Permit ►,-1 °zl l -to / t „guile a . I�
CITY OF TIG A RD
MECHANICAL PERMIT
f DEVELOPMENT SERVICES PERMIT #: MEC2005 -00693
e :� II 13125 SW Hall Blvd., Tigard, OR 9 503 - 639 -4171 DATE ISSUED: 10/18/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09510 SW WASHINGTON SQUARE RD H -1 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: New ducts, grilles and vav box. Valuation: $6,500.
Regis Salon.
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:
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 [MECH] Permit Fee 10/18/20( $168.50
9585 SW WASHINGTON SQUARE RD [TAX] 8% State Surchar€ 10/18/20( $13.48
TIGARD, OR 97223
Phone: Total $181.98
Contractor:
BEWLEY MECHANICAL
7911 NE 33RD DR SUITE 250 REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97211
Contact #: PRI 503- 626 -8986
FAX 503- 641 -6348
Reg #: LIC 63582
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:
C all - 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.
CITY OF TIGARD
MECHANICAL PERMIT
A4., DEVELOPMENT SERVICES PERMIT #: MEC2005 - 00693
° 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/18/2005
•ter PARCEL: 1 512600 -00300
SITE ADDRESS: 09510'SW WASHINGTON SQUARE RD H -1 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: New ducts & grilles, reuse existing vav box. Valuation: $6,500.
Regis Salon.
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 10/18/20C $168.50
TIGARD, OR 97223 [TAX] 8% State Surcha 10/18/20C $13.48
Phone: Total $181.98
Contractor:
BEWLEY MECHANICAL
7911 NE 33RD DR SUITE 250
PORTLAND, OR 97211 REQUIRED ITEMS AND REPORTS
Phone: 503- 626 -8986
Reg #: LIC 63582
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: —7574 � Permittee Signature:
Call 503 - 639 -4175 by 7:00 a.m. for inspections tha 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.
. Mechanical Permit Application :' 1=012 o1`Flcl JSi 0L _.. '!
•
City of Tigard Received //
Plan Review / - '7, -- . 411 Permit No � I t�
i / 60(9 J
Date/By i \
13125 SW Hall Blvd., Tigard, OR 97223 - -' •
Phone: 503.639.4171 Fax: 503.5: • •,t. (i „, �, Date/By
Other Permit.
Inspection Line: 503.639.4175 t i' � u i i ,
" ; Daze Ready/By. See Page 2 for
Internet' www ci ti ard or us �i �; "
g .. u ��' Notified/Method Supplemental Information
TYPE O E \ �, COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction i� `Ad i� > era e placement Mechanical permit fees* are based on the value of the work
�q� performed. Indicate the value (rounded to the nearest dollar) of all
ID Demolition L ! tlSer: mechanical materials, equipment, labor, over ead, and profit.
• CATEGORY OF CONSTRUCTION Value $/r
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1 - and 2- family dwelling `Commercial /industrial ❑ Accessory building
ID Multi-family ` For special information use checklist.
y ❑ Master builder ❑ Other:
Description I Qty I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Air conditioning or heat pump
Job site address: (requires site plan showing placement) 14.00
City /State /ZIP' Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg. /apt no : Project name Pg.; 1 C Furnace 100,000+ BTU (ducts/vents) 17.90
7r l �A 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
DESCRIPTION OF WORK 1 Water heater 10 00
Gas fireplace 10 00
� -e 6 k ��r.. f �-�
.- � Pe_12 i
Z Flue vent for water heater or gas
fireplace 10.00
2r ' V ` s -, .Q.14 1 In(� 'f c r 1C Log lighter (gas) 10 00
v Wood/pellet stove 10.00
Wood fireplace /Insert 10.00
❑ PROPERTY OWNER I TENANT Chimney /liner /flue/vent 10 00
• ` Other: 10.00
Name: KZ c ( . S S I Environmental exhaust and ventilation
Range hood/other kitchen
Address 7 .L a / f2p equipment 10.00
City /State /ZIP � ,,,, L( j• /vG� 6 4 Clothes dryer exhaust 10.00
( �� C 1 4 _
Single-duct exhaust (bathrooms,
Phone: 7 S.1'�
'. ( ) toilet t compartments, roo nts, utility rooms) 6.80
❑ APPLICANT ❑ CO ACT PERSON Attic/crawlspace fans 10.00
Other: 10.00
Business name: P piping
- e w.a etc, C 6 c r Fuel t m
Contact name. f ' e l $5.40 for first four; $1.00 for each additional
Address:
�` Furnace, etc.
Gas heat pump
City /State /ZIP. Wall /suspended/unit heater
Phone: ($-.0, 0 ere2 Fax: : ( Water heater
Fireplace
E -mail: '-c N Q , ( v.., e C i Ka vr _C t Range
CONTRACT R Barbecue
Business name: 3P� �� /f/f � k � c ! Clothes dryer (gas)
`� V � " Other.
Address 6. - d MECHANICAL PERMIT FEES*
City /State /ZIP ' 2 I d 5,7 f # Subtotal i 501.5 4
CC �� / Minimum permit fee ($72.50)
Phone' (5 Cn3 l �� Fax (l�) /% �
/ Plan review (25 %ofpermit fee) —
CCB lie. � � l a � — 7 i State surcharge (8% of permit fee) Al- /Y• 9 O
`� TOTAL PERMIT FEE / y/ j
Authorized signature / This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: l C e 4 h, Kret4— Date: f . _ cf." • Fee methodology set by Tn- County Building Industry Service Board
i\ Building \Permiis\MEC- Pertn0Appdoc 12/03 ' 440-4617T(II /02/COM/WEB)
w '
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
thereof, to and including $5,000.00.
$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
$10,000.00.
$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
$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 #: MEC200S -00693
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2006
Phone: (503) 639 -4171 •IC
Inspection Requests (24 Hrs.): (503) 639 -4175 :..' 'L .
INSPECTION WORKSHEET FOR DATE: 12/9/2005 TIME: 7 :04AM PAGE: 42
SITE ADDRESS: 09510 SW WASHINGTON SQUARE RD H -1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: REGIS
DESCRIPTION: New ducts & grilles, reuse existing vav box, Valuation: $6,500.
Regis Salon.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: BEWLEY MECHANICAL PHONE #: 603 - 626
Inspection Request Scheduled For: Date: 12/9/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 023198 -01 503 - 626-8986 Y
Corrections /Comments /Instructions: ( r v `
Al 1 A
IS IMPEigir
\ \) .., ( 0 / /a,
J
P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL - CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED l i
Inspector: `P Date: 1 c r Phone #: (503) 718-