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Permit e. CITY TIGARD MECHANICAL PERMIT r DEVELOPMENT SERVICES PERMIT #: MEC2005 -00705 ��� II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/21/2005 PARCEL: 1S12600-00300 SITE ADDRESS: 09302 SW WASHINGTON SQUARE RD ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG Project Description: TI - 2 ton fan coil with chilled water. Project Value: $10,760 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: 1 BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: ELE 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: 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 10/21/20C $242.30 TIGARD, OR 97223 [MECPLN] Plan Rev 10/21/20( $60.58 [TAX] 8% State Surchar€ 10/21/20( $19.38 Phone: 503 639 - 8865 Total $322.26 Contractor: HVAC INC 5188 SE INTERNATIONAL WAY REQUIRED ITEMS AND REPORTS MILWAUKIE, OR 97222 Phone: 503 - 462 - 4822 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 OA 9 2- 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1-80 32 -23 / Issued\ : - ∎ d�� Permittee Signature: x �l��Piu. _ I lO un/0 b Vx 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 Application FOR OFFICE USE ONLY City at Tigard Date/By: /0 ,09/ AM Permit No.: /1— O ?O , n,,,` 13125 SW Hall Blvd., Tigard, OR 97223 an Review ) der Perini Phone: 503.639.4171 Fax: 503.598.1960 �a r , Date/By n Review \01 a/ 1 _ 50 Inspection Line: 503.639.4175 . 0 .1 I Y � �, Date Ready /By: 8 See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: MI Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New construction ®Additio lteratio placement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ 1(j 7(5,t 1 -and 2-family dwelling omm rci industrial RESIDENTIAL EQUIPMENT/ SYSTEMS FEES* ❑ y g�'' ❑ Accessory building ❑ Multi- family ❑ Master builder ❑ Other: For special information use checklist. Description I Qty. I Ea. I Total CI 30,p__ JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: 73:56-2 _ / a QS Air conditioning or heat pump �K, w (requires site plan showing placement) 14.00 City /State /ZIP: ( ( ca s 01 OV1 Furnace 100,000 BTU ( ducts/vents) 14.00 Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg./apt. no.: P ro j ect name:Q20._ Gas heat pump 14.00 Cross street/direction e: 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 fireplace 10.00 Gas 0 r 02• b . Co-j? S p IC 1� W -CIDa g- Flue vent water heater or gas r t fireplace 10 00 C©B Ok / c(13- Qn S r t•'"�' Y L.A. Log lighter (gas) 10.00 r_t `Q k W0..tR.� e ,-„p c„c6 Wood/pellet stove 10.00 f/ Y `� \1 Wood fireplace /insert 10 00 ❑ PROPERTY OWNER I p- TENANT Chimney /liner /flue /vent 10 00 Other. 10.00 Name: I" vl ) � 1 1 (a V r `� „ �'OY ,A. - ` , ram> c,..___ Environmental exhaust and ventilation Address. Range hood/other kitchen equipment 10 00 _ City /State /ZIP: Clothes dryer exhaust 10.00 Fax: Single -duct exhaust (bathrooms, Phone: ( ) ( ) - toilet compartments, utility rooms) 6 80 'APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00 Other: 10.00 Business name: )Pa +�— Fuel piping Contact name: G $5.40 for first four; • $1.00 for each additional Address: Furnace, etc. Gas heat pump City /State /ZIP: Wall /suspended/unit heater Phone: ( ) Fax:: ( ) Water heater Fireplace E-mail: Range CONTRACTOR Barbecue Business name: 1 V ` ( -e_� Clothes dryer (gas) Other Address: 5' g S ( ' t ( City /State /ZIP: J MECHANICAL PERMIT FEES* Subtotal t.,�. Minimum permit fee ($72.50) N A, Se Phone: ( ) 44!a' a,D, Fax: ( ) - (0 Sj_5 Plan review (25% of permit fee) 44, 5$ CCB lie.: 5C19 7 State surcharge (8% of permit fee) l' . 3g TOTAL PERMIT FEE 32... ;j(p This permit application expires if a permit is not obtained within 180 Authorized signature: , CLLA4'02--- C 4,(9 0..."1 days after it has been accepted as complete. Print name: S Pt - kc7 W)sOvl Date: I 0/ 2-1 Q * Fee methodology set by Tri- County Building Industry Service Board I \Buildm ermns\MEC- PermitApp doe 12/03 440 -4617T (11 /02/COM/WEB) CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2005.00705 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/21/2005 Phone: (503) 639 -4171 ,A 11 1 Inspection Requests (24 Hrs.): (503) 639 -4175 � ''I I.. INSPECTION WORKSHEET FOR DATE: 10/27/2005 TIME: 4: 11PM PAGE: 7 SITE ADDRESS: 09302 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: FRAGRANZA DESCRIPTION: TI 2 ton fan coil with chilled water. Project Value: $10,760 OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639-8865 CONTRACTOR: HVAC INC PHONE #: 503 -462 -4822 Inspection Request Scheduled For: Date: 10/28/2005 Pour Time: Code # • Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 019687 -01 503.462 -4822 N Corrections /Comments /Instructions: • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- CITY OF TIGARD • BUILD IN G DIVISION PERMIT #: MEC2006-00705 13125 SW HaII , Blvd., Tigard, OR 97223 DATE ISSUED: 10/21 /2005 Phone: (503) 639 -4171 Amr R• I�I Inspection Requests (24 Hrs.): (503) 639 -4175 -_— INSPECTION WORKSHEET FOR DATE: /0/2712005 TIME: 4:11PM PAGE: 6 SITE ADDRESS: 09302 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: FRAGRANZA DESCRIPTION: TI - 2 ton fan coil with chilled water. Project Value: $10,760 OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639 -8865 CONTRACTOR: HVAC INC PHONE #: 503 - 462 -4822 Inspection Request Scheduled For: Date: 10/28/2005 Pour Time: Code '# Inspection Description Confirm # Contact # Message 625 Duct work 019687 -02 503 462 -4822 N Corrections /Comments /Instructions: winarmaf_t; • - - • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL II CALL FOR IN PECTION ❑ ADDITIm AL FE &ASSESSED Inspector: (p . / Date: _ V I 6 G'hone #: (503) 718- ' CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2005 -00705 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/21/2005 Phone: (503) 639 -4171 Akb Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/23/2005 TIME: 7:00AM PAGE: 49 SITE ADDRESS: 09302 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: rFRAt3RA DESCRIPTION: "fl - 2 on an coil with chilled water. Project Value: $10,760 OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639 -8865 CONTRACTOR: HVAC INC PHONE #: 503 - 462 -4822 Inspection Request Scheduled For: Date: 11/23/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 022345.02 503-490-0976 l� Corrections /Comments /Instructions: • f t \ 1 , 1 k ,A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL LL FOR INSPECTION ❑ ADDIT ONAL FEES ASSESSED Inspector: ( Date: `` Phone #: (503) 718- •