SQUARE RD
Project: Thirsty Lion Subdivision: None Lot: None
Project Description: Install(16)Sunpak infrared patio heaters and a fan.
Contractor: HVAC INC Owner: PPR SQUARE TOO 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 04/04/2019 $1,109.71
Class of Work: ALT Type of Const: Plan Review 04/04/2019 $277.43
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 04/04/2019 $133.17
Stories: Info Process/Archiving-Lg$2.00(over 04/04/2019 $2.00
11x17)
Project Valuation: $40,000.00 Info Process/Archiving-Sm$0.50(up to 04/04/2019 $5.00
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: Vent Systems: Total $1,527.31
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You ob a copy of the rules
or direct questions -QUNC by calling 503.232.1987 or 1.800.332.2344.
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Issued By: L ----?"--16;'-‘1
`C;�- Permittee Signature: \hi 1
Y� A
Call 503.639.4175 by 7:00 a.m.for the next available inspectio date.
This permit card shall be kept in a conspicuous place on the job site until com• etio of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit ApplicaREEIVED FOR OFFICE ISE ONLY
IL Received
City SWof Tlgilldd., q DateBy:tf ,y ,6t/,„� Permit N. frlt? / .— / 4
13125 Hall Blvd.,Tigard,OR 97223 APR 4 ZQ 19 Plan Review
a Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 7, et/II / Other Per uifoke—rein” ,
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Sarin. H See Page 2 for
Internet: www.tigard-or.gov
BUILDING 0VSIGN Notified/Method: Supplemental Information
. CMZR FE #t l
„
8t # 6* ' ':
Mechanical permit fees*are based on the value ofthe work
❑New construction j1 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ L` i
C OR( c srniJ `ll l ,. Fol*,4 it WWWM #4
0 1-and 2-family dwelling Commercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
# ,< 4*, W, Heating/cooling:
Air conditioning 46.75
Job site address: 1\) r2 �\ J v ) {V"At,t R,StWil...1r-111 i ,, ,4� Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: '1 C' R q-1 , e3 111 """ Furnace 100,000+BTU(ducts/vents) 54.91
RA` Heat pump 61.06
Suite/bldg./apt.no.: Project namel- t�V t ?I 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
Other: 23.32
Subdivision: Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
R. T'� *Wf Gas fireplace/insert 33.39
,iiA (, Flue vent for water heater or gas
"1f���� �i j �� � � ^,v"-�. . fireplace 23.32, ` Log lighter(gas) 23.32
�/ �� ` Wood/pellet stove 33.39
`�l" P
cro
rwylvvi
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
, 23.32
i � � . � Other:
- e W �� ','4- 4
Environmental exhaust and ventilation:
Name: . Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/Z1P: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
AI'�IOV _ >fl Other: 23.32
Business name: /� Fuel piping:
�J' t $14.15 for first four;$4.03 for each additional
Contact name: Akul � Furnace,etc.
Address: l 1:1-,, I 1,4)C Gas heat pump
, (?� Wall/suspended/unit heaterCity/State/ZIP: VI ` Ve/ / � - 1, "-) ? Water heater
li (�t.,,,.- 1 "` Fireplace
Phone:(S--0-1-1 `l 1 e . s, Ic , . Fax. : j) '! u 15—
� d
� � Range
E-mail: tU (� t �lr✓1 Barbecue
1 1TR* t1R Clothes dryer(gas)
l y, y° t Other
Business name: H r' ./ 1,(f�
Address: 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.:
This permit application expires if a permit is not obtained within 180
Authorized Signature:
days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry Service Board
Print name: ckp A °Nvi Date: it...4 ii G,1
I:BaildingiPermits PermitApp_040113-doe 440-4617T(11/02/COM/WEB)
City of Tigard • BUILDING DIVISION
Over-The-Counter (OTC) Mechanical Permit
Appointment Checklist
Permit Record#:
Contact Name: .70 y ,lS E-Pr';-GJ Phone #: S0 3 - y(.L -4 56
Business Name: V,yAppointment Date: y f° /9 ec l0,pa .-
Site Address: /00205 Sed l f%/4/6 A/ SG2ut s /2--_b Bldg to#:
Project Name: 2.7///2-1.7y L/ 0A/
Project Description: ArS7-...941_, /4, S'�t�/ qi:: /N.�rI�2F7� /'9 7770 ,4y72 E fr
Related Record #:
GENERAL INFORMATION
*Class of Work: Occupancy Group: Type of Construction:
*Type of Use: Oregon Specialty Code:
Number of Stories:
FUEL FURNACES •
Type: Furnace< 100K BTU Furnaces>= 100K BTU
Gas Pressure: Roof Top Unit(RTU) Tons
Floor Furnaces Unit Heaters
Vents without Appliances Air Conditioning
Heat Pump
AIR HANDLERS HOODS
Units<= 10000 cfm Type 1 Hood Type 2 Hood
Units > 10000 cfm Grease Duct 1 Hour Shaft
Fire Wrap
APPLIANCES
Boiler(BTUs) Vent Fans Gas Line
Solid Fuel Fireplace/ Clothes D ers Gas Outlets
Woodstove Duct Work Gas Fireplace
Fire/Smoke Dampers Other Mechanical Units-Describe:
Total Project Valuation: $q.0),3,30
$ • a Mechanical Permit Fee
$ Plan Review
$ 1 2,g , 1 12%State Surcharge
$ Z - Info Proc/Arch,Lg(over 11x17$2.00)
$ — Info Proc/Arch,Sm(up to 11x17$0.50)
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
$ Other:
Building Staff
Date/Time: $ j a , 3 ) TOTAL FEES DUE
I:\Building\Forms\OTC_MEC_021116.docx
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
10205 SW WASHINGTON SQUARE RD,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2019-00212
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor