Permit •
4,, CITY OF TIGARD MECHANICAL PERMIT
PERMIT #: MEC2006 -00400
DEVELOPMENT SERVICES DATE ISSUED: 8/16/2006
ss� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 6394171 PARCEL: 1S12600-00300
SITE ADDRESS: 09700 SW WASHINGTON SQUARE RD NORDS ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: HVAC VAV boxes, grids. Value: $4,700
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 [TAX] 8% State Surcha 8/16/200E $10.77
TIGARD, OR 97223 [MECH] Permit Fee 8/16/200E $134.60
Phone: Total $145.37
Contractor:
PSF MECHANICAL
9322 14TH AVE. S.
SEATTLE, WA 98108 REQUIRED ITEMS AND REPORTS
Contact #: PRI 206 - 764 -9663
FAX 206 - 762 -8381
Reg #: LIC 90303
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 By: 4_ sderea . Permittee Signature: `Z ,c 4 1E r
Call 503- 6394175 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.
ti
Mechanical Permit Application FOR OFFICE USE ONLY
City Tigard ^ "/ / / o 69, PenmtNo
13125 SW W G ECC I V[
g Hall Blvd., Tigard, OR 97223 C Date/By: IJ L`AO -
Plan Review
Phone: 503.639.4171 Fax: 503.598.196 I Other Pennir
Da te /By:
Inspection Line: 503.639 4175 A U G 1 1 2 n rat, j. rt I Date Ready /By. guns El See Page 2 for
R
Internet www ci.tigard.or us Notified /Method Supplemental Information
CITY OF TIGARD
• T>I(SngIJISIGN COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction 15 Addition /alteration /replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value. $ r 7c-�C J
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1 - and 2- family dwelling [Commercial /industrial ❑ Accessory building
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: quo t j lika Aiq conditioning ho or heat pump
W Vim^ ` (requires site plan showing placement) 14 00
City/State/ZIP: - Ti c r� ' �� 9�aa Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: I V 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
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10 00
Subdivision: I 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
V ^ � y. Gas foe 10.00
�l t itVidO. �Q e td fth's t Cr i l lance vent f Flue vent for water heater or gas
,, ,p fireplace 10.00
M l (t t �• Log lighter (gas) 10.00
I Wood/pellet stove 10.00
Wood fireplace/insert 10 00
CN PROPERTY OWNER I ❑ TENANT Chimney /liner /flue/vent 10.00
Other. 10.00
Name: t O '�- m t Inc_ Environmental exhaust and ventilation
1 VV�'lj ``'' In _ I, Range hood/other kitchen
Address: kr
non f L . , Su i -ke I ono equipment 10.00
City/State/ZIP: n \ J q (Dl Clothes dryer exhaust 10.00
Single-duct (bathrooms,
Phone: � n "' c Z�C ( r J Fax: �)� 43 t 9 toilet toilet t comp compartrt meentss , utility ity rooms) 6.80
0 APPLICANT El CONTACT PERSON Attic /crawlspace fans 10.00
k c1o,^ , `� � 1 _ Other: 10.00
Business name: I ui u' � :� ' ^ ' ''' Fuel piping
Contact name: a b ri naL ` h $5.40 for first four; $1.00 for each additional
Address:
-1 rJ I� NL. Sad-IA Gas heat p um
`�� pump
City/State/ZIP: Sp t \p.J 4 Q8L3FS WalUsuspended/unit heater
Phone: Qc -76,(4 l L, I Fax: J ) - A,,a -5351 Water heater
Fireplace
E -mail: CAA? `1 ! 03C L4 / / Range
_'� x ONTRACTOR / !! Barbecue 13 :/. too
Clothes dryer (gas) 1 /0_11
Business name: *4-k CoY L,k c m Other
Address: (3 0 Svc --t (t u x - $F MECHANICAL PERMIT FEES*
City/State/ZIP: ®�r,�l-1 1 �. aia s Subtotal
11 l Minimum permit fee ($72.50)
Phone: (WA ._' ( ill Fax: ( )
Plan review (25 %of permit fee)
CCBtic.: 1 State surcharge (8% of permit fee)
r TOTAL PERMIT FEE P -0 � 1
Authorized signature: 0 This permit days after nit expires if a has been accept d as as complete. ted within 180
Print name: 30 r Inc, � eY / t Date: 4 I to (4 • Fee methodology set by Tn- County Building Industry Service Board
i \ Building \ Permits \MEC- Permit App doc 12/03 440-4617r(II /02 /COM/WEB)
1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006-00400
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/16/2006
Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 "'f � ,.
INSPECTION WORKSHEET FOR DATE: 9/8/2006 TIME: 7 PAGE: 70
SITE ADDRESS: 09700 SW WASHINGTON SQUARE RD NORDS CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: NORDSTROM SUNGLASS SHOP
DESCRIPTION: HVAC VAV boxes, grids. Value: $4,700
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: PSF MECHANICAL PHONE #: 206 -764 -9663
Inspection Request Scheduled For: Date: 9/8/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 036193-01 206.718 -9860 N
Corrections /Comments /Instructions:
A I Am -
• w -
i 1 �
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL C ❑ CALL FOR INSPECTION ❑ ADDITIO AL F. ES ASSESSED Or 10 X
Inspector: Ok Date: Phone #: (503) 718- \ J
r