Permit CITY TIGARD MECHANICAL PERMIT
wi DEVELOPMENT SERVICES PERMIT #: MEC2005 -00485
° 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/4/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09364 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: TI Mechanical Value: 15,000
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: 1
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS: 1
STORIES: 1 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 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: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: < =10000 cfm: GAS OUTLETS:
> 10000 cfm: 0
Owner: FEES
WASHINGTON SQUARE LLC Description Date Amount
BY THE MACERICH COMPANY [MECH] Pcrmit Fee 10/3/200E $299.00
9585 SW WASHINGTON SQUARE RD [TAX] 8% State Surchar€ 10/3/200: $23.92
TIGARD, OR 97223 [MECPLN] Plan Rev 10/3/200E $74.75
Phone: 503 639 - 8865 Total $397.67
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 0 -001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1 -800 32 -2344.
Issued : it4
Permittee
•
Signature: ap, EtA
Call 503 - 639 -4175 by 7:00 a.m. for inspections that ness ay.
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.
4i st4..) W41. v ., 16
echanicalVerlitAii li p ti D 51 FOR OFFICE USE ONLY
City of Tigard ,"�v •_' D(l6t Date By v Q Plan Review �(3 Permit No. i� }Ub��DOrL 75
13125 SW Hall Blvd., Tigard, OR 9 7223 4 206 206 206 „ /l ��1G�� �r
. ice
Phone: 503.639.4171 Fax. 503 598 -1960 Ia4e l rt Date/By. I' • Other Permit
Inspection Line. 503 639 4175 s I I y y vi/4105 `lI s
Internet: www ci.tigard onus TI e_ Date Ready/By tugs ® Page 2 for See
C11Y Notified/Method . �, Supplemental Information
III DIN G DIVISI
TYPE OF WORK t t OMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction ® Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labo>,overhead, and profit.
CATEGORY OF CONSTRUCTION Value $ /_/ NV
dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ I- and 2-family g ® CommerciaUindustrial ❑ 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: 9364 iiWASHINGTONtSQUARE' -f.'-V1) conditioning s site plan ho or heat pump
(requires site plan showing placement) 14.00
City /State /ZIP: TIGARD, OR 97223 Fumace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17 90
Suite/bldg. /apt. no.: R01 I Project name: OCCHIALI DA SOLE 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
Flue /vent for any of above 10.00
Subdivision: I Lot no.: Other 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10 00
INTERIOR REMODEL OF EXISTING RETAIL TENANT SPACE IN MALL FOR Gas fireplace 10 00
Flue vent for water heater or gas
NEW TENANT ” OCCHIALI DA SOLE" fireplace 10 00
Log lighter (gas) 10 00
Wood/pellet stove 10 00
Wood fireplace /insert 10 00
❑ PROPERTY OWNER I ® TENANT Ot y/Imer /Flue /vent 10.00
Other 10.00
Name: SUN GLASS DESIGNS D/B /A/ OCCHIALI DA SOLE Environmental exhaust and ventilation
Address: 9390 NORTH 95" STREET Range hood/other kitchen
equipment 10 00
City /State /ZIP: SCOTTSDALE, AZ 85258 Clothes dryer exhaust 10 00
Single -duct exhaust (bathrooms,
Phone: (480)451 -3958 Fax: ( ) toilet compartments, utility rooms) 6 80
❑ APPLICANT . , ❑ CONTACT PERSON ' Attic /crawlspace fans 10.00
Business name: OCCHIALI DA SOLE Other: 10 00
Fuel piping
Contact name: TIM SCHENK $5.40 for first four; $1.00 for each additional
Address: 1120 EAST 80TH STREET -SUITE 211 Furnace, etc
Gas heat pump
City /State /ZIP: BLOOMINGTON, MN 55420 Wall /suspended/unit heater
Phone: (800) 541 -0821 Fax: : (952) 854 -4909 Water heater
Fireplace
E -mail: tims @elderjones.com Range
CONTRACTOR Barbecue
Business name: T.B.D.
Clothes dryer (gas)
Other
Address: MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal
Minimum permit fee ($72 50)
Phone: ( ) Fax: ( )
Plan review (25% of permit fee) •
CCB lic.: State surcharge (8% of permit fee)
TOTAL PERMIT FEE 7
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Date: • Fee methodology set by Tn- County Building Industry Service Board
i \Building\Permits\MEC- PermttApp dot 12/03 440-4617T (1 I /02/COM/WEB)
CITY -OF TIGARD t
BUILDING DIVISION PERMIT #: MEC2005 -00485
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/4/2005
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 - --
INSPECTION WORKSHEET FOR DATE: 11/8/2005 TIME: 7:00AM PAGE: 74
SITE ADDRESS: 09364 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: OCCHIALI DA SOLE
DESCRIPTION: TI Mechanical Value: 15,000
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639.8865
CONTRACTOR: HVAC INC PHONE #: 503- 462 -4822
Inspection Request Scheduled For: Date: 11/8/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in ,V 020601 -01 503462 -4822 Y
Corrections /Comments /Instructions:
Okigra
( 7411/1/11 ffr A
ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: r Date: ` R �-!� Phone #: (503) 718-
CITY. OF TIGARD
BUILDING DIVISION PERMIT #:a(�O� 00 � ��
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED:
Phone: (503) 639 -4171 m om t1�16 jP
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 93(2 Lf wig-. S 6 , E Di CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ® & h% J L % f 5 6 / C work -
DESCRIPTION: (,�
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 7 /' I 7 J °L-C Pour Time:
Code # Inspection Description Confirm # Contact # Message
6..” ( V1(t-e)L-. ) 1 .4 D.-- 6.0 6 Co
Corrections /Comm is /Instructions:
-4/401f
ILV
J
/ 0 - I
t
PASS 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑
FAIL CALL FOR INSPECTION 111 ADDITI ( ES ASSESSED
i
-----
Inspector: l Date: C (AL
.1 � #: (503) 718-