Permit (25) CITY OF TIGARD MECHANICAL PERMIT
1111
COMMUNITY DEVELOPMENT Permit#: MEC2019-00368
'TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/05/2019
Parcel: 1 S135BA00100
Jurisdiction: Tigard
Site address: 10205 SW WASHINGTON SQUARE RD
Project: Thirsty Lion Subdivision: None Lot: None
Project Description: RTU replacement on same curb.
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 06/05/2019 $344.90
Class of Work: ALT Type of Const: VB Plan Review 06/05/2019 $86.23
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 06/05/2019 $41.39
Stories: Info Process/Archiving-Lg$2.00(over 06/05/2019 $2.00
11x17)
Project Valuation: $9,900.00 Info Process/Archiving-Sm$0.50(up to 06/05/2019 $6.00
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 $480.52
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
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 1.8I . '
Issued By: Permittee 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 OFFICE t SE Oyl.1
City of Tigard Received
Date/By: Permit No.: e i '.
IN "1 13125 SW Hall Blvd.,Tigard,OR 972 3 E C E I V E D `A�
4 Plan Review ether Permit:
a Phone: 503.718.2439 Fax: 503.598.1 6 Date/By: "'�J j `, ,y'� '2,7
T I G A tt a Inspection Line: 503.639.4175 A e Date Ready/Si: Ei See Page or
Internet: www.tigard-or.gov I' ®5 2019
o J Notified/Method: IM
Supplemental Information
CITY OF TIGARD
TYPE OF V DING DIVISION 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:$$9,900.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building Forspeczal information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:10205 SW Washington Square Rd. 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.: Project name:Thirsty Lion RTU replacem 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
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Replacement of Carrier rooftop unit with Carrier rooftop unit going on same curb fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert _ 23.32
Chimney/liner/flue/vent 23.32
0 PROPERTY OWNER 0 TENANT Other: 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
e APPLICANT ® CONTACT PERSON Other: 23.32
Business name:HVAC,Inc. Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Jody DePew Furnace,etc.
Address:5188 SE International Way Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Milwaakie,OR 97222 Water heater
Phone:(503)462-4822 Fax::(503)462-6555 Fireplace
Range
E-mail:jodyd@hvacincorp.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:HVAC,Inc. Other:
MECHANICAL PERMIT FEES*
Address:same as above 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.:50897 / A •
TOTAL PERMIT FEE
4.. This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: / * Fee methodology set by Tri-County Building Industry Service Board
Print name:Jody DePe Date:6/5/19
I:\Building\Permits\MEC_PermitAp 0113.doc 440-4617T(11/02/COM/WEB)
City of Tigard
111111
N COMMUNITY DEVELOPMENT DEPARTMENT
■
T1cAlzD Building Permit Review — Commercial - No Land Use
Building Permit #: -00,36,,ic
12
Site Address: 102_05 Svv v\ictSh, -tpn u r Suite/Bldg#:
Project Name: qtr L.:loh
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: tsC, t..Vt j t- -yOC- -toe
Existing Business Activity: r<es- xowA-
Proposed Business Activity: tt H
Verify site address/suite#exists and active in permit system.
g River Terrace Neighborhood: ❑ Yes . No
1( Zoning: M( tC/
'Vr Permitted Use: IYes ❑ No ❑ Spec Space
J -Confirm no land use required.
Business License:
Exists: Yes ❑ No,applicant notified to obtain business llicense
Cad
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1
Notes: l'ArA 1 S i g.V� UK 1,+ t S 2 G Gl hli( tOCrAke A �� a r CAVI V e 449J
O&C.• N D1- V\Q.$01.t '�rt3 l'CE•
S t uo.0-4.44— •
12
Approved by Planning: 7ifrOv,LoC)F,,"-L- Date: c t s I tt
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 01/1
Site Plans: #
Building Plans: #
Building Permit#: nter building permit#above.
Workflow Routing: [ting ❑ Permit Coordinator GLBi'g
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: iding: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes: 2 '' ,1,,,t.rr` 44 7--e, c.YyL.
By Permit Technician: Date: ,t5--//.,i
I:\Building\Forms\BldgPemiitRvw_COM_NoLandUse 060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Ap 4 cant:
Revision Notice 2: Date Sent t•. •pplicant:
Revision Notice 3: Date Se to Applicant:
❑ SDC Fees Entered: W.• Co Trans Dev Tax: ❑ Yes ❑ N/A
'igard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Pe t
Approved by 'ermit Coordinator: Date:
I:\Building\Forms\BldgPemutRvw_COM NoLandUse_070915.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 MEC2019-00368
Inspection Type: Inspector:
635 Smoke detector shutdown Jeff Grove
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
10205 SW WASHINGTON SQUARE RD,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2019-00368
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor