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Permit CITY TIGARD MECHANICAL PERMIT °: COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00544 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/14/2007 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: Gas piping to water heater. • 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: NAT 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: 1 Owner: FEES WASHINGTON SQUARE LLC Description Date Amount BY THE MACERICH COMPANY 9585 SW WASHINGTON SQUARE RD [MECH] Permit Fee 9/14/200? $72.50. TIGARD, OR 97223 [TAX] 8% State Surcha 9/14/200? $5.80 Phone: Total $78.30 Contractor: MODERN PLUMBING CO 11120 & D ACQUISITIONS SW INDUSTRIAL R WAY REQUIRED ITEMS AND REPORTS 1 TUALATIN, OR 97062 Contact #: PRI 503 -691 -6166 FAX 503 -691 -6771 Reg #: LIC 87906 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 Issu:: = / /kJ/1/i • /// Permittee Signature: A-00 ; t C. II 503.639.4175 by 7:00 a.m. for inspections that business da 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. Sep. 13. 2007 2:19PM odern Plumbing No, 1844 P. 2/3 - Maichanical Permit A " Pl ri City of Tigard Itae;ved eeanitNo 13125 SW Hal/ Blvd., Tigard, OR 97223 � � ! I MFr.7_ __ Phone: 503.639.4171 Fax 503.598.1960 SEP , . ` . , : Air f ae Byview y: o16erPermir; �" - Inspection Line: 503.639.4175 13 ,� ., "�,��� D Dare/B Internet: www.ci.tigatd.or.us ' �.. Data Ready/By. tutu: 1 See Page 2 rot Notified/Method: I Y OF 1 ARID/. _ T j Supplemental Information -, .. ;! , I; • b. N, .. .... " .71 �_ ? ; �. `TI ';,C01104)ytCfAlL •FEE +•.SCgEbU)C,l USE cattC7cLIST El New construction Addition/alteration/replaeemcnt Mechanical permit fees* arc based on the vain' alue of the work ❑ Demolition Other performed. Indicate the value (rounded to the nearest dollar) of all mxhanical materials. equipment labor, overhead, and profit. " ' '- ,GATE 1JCTION" . .. 'Value :S 7+�od • 1:1 1 -and 2-family dwelling Cpl Commercial/industrial .. OEN'Il ETJAPiv ENT SYSTEMS FEES! 01 Mtl1U� my 0 Accessory buildi For special ttiformarlon use checklist, ❑ Master builder Description Pd I Qty. I Ea. I Total , , J'OB 'SXilt 'INFQI(MA [ON•AND LOCATION . 8eating/cooling Job site address: Q ► • Air conditioning or heat pump a, i regairee aide flan showing placement) 14.00 City /State/ZIP: 1 ; a „I c 9 7 .Z2 2 7 Furnace 100,000 BTU (ducts/veats) 14.00 Suite/bldg/apt. no.: S' 2 CA Project name: �� O Q n • , t W Gas heat ! BTU ((facts/was) 17 90 as 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 Subdivision: Lot no.: Flue/vent for any of above - 10.00 10.00 Tax map /parcel no.: _Other fuel appliances . .. , . D4SCRyP 7TQN OFi•: WORk • , ' • - _ Water hater 1 10.00 l0 . a a 0 Q S 1 ■ t Gas fireplace -10.00 Plus vent for water heater or gas furlacc 10.00 _ Log lghter s) , 10.00 Wood/pellet stove 10.00 Wood fireplace/mat 10.00 ©''::PROPERTx OWJV$ • : Q .. Chutmey/lincr/flac/vent 10.00 Mane: Other: 10.00 Environmental exhaust and ventilation Address: ~ Range hood/other kitchen ~ equipment 10.00 City/State/ZIP: Clothes dryer exhaust 10.00 Phone Single -duct exhaust (bathrooms, : ( ) Fax; ( ) toilet compartments, utility moms) 6.80 -. 0 AI'PUCANT •0:.CON'TACI' >PERSON Attic%rawlseacefans 10.00 flusiness name: other: 10.00 Fuel plpinx Contact name. _ _ $5.40 for that four, SLOO for each additional Address: Furnace. etc. Gas heat pump - . City/State/ZIP: Mill/suspended/unit hearer Phone: ( ) y L Fax: : ( ) Water heater . 1 5.4Q 5. f f E-mail: Fireplace Range CONTRACTOR R/i CxOR Barbecue Business name: ILA 0 8 - r , b , K' CON. Clothes dryer (gas) Address; 1 1 z ' 1 Other. n • v 1" r a( • MECHANICAL PERMIT FEES'' City/State/ZIP: 1 „,,..k , n (Sp_ - '7 tJfo Z Subtotal 1 40 Phone: ( 503) (, 9 1 ( t (o(1, Fax: (5'43) G91 G 7'7 ) permit foe ($72.50) . $O Plan review (25% of penult fee) CCB lic.: c7 9 6 ko State surcharge (8% of permit fee) TOTAL PERMIT P ' a R Authorized signature: , /jj(.A____., This permit application etptraa We permit Is not obtained within 180 Print name: h �_ D days after it has been accepted as complete. . e. k o ra. h k _ G e c� f >_ [Date: '- --a -� ' Fee matbodology set by I'd-County Building industry Service Board i VeuitdineTermimlMPGCmmitApp doe 17103 440.4617T (11/02/C014/WEB) CITY OF TIGARD BUILDING DIVISION P ERMIT #: MEC;2fl07 04; 4 13125 SW Hall Blvd., Tigard, OR 97223 �/ DATE ISSUED: 9/1G/�t107 Phone: (503) 639 -4171 il i Inspection Requests (24 Hrs.): (503) 639 -4175 . �' °:_.. INSPECTION WORKSHEET FOR DATE: 10/29/2007 TIME: 7 :01AM PAGE: 26 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: Gas piping to water heater. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: MODERN PLUMBING CO PHONE #: 503.691 - 6166 Inspection Request Scheduled For: Date: 10/29/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 058626-02 503 691 -6166 N Corrections /C 0 nts /I ctions: o is 'b ve1 °� (D CO 7 1 V ---- , (i 0 , b •I PASS ❑ PARTIAL APPROVAL ti6 CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /J 1 ZI L^ Date: t © M 6-7' Phone #: (503) 718- —2.4 CITY OF TIGARD :► BUILDING DIVISION PERMIT #: MFC2007 -00514 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/14/2007 Phone: (503) 639 -4171 4 , IA , I Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/2612007 TIME: 7 : 00AM PAGE: 72 SITE ADDRESS: 09604 SW WASHINGTON SQUARE RD J02 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE. LOT #: TYPE OF USE: PROJECT NAME: DAIRY OUE N /ORANGE JULIUS DESCRIPTION: Gas piping to water heater. OWNER: WASHI S • ARE -LC, PHONE #: CONTRACTOR: MODERN PLUMBING CO PHONE #: 503-69 -6'166 Inspection Request Scheduled For: Date: 10/26/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 058401 -01 503- 691 -6166 N Corrections /Comments/ Instructions: kk r N1, ,,,, , L11,l C"3= I, r • , x I , • 1:L 7 ' �' ' w7. n 1 '' fr PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 11 (1 h Inspector: �,, /� Date: \ b I b Phone #: (503) 718- 741/ CITY OF TIGARD 40 1 • BUILDING DIVISION PERMIT #: ME C2007-00544 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9 Phone: (503) 639 -4171 i l l Inspection Requests (24 Hrs.): (503) 639 -4175 ^: INSPECTION WORKSHEET FOR DATE: •10/10/2007 TIME: 7 :01AM PAGE: 27 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: Gas piping to water heater. OWNER: WASHINGTON SQUARE LLC, PHONE #: • CONTRACTOR: MODERN PLUMBING CO PHONE #: 503- 691 -6166 Inspection Request Scheduled For: Date: 10/16/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 057691 -02 503-691-6166 N Corre • _ Comments /Instructions: 4 &c.-g . I I5 1 Tes Pi PASS ❑ PARTIAL APPROVAL ■ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED ItO Inspector: Date: Phone #: (503) 718- 2-4`-i