Permit (23) CITY OF TIGARD MECHANICAL PERMIT
114
COMMUNITY DEVELOPMENT Permit#: MEC2019-00117
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/23/2019
TIGARDParcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9753 SW WASHINGTON SQUARE RD D02
Project: 85C Bakery Subdivision: None Lot: None
Project Description: Mechanical for TI:
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:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/21/2019 $2,110.71
Class of Work: ALT Type of Const: Plan Review 05/21/2019 $527.68
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 05/21/2019 $253.29
Stories: Info Process/Archiving-Lg$2.00(over 05/21/2019 $18.00
11x17)
Project Valuation: $80,000.00 Info Process/Archiving-Sm$0.50(up to 05/21/2019 $17.50
11x17)
Fuel Air Handlers
Fuel Types: Gasoline 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: 1
Appliances
Vent Fans: 2 Vent Systems: Total $2,927.18
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
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Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application
INCity of Tigard Received/ , / fes/ permit No. L= P/�_iv/7 Date/By: �Ti"Tj/
e 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1 llate/B �" _ 'i 9 Other Permi 247" 9,9 ' (de),/,-..2
T I G A RD Inspection Line: 503.639.4175 Date Ready/By: Juris: See Page 2 for
Supplemental www.tigard-or.gov Notified/Method' Supplemental Information
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TYPE OF WORK COMMERCIAL FEE* SCHEDULE— USE CHECKLIST
°- , '7F TIC'' Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alterati p i1 /i i:, isi;;i performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 80,000
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
Heating/cooling:
JOB SITE INFORMATION AND LOCATION 46.75 46.75
Air conditioning 1
Job site address: 9753 SW Washington Square Road Fumace 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.: D02 Project name: 85C BAKERY Duct work 1 23.32 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
WASHINGTON SQUARE MALL 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.: 1S1260000300/ R236587/R236596 Water heater 1 23.32 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
TENANT IMPROVEMENT FOR A BAKERY, NEW FINISHES fireplace 23.32
MECH, ELEC, PLUMB, NEW HC TOILETS Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
0 PROPERTY OWNER KJ TENANT Environmental exhaust and ventilation:
Name: 85C BAKERY Range hood/other kitchen
equipment 1 33.39 33.39
Address: 9753 SW Washington Square Road Clothes dryer exhaust 33.39
City/State/ZIP: Tigard, OR 97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
II APPLICANT El CONTACT PERSON Other: 23.32
Fuel piping:
Business name: SMITH CO LLC $14.15 for first four;$4.03 for each additional
Contact name: KEITH SMITH Furnace,etc.
Address: 1725 WESTLAKE AVE. N., SUITE 210 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: SEATTLE, WA 98109 . Water heater
Phone:( 206) 713-4076Fax: ( ) Fireplace
Range
E-mail: KSMITH@SMITHCO.ORG Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name: "7Q_1 --r-Fc.; A t-ct lk-Nisl k+(ll MECHANICAL PERMIT FEES*
Address: LIV'3 CNE„ c rr'<V Subtotal _ _
City/State/ZIP: V --+ vVlt G&.f3 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(lite ��) . ,)a Fax:( ) State surcharge(12%of permit fee)
CCB lie.: WI,
TOTAL PERMIT FEE
(' This permit application expires if a permit is not obtained within 180
/,11� \i\\\ days after it has been accepted as complete.
Authorized signature: '� * Fee methodology set by Tri-County Building Industry Service Board
Print name: KEITH SMITH Date: 02.21.19
I:\Building\Permits\MEC_PermitApp_04010.doc 440-4617T(I1/02/COM/WEB)