Permit CITY TIGARD MECHANICAL PERMIT
A A , ' DEVELOPMENT SERVICES PERMIT #: MEC2005 -00782
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/18/2006
PARCEL: 1S12600-00300
SITE ADDRESS: 09377 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: T.I. Valuation: $30,000.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: 4
TYPE OF USE: COM UNIT HEATERS: 4 VENT FANS: 2
OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS:
STORIES: 2 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: 42 BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: N 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS
FURN > =100K BTU: < =10000 cfm: OTHER UNITS:
> 10000 cfm: 3
GAS OUTLETS:
Owner: FEES
WASHINGTON SQUARE LLC Description Date Amount
BY THE MACERICH COMPANY [MECH] Permit Fee 11181200E $501.50
9585 SW WASHINGTON SQUARE RD [TAX] 8% State Surchaq 11181200E $40.12
TIGARD, OR 97223 [MECPLN] Plan Rev 1/18/200E $125.38
Phone: Total $667.00
Contractor:
REQUIRED ITEMS AND REPORTS
Contact #:
Reg #:
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: , �� _ �,O Permittee Signature:
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.
,777 Gi/eLSk b6,
Mechi ical ermlt Application ` FOR OFFICE USE ONLY
V ° Re ceived
City of Tigard pt . r �A Permit No' Q ) ,, P
wii
13125 SW Hall Blvd., Tigard, OR 97223 Date/By. _,
n Plan Review 6 Phone: 503.639.4171 Fax: 503 598 1960 Y �/ �h' I Date/By / Other Permit:
Inspection Line: 503.639.4175 d [' �.' Date Ready i y ions a See Page 2 for
ard or us - ai1�
Internet: www.ci.tigard Notified/Method' "5 Supplemental Information
1 80 '1 Vir1�5 1 C�P CO FEE* SCHEDULE - USE CHECKLIST
❑ New construction Et 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: $ ;'g Ord a
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
n
❑ 1- and 2- family dwelling Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family 0 Master builder 0 Other:
Description I Qty. I Ea. I • otal
4 JOB SITE INFORMATION AND LOCATION eating/cooling
• 'r conditioning or heat pump
Job site address: 9• (448 dllfl7r - h; It) ft-}k ?)'?':O equires site plan showing placement) 14.00 2,
City/State/ZIP: r' 71Z:3 F. ace 100,000 BTU (ducts/vents) 14.00
Fu , ace 100,000+ BTU (ducts/vents) 17.9
Suite/bldg. /apt. no.: s z oo Project name: /l gegft ?9,1 g// 7 „-- Gas seat pump 14.40
Cross street/directions to job site: ,,z1 1 i i ela 1, F 4:2 / 7 , Duct • ork f 1 • .00 ; '
Hydro 'c hot water system 4.00
Residen •'al boiler . adiator or
hydronic , 14.00
Unit heate ( - type, not electric),
in -wall, in-d, ct, " ended, tc. A 10.00
Subdivision: Lot no.:
Flue /v - it for i s above -, 10.00
Other ` 10.00
Tax map /parcel no.: Other fu �•
.:_rut'
DESCRIPTION OF WORK ��‘�W_ 10.00
M M 10.00
pp
:j fit , . , ' `1 ;, )7', '4 Flu ventl•, . terorgas l
fired.' 10.00
Lo: 11: tPma-,_ 10.00
Wood/ „_ u �--_ 10.00
Wood fire .lace /inse 117__ 10.00
❑ PROPERTY OWNER I [A TENANT IM 10.00
Other: --_ 10.00
Name: Airg p tt /011 r/7r^- Environme d vents . tion mig Range hoc,. �' --
Address: ��aL� ��,�,1 Range c 10.00
City/State /ZIP: bik /0 gbzi,i1 Iopl os tigf` Clo ' es d •1 10.00
Phone: (/-,,,,' F ax: Sinet c o r n M \T Y '.throoms, B®
) ���- �i j � T!? ( ) toilet comy,yy � uli rooms 6.80 /, ,; �
❑ APPLICANT G:. CONTACT PERSON � 70�_, 10.00
Business name: .r �p " 4, p - Other: �� l 0.00
A� 1T2�� � 0 �i 7 �� �. °� �. 1 1 h� •- ��� Fuel piping
Contact name: ,k a 72 .���li $5.40 or st four; $1.00 for each ad •'tional
V Furnace, etc.
Address: / ? '' /)
�O,t� I,1J -°� d!sr� ���:0 w : / Gas heat pu
Ci /State/ZIP: r °%
tY � � � ���,� *Q� 7 i��:�� ,�c�p�'��,, Wall/suspe � ,(--1. --
e. ( Water hea - r
Phone: ( ���) �'�'h �A� ” Fax:: (��; �?�) 4 c',-:11
Fireplac
E -mail:
Range
CONTRACTOR Barbe• e
Clot s dryer (gas)
Business name: ' Orc - 0 Q, <Nr.... Oth
Address: - - - - — - MEGHANICAL -PERMIT FEES * - - -- - -- --
City /State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($72 50) '75, A
r Plan review (25% of permit fee) t p -,"
11�
CCB lic.: State surcharge (8% of permit fee) 4 /i,, °
TOTAL PERMIT FEE ( 1 '5j
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\Permns\MEC- PermiApp doe 12/03 440 -4617T (I1 /02/COM/WEB)
CIPLQ TIGARD
BUILDING DIVISION PERMIT #: MEt. 2005. ,
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/18/2006
Phone: (503) 639 -4171 A q'
Inspection Requests (24 Hrs.): (503) 639 -4175 _.
INSPECTION WORKSHEET FOR DATE: 1/20/2006 TIME: 7 :00AM PAGE: 97
SITE ADDRESS: 0r677 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ABERCROMBIE & FITCH
DESCRIPTION: T.I. Valuation: $30,000.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 1/20/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
616 Mechanical rough -in 025333-01 503 -692 -1566 N
Corrections /Comments /Instructions:
AI. 1 /
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1i 1I J /
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❑ PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL F ES ASSESSED
/
Inspector: 6 ,' � Date: � Phone #: (503) 718- �C/3
CITY 'OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006-00787
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/113/2006
Phone: (503) 639 -4171 AO
Inspection Requests (24 Hrs.): (503) 639 -4175 • ° __..
INSPECTION WORKSHEET FOR DATE: 4127/2006 TIME: 7:04AM PAGE: 00
SITE ADDRESS: 09377 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON ON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ABERCROMBIE & FITCH
DESCRIPTION: T.I. Valuation: $30,000.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 4/27/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mochanical final 0281321 -03 503. 692.166x) Y
R zJ lMF-Ct}
Corrections /Comments /Instructions:
; bo l l;CC)
•
A
jle
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PASS ❑ PARTIAL APPROVAL NCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEE ASSESSED
Inspector: Date: �1•% Phone #: (503) 718- 236 2 " : �
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