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Permit CITY TIGARD MECHANICAL PERMIT I, DEVELOPMENT SERVICES PERMIT #: MEC2005 -00566 °'111 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/12/2005 PARCEL: 1S12600-00300 SITE ADDRESS: 09318 SW WASHINGTON SQUARE RD ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG Project Description: TI - Project Value: $28,604 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 [MECH] Permit Fee 9/12/200f. $483.95 9585 SW WASHINGTON SQUARE RD [MECPLN] Plan Rev 9/12/200E $120.99 TIGARD, OR 97223 [TAX] 8% State Surchar€ 9/12/200f. $38.72 Phone: Total $643.66 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 OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1 -80 - 32 -23 , . Issue By: P ermittee • Signature K etoc,ktia p 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. Mecbanjcal Permit Application rot( orrlci.: (sl: ()NI.) Received City of Tigard Date/By PemlitNo.. / /,— 4 SOS' . 054 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review � Phone: 503.639.4171 Fax: 503.598.1960 ii,., „ i i " D Other Pemut: Inspection Line: 503.639.4175 I IL Date Ready/By tuns ® See Page 2 for Internet: www.ci.tigard.or.us Nob fied/Method Supplemental Information 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, overhead, and profit. CATEGORY OF, CONSTRUCTION. Value: $ $,2,3 64j4. 00 - , 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 Air conditioning or heat pump Job site address: i3J ,1 t e LA (requires site plan showing placement) 14.00 City / State/ZIP: 71'1 F Furnace 100,000 BTU (ducts/vents) 14.00 5 car�P � / r ///���/� . _ Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg /apt. no.: Project name // tr+ s.� _ - Gas heat pump 14.00 Cross street /directions to job site: O-T-C Duct work 14.00 Occupancy Type 11 _ Hydronic hot water system 14.00 Occupancy Load % /S7 Residential boiler (radiator or hydronic) 14.00 COnstrnrtinn "type •- Unit heaters (fuel -type, not electric), Rated Corridor in -wall, in -duct, suspended, etc. 10.00 Subdivision: Energy Code Lot Flue /vent for any of above 10.00 Ai,ccssibility Other: 10.00 Tax map/parcel no.: Other fuel appliances �_ C ,t f 0 ( p • ° DESCRIPTION OF WORK , Water heater 10.00 • Wei I pp t Gas fireplace 10.00 A �" / c. �t l Oka' CuCC, tie. . cpi j / /11 v Flue vent for water heater or gas � p Q I / S l y _ ((J� 7 mo fireplace 10.00 1 � 7 yy / � a'`�M� t- t �f� ( ` /" _ Log lighter (gas) 1000 t, - `4-fp (.� Wood/pellet stove 10.00 , I y o 6 /► /t / S P I A) `' Wood fireplace/insert 10.00 ❑ PROPERTY OWNER ,V ' I 1` MI-TENANT Chimney /liner /flue/vent 10.00 ] Other: 10.00 ,L Name: ( j .,C,0 s S / Z�t0 J Environmental exhaust and ventilation Address: Range hood/other kitchen equipment 10.00 City /State/ZIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 ❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00 Other: 10.00 Business name: Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Fumace, etc. Gas heat pump City /State/ZIP: WalUsuspended/unit heater Phone: ( ) Fax: : ( ) Water heater Fireplace E -mail: Range cu CONTRACTOR Barbee qy ���n Clothes dryer (gas) � Business name: / l'1l 0 Other: Address: �l '8 5 C , n MECHANICAL PERMIT FEES* City /State/ZIP: fl JJ uelikLt V, rs� Subtotal Phone: ( ) �OZ -t. as f Fax ) Minimum permit fee($72.50) 5 Y$ 62 --(o SS3 Plan review (25% of permit fee) / qqq CCB tic.: '( 7 State surcharge (8% of permit fee) 1g. 7A 1/ TOTAL PERMIT FEE & .e.os Authorized signature: / 1- �� (�/) This permit application expires if a permit is not obtained wain 180 1 r> days after it has been accepted as complete. Print name: eA ,nom 018vn$e35 I Date: 9 / -7 / 0 ,3 • Fee methodology set by Tri- County Building Industry Service Board i \ BuildingWennits \ MEC-Perm itApp doe 12/03 44046171' (11 /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 r ; fraction thereof, to and including $100,000.00. " oric't" $100,000.01 and up $1,396.50 for the first $100,000.00 and - v.�r,C ;09?,> $1.10 for each additional $100.00 or ~ — .,i 131,11 r•.o fraction thereof. , !op b31tl3 ) , nisn'i is +IiP.P.937 ; Note: All new commercial buildings require 2 sets of plans. i:\Building\Permits\MEC-PermitApp.doc 12/03 2 CITY OF TIGARD • BUILDING DIVISION PERMIT #:µlgGZC.c - 13125 SW Hall Blvd., Tigard, OR 97223 ria �� . DATE ISSUED: Phone: (503) 639 -4171 'III 2 Ak-O Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: (I(( I TIME: PAGE: SITE ADDRESS: q31:63 ��- Q,�) (,�)P — i3 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: 2(�1c ©s DESCRIPTION: OWNER: PHONE #: • CONTRACTOR: VAS? PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message CF FOAL tu ^_4+ ozcz)3 -0Z- 6 E Corrections /Comments/ Instructions: Rem s C_f ) )(* . • ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CA L FOR INSPECTION ❑ ADDITION L FEES ASSESSED Inspector: Date: ' #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MEG200500566 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/1212005 Phone: (503) 639 -4171 �. Inspection Requests (24 Hrs.): (503) 639 -4175 � ^'� � ,, INSPECTION WORKSHEET FOR DATE: 9/2812005 TIME: 7:08AM PAGE: 60 SITE ADDRESS: 09318 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: CHICO'S DESCRIPTION: TI - Project Value: $28,604 Mec2005 -00565 at 9330 WA SO RD & Mec2005 -00566 are on the same set of plans OWNER: WASHINGTON SQUARE [.LC, PHONE #: CONTRACTOR: HVAC INC PHONE # : 503 - 462 -4822 Inspection Request Scheduled For: Date: 9/28/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message • 615 Mechanical rough -in 016813 -01 503-462-4822 N Corrections /Comments /Instructions: Rt-EKSYMINK"' • • ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL' ❑ CALL FOR INSPECTION ❑ ADDITIONAL F. ES ASSESSED Inspector: Date: ' i S Phone #: (503) 718-