Permit iii , .+
CITY TIGARD MECHANICAL PERMIT
44, DEVELOPMENT SERVICES PERMIT #: MEC2005 -00556
A 13125 SW Hall Blvd., T igard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/26/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09390 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description:— Project Value: $11,365
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 1
OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 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: 1 OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
WASHINGTON SQUARE LLC Description Date Amount
BY THE MACERICH COMPANY [MECH] Permit Fee 9/26/200: $250.40
9585 SW WASHINGTON SQUARE RD [MECPLN] Plan Rev 9/26/200: $62.60
TIGARD, OR 97223 [TAX] 8% State Surchar€ 9/26/200: $20.03
Phone: 503 639 - 8865 Total $333.03
Contractor:
OREGON HEATING + A/C INC
PO BOX 397 REQUIRED ITEMS AND REPORTS
DUNDEE, OR 97115
•
Phone: 503 - 538 - 2953
Reg #: LIC 125815
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: P ermittee 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.
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. bMechan e i t A p p l i c a t i o n „ : : 1 m � ; m i . I ( I • 1 ( ) . 1 . )
City of Tigard ALT n se 9 i , s �I! , Permit No.: f( g/ s 5560
13125 SW Hail Blvd., T' OR 97223 , ` (�� l ) , i , Plan R ' 1
Phone: 503.639.4171 F 503.598.1960 li;,, c . f�,40 Permit
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Inspection Line: 503.639.4175 4 j„ 4 l pate ReadyB . ® See Page 2 for
Internet www.ci.tigard.or.us r' ' - -- Notified/Met .od: , s /01(e/e3S �� Supplemental Information
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® New construction „ ❑ ' tie r iii a�ement Mechanical permit f ees* are ase on the va of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ® Other Tenant Improvement mechanical materials, equipment, labor, overhead, and profit
- . - t - r ' ' -�• "I :eo11Y',O1)'; 4- f 1 01!1 ;'` ': ; ,'I....,':,',:, value: $ S11,365.00
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❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building '>1%_� "1r'. ` +l5!, r
Far special information use checklist
❑ Multi- family 0 Master builder
® Other: Tentant Improve Description 1 Qty. 1 Ea 1 Total
,- ;-tJO8 SJ ` ,`1lNFORh' tT'1O*,.AND L0 _ ; '*1ON , „ ;';,; Heating/cooling
Job site address :9 SW Washington 5Q Air conditioning or heat pump
(requires site plan showing placements , 14.00
City/State/ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts/ ents) 14.00
�' Furnace 100,000+ BTU (ducts/vents) 17.90
SuitelbldgJapt. no.: R09 I Project name: tlaartjie Custom Kids, Inc./ Gas heat pump 14.00
Cross street/directions to job site: Washington Square 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
.iE)rit•'opt ' Water heater 1 10.00
Gas fireplace 10.00
Retail Tenant Imptovement Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/nsert 10.00
.' �1`1 > " ' . , .�. ''.:7: 6'.10.41:4'i'''',.:..'... o th er y/liner /8ue/vent 10.00
Other. 10.00
Name: Naartjie Custom Kids, Inc. Environmental exhaust and ventilation
Address: 2369 W Orton Cir. Range hood /other kitchen
equipment 10.00
City/State/ZIP: Salt Lake City, UT 84119 Clothes dryer exhaust 10.00
801 75 -8144 toilet et comp exhaust (bathrooms,
Phone: (801)550-5300 Fax roc
Fax: ( � toiler compartments, utility rooms) 6.80
A ?'' - :=` " rl22 ; C ( tAkt...# N - Attic/crawispace fans ` 1 0.00
Business name: Naartjie Custom Kids, Inc. ,��Dtb� Other: 10.00
Fuel piping ec/
Contact name: David Forbush , 7� is $5.40 for first four; $1.00 for each additional
Address: 2369 W Orton Cir , ^ A, Furnace, etc. .
if Gas heat pump
City /State/ZIP: Salt Lake City, UT 84119 Wall/suspended/unit heater
Phone: (801) 550-5300 I Fax: : (801) 975 -8144 Water heater
Fireplace
E-mail: dforhnsh@naartjie.com r . ° •- ��.,.n
.a ' k._ ., d.i Rang
' . sue 1 1 ` _`'•t ': - - Barbecue -
Business ram d� _� _ Clothes dryer (gas)
Address; 1� ` 1 i '`_�_. :- Other: .
r r _ 'l1�1E1t;'iii': ':
C i t y / S t a t A l ' 7�l' S Subtotal ;: .....
Phone: ( ' 5) 535 -• ag53 Fax: ( , ) Minimum permit fee (572.50) 250, 5/0
Plan review (25% of permit fee) G .,,e (
CB Cl ie: r State surcharge (8% of permit fee) 2 o . 30
TOTAL PERMIT FEE 33., 05
Authorized signature: d t� • This permit application expires if. permit is not obtained within 180
1 / days after it has been accepted as complete.
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005.00556
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/26/2005
Phone: (503) 639- 4171N'guq,
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/8/2005 TIME: 7:00AM PAGE: 99
SITE ADDRESS: 09390 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: NAARTJIE CUSTOM KIDS
DESCRIPTION: Project Value: $11,365
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639-8865
CONTRACTOR: OREGON HEATING + NC INC PHONE #: 503. 538 -2953
Inspection Request Scheduled For: Date: 11/8/2005 Pour Time:
Code # Inspection Description . Confirm # Contact # Message
699 Mechanical final 020560 -01 801 - 859-5687 N
Corrections/Comments/Instructions:
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. , PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITION FEES ASSESSED
•
Inspector: /i 1 Date: Q Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005 -00556
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/26/2005
Phone: (503) 639 -4171 p, � A,
Inspection Requests (24 Hrs.): (503) 639 -4175 Ai
INSPECTION WORKSHEET FOR DATE: 11/7/2005 TIME: 7:05AM PAGE: 19
SITE ADDRESS: 09390 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: NAARTJIE CUSTOM KIDS
DESCRIPTION: Project Value: $11,365
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639-8865
CONTRACTOR: OREGON HEATING + A/C INC PHONE #: 503.538 -2953
Inspection Request Scheduled For: Date: 11/7/2005 Pour Time:
Code # n .Inspection Description Confirm # Contact # Message
699 \ U � Mechanical final 020484 -01 801 -859 -5687 N
Corrections /C ments /Instructions: G/ /e
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0 F INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector: �� Date: Phone #: (503) 718
CITY OF TIGARD MSG
BUILDING' DIVISION PERMIT #: Z3 0O SSG
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ° 'I I..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: SIC, SJ.I Id Asti 5'c2v C% CLASS OF WORK:
SUBDIVISION: __ LOT #: TYPE OF USE:
PROJECT NAME: �`� 9 f .:
DESCRIPTION: b,'LT- -/oeiL
OWNER: PHONE #:
CONTRACTOR: /3 / 'kt - Lt PHONE #:
Inspection Request Scheduled For: Date: • Pour Time:
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Code # Inspection Description Confirm # Contact # Message
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Corrections /Comments/ Instructions:
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❑ PASS r-t■PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector: Date: Phone #: (503) 718 -