Permit ` TY OF TIGARD MECHANICAL PERMIT
4: � ` . COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00267
' DATE ISSUED: 6/1/2007
!!T[G'ARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
15? r-eas hs g PARCEL: 1512600 -00300
SITE ADDRESS: 09402 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: DICK'S SPORTING GOODS
Project Description: HVAC Value: $85,500.00 Installation of ductwork for rtu's previously installed
CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS:
STORIES: 2 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
WASHINGTON SQUARE LLC Description Date Amount
BY THE MACERICH COMPANY
9585 SW WASHINGTON SQUARE RD [MECH] Permit Fee 6/1/2007 $1,215.25
TIGARD, OR 97223 [MECPLN] Plan Rev 6/1/2007 $303.81
[TAX] 8% State Surcha 6/1/2007 $97.22
Phone:
Total $1,616.28
Contractor:
HVAC INC
5188 SE INTERNATIONAL WAY
MILWAUKIE, OR 97222 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 462 -4822
FAX 503- 462 -6555
Reg #: LIC 50897
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or d' -ct questio to OUNC by calling 503.246.6699 or 1.800.332.2344.
i
Is ued By: / o / / Permittee Signature: • A
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
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.
9 �C.s-.) 19_3
Mechanical Permit Applicati �_, FOR OFFICE USE ONLY
City of Tigard • 1'\ D Received . .p/ ��J
Tigard, OR 97223
g
13125 SW Hall Blvd., Ti Date/BY: : , ' r Psi ' {�� -"' �ea`l i
MAY - t A\' Plan Revi G �
Phone: 503.639.4171 Fax: 503.598.1960 + . � Date/By: Imo r1C. I� t a
Inspection Line: 503.639.4175 CI�� � �
P.. - „_ - Date Ready y: Juris• El See Page 2 for
Internet: www.ci.tigard.or.us oT 'fied/Method: 5 3i 17 i 'r Supplemental Information
BUILDING DIVISION!
. • • • -i . ;TYPE; OF WORK • CO IN r ' # SCHEDULE `USE CHECKLIST
Mechan cal permit fees* are based on the value of the work
❑ New construction Addition/ lt er ion lacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: 1\1 j I / � - mechanical materials, equipment, labor, overhead, and profit -
- • CATEGORY 'OF CONSTRUCTION " - . - - Value: $ rJ . CD
RESIDENTIAL EQUIPMENT /SYSTEMS FEES *'
❑ 1- and 2- family dwelling Commercial ustrial ❑ Accessory building
❑ Multi family 0 Master builder For special information use checklist.
❑ Other: Description I Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating cooling
Job site address: 9 %( a,,_, t JCC�G, S ' kci Aiq conditioning or heat pump
( re q uires site plan showing 00
l^ , placement 14.
City /State/ZIP: I , (10,(5_,,_ Furnace 100,000 BTU (ducWvents) 14.00
V ' � i r Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: I Project name. f0 S SQDY'�, - Gas h pump 14.00
Cross street/directions to job site: G _ Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: Lot no.:
Flue/vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
• DESCRIPTION OF WORK ,. Water heater 10.00
Gas fireplace 10.00
(-4i eN, b-y pp /1•t.2.c .-�Gt�yt.A.2 L,t.(/, BiLjy(. lLl � Flue vent for water heater - or gas
fireplace 10.00
dB eht.) CYI (/l/I St{ 00 -1/. Cr i J/ C` I-Lau S ' .ct , ,_ 'F '
/ / / Log lighter (gas) 10.00
Lax( V'�Q�/j .4 CU t , ( ( / .- (� t , 0 Wood/pellet stove 10.00
l Cl-44..t.-U0 10.00
fireplace/insert 10.00
❑ PROPERTY OWNE ' , I ❑ TENANT - Chimney/liner/flue/vent 10.00
Other: 10.00
Name: Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City /State /ZIP: Clothes dryer exhaust 10.00
Phone: ( ) Fax: Single -duct exhaust (bathrooms,
( ) toilet compartments, utility rooms) 6.80
al APPLICANT ., ' V CONTACT PERSON Attic /crawlspace fans 10.00
Business name: 14, ) . �� Other: 10.00
C 1 Fuel u sing
Contact name: F , e 61 S5.40 for first four; S1.00 for each additional
Address: 17 Fumace, etc.
