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Permit a CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2009 -00030 TIGARD DATE ISSUED: 1/26/2009 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S126C6 -00500 SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD ZONING: MUC SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG PROJECT: MACY'S Project Description: Install gas furnace on upper mezzanine with duct work to service dock space below. Minimal gas piping. Project Value: $7,500 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: 2 BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: NAT 3 - 15 HP: 1 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: 1 Owner: FEES MAY DEPT STORES COMPANY, THE Description Date Amount ATTN PROPERTY TAX DEPT 611 OLIVE STREET [MECH] Permit Fee 1/22/20. $186.50 ST LOUIS, MO 63101 [MECPLN] Plan Rev 1/22/200E $46.63 [TAX] 12% State Surchai 1/22/200E $22.38 Phone: Total $255.51 Contractor: CK INDUSTRIES INC PO BOX 762 BEAVERTON, OR 97075 -0762 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 245 -1770 FAX 503- 245 -2264 Reg #: LIC 119163 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 dared questions to OUNC by calling 503.246 6699 or 1 800.332.2344. C^ Issue By: (, . I ,a 1 1 . Permittee 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. Mechanical Permit Applies :.. C EIVED Foil (1r•ru:r.: is r. ONL1- 64 City of Tigard R i''ed PemlhNa• K� 30 Da:elflr. / /r �II� i 13125 SW Hali Blvd.. Tigard, OR 97223 Phone. 503.639.4171 Fax: 503 598.1963AN 2 2 2009 Man R`y'e y � Date/By: Date/By: I Other Permn: : i ,, , „ Inspection Line 503.639.4175 Date R =y: hrb. to See Pew i for • cv Internet: ww.tigard•or.gely CITY OF TIGARD Notified:Method: / goof , ppkmeatallaforrorrtion a k $ 7iti!.:1 _ . a. _ ' - TYPE O i . 1 . + V - '• - - - • c I • !. SCAEDI LE.- USE C CKLLST I Mechanical permit fees' are based on the value of the work ❑ New construction jg Addition /alteration /replacement © Demolition ❑ Other: performed. Indicate the value (rounded to the nearest dollar) of all + mechanical materials. equipment. labor. overhead, and profit - - •- : • : . '_ -- . • '- Value • • CATEGORY OF CONSTRUCTION .- f Value $ 7 )) �j �O ` RESIDENTIAL EQCrIPIlfNr ' STEMS FErs. - ❑ 1- and 2- family dwelling gCommercial /industrial ❑ Accessory building I For special infonnarrpn use chec/rIi i ❑ Multi family ❑ Master builder 0 Other. . Descripntm � Qty. I Ea. � Total - JOB SPIT INFORMATION Ati'D LOCATION fleatingleooling Air conditioning or hear pump Job site address: q&O � te ( f1.-c- bed (requires rito plan showiggpkamenf) 14.00 I City /State/ZTP: Furnace 100,000 BTU (ductMhams) 14.00 Furnace 100.000= BTU (decta'vtmi) I 17 90 Suite/bldg./apt no.: Project name: tee.. o i}iCms healpurriP 14.00 Cross street/directions to job site: Duct work f 10.00 Hydronic hot water system 1400 Residential boiler (radiator or hydronic) 1400 Unit heaters (fuel•type, not electric). in-wall. in-0uct suspended, etc. j 14.00 Fluc/vent for any of above 6.80 Subdivision: I Lot no.: Other: I ( 10.00 Tae map/parcel no.: Other fuel appliance+ 1 • - • • •- DESCRIPTION OF WORK ' - . '='"-'• • •) - Water heater I 1000 I • o Gas fireplace 1000 /40R i Zcn/ 90 4 /1S roe/J/11_4` ow up. g Flue vent for water heater Ot I F fireplace 1 0.00 e y i n •! -• o -D DULT P U T Lop (gas) 10.00 PROPS DCL✓n! T3•fK0i.4 t1- HE 2 7_ . 