Permit a CITY OF TIGARD MECHANICAL PERMIT
° " COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00614
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/22/2007
PARCEL: 1S12600-00300
SITE ADDRESS: 09524 SW WASHINGTON SQUARE RD H - 8,9 ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: RUEHL
Project Description: Install gas line to fireplace.
CLASS OF WORK: NEW 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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:'
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Owner: FEES
WASHINGTON SQUARE LLC Description Date Amount
BY THE MACERICH COMPANY
9585 SW WASHINGTON SQUARE RD [MECH] Permit Fee 10/22/20C $72.50
TIGARD, OR 97223 [TAX] 8% State Surcha_ 10122/20C $5.80
Phone:
Total $78.30
Contractor:
ANCTIL PLUMBING INC.
16900 SW MERLO ROAD
BEAVERTON, OR 97006 -0000 REQUIRED ITEMS AND - REPORTS
Contact #: PRI 503- 642 -7323
FAX 503- 642 -7755
Reg #: LIC 24184
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.
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Issued By: �� 11 '/ Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for inspection that business day.
• •ermit 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.
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Mecrra'nical Permit . pplica • 1 F012 OFFICE USE O\l
. • !
City of tigalrcir '• ..' Received
ts.M 1 iPerrt,it 1 tt 'li� :� ii
13125 SW Hall Blvd., Tigard; OR' 91223 OCT 22� O I Receives o Plan Review 1 t .i ' ,
Phone. 503 639 4171 'Fax: 503.5)8 1960 t Date ; Ctth fn ! ``i
• Inspection Line: 503.6 ,l,' . Y Ur s ' I I t D. e Ready /By. 1 ® She Page 2 Mr
Internet: www.ci tigetd.or.us • , I + e t 4. tified/Method ` ,! '' S`ti{i{}Iiinental Information
re lB 1•"" 8100` .• . t . • 0�%�-4 a 4.040. C `'SE +OHEciai 1ST
S` m, , , °qtr
i Mechanical permit feg arq basitid On • •e value of the work
❑ New constriictiota ddition/alteration/replacement ti
performed. Indicate dil IMIut,l(rounded o the nearest dollar) of all
' ❑ Demolition , ''! ❑, Other: mechanical materials, i9plpi47nti1iaadrl overhead, and profit
c r y r M I 6 u a l e t �ttp, . r , ` 1J .L. - l I
•sb 'gt ili ,t!_ T V l r k _J u� l a m : T . f,4 a c • ' r " i. + =11 , ',qv (st m { .44; ,4;
�~ ( +•.
n t ' S , }1)1 C , , , T,STENIS FEES,
❑ 1- and 2- family . welling.ornmerctal /industrial ❑ Accessory building '
I ( For specitrl 'ln u h checklist
❑ Multi - family ❑,Master builder ❑ Other: Description i Description .Qty Ea I Total
'�..7 � �(� I j .Ii �ti� o 17l ` �+ s a ,, ;i ifi;.. ; � `i Heating/cooling �'::.a +117!`x•" :,,41k..11... t. �w ..x:`�r���..,�• /coolin ' ''
Job site address: Air conditioning or heat pump
O s� �D (requires site plan showing placement) 14.00
City/ State/ZIP: ' • i . . Furnace 100,000 BTU (hicWveats) • 14 00 •
Furnace 100,000+ BTI_Ohicls::veins)' .! ;' 17.90
Suite/bldg. /apt. no.: IP • H'. V d Project name: "E tr 1 ue Gas heat pump ,, f" "'i � 14 00
Cross street/direbtion4 tb job site: I ' Duct work • r � ' „ 14.00
llydronic hot water System . 1 :1 i , 14 00
Residential boiler (radiator or, t ,,,
h ydronic) . , , . . , I, 14.00
Unit heaters (fuel -type, not electric),
,, in -wall, in -duct, suspended, etc - 10 00
I Lot no.: Flue/vent for any of above ' : . 10 00
Subdivision:
Other 100
Tax map /parcel no. ' • Other fuel appliances" , !
,� � - F` '7! 2Lt yru33 i i i r' s s a k Water heater , , J 10 00
` +atr.,x rs� r ' " `� Gas fireplace 10 00
34 -5 S /to h'�plAE Flue vent for water heter or gas fireplace 10 00
I .
lighter (gas) 10 00
• Wood/pellet stove , 10 00
I i Wood fireplace/insert 1000
_ • i
' ." 10.00
,,, . ` y - � Chimney/liner/flue/vent ,
r , ) p i'1 a Er r ;' ' f <` � 1` ► , l
i< *1. .c..«-'_. 3�'rrtid r1 aiakIfi. r':e_ ...,a.. :-,4? " , r,. ' r '' Other 1000
Name: ' r V e L Environmental exhaust and ventilation
Address: Range hood /other kitchen 1000 • equipment
City/State/ZIP: , : , Clothes dryer exhaust ' 10 00
Single-duct exhaust (bathroorhs,
Phone: ( ) ! Fax: ( ) toilet compartments, utility rooms) : • • : ' 6 80
r x• fL�r - r : x ;+ "t .. r Attic /crawlspace fans , 10 00
Other. .,
Business name: Fuel piping .
