Permit A ` ' CITY OF TIGARD MECHANICAL PERMIT
`;,14� PERMIT #: MEC2005 -00389
DEVELOPMENT SERVICES DATE ISSUED: 7/13/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600-00300
SITE ADDRESS: 09410 SW WASHINGTON SQUARE RD K -11 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Install (1) vav unit, (1) zone damper, duct work & grilles. Valuation: $9600.
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: 1 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 7/13/200; $224.30
9585 SW WASHINGTON SQUARE RD [MECPLN] Plan Rev 7/13/200; $56.08
TIGARD, OR 97223 [TAX] 8% State Surchar€ 7/13/200: $17.94
Phone: Total $298.32
Contractor:
ARROW MECHANICAL
10330 SW TUALATIN RD REQUIRED ITEMS AND REPORTS
TUALATIN, OR 97062
Phone: 692 - 1565
Reg #: LIC 5193
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.
I0
Issued By: �� i I�� A.(i�i Permittee Signatures
Call 503 - 639 -4175 by 7:00 a.m. for inspections that �'� - 'd -
This permit card shall be kept in a conspicuous place on the job sits it �: s e on of the project.
Approved plans are required on the job site at the time of each inspection.
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1\ echanical Permit Ap (111E 1- 1 OR oil R E t Si ONI.1'
City of Tigard L�
13125 SW Hall Blvd., Tigard, OR 97223 � / > Y• .��f • 7 PcmitNo.. G�aos 003
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Phone: 503.639.4171 Fax 503.598.1960 X8 6 Review f r
U Y ' Permit: »•..� Other Per
7 ,. '
Inspection Line: 503.639.4175
ZQ O -'!,1,.. � I
Internet: www.ci.tigard.or.us CIT N a Ready/By: S e tut a rer
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❑ New construction ® Addition/alteration/replacement -- ' =i 'Mechanical permit fees* are based on the value of the work ` A
. : ,v:: ., performed Indicate the value (rounded to the nearest dollar) of all \ \
❑ Demolition ❑Other
0, " • mechanical materials, equipment, labor, overhead, and profit
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'. . , _' :.- ... I. <j t E'ti <. 1.-1.-".."":,'.';:i-',":,:. l( 1 , i. j . '" t v a l ue: a � r ?
❑ I- and 2- family dwelling n Commercial/industrial ❑ Accessory building ! - � .. -~. , ' 4 F ,.,_._. _ ,.
❑ Multi family ❑ Master builder ❑ Other: - • • • , _ For special Information sue checklist.
y Deaptphon I Qty. I Ea. I Total
Job site ate: 9 4 I a Souk' � � o onaitiottin g � he plump
5 W � /}S N/W (rTo N o1 � � ; (m4 eitte plan abog ply) 14.00
City/State/ZIP: f o _ fltl) - , 062_ . Furnace 100,000 BTU (dun lien s) 14.00
Suitc/bld g Ja PL no.: VC _ Furnace 1 � . (� ) 17.90 ,mil
K ! ` 1 Project name: Let„ b \
Gas heat pump 14.00
Cross street/directions to job site: Duet 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 i
Subdivision: I Lot no.: Flue/vent for any of above 10.00 \
Other 10.00
Tax map/parcel no.: Other lbel appliances
(( .. -
i , s n: . . - L t ` ,' - -.. (. : c .
KN,
C . L' t ! ^ k:" ; 4} 2 . ` ' y ` Water heater" 10.00
Gas fireplace 10.00
'AMU- (I\ 114-U u,01 ( t oaLI r iP (L Flue vent for water heater or gas
D v cf 1.6 0 K- -r- G-a I u.‘s dace lo.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
x /liner /fue/veot
<_ :.. „� .; d: l: - ._.. t , .a ... �k a' "- A..a -�� .�t�r:-....?.r..-;:=,,,,4„,-4' X r . . F S_ . .... ;,,..1,-;‘
, r other. 10.00
Name: -
Environmental exhaust and ventilation
Address: Range hood/other kitchen
City/Statt2/ZIP: �pmmt 10.00
Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax ( ) toilet compartments, utility rooms) 6.80
_
.ice i ii E �� r '¢ �{. 1� 4s i `'. ` x,., t C-.t h i s -s
.. a.., a i
w?.ti :TYiY,;f . r ` tin = .y t b .: x .ti,1- i_ r 1, . (C 0 n 1 &7 t Attinkrawispaee fans 10.00
Business name: ,Z 20 171hei- 10.00
M L eta ANIcAI- Co 2�c5r b QS Food Plidng
Contact name: het 5 C I•f C 1+6 55.40 for fist four, 51.00 for each additional
umace, etc.
Address: /6330 S tAi 71. A L ATins (24A-D F Gas heat pump
City/State/ZIP: T .e A- l.41 ✓v im 0 ei 7 0(, 2 Wall/suspended/unit heater
Phone: (5) (Oct Z - 1515 I Fax : ( .0O3 ) 6 9 / - I 7 7 Water heater
9 Fireplace
E -mail:
Q , 4 Range
ro`'��! ti �4.� � a c : �, i � R 4. ��.� 'w - t,�a'� z' .�+� > r ev -•sr- ss a� .� � -. ti ��. ,--q
aat,.�, ti � > .�y ►,�s ... a i2W C2 �,.1: ' z, �, 1 t u s Barbecue
Business name: 4 dlIQ O w H lfC N A 64 1 GA C_ CO aJ Tfl - C 1 O72$ V Clothes dryer (gas)
Other
Address: 3 3 O S �W,, i Y.r r9 tn ,.Y : \; - :, 03 - ., �,, 1
City /State/ZIP: -F 0 17- r/ i , (a °1 7O62-- G Subtotal
Phone: (�3) 69z- l �/ Fax: (S C� 6 -/ O 7G
Plan review (25% f ermit fee) '/ Minimum permit fee (572.50) 4/ g )
CCB fie.: �� 1 o p
S i 9 3 /7, -^e' ' ��
S tate surcharge ( 8% o f permit tee)
TOTAL PERMIT FEE , '
Authorized Signature: This permit application expires Ira permit Is not obtained within 180
( days after It has been accepted as complete.
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CITY OF TIGARD . /4
BUILDING DIVISION PERMIT #: MEC2005 -00389
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/13/2005
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: $/18/2005 TIME 7:06AM PAGE: 95
•
SITE ADDRESS: 09410 SW WASHINGTON SQUARE RD K -11 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: LEGO
DESCRIPTION: Install (1) vav unit, (1) zone damper, duct work & grilles. Valuation: $9600.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ARROW MECHANICAL PHONE #: 692 -1565
•
Inspection Request Scheduled For: Date: 8/18/2006 Pour Time:
Code # Inspection Description Confirm # Contact # . Message
699 Mechanical final 013781 -01 503 - 968 -8242 N
Corrections /Comments / Instructions:
•
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�F&SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
ly DM/
Inspector: Date: U S Phone #: 503
P ( ) 718 -