Permit It,. = "F. CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00539
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/11/2007
PARCEL: 1512600 -00300
SITE ADDRESS: 09504 SW WASHINGTON SQUARE RD J02 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: DAIRY QUEEN /ORANGE JULIUS
Project Description: Replace VAV, replace rooftop exhaust fan, demo evaporation cooler. Project Value: $3,800
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:
REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
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 9/11/2007 $113.90
TIGARD, OR 97223 [MECPLN] Plan Rev 9/11/2007 $28.48
[TAX] 8% State Surcha 9/11/2007 $9.11
Phone: Total $151.49
Contractor:
HVAC INC
5188 SE INTERNATIONAL WAY
MILWAUKIE, OR 97222 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 462 -4822
FAX 503- 462 -6555
Reg #: LIC 50897 ,
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.
Issue By: . I i i 11 / Permittee Signature: r sL J A 6-
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 A t . A On FOR OFFICE USE ONLY
City of Tigard ', Received �� ���
Date/By: 9 if D7
Permit No.: 60746 S3
13125 SllHall Blvd., 1 1 - 4:0.. • •• . !: 9;,8 D an Review
„y 8. Q
Q� Other Permit:
Phone: 503 639.4171 ;'
�'+ ' Date/By:
Inspection Line: 503.639 '. 175 Ee , ® , c .' I�
Internet: www.ci.tigard.or.us S R �\ �.. Date Ready/By: Ju Supplemental See Page 2 for
�� V� � � ��q�4V Notified/Method: � � /� Supplemental Information
P
'18, 1 I l E ' O ! F WORK COMMERCIAL FEE* SCCHEDULE' USE CKLIST
Mechanical permit fees' are based on the value of the work
❑ New construction gtAddition/alteratio 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: $ 3 g-00. 00
❑ 1- and 2- family dwelling i Commercial/industrial 1=1 Accessory building RESIDENTIAI EQUIPMENT /SYSTEMS FEES•.`:.
❑ Multi- family 0 Master builder For special information use checklist.
❑ Other: Description I Qty. I Ea. I Total
9 6 / JOB SITE'INFORMATION AND LOCATION - - Heating/cooling
p au � S (1 Air conditioning or heat pump
Job site address: 'f > X
_ e (requires site plan showing placement) 14.00
City/State/ZIP: 1- g) Qr,� o J 1 � e Fumace 100,000 BTU (ducts/vents) 14.00
� /
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: 3.... a a Project name: ()O .N i✓c - 1t/ Ltd.(' Gas heat pump 14.00
Cross street/directions to job site: C W aSC4 S 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
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
r _ I , R late_, r Gas fireplace 10 00
re 0 lam vI4e. n -L/ R ( ref late roe, -1,p .Q, +tctud Flue vent for water heater or gas
C��`t n fireplace 10.00
v'' � p J C OO! � � Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
Chimney /liner /flue/vent 10.00
❑ PROPERTY OWNER - ' - I J TENANT • ' Other: 10.00
Name: �� '
� ���e c l �� U7 Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City / StaterZIP: Clothes dryer exhaust 10.00
Phone: ( ) Fax: Single -duct exhaust (bathrooms,
( ) toilet compartments, utility rooms) 6.80
- I, APPLICANT ;- . ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Business name:
, ( Other: 10.00
Fuel piping
Contact name: .(1 Z6R.M,e_ G (AKU n eA - $5.40 for first four; S1.00 for each additional
Address:
Furnace, etc.
Gas heat pump
City/ State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax:: ( ) Water heater
E -mail: Fireplace
Range
..__..' »._.. -. -�. - , , .:CONTRACTOR . ,_ . . Barbecue
Business name: A,�� Clothes dryer (gas)
I� SE y (� , p Other:
Address: a 15 �.(n r- ; way . ' ; - AL PERN.HT FEES *. .Z.,: - '_'" ''
City/State/ZIP: f \l d u.) C,,2 ()rec QYl Subtotal o
Phone: ( i-#60), _ (�g�� 1 � : ( ) Minimum permit fee ($72.50) /13. TO
4 46). - (05 J C 55 Plan review (25% of permit fee) As Al
CCB lic.: 5 O 17 State surcharge (8% of permit fee) 7. (1
TOTAL PERMIT FEE /57. '/?
Authorized signature: r f This permit application expires if a permit is not obtained within 180
V �C ^ �� ✓ �� O
' days after it has been accepted as complete.
Print name: Stet/ rte. ( - Z AO L/vt tJ1 Date: q I (l l 0 • Fee methodology set by Tri -County Building Industry Service Board
BBuilding \Permis\MEC- PermisAppdoe 12/03 440- 4617r(11ro2/COMIWEB)
CITY OF TIGARD r
BUILDING DIVISION ✓ PERMIT #: MEC2007 00539
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2007
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ...' R
INSPECTION WORKSHEET FOR DATE: 11/13/2007 TIME: 7:01AM PAGE: 44
SITE ADDRESS: 09504 SW WASHINGTON SQUARE RD J02 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DAIRY QUEEN/ORANGE=: JULIUS
DESCRIPTION: Replace VAV, replace rooftop exhaust fan, demo evaporation cooler. Project Value: $3,800
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: FIVAC INC PHONE #: 503
Inspection Request Scheduled For: Date: 11/13/2007 Pour Time: ,
Code # Inspection Description Confirm # Contact # Mes- =ge I ilprefidir—
69 Mechanical final 059527 -02 503- 702 -3686 Y
Corrections /Comments /Instructions:
(... 1) i I I ,
r
1
P ASS El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Ins ector: Vbt Date: /6'
Phone #: (503) 718 - 9
P � )
CITY OF TIGARD
BUILDING DIVISION , ` - /■ PERMIT #: MEC2007 -00539
13125 SW Hall Blvd., Tigard, OR 97223 / DATE ISSUED: 91/1/2007
Phone: (503) 639 -4171 Vit Inspection Requests (24 Hrs.): (503) 639 -4175 .. .
INSPECTION WORKSHEET FOR DATE: 10/2312007 TIME: 7:00AM PAGE: 47
SITE ADDRESS: 09504 SW WASHINGTON SQUARE RD J02 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DAIRY QUEEN /ORANGE JUI-IU S
DESCRIPTION: Replace VAV, replace rooftop exhaust fan, demo evaporation cooler. Project Value: $3,800
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: HVAC INC PHONE #: 503 - 462.4822
Inspection Request Scheduled For: Date: 10/23/2007, Pour Time: pio1/41-1
Code # Inspection Description Confirm # Contact # M - -age
615 Mechanical rough -in 05012401 503-462-4822 Y
Corrections /Comments /Instructions: 1.1‘-0 .1.60
O 13
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑, FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
1 d-z____
l L Inspector: �� Date: / 6 Z l/ .7 Phone #: (503) 718- / I