Permit � Is
•
C ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00617
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/13/2006
PARCEL: 1512600 -00300
SITE ADDRESS: 09473 SW WASHINGTON SQUARE RD A8 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: CINNABON. Install refrigeration equipment for walk -m freezer. Valuation: $3,400.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
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 12113120( $104.70
TIGARD, OR 97223 [MECPLN] Plan Rev 12/13/20C $26.18
[TAX] 8% State Surcha 12/13/20( $8.38
Phone: Total $139.26
Contractor:
COMMERCIAL REFRIGERATION INC
5920 SE GLISAN STREET
PORTLAND, OR 972133790 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 234 -6445
FAX 503- 234 -0668
Reg #: LIC 65271
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: .i • Permittee Signature: y
Call 503.639.4175 by 7:00 a.m. for inspections tha busin ss day.
This permit card shall be kept in a conspicuous place on the job site un . completion of the project.
Approved plans are required on the job site at the time of each inspection.
7'73
Mechahical'Permit Ap i ' - . 'I i q3\ f 7-ri ..,,,, FOR OFFICE USE ONLY
City of Tigard
,1 }„..._,„ \.)./._-:=,), .
Received
.. -/ t rel Pemut NAV\ -6 • A I e -- io a '
13125 SW Hall Blvd., Date/By.
..r.._ _-
Phone: 501639 A171 Tigard, OR 97223 DEC 0 5 2006 Fax: 503.598.1960 A P u Revi Aji INEWIll
Other Permit:
It q i Date Rea
Inspection Line. 503.639.4175 CITY OF Taf,...-„,„.. e.._ : El See Page 2 for
Internet: www.ci.tigard.or.us BUIDIN DIVIC: Notified/Method: Supplemental Information
G .,,',
0 New construction gAddition/alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit
. 1. Value. $ r'- 4/4 0
- ,■-;'; ,, ,,,,, ,, ,. „---._., , , , - . „, , ..!,, , — ,
-54P.M, TIMM POWN , -0.. ,To.r0X0'W'FE
0 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building
For special information use checklist.
0 Multi 0 Master builder 0 Other:
Description I Qty I Ea Total
ifeiWi":4.ifarl14 "b - li' ''. :i
„,,...,.:,..„..,,.. ,,p k
c6 , p 1
_ : ,14',;ipO,P . 1 , ...fz Heating/cooling
Job site address: q Li '7 3 LJA544 i Li 5a. Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State/ZIP: '17111 A El_ OL 0 12— 7 Fumace 100,000 BTU (ducts/vents) 14 00
Fumace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: ‘) Project name:Ci 'JO A. 04A j
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) 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: • Lot no.:
Other: _ 10.00
Tax map/parcel no.: Other fuel appliances
:t- v*,,!-",:.:. 1 flu& 16-i‘lvi .,(,;;-i: -, .'-,,;it--,,g',5,4.)- - Water heater 10 00
%'' ' 4 +r .- -,....- = • '.1."`..:1,-. " . ,..ii. I'` t - ' -
Gas fireplace 10.00
=_ 5 C 1 (:)ett 9f.e 0 Art- ad ...,..("Q U i PM (15...1 Flue vent for water heater or gas
fireplace 10.00
e_ f-e___ __X r 6
Log lighter (gas) 10 00
Wood/pellet stove 10 00
Wood fireplace/insert 10.00
:, • - „ -lIl 3PRO R - (` r; '''''''''''.”) EA t .-'-'-'''"'--= -,,'::,,-,
-=-4 1" , I., , ., . , TENANT Chimney/liner/flue/vent 10.00
t . '... Cf.,45 VW r'4.7 4. 1.1cZ ; ,,.• .,. -, - - - •;;,- " • - ` ',' ' -,•,',' Other: 10 00
Name: (-- ,, A) , A (46 i(i Ye.„1.1 _y___ (...., , Environmental exhaust and ventilation
Range hood/other latchen
Address: / g k. ( d i -64 iit. is 7.../c F- . ? i . c...,-. C2
equipment 10.00
City/State/ZIP: L JO 97 Z lie-1A 0 Vi_- Q 7(6 e Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6 80
4' a ti' T7 v-,ffi-in-riedir-4.1.ic-11.:,-pEits0N--,,,:---,',...;;; Attic/crawlspace fans 10.00
Other: 10 00
Business name: Cr) al in a , oi... g2.(:: p efLA:
Fuel piping
Contact name: " , i /Z4 . Co Itfq (C , ...., $5.40 for first four; $1.00 for each additional
f
Address: 5—ct 9_ N 6.....ii5A,L) Furnace, etc.
Gas heat pump
City/State/ZIP: Vo ei -- f I 0 «L -— C1 7 2_ 1 3 Wall/suspended/unit heater
•"
Phone: (502 2,y - 4 4 lei 5 — Fax: : (5V:7') 9:;" &If -- 06 6 7 Wat per lace heater
Fire
E-mail: Range
0 P i : "' ", "? 1 , - 5 1 ' , K i . 4 :, : -4.. ,".W.;- Barbecue
Business name: 5 ,21...a.) ti.. Clothes dryer (gas)
Other
Address: ' ' ,T ,,mtdilAiqdiifi :itEit
City/State/ZIP: Subtotal
Minimum permit fee ($72 50) /61% 20
Phone: ( ) Fax: ( )
Plan review (25% of permit fee) 26 , Mo
CCB lic.: 6 5 / State surcharge (8% of permit fee)
TOTAL PERMIT FEE i
Authorized si gnature: at,
This permit application expires if a permit is not obtained wit in 180
days after it has been accepted as complete.
Print name:Z r ,,, e . c irrzf.-- , Date:1 2....q.. 7 • Fee methodology set by Tn-County Building Industry Service Board
t \BualdingTermds \ MEC-PermitApp doc 12/03 440-46I7T (11/02/COM/WEB)
r / CITY' OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006 -00617
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/13/2006
Phone: (503) 639 -4171 .4�gf
Inspection Requests (24 Hrs.): (503) 639 -4175 . ,' ^:_-.
INSPECTION WORKSHEET FOR DATE: 12/14/200 TIME: 7 :02AM PAGE: 48
SITE ADDRESS: 09473 SW WASHINGTON SQUARE. RD AB;.';) CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE - LOT #: TYPE OF USE:
PROJECT NAME: (C�I „,;
DESCRIPTION: `CENNAB SI [frnstall refrigeration equipment for walk-in freezer. Valuation: $3,400.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: COMMERCIAL REFRIGERATION INC PHONE #: 503
Inspection Request Scheduled For: Date: 12/14/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 041068 -01 503-887-0900 N
Corrections /Comments /Instructions:
I v . , ' � r _ -.
lir& WM ■P”
-.."---- M
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAI ❑ CALL FOR. SPECTION ❑ ADDITION L FS ASSESSED
Inspector: Date: 1Z/Phone #: (503) 718 - z3