3Ertt,i, - ,C D7Ck Woodkeiler _ 10.00 zl oi.J Yh ezzA- ti i e•-• m I n 1 C} Ab / plat, I Wood fireplacelinscrt 10.00 _ 0 PROPERTY OWNER - ' - Chimney/liner/flue/vent 10.00 Other, 10.00 Name: Eesironmental exhaust and venblatloo Address: Range bood/other kitchen l equipment 10.00 City /State:ZTP: i Clothes dt er exhaust 10.00 i Singlc -duct exhaust (bathrooms. Phone: ( ) Fax: ( ) toilet tom utility rooms) 6.80 T : ::: :': -; �EL APPLICANT' ' I artmenis, utt p © CONTACT - PERSON . • ' - AttIcicra►vlspaac fans 10.00 Business name: (� K I fJ 11S t" I 5 1000 Fuel piping Contact name: "D A p i w r2A n S5.40 for first four, $1.00 for each additiona Address: 3 S i • v ` - • - Gas heat ac. I I / � R /t 1 Gas heat pump City /State/ZIP: p ie:TLAn/ J d _ 9 zaa I f Wallfauspendedhatit heater Phone: (5 a aS— / 7 76 I Fax:: (�3) � r7 Sy water heater t--- E-mail: G k -, „•,Je &w a s r e l= f 1 L, -. si c r { I ease I CONTRACTOR. ' : . - , Barbecue Business name: C Ill / J uGJ S 5 Clothes dryer (gas) L Other. Address: . ' : • • • r . MECHANICAL PERMIT FEED '' • City /State/ZIP: SubtoW Phone: ( ) F es; ( ) Minimum permit fee ($72.50) • Plan review (25 %of permit foe) I CCB lie.. State surcharge (12% of permit fee) TOTAL PERMIT FEE Authorised signature: -- !/��--- Tie Derma appetdon mires Ifs permit Is eat ebesdeedMitlfta190 dos oiler It hat been accepted as complete. Print name: D 4-Ai 7 EU D' Date: / — e 2 / .. D 9 • Fee methodology set by TO- County Building industry Service Board t:'.Hading,Pemull(EGnennit doe o111 90) ad9.•.o1TI(Itrott:oa,WEa) CITY OF TIGARD q'� BUILDING DIVISION Y V �p (,° PERMIT #: MEC2009.00030 13125 SW Hall Blvd., Tigard, OR 97223 '/ ‘DATE ISSUED: 1/2&2009 Phone: (503) 639 -4171 � V Inspection Requests (24 Hrs.): (503) 639 -4175 ''� 0 INSPECTION WORKSHEET FOR DATE: 2/11/2009 TIME: CAM PAGE: 25 SITE ADDRESS: 09300 SW WASHI NGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: MAC'S DESCRIPTION: Install gas: furnace on upper mezzanine with duct work to service dock spa::e below. Minirn al gas piping. Project Value: $7,500 OWNER: MAY DEPT STORES COMPANY, THE, PHONE #: CONTRACTOR: CK INDUSTRIES INC PHONE #: 503 - 245 -177() Inspection Request Scheduled For: Date: 2/11/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Ga::. line 080464-01 503-332-0186 N Corrections /Comments/ Instructions: O ' yc/ 0 • SS ❑ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS IL El CALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED Inspector: � C� Date: t d ( Phone #: (503) 718 -��-� p �� Y CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC200900030 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1f261200q Phone: (503) 639 -4171 .1 "I' iliJ i Inspection Requests (24 Hrs.): (503) 639 -4175 s' '''L. INSPECTION WORKSHEET FOR DATE: 1/27/2003 TIME: 7:OOAM . PAGE: 23 SITE ADDRESS: 00300 SW WASHINGTON SOUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: MACY'S • DESCRIPTION: Install gas furnace on upper mezzanine with ducat work to service dock space below. Minimal c ;as piping. Project Value: $7,500 OWNER: MAY DEPT STORES COMPANY, THE, PHONE #: CONTRACTOR: CK INDUSTRIES INC PHONE #: 503- 245..1770 ' Inspection Request Scheduled For: Date: 1/27/2009 Pour Time: Code # . Inspection Description Confirm # Contact # Message 610 Gas line 000016 503.332 - 010; N Corrections /, omments /Instructions: 60 ' k) g--- MAO '7 PASS) PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL f/ fl CALL FOR INSPECTION ❑ ADDITIONAL F ES ASSESSED 1 / YJ� Inspector: Date: 1 Z v li Phone #: (503) 718- l V6(