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Permit / w CITY TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2005 -00741 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 11/7/2005 PARCEL: 1S12600-00300 SITE ADDRESS: 09502 SW WASHINGTON SQUARE RD J -3 ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG Project Description: Relocating VAV box and pneumatic therostat with new. Value: $2500. 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: > GAS OUTLETS: 10000 cfm: Owner: FEES WASHINGTON SQUARE LLC Description Date Amount BY THE MACERICH COMPANY [MECH] Permit Fee 11/7/200f. $84.00 9585 SW WASHINGTON SQUARE RD [TAX] 8% State Surchar€ 11/7/200: $6.72 TIGARD, OR 97223 Total $90.72 Phone: Contractor: ENTEK CORPORATION 7316 NE 47TH AVE. REQUIRED ITEMS AND REPORTS VANCOUVER, WA 98661 Phone: 360 - 883 - 5462 Reg #: LIC 49202 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: • / Permittee Signature: '7% Call 503 - 639 -4175 by 7:00 a.m. for inspections t at 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. IF, m Mechanical Perm 11' i i S ``I i . '0., ,I holy OFFICE ICE USE ONLY City of Tigard R eceived ` i Permit No r - +D � 7 / Date/B . 13125 SW Hall Blvd , Tigard, OR 97223 Plan Revi- Phone: 503.639.4171 Fax: 503.598. I � r r , i v t 0 7 200 Date/By Other Permit Ins e ction Line. 503 639.4175 p J ,. ; �'f � Date Ready/By ®See Page 2 for Internet: www.ci.tigard.or.us J Notified/Method 103 Supplemental Information CITY OF 1'Iur-.rte 13121,151NRaNTISION COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees' are based on the value of the work ❑ New construction /Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ ZSOO RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1 - and 2 family dwelling Et Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi ❑ Master builder ❑ Other: Description I Qty. 1 Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling 9 S 2J 5P-7,4(n-rots/ Air conditioning or heat pump Job site address: "+�} SQ �,g-o(c e O (requires site plan showing placement) 14.00 City /State /ZIP: l c71e..:ru 1 h 0 43-2i2. Furnace 100,000 BTU (ducts/vents) 14.00 Suite/bldg./apt. no.: > ( 3 c 7 j Project name: I Furnace 100,000+ BTU (ducts/vents) 17.90 d 6 rz `tV )1e- 3 - Gas heat pump 14.00 Cross street/directions to job site: S.. i /`N Duct work 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) i 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: Lot no.: Flue /vent for any of above 10.00 Other: 10.00 _ Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 + (� IS Gas fireplace 10.00 4- PIA -I N &1 Ere II sT 1 n) GI V' »J o' A /kL , Flue vent for water heater or gas P'n1f7.V1 t�9- 1lL 1 > - (L-MOS i 7S 1/\./ I 1 �► fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 ❑ PROPERTY WNER I a TENANT Chimney/liner/flue/vent 10.00 Other: 10.00 Name: A2 'llt?£L ,SS Environmental exhaust and ventilation r� ��jj Range hood/other kitchen Address: gsgs s�r.,1 \t 11 ,l o S0 v x - " �5 equipment 10.00 City /State /ZIP: re / 3_4 g o ©Q ') 2 2.3 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6 80 ❑ APPLICANT ,CONTACT PERSON Attic/crawlspace fans 10.00 vn Other: 10.00 Business name. EN , , c �-lam O fT (' Fuel piping Contact name: MA-71-1-1-6-\-4 . 0 $5.40 for first four; $1.00 for each additional / Address: 7 ; b /4"6.- 4,Tl-I- /9-vg.. Furnace, etc. Gas heat pump City /State /ZIP: V i el_ fv c � n _ ! ty 9' ( 66/ Wall/suspended/unit heater Phone: gl30 )6%; - 646 Fax:: ( ) gp,3 - 65" Water heater Fireplace E -mail: wit did lam' /n� , p --Lek 1„v/} -G . Co yr., Range CONTRACTOR Barbecue Business name: Clothes dryer (gas) Other: Address: MECHANICAL PERMIT FEES* City /State /ZIP: r � Subtotal Phone: ( ) / Fax: ( ) Minimum permit fee ($72.50) �� Plan review (25% of permit fee) CCB lic.: ,41 q ZD Z State surcharge (8% of permit fee) ,, i1 TOTAL PERMIT FEE _= "' �� - ( � This permit application expires if a permit is not obtained within 180 Authorized signa 1 ' i � '/ � ��� ��� days after it has been accepted as complete. Print name: , ii , � .i I 0 DID Date: 1l 7/ 0 5 • Fee methodology set t by Tn- County Building Industry Service Board i '�Buildmg\Pennits\MEC- PermitApp doe 12/03 410- 4617T(I I /O2JCOM/WF9) R E , ' K ( 1 P`7 - O OS/'- V . ,' 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 - 7a- 6 thereof, to and including $5,000.00. 11'60 $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 (7L.1 $10,000.00. ;):)7 $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 ) D $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. i. \Building\Permits\MEC- PermitApp.doc 12/03 2 CITY OF TIGARD BUILDING'DIVISION PERMIT #i(A - 0074/ 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 /a�swdp� A Inspection Requests (24 Hrs.): (503) 639 -4175 _': "'II INSPECTION WORKSHEET FOR DATE: 471:5— TIME: PAGE: � . L.3 j� SITE ADDRESS: CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: C 1,,(106\1:2("" DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections /Comments/ Instructions: Arlii All PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION • ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 1I ( 05 h one #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MEG2005- 00741 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/7/2005 Phone: (503) 639- 4171I�I Inspection Requests.(24 Hrs.): (503) 639 -4175 '. _ ... INSPECTION WORKSHEET FOR DATE: 12/1/2005 TIME: 7 :08AM • PAGE: 72 SITE ADDRESS: 09502 SW WASHINGTON SQUARE RD ,l3 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: SMART WIRELESS • DESCRIPTION: Relocating VAV box and pneumatic therostat with new. Value: $2500. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: ENTEK CORPORATION PHONE #: 360.883 - 5462 Inspection Request Scheduled For: Date: 1 7.11/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 022769 -01 253- 468 -6630 N Corrections/Comments/Instructions: lam1/ JIIPARIEWERIMIAltraft ',70 off* vr- • ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: Date: Phone #: (503) 718 - ,