Permit ew I
a CITY OF TIGARD MECHANICAL PERMIT
' ° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00221
T IG A RD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/23/2007
PARCEL: 1512600 -00300
SITE ADDRESS: 09469 SW WASHINGTON SQUARE RD A10 ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: MAGGIE MOO'S /AUNTIE ANNE'S
Project Description: Demo some ductwork. Install new ductwork. Add new grills. Other fixtures: fan unit. ValuE
$9000
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: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
ELE 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:
OTHER UNITS: 1
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
WASHINGTON SQUARE LLC Description Date Amount
BY THE MACERICH COMPANY
9585 SW WASHINGTON SQUARE RD [MECH] Permit Fee 4/23/200i $213.50
TIGARD, OR 97223 [TAX] 8% State Surcha 4/23/2007 $17.08
Phone: Total $230.58
Contractor:
VIKING HEATING INC
PO BOX 10
GRESHAM, OR 97030 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 665 -7891
Reg #: LIC 50326
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: —
y:
(62,444.e4 Permittee Signature: ��_
Call 503.639.4175 by 7:00 a.m. for inspections that busine day.
This permit card shall be kept in a conspicuous place on the job site until completion of the pr ject.
Approved plans are required on the job site at the time of each inspection.
M echanical Permit App4�ition ; ., ; ; , . FOR OFFICE USE ONLY
Cl of Tigard
Received
13125 SW Hall Blvd ,Tigard, OR 9722 Date/By „9. /0(2 � Permit No M &aoc'7 1)J "y
I Phone 503 639 4171 Fax 503 598 1 .. 1 a R 2 3 ��0� Plan Revs % • / Other Permit t
Inspection Line 503 639 4175 Date/By Re
T 1 G A R D Date Ready/By. iu 0 See Page 2 for
Internet www tigard -or gov SIT g U. p.� Ale Notified/Method Supplemental Information
a Inc "me' TITIPYriTnl'
Ty
'OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction A ddition/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 matenals, equipment, labor, overhead, and profit
CATEGORY OF CONSTRUCTION Value $ 9
I
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling <Commercial/industrial ❑ Accessory building
For special information use checklist
❑ Multi - family ❑ Master builder ❑ Other:
Description I Qty. I Ea I Total
946, 7 JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: S u k `��., k � y c ,,, - �
Air g ho or in gump
�[5 7 l � (requires site plan shown placement) 14 00
City/State/ZIP: c=ri `r / 0(7 Ct - 'Z� Furnace 100,000 BTU (ducts/vents) 14 00
Suite/bldg. /apt. no.:, Project name: '� g
t Furnace 100,000+ BTU (ducts/vents) 17 90
UL li v4W 5 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) 1400
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc 10 00
Subdivision: Lot no.:
Flue /vent for any of above 1000
Other 10 00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10 00
d ��//i Gas fireplace 10 00
��en° iz. _ —° - .J- N3 d'Zg.�i( Flue vent for water heater or gas
l � /' - �, I J fireplace 10.00
/
W� �/ � ! �(1 Log lighter (gas) 10.00
(.. ...4!4x55 b f /tr 90, Wood/pellet stove 10 00
Wood fireplace/insert 10.00
❑ PROPERTY OWNER I ❑ TENANT Chimney/liner /flue /vent 10.00
Other 10 00
Name: Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10 00
City /State /ZIP: Clothes dryer exhaust 10 00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6 80
❑ APPLICANT E CONTACT PERSON Attic /crawlspace fans 10 00
Business name: L / // i e /I ern -1°Y�� T`� Other 10 00
Fuel piping
Contact name: )�� 0 $5.40 for first four; $1.00 for each additional
Address: Po F3.x Furnace, etc
Gas heat pump
City /State /ZIP: bg e _51 )r,4441 04 9 703 C, WalUsuspended/unitheater
Phone: O3 £? 8 / 9 Fax: : 3) /_6, ` . S 7.5 / Z Water heater
i nk / 1 �P Fireplace
E- mail: / °/� /l� V, _ 4i6/4 f �j7t6 ,e . 4>4 , Range
fiv CONTRAC Barbecue
Business name: ( y �� i ive z t../i - i7 1 7 Clothes dryer (gas)
�� '' Other
Address: n en /e, MECHANICAL PERMIT FEES*
City /State /ZIP: U' ' Subtotal
Phone: (3) 66
�/?°��27 e / X03
,0 T —7.g / Fax: �3) ( gi / � Minimum permit fee ($72 50)
Plan review (25% of permit fee)
CCB lic.: 5-0 `, ( e / (I State surcharge (8% of permit fee)
f ! TOTAL PERMIT FEE ,2...
ip / f /
/�� This permit application expires if a permit is not obtained within "180
1t
Authorized signature:
days after it bas been accepted as complete.
Print name: / Date: V/23/0 • Fee methodology set by Tn- County Building Industry Service Board
I \Building'PermitsV�C- PermaApp doe 04/06 440 -4617T (1 I /02/COMM'EB)
Jr •
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total Valuation:, .:" . Permit Fee:,.. „ -.
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
•
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
•
•
1 \Buildmg\Permits\vMEC- PermitApp doc 12/30/05 2
CITY OF TIGARD v
. .
BUILDING DIVISION PERMIT #: MEC2007 -00221
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2312007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 s' "'I L
INSPECTION WORKSHEET FOR DATE: 6/19/2007 TIME: 7:01AM PAGE: 41
SITE ADDRESS: 09469 SW WASHINGTON SQUARE RD MO = CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: MAGGIE MOO'S/AUNTIE ANNE'S
DESCRIPTION: Demo some ductwork. Install new ductwork. Add new grills. Other fixtures: fan unit.
Value: $9000
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: VIKING HEATING INC PHONE #: 503665 -7891
Inspection Request Scheduled For: Date: 6119/2007 Pour Time:
Code # Inspection Description Confirm # Contact # M
615 Mechanical rough -in 050477 -01 503 - 888-1692 Y
Corrections /Comments /Instructions:
bti (----- irjO /1"'S ?6.- rZ S r °n
bil r a > /. o', o ' st,:�_ _ & - 76A/
410 )A / Pe.
•
L ►� ' ' AR IAL APPROVAL ❑ CANCEL ❑ NO ACCESS
1 •
II FAIL ,/ e - , - • - ON ❑ ADDITIO ' L FEES ASSESSED
Y \
Inspect• Date: 6 1 d Phone #: (503) 718- 0`_'9
1
CITY OF TIGARD , • BUILDING DIVISION PERMIT #: MEC2007 -00221
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/23/2007
Phone: (503) 639 -4171 ill
Inspection Requests (24 Hrs.): (503) 639 -4175 .,.._._. "__..
INSPECTION WORKSHEET FOR DATE: 7/612007 TIME: 7:06AM PAGE: 1t3
SITE ADDRESS: 09469 SW WASHINGTON SQUARE RD A10 , CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: MAGGIE MOO'S/AUNTIE ANNE'S
DESCRIPTION: Demo some ductwork. Install new ductwork. Add new grills. Other fixtures: fan unit.
Value: $9000
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: VIKING HEATING INC PHONE #: 503 - 665 -7891
Inspection Request Scheduled For: Date: 7/6/2007 - Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 051560 -01 503-481 -4057 N
, Correc . ns /Comments /Instructions: ----
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PAZ .7 — 0 Ze2 C (- -
1 / -,-- I G/Qtalt e—C/V
1 . -o 1 -A - tea -9
(9-72eir ae,y-dif c--0L.SA___€-„, — 0
•
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
g FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: t� v ` Date: /AC' ( 7 Phone #: (503) 718- 62/Y