Gas heat pump
City /State /ZIP: WalUsuspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail:
Range
_ -, •?- cONTRACTOR . - Barbecue
Business name: 1j / , r� J Clothes dryer (gas)
' ` Other:
Address: i g Q S �� t I
v � �--Q (�(,tt./ - ., A'IECHAN'ICAL PERMIT FEES *.. _ . , .. '
City /State /ZIP: Cca. tx Ve C � ' Subtotal
Minimum permit fee ($72.50)
Phone :(S (j(01^ Cf ��� F ax:) (./622— 1_0SSS
Plan review (25% of permit fee)
CCB lic.: 5Q cS c "7 State surcharge (8% of permit fee)
TOTAL PERMIT FEE
mac_ r This permit application expires if a permit is not obtained within 180
Authorized signature:
.) Oul J t.'t _�L kd{p l/YV) 611 days after it has been accepted as complete.
Print name: N ex �S �'1 Date: 5( CJ 7 • Fee methodology set by Tri-County Building Industry Service Board
76( 10 I CA
i:\ BuildinglPermiu \MEC- PermitApp.doc 12/03 430-4617T (1 I /02 /COM/WEB)
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CITY OF ��wu m w=�0— mn�����n��
BUILDING DIVISION ,
PERMIT #: M[C2007'00207
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: G/1/JOU7
Phone: (503) 639-4171 • Inspection Requests (24 Hrs.): (503) 639 . r��
INSPECTION WORKSHEET FOR DATE: 1212612007 TIME: 7:O6AK8 PAGE: 2
SITE ADDRESS: M SyV WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: [A(|K'S SPORTING GOODS
DESCRIPTION: MV/VC Value: $0S.500.00 Installation of duobmo/kfo/ rLu'u previously installed
OWNER: WASHINGTON SQUARE LLC. PHONE #:
CONTRACTOR: HVAC INC PHONE #: 503'462-4822
Inspection Request Scheduled For: Date: 12/2612007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
5�9 Mechanical final 062130- 01 503-8877616 N
Corrections/Comments/Instructions:
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LZ ASS 1 PARTIAL APPROVAL El CANCEL n NO ACCESS
0 FAIL ri CALL FOR INSPECTION ri ADDITIO 'ALF ES ASSESSED
Skil /
O P Inspector: Date: [)ata� ^/~ ° *�/ one#� (5O3\718''
'
CITY OF TIGARD
BUILDING DIVISION PERMIT #: Iv1EC2007 - 00267
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 611/2007
Phone: (503) 639 -4171 ilw'll
Inspection Requests (24 Hrs.): (503) 639 -4175 ..:W "_..
INSPECTION WORKSHEET FOR DATE: 11/19/2007 TIME: 7 :01AM PAGE: 49
SITE ADDRESS: 09402 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DICK'; SPORTING GOODS
DESCRIPTION: HVA(, Value: $85,500.00 Installation of ductwork for rtu's previously installed
OWNER: WASHINGTON SOUARE LLC, PHONE #:
CONTRACTOR: HVAC INC PHONE #: 503.462
Inspection Request Scheduled For: Date: 111/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rrugh••in i 059777 -0 503•9f4 -3095 N
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Corr •/Comments /Instryctinns•
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FAIL Mr CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
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Inspector: Date: O Phone #: (503) 718- Z-(2--q—S
CITY OF TIGARD , _ -
BUILDING DIVISION PERMIT #: MFC7007 -00767
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1 /)007
Phone: (503) 639-4171
I s Inspection Requests (24 Hrs.): (503) 639 -4175 ":_.
' INSPECTION WORKSHEET FOR DATE: 10/22/7007 TIME: 7:OOAM PAGE: 35
SITE ADDRESS: 08402 SW WASHINGTON k3QUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE. LOT #: TYPE OF USE: .
PROJECT NAME: DICK'S SPORTING GOODS
DESCRIPTION: HVAC Value: $85,5OO.00 Installation of ductwork: for rtu's previously installed
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: HVAC INC PHONE #: 503-462-4822
Inspection Request Scheduled For: Date: 10/2212007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough - in OS8OO8 -01 503 - 887 -7816 Y
Corrections /Comments/ Instructions:
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PUSS i ••t CAN_ fJ v c i - Ter, , u r= fib} V /r/
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PASS I P• RTIAL APPROVAL I I CANCEL • • _ NO ACCESS
6 1 -: FAH , L LL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: lc) Z7, d Phone #: (503) 718 - Z6-- y