Permit CIT OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00513
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/2/2007
PARCEL: 1S12600-00300
SITE ADDRESS: 09422 SW WASHINGTON SQUARE RD K06 ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: SELECT COMFORT
Project Description: TI Project Value: $14,000
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:
NAT 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: 1
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
WASHINGTON SQUARE LLC Description Date Amount
BY THE MACERICH COMPANY
9585 SW WASHINGTON SQUARE RD [MECH] Permit Fee 10/2/2007 $285.50
TIGARD, OR 97223 [MECPLN] Plan Rev 10/2/2007 $71.38
[TAX] 8% State Surcha 10/2/2007 $22.84
Phone: Total $379.72
Contractor:
TIMBERWOLFF CONSTRUCTION
1659 ARROW ROUTE
UPLAND, CA 91786 - REQUIRED ITEMS AND REPORTS
•
Contact #: PRI 909 - 949 -0380
Reg #: LIC 121743
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 B
. �.. // � � /� 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.
-i ` k22_ ' tt) we S
Mechanical Pe mit A FOR OFFICE USE ONLY
N .. Cit �® of Tigard Y E D t Received B �� , y Petit No.: f ` tedoo7- 6105/ 3
0 13125 SW Hall Blvd., Tigard, OR 97223 Plan R"
C : Phone: 503.639.4171 Fax: 59 9.190i0� 200 ~� I ' Other Petit.
f Da te :n ��
Inspection Line: 503.639.4175 Date Rea B /�� WI See Page 2 for
T I G A R n Internet: www.ti d -0r. ori�TY OF TIGARD __ �ti y �l/`K�� Supplemental Information
gar g Not' .. ethod:
' TYPE OF WORK " f. , C 7 , ERCIAL E* SCHEDULE - USE CHECKLIST
❑ New construction ® Addition /alteration/replacement Mechanical pe Fees* are based on the value of the work
performed. Indicate the value t .1 ! 1 t , e n:•:, " • • . . :
❑ Demolition ❑Other: mechanical materi .:, = .ui.ment lobo , overh d .rofit '
CATEGORY OF CONSTRUCTION ��v ` ,
RESIDENT P. . _I/ JIPMENT / . YSTEMS FEES* .
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building
For special information use c ,c
❑ Multi - family ❑ Master builder ❑ Other: .
Description I Qty. I Ea. I To
•
• J_OB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 91/2-2, AW t o / b kr, Air conditioning or heat pump
(requires site • Ian showing placement) 14.00
City/ State/ZIP: Tigard, OR 97223 Furnace 1 tl 000 BTU (ducts/vents) 14.00
Suite/bldg./apt. no.: K06 I Project name: Select Comfort Furnace 100, '00+ BTU (ducts/vents) 17.90
Gas heat pum, 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot w. system 14.00
Residential boiler radiator or
hydronic) 14 JO
Unit heaters (fuel- not electric),
in -wall, in -duct, s . ded, etc. 1.00
Subdivision: Washington Square Mall I Lot no.: Flue /vent for any of a ve 10.00
Other. , 10.00
Tax map /parcel no.: Other fuel appliances
' DESCRIPTION RIPTION OF WORK Water heater 10.00 •
• Gas fireplace 10.00
tenant alteration of existing space Flue vent for water heater or g.
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
❑ 'PROPERTY OWNER I ® TENANT Chimney/liner /flue/vent 10.00
Other: 10.00
Name: Select Comfort Environmental exhaust and v. , tilation
Range hood /other kitchen
Address: 6105 Trenton Lane
equipment 10
00 Plymouth, MN 55442 Clothes dryer exhaust
0.00
Single -duct exhaust (bathr ,. . s,
Phone: (763)551 -5220 Fax: (763)694 -3352 toilet compartments, utilifrooms) 80
"0 APPLICANT 0 CONTACT PERSON • Attic /crawlspace fans - 10 0
• Other: 10.
Business name: PPS
Fuel piping
Contact name: Amy Diekevers $5.40 for . rst four; $1.00 for each additio I
Address: 75 - 60 St SW Furnace, etc.
— Gas heat pump
City/State/ZIP: Wyoming, MI 49548 Wall/suspend - it heater
Phone: (800) 285- 7866 x2 Fax: : (616) 493 -9351 Water heater
Fireplace
E -mail: amyd @precisionpermits.com Range
-- L CONTRACTOR 't )' Barbecu
Clothes dryer (gas)
Business name: Ag ,.. , /4.9 GI,^ s' 4_7L;,n r G , Other:
Address: �Gs9 ,,est„..2.-o,..i tr MECHANICAL PERMIT FEES*
City/ State/ZIP: Subtotal
�'��`x . G 9 z �� Minimum permit fee ($72.50)
Phone: (Ay 9) 7 e 9 _ v3 p0 Fax: (909) 9 9 - ,F-s era Plan review (25% of permit fee)
CCB lic.: , / 7 State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: • / This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Amy Diekvers Date: 8.24.07 a Fee methodology set by Tri- County Building Industry Service Board
I:\ Building \Pennits\MEC- PennitApp.doc 04/06/06 4404617T (I 1/02/COM/WFB)
CITY OF TIGARD
BUILDING DIVISION ' PERMIT #: MEC2007- 00513
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1012,/2007
Phone: (503) 639 -4171 A
Inspection Requests (24 Hrs.): (503) 639 -4175 s' "''L.
INSPECTION WORKSHEET FOR DATE: 11/28/2007 TIME: 7:00AM PAGE: 9
• SITE ADDRESS: 09422 SW WASHINGTON SQUARE RD K06 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: • TYPE OF USE:
PROJECT NAME: SELECT COMFORT
DESCRIPTION: TI ' Project Value: $14,000
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: TIMBERWOLFF CONSTRUCTION PHONE #: 909
Inspection Request Scheduled For: Date: 11/28/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 06413 -02 909.297 -8505 N
Corrections /Comments /Instructions:
7
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( - \ ' (7-1 71/I - - -::, . ' ' ' . ...
II
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: .! Date: / Phone #: (503) 718 1 Z.
r
CITY OF TIGARD
VhetiCs()) —o 03
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 411111'
INSPECTION WORKSHEET FOR DATE: I L/ I (Q /07 TIME: PAGE:
SITE ADDRESS: 4 2 v 1410 S • CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: � � CIAA0% OWNER: 4 Jf/� 1 PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspecti n Description Confirm # Contact # Message
(..046 (AM a4A; C oa geflt
Corrections /Comments / Instructions:
(4 0A/
/1 6e'L /ter `/ ii zz
PASS ePARTIAL APPROVAL • ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: " \ Date: t � /). / Phone #: 503 718 - � L
P )
CITY OF TIGARD
BUILDING DIVISION PERMIT #: Pv4EC2007-00513
A
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1002007
Phone: (503) 639-4171 VIPP
Inspection Requests (24 Hrs.): (503) 639-4175 •
INSPECTION WORKSHEET FOR DATE: 11/14/2007 TIME: 7:02AM PAGE: 59
SITE ADDRESS: 09422 SW WASHINGTON SQUARE RD K08 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SELECT COMFORT
DESCRIPTION: TI Project Value: $14,000
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: TIMBERWOLFF CONSTRUCTION PHONE #: 909-949-0380
Inspection Request Scheduled For: Date: 11/1412007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
6Th Mochanical rough-in 059550-01 909-297-8505
Corrections /Comments / Instructions:
V
s
./ff 5
0;
V ' PASS PARTIAL APPROVAL LI CANCEL El NO ACCESS
FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: \-1 Date: I ‘A Phone #: (503) 718-