Permit , .:...
IN CIT O F TIGARD MECHANICAL PERMIT
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COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00020
` TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/10/2007
PARCEL: 1512600 -00300
SITE ADDRESS: 09500 SW WASHINGTON SQUARE RD JCPEN ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: JC PENNEY. Replace/Relocate grilles /diffusers. Valuation: $23,805.
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:
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:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES -
WASHINGTON SQUARE LLC Description Date Amount
BY THE MACERICH COMPANY
9585 SW WASHINGTON SQUARE RD [MECH] Permit Fee 1/10/2007 $419.15
TIGARD, OR 97223 [TAX] 8% State Surcha 1/10/2007 $33.53
Phone: Total $452.68
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON ST
PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 - 239 -4600
FAX 503- 239 -7038
Reg #: LIC 33135
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: t � ✓
G �.G) Permittee Signature: /mil" C1 �i�''/il es7 l
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.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard
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Date/By: -1 i 7 Permit rmit No.\■.A - -. . , (W 0
13125 SW Hall Blvd. Received
, Ti Tigard, OR 97223 :i -- -zi. - - Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date/13y: Other Permit
0 fl n Avitiv. al i ,'1
Inspection Line: 503.639.4175 JAN 1 . n L s lit Ali Date Ready/By: .1 ur 1 0 See Page 2 for
Internet: wwi.v.ci.tigard.or.us Supplemental Information
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Notified/Method: r
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'':; '''':,''' v "-::-.'0.i..,•: V :0 ',',' "' ‘ ■+ i:4± ' ,i;i'tt:4,1AM,IV; t bi
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Mechanical permit fees* are based on the value of the work
0 New construction 0 Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
E] Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
MINPM.ffrli?""1"3""004r6WIMANIPtilOVII:r"ri-"P"'4P.'' Value: $ 9. 0 5
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0 1- and 2-family dwelling Commercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family Master builder 0 Other: I Qty. I L I
Description EL _
anner
t tgetrAMOKAMPOW,Prag'‘,'=: Heatingic°°Iing ,
ma il 3 1 Air conditioning or heat pump
Job site address: R. 00 S 0,) w as s la w w ....a. (requires site plan showing placement) 14.00
City/State/ZIP: 1)(7\ektal)a ( G fp--,. Furnace 100,000 BTU (ducts/vents) 14.00
I Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg/apt. no.: Project name: VCJQQJ 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: 1 Lot no.:
Other: 10.00
Tax map/parcel no Other fuel appliances
' '1,4' ' kwts 1 "OW -r:`,..,.,%1 OF ',.A,'"1,1‘ ' 1- l'r-r■• $: .gPkw' - -44-2sifif,'c , i! : '4 ! ri; 7 '' ,N1W'Pi' Water heater 1000
■,i, '! .7141 '‘,.. :.ii;.-.ti - A:, :Man J ; ';: '', . :.U'1 $,N
- Gas fireplace 10.00
p V .Q 12 , P K i - Flue vent for water heater or gas
/ Y \ \\ ' 1 I.C w ho,t-e I fireplace 10.00
i
Log lighter (gas) 10.00
A- .1.4. 01 ' l . ._AL... A Liu e , Wood/pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner/flue/vent
ganctriaigagatIMISIWONSIRCEPOOr&KaZ () th er: 10.00
10.00 '
Name: Environmental exhaust and ventilation
Range hood/other kitchen
Address: equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
Lueslaw. AttickrawisPace fans 1000
Other: 1000
Business name: . ma ( c oll . -
4-1 a Tnr , Fuel piping
1 1 /-
Contact name: r k .„.11171 t-:- $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: rnci SE al a earl 5- , Gas heat pump .
City/State/ZIP: - ( ..4.._( aro c. cr. - - Wall/suspended/unit heater
`'
Phone: 65-5) 2 4600 Fax: : ( 6D. 2ck-7a3(8, Water heater ,
Fireplace
E Range
ry , . 7 ,,..va j ksg , "a',•., W laSINIM: janl,. 'Ytrl; ':.;','CVi Barbecue
- , 1- ZdAke: ' ailrifatiTM...• t MA.. ')!', ...1,14. ,_isrm. 4- 4. ..r1P- .rtiqr,i:'. ,, 57:
, Clothes dryer (gas)
Business name: p cnitt \ Gait - a4- ))9 , In( , Other:
Address: i - 539 fI CIM o 6-Y1 Sci 4,..!., '.• -..
0,0..txqir..tv..,,,..,,,,,,,
City/State/ZEP: "-PaNc...k.._teu9 A p v o -DOD_ Subtotal w q , 'J
(
1 ()( Minimum permit fee ($72.50)
Phone: v3u --5 ) -- Luob (., Fax: J) a--)A...-/0-- Plan review (25% of permit fee)
CCB lie.: -- 5 \-s-- State surcharge (8% of permit fee) ff, 37
Authorized signature: byti 4 vuk id TOTAL PERMIT FEE
ay-6
This permit application expires If a permit is not obtained within 180
days after It has been accepted as complete.
Print name: .. hl n(1../2 71 . CIL O x 4 GY1 Date: 1 - I. O'''' 01 • Fee methodology set by Tri-County Building Industry Service Board
,
CITY OF TIGARD ,
BUILDING DIVISION A . PERMIT #: MEC2007 -00020
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/10/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 1.L.
INSPECTION WORKSHEET FOR DATE: 10/10/2007 TIME: 7:01AM PAGE: 28
SITE ADDRESS: 09 500 SW WASHINGTON SQUARE RD JCPEN CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: JC PENNEY
DESCRIPTION: JC PENNEY. Replace /Relocate grilles/diffusers. Valuation: $23.005.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503239 -4800
Inspection Request Scheduled For: Date: 10/10/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 057310 -01 503572-4988 Y
Corrections /Comments/ Instructions:
•
PAS /PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL 11 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector: Date: fI �j
° / 0 v Phone #: (503) 718 - ZC