Permit 0 , M
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CITY OF TIGARD MECHANICAL PERMIT
: ° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00459
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/9/2008
PARCEL: 1512600 -00300
SITE ADDRESS: 09714 SW WASHINGTON SQUARE RD F04 ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: JUST SPORTS
Project Description: Replace VAV, relocate ducts and grilles. Project Value: $ 8629.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
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 9/9/2008 $208.10
TIGARD, OR 97223 [TAX] 12% State Surch 9/9/2008 $24.97
Phone:
Total $233.07
Contractor:
ARROW MECHANICAL
10330 IN TUALATIN RD
TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 692 -1565
FAX 503 -691 -1879
Reg #: LIC 5193
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 direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
�� /.
Issued B � . ,�/ ��+� � � Permittee Signature: � ` ,_ _ -./
1.
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.
I „, , ,,
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Received Permit No • � 4 ff- , • 5 i
q 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
C Phone: 503.639.4171 Fax: 503.598.1960 Date/By Other Permit
T I G A It b Inspection Line: 503 Date Ready/By ® See Page 2 for
Internet: www.tigard- or.gov Noufied/Method• Supplemental Information
- - . . 1 - . " 7 : 7 . . , .... i'l ?i
, ,1'; '; '., E __ ; 01:; :_ TYPE »OF WORK ; COMMERCIAL FEE* SCHEDULE — USE CHECKLIST •
❑ New construction .Addition/alteration/replacement Mechanical permit fees" are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
,.❑ Demolition ❑;Other: mechanical materials equipment, labor verhead, and profit.
� C I
r ' ` "- 74 " `;CATEGORY OF CONSTRUCTION - . Value: $ /(-/.. t....)
El 1 and 2 family dwelling ® Commercial/industrial ❑ Accessory building RESIDENTIAi EQUIPMENT / SYSTEMS FEES.
Y For special information use checklist.
❑ Multi- family , ❑ Master builder ❑ Other:
Description I Qty. I Ea. -I Total
• •. ° - JOB SITE INFORMATION AND LOCATION - Heating/cooling
Job site address: 9714,SW WASHINTON SQUARE ROAD Au conditioning or heat pump
rr , (requires site plan showing placement) 14.00
City/State/ZIP: TIGARD OREGON Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg. /apt. no.: F-4 Project name: JUST SPORTS Furnace 100,000+ BTU ( ducts/vents) 17.90
Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
r Q /.� ` gyp 7-( N � � , Unit h ic) 14.00
iO�LI Ci.o 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
'y 'DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
SPACE TENANT IMPROVEMENTS
Flue vent for water heater or gas
(1) NEW FANPOWERD BOX. ALSO DUCT WORK ALTERATIONS 74,s4 fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
" ❑PROPERTY OWNER IN TENANT Chimney /liner /flue/vent - 10.00
' Other: 10.00
Name: JUST SPORTS Environmental exhaust and ventilation
Address: 9714 SW WASHINTON SQUARE ROAD Range hood /other kitchen
equipment 10.00
City/State/ZIP: TIGARD OREGON Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
❑ 'APPLICANT - ❑ CONTACT PERSON Attic/crawispace fans 10.00
Business name: Arrow Mechanica, Inc. Other: 10.00
Fuel piping
Contact name: ART OR CAMERON $5.40 for first four; $1.00 for each additional
Address: 10330 SW TUALATIN RD Furnace, etc.
Gas heat pump
City/State/ZIP:" TUALATIN OREGON 97062 Wall/suspended/unit heater
Phone: (503) 692 -1565 Fax: : (503) 691 -1879 Water heater
Fireplace
E -mail: ARROW MECH @VERIZON.NET Range
' . CONTRACTOR _ • - Barbecue
Business name: ARROW MECHANICAL INC. Clothes dryer (gas)
Other:
Address: 10330 SW TUALATIN RD MECHANICAL PERMIT FEES* ,
City/State/ZIP: TUALATIN OREGON 97062 Subtotal
Phone: (503) 692 -1565 Fax: (503) 691 -1879 Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic.: 5193 State surcharge (8% of permit fee)
TOTAL PERMIT FEE pis v
This permit application expires if a permit is not obtained within 180
Authorized • attire:
days after it has been accepted as complete.
CITY OF TIGARD
efi BUILDING DIVISION
A PERMIT #:
1VIEC20013- 00459
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
9i90.008
Phone: (503) 639-4171 Irei 1
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
10/15/2008 TIME: 33
SITE ADDRESS: • 09714 ,SW WASHINGTON SQUARE RD F04 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ,IUSI SPORTS
DESCRIPTION: Replace VAV, relocate ducts and grilles. NO PLAN REVIEW REQUIRED. Project Value: $ 0629.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ARROW MECHANICAL PHONE #: 50:3-692-1565
Inspection Request Scheduled For: Date: 10/•5/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 076716-01 509-834-0126 N
Corrections/Comments/ Instructions:
,- e ■ %),\.3\oiv _.
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■111111111 4 MINIIIIIIIIIIIIII/ ■1811111=11111111•■■11111111111/
e jPASS El PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
fl FAIL 0 CALL FOR INSPECTION []ADDITIONAL FEES ASSESSED
Inspector: 735 Date: A5crra6 Phone #: (503) 718- 2
CITY OF TIGARD .,
BUILDING DIVISION t; - ` PERMIT #:
M9.Gx0
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8 OU�Sg
Phone: (503) 639 -4171 ' f�l /q/ 1Qt
Inspection Requests (24 Hrs.): (503) 639 -4175 -_..
INSPECTION WORKSHEET FOR DATE: 10/10/2008 TIME 7 :O0AM PAGE:
SITE ADDRESS: 09714 SW WASHINGTON SQUARE RD F04 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: JUST SPORTS
DESCRIPTION: Replace VAV, relocate ducts and grilles. NO PLAN REVIEW REQUIRED. Project Value: $ 8E29.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ARROW MECHANICAL PHONE #: .503-692- 1665
Inspection Request Scheduled For: Date: 10/10/7008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 07654 4-01 503- 793 -2843 N
Corrections /Comments/ Instructions:
*PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:
4, j,
Date: hh k Z
_� 1 l 1 l 0 0 u Phone #: (503) 718-