Permit CITY OF TIGARD MECHANICAL PERMIT
4 1
as. 4 DEVELOPMENT SERVICES PERMIT #: MEC2005 -00506
`' 13125 SW Ha Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/6/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09309 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Installation of customer supplied remote refrigeration. Valuation: $49,950.
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: A2 VENTS W/O APPL: VENT SYSTEMS:
STORIES: 2 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
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 [MECH] Permit Fee 9/6/2005 $771.50
9585 SW WASHINGTON SQUARE RD [MECPLN] Plan Rev 9/6/2005 $192.88
TIGARD, OR 97223 [TAX] 8% State Surchar€ 9/6/2005 $61.72
Phone: Total $1,026.10
Contractor:
ROYAL COMMERCIAL EQUIPMENT LTD
2736 SE 15TH AVENUE REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97202
Phone: 503 236 - 1370
Reg #: LIC 68375
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 • • by calling 503 - 246 -6699
or 1- 800 - 332 -2344.
Issued By: �1�i Permittee Signature:
Call 503 - 639 -4175 by 7:00 a.m. for inspections that b . day.
This permit card shall be kept in a conspicuous place on the job site u' til - of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical P ermit 'ca. ► FOR OFFICE USE ONLY
City of Tigard u � V dalei - -05 �� Permit No. E, �DO ��'vJ OO
13125 SW Hall Blvd., Tigard, OR 97223A I 2005 Plan Review `rte
Phone. 503.639.4171 Fax 503.598.196 1 7 2005 '� " ` Date/By. - / - 01 -- v5)) Other Permit
' � I
Inspection Line: 503.639.4175 �i i Y
_t __ Date Ready /By Juns El See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method7 n - 6 1I(' Supplemental Information
RI III ()IMO. DWlntfA 5 o e-- (a/ Pj \Q)+---
' TYPE OF WORK •COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
5'd 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, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ /7 '',/ D -Qa
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ I - and 2- family dwelling gCommercial/industrial ❑ Accessory building
ID For specsl information use checklist.
❑ Multi - family ❑ Master builder
Description I Qty. I Ea I Total
- ' JOB' SITE INFORMATION AND LOCATION Heating/cooling
�y3 Q S V). 1 Air conditioning or heat pump
Job site address: 7( (� / �. j - �'C C n �Z S t (requires site plan showing placement) 14.00
City /State /ZIP: 1 I 0 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: Project name: j /4 7Gas heat pump 14.00
Cross street /directions to job site: d'1 7 / j S 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
Flue /vent for any of above 10.00
Subdivision: I Lot no.:
er: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK - Water heater 10.00
Gas fireplace 10.00
OS 1 41-4 -1=1. i ! Dr) O r C JS'Ton, r-- t'ePi-IEQ Flue vent for water heater or gas
r 9,----- ) , per fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
. Wood fireplace /insert 10.00
® PROPERTY OWNER I ❑ TENANT Chimney /liner /flue/vent 10.00
Other 10 00
Name: l 1 ^ - )c) S � \ ^ .\- � , s L�� Environmental exhaust and ventilation
Address. Range hood/other kitchen
equipment 10.00
City /State/ZIP. Clothes dryer exhaust 10 00
3 � �� Single -duct exhaust (bathrooms,
(5
Phone: Z3 Fax: ( ) toilet compartments, utility rooms) 6.80
APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Other: 10.00
. Business name: ik,o Yeti- /'t6fze/ 4, r=c2v i—i.Q
Fuel piping
4 '
Contact name: -/ 1 5'z$, $5.40 for first four; $1.00 for each additional
Address. L73 , S. 6, 15 v` i4-u6' Furnace, etc.
Gas heat pump
' City /State /ZIP. P0 dO 0(2 q 7 9-0'2 Wall /suspended/unit heater
Phone. (5Q3) 3i ?Z66 Fax: : (ue ,3 6 ,0 '177 Water heater
Fireplace
E-mail: R--l.,Atfl- gyftt. Cola Y" C t ict- - co ( f Range
CONTRACTOR Barbecue
Business name:
Clothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal
Minimum permit fee ($72.50)
Phone ( ) Fax:( )
6 Plan review (25% of permit fee) —
CCB lic.. evr, State surchar surcharge ermit fee)
//d(--- TOTAL PERMIT FEE
Authorized signature: / / This permit application expires if a permit is not obtained within 180
hi..5" day s after it has been accepted as complete.
Print name: 4/ 41 j - 6 - 6e - '5 ' Date: 1-7// 1-7// 7 • Fee methodology set by Tn- County Building Industry Service Board
I\ Budding \ Permits \MEC- PennnApp,doc 12/03 440- 4617T(1I /02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total Valuation: Permit Fee:.
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
•
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
i:\Building\Permits\MEC- PermitApp.doc 12/03 2
CITY OF TIGARD
BUIL®ING 'DIVISION PERMIT #: MEC2005 -00506
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/6/2005
Phone: (503) 639 -4171 al
Inspection Requests (24 Hrs.): (503) 639 -4175 1 �.. N
INSPECTION WORKSHEET FOR DATE: 11/1/2005 TIME: 7:06AM PAGE: 101 \ \'�
SITE ADDRESS: 09309 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CHEESECAKE FACTORY
DESCRIPTION: Installation of customer supplied remote refrigeration. Valuation: $49,950.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ROYAL COMMERCIAL EQUIPMENT LTD PHONE #: 503-236-1370
Inspection Request Scheduled For: Date: 11/1/2005 • Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 019924 -01 503 - 649 -3411 N
Corrections /Comments /Instructions:
•
.vitze 1,74k mp-4
•
• •
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL , • CALL FO: INSPECTION ❑ ADDITIONA FEES ASSESSED
Inspector: I Date: Phone #: (503) 718 -
/
CI=TY OF TIGARD
N
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: M EG2QQ5,OQ506
Phone: (503) 639 -4171 R 9!612005
Inspection Requests (24 Hrs.): (503) 639-4175 'II ∎
INSPECTION WORKSHEET FOR DATE: 9/28/2005 TIME: 1:08AM PAGE:
SITE ADDRESS: CLASS OF WORK: 1
SUBDIVISION: 09309 SW WASHINGTON SQUARE RD LOT #: TYPE OF USE:
WASHINGTON SQUARE '∎„
PROJECT NAME: CHEESECAKE FACTORY
DESCRIPTION: Installation of customer supplied remote refrigeration. Valuation: $49,950.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ROYAL COMMERCIAL EQUIPMENT LTD PHONE #: 503- 236-1370
Inspection Request Scheduled For: Date: 9/28/2005 Pour Time:
Code # Inspection Description Confirm # Contact,# Message
605 Post/beam mechanical 016780 -01 503-849-3411 N
Corrections /Comments / Instructions:
�Q C f4
-` ` �( ��. _ YS ,'' -_
3 'ice .
4 4:
•
•
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • CALL INSPECTION ❑ ADDITIONAL F S ASSESSED 0 •
Inspector: ,� Date: Phone #: (503) 718 -