Permit (144) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2019-00666
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/18/2019
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9595 SW WASHINGTON SQUARE RD B12
Project: Aldo Subdivision: None Lot: None
Project Description: TI for new tenant:Storefront and wall construction.
Contractor: THE HEATING SPECIALIST INC Owner: PPR WASHINGTON SQUARE LLC
9300 NE HALSEY ST PO BOX 847
PORTLAND, OR 97220 CARLSBAD, CA 92018
PHONE: 503-257-7000 PHONE:
FAX: 503-257-7702
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/18/2019 $176.51
Class of Work: ALT Type of Const: Plan Review 09/18/2019 $44.13
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 09/18/2019 $21.18
Stories: Info Process/Archiving-Sm$0.50(up to 09/18/2019 $2.00
11x17)
Project Valuation: $3,993.00
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 $243.82
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 1.800.332.2344.
Issued By: r/ - Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available insp ion 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 USE ONLY
City of Tigard Date/By:Received '� g ;lin, 1 • '
- Permit No.:
14
" 13125 SW Hall Blvd.,Tigard,OR 97223 �.r
t E C E'"E Plan Review f�i 1 '2 o i O t'
Phone: 503.718.2439 Fax: 503.598.196 C C V • Date/By: Other Permit:vv 1 SJ
TIGARD O.
Inspection Line: 503.639.4175 Date ReadyBy: Juris ® See Page 2 for
Internet: www.tigard-or.gov SEP 18 2019 Notified/Method: Supplemental Information
TYPE OF .W.ORI�E1 TjGARD COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
"" " " -�, BU11 G" RSION Mechanical permit fees*are based on the value of the work
'4',__,—"-'-'
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.
Value:$$3,993.00
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
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:9595 SW Washington Square Rd B12 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:Aldo Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydropic) 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
Install(4)ceiling plenum transfer return air grills,install(2)supply air T fireplace 23.32
Bar diffusers,install(2)supply air hard lid diffusers,install access hatch, Log lighter(gas) 23.32
Wood/pellet stove 33.39
install branch ductwork and air balance dampers Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0 PROPERTY OWNER ® TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Aldo's 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
® APPLICANT Ell ;CONTACT PERSON Other: 23.32
Business name:The Heating Specialist Fuel pipi ng:4.15 for first four;$4.03 for each additional
Contact name:Jana Hammer Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
C2tyr'Sfn[c/ZI13. ---------- __ .-� . . __ � _____ -- - � ,v=.- ��:=-��Ci�iC3LCi,. ..
Phone:( ) Fax: :( ) Fireplace
Range
E-mail:jana@theheatingspecialist.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:the Heating Specialist Other:
MECHANI,CALPERMIT,FEES* .
Address:17260 NE Sacramento St Subtotal
City/State/ZIP:Portland OR 97230 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)257-7000 Fax:( ) State surcharge(12%of permit fee)41.
CCB lic.:56628 TOTAL PERMIT FEET(321/3, O
IThis permit application expires if a permit is not obtained within 180
60, days after it has been accepted as complete.
Authorized Signature. i f If * Fee methodology set by Tri-County Building Industry Service Board
Print name:Jana H. mer Date: g1. 11
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)