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Contact name: $5.40 for first four; SI.00 for each additional
Address: • Furnace, etc. ! .
Gas heat pump
,City/State/ZIP: Wall /suspended /unit hear
Phone: ( ) I Fax: : ( ) Water heater
Fireplace I
E -mail: Range
• n s7 7_j "f t rF
a e�,, r '' I i a `tr.,. yr 1, .. " 1.f � y- ;*f Barbecue
/ Clothes dryer (gas)
Business name: A Ai C fit I (//f $ j ,a/q 4AJc
p ✓ \ Other:
Address: / G e 3 0) S � n - E 1 4e go Wit, qt ' '' f l�fE 11 '( : AL B312N17 St
City/ State/ZIP: 7 v � /v V g 1 � � _ _ Subtotal
� G „...,,,..._ �� 2 � 3 � 9 -S Munn permit fee (S72 50) - q'Z.
Phone: ^ / Fax: G Mar ter ^ew (25% of permit fee)
CCB lic.: 2 (! , xj( 9 F4/ State surcharge (k "o of permit fee) 5.80
�++ I'OTA PERMIT FEE 1$30
Authorized signature: This permit application expires If a permit la not obtained within ISO
!LI days after It hat been accepted as complete.
`6 c t, c/%i "L. I G o 22
Print name: Date: Fee methodology set by 'Di- County Building Industry Service Board
i \ Building \Permits'MEC- Pe:nutAppdoe 12/03 440 - 461 Tr (11 /02 /CO hl/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00614
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10122/2007
Phone: (503) 639 -4171 440-'
Inspection Requests (24 Hrs.): (503) 639 -41751 e_L.
INSPECTION WORKSHEET FOR DATE: 11/21/2007 •TIME: 7:00AM PAGE: , 3.1
SITE ADDRESS: 09524 SW WASHINGTON SQUARE RD H -B,9 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: RUEHL
DESCRIPTION: Install gas line to fireplace.
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OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ' ANCTIL PLUMBING INC. PHONE #: 503 -642 7323
Inspection Request Scheduled For: Date: 11/21/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
' 699 Mechanical final 060113-01 503-642-7323 Y
'Corrections /Comments/ Instructions:
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P• %1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL E. CALL ,FOR INSPECTION ❑ ADDITIONAL, FEES ASSESSED
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Inspector: •` — Date: 14 Zf 1 1 7 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00614
13125 SW Hall Blvd., Tigard, OR.97223 DATE ISSUED: 10/22/2007
Phone: (503) 639 -4171 444
Inspection Requests (24 Hrs.): (503) 639 -4175 °
INSPECTION WORKSHEET FOR DATE: 10/24/2007 TIME: 7 :00AM PAGE: `41I
SITE ADDRESS: 00624 SW WASHINGTON SQUARE RD H -8,9 CLASS OF WORK:
SUBDIVISION: ,WASHINGTON SQUARE • LOT #: TYPE OF USE:
PROJECT NAME: RUEHL
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DESCRIPTION: Install gas line to fire ace:
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ANCTIL PLUMBING INC. PHONE #: 503 -642 -7323 •
Inspection Request Scheduled For: Date: 10/24/2007 6 .11 Pour Time:
Code # Inspection Description Confirm # Contact # Mes • - Plk
610 Gas line 058250.01 503-642-7323
Corrections /Comments /I s ructio s:
Lea fi 6et 1 ---
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ASS' ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector: Date: Phone #: (503) 718-
C,I,TY. OF TIGARD ,.e.
BU� LDIN�Gi DIVISION PERMIT #: MFC2007- 00614
) 3125 SW Hall Blvd., 'Tigard, OR 97223 ' DATE ISSUED: 10/2212007
Phone: (503) 639 -4171 trll
Inspection Requests (24 Hrs.): (503) 639-4175 _ ' I.L.
INSPECTION WORKSHEET FOR DATE: 10/23/2007 TIME: 7:0001 PAGE: 25
SITE ADDRESS: 09524 SW WASHINGTON SQUARE RD H-B,9 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: , TYPE OF USE:
PROJECT NAME: RUEHL •
DESCRIPTION: Install gas line loiireplace. ,
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ANCTIL PLUMBING INC. PHONE #: 603 -642 -7323
Inspection Request Scheduled For: Date: 10/23/2007 - Pour Time: /r
Code # Inspection Description Confirm # Contact # Mess. • -
610 Gas line 058143-01 503-642-7323 •
Corrections /Comments /Instructions: ` '
A.. %1A / _ : _ .' d �
4i / - a-= / 1,./11 '
Z
6.e_■• ( " 7 o 14/04- 77
OT
Al.
O p5/ 1? (- -[ FO e: J4 OD t Li e
S
❑ PASS % PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ./.
i . Inspector: - Date: JO Z 5 0 ' Phone #: (503) 718- Z-- Co