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Permit
i , ,. .. A, CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2006 -00526 ° 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/31/2006 PARCEL: 1512600 -00300 SITE ADDRESS: 09530 SW WASHINGTON SQUARE RD H -10 ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG Project Description: Relocation grilles. Value: $1200.00 CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B 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 9585 SW WASHINGTON SQUARE RD [MECH] Permit Fee 10/31/20C $72.50 • TIGARD, OR 97223 [TAX] 8% State Surcha 10/31/20C $5.80 Phone: Total $78.30 Contractor: ARROW MECHANICAL 10330 SW TUALATIN RD TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS Contact #: FAX 503- 691 -1879 PRI 503- 692 -1565 Reg #: LIC 5193 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: ` Call 503- 639 -4175 by 7:00 a.m. for inspections tha si ss d This permit card shall be kept in a conspicuous place on the job site un it completion of the project. Approved plans are required on the job site at the time of each inspection. r -4, Mechanical Permit Application c D FOR OFFICE USE ONLY City of Tigard ® Recei Date/By: l , � 31 V Date: O , I Permit � /� v 1 ' � yi �.,DD 13125 SW Hall Blvd., Tigard, OR 9783 �E�V� 1ey,Lp Phone 503.639 4171 Fax: 503.598.1960 Plan Review b A t . 1 Date Other Permit: Inspection Line: 503.639.4175 OCT 3 1 2006 w a � � E l li'i y' Internet: www ci.tigard.or.us .. Date y H See Page for CITY OF TIGARD w Notified/Meed/Me thod. Supplemental l Information ILDIN DIVISION E OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ❑ New construction Addition/alteration/replacement Mechanical permit fees* are based on the value of the performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION • • Value: $ I i e.-t.) ❑ 1- and 2- family dwelling �CommerciaUindustrial RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ Accessory building ❑ Multi - family 0 Master builder For special information use checklist. ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: ©[� �O �.� V�A6N I Air conditioning or heat pump T 0 N SA.JI\ft ka (requires site'plan showing placement) 14.00 City/State/ZIP: - r•,M 0 I. 47213 Furnace 100,000 BTU (ducts/vents) 14.00 Project name: Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: hPA I- a t -1 b j Airy' V A t P Gas heat pump 14 00 Cross street/directions to job site: Duct work 14.00 �JP 2t�D ! �b $ Og 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 Gas fireplace 10.00 P. f l C' C. to T G (7 gat S Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) - 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 El PROPERTY OWNER I 1114ENANT Chimney/liner /flue/vent 10.00 /� Other: 10.00 Name: / ` pp v co /'°‘ ( Environmental exhaust and ventilation Address: �� 4,.� I i�aJ $ /rvf TO u �1 �t � (\Ae R , .30„..#14...1 Range hood /other kitchen `� F C equipment 10.00 City/State/ZIP: j vjAitO 0k. q ?7 ,3 Clothes dryer exhaust 10.00 Phone: Single -duct exhaust (bathrooms, ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 [3 APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10 00 Business name: A Aa/ 1.„ e4 , 0 1 Apt i[ -A Other: 10.00 Fuel piping Contact name: / n F; 21r b-1 n4q Art $5.40 for first four; $1.00 for each additional Address: 10 C • •" 1J 1 u A I ieT1 Ai ZI Furnace, etc. // t Gas heat pump City/State/ZIP: �u A /4 4 0 k / 017 L Wall/suspended/unit heater Phone: ( 9 1 3 ) (47_ I56 S Fax:: ( () r „ ` 67I Water heater E -mail: � 1 - Fireplace Range CONTRACTOR Barbecue Business name: � egb� Clothes dryer (gas) Jy\x c1•t /Lm, /Gp I Other: Address: 163 3e , 6 i oA i A 4 I MECHANICAL PERMIT FEES* City/State /ZIP: `TJA I ATl M OA q 7662 Subtotal , Phone: (03 )6q 2 _ j be Fax: (4 her I- jci 7 q Minimum permit fee ($72.50) TA. Plan review (25% of permit fee) CCB tic.: fj5 t it 3 State surcharge (8% of permit fee) s( TOTAL PERMIT FEE -7'. Authorized signature:7/.%);'-- • This permit application expires if a permit is not obtaiuru wiLuin Lou • days after it has been accepted as complete. Pnnt name: 17gj ♦r f71/441 AK I Date: • Fee methodology set by Tn -County Building Industry Service Board • 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\Pemtits\MEC- PermitApp doc 12/03 2 CITY OF TIGARD • BUILDING DIVISION PERMIT #: MEC2006- 00526 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/31/2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 °'I _ INSPECTION WORKSHEET FOR DATE: 11/13/2006 TIME: 7:04AM PAGE: 50 SITE ADDRESS: 09530 SW WASHINGTON SQUARE RD �107 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: APPLE COMPUTER DESCRIPTION: E7,:bil s Value: $1200.00 OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: ARROW MECHANICAL PHONE #: 503-692-1565 Inspection Request Scheduled For: Date: 11/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Me- :ge 699 Mechanical final 039627 -01 -• 617 - 839 -3073 Corrections /Comments /Instructions: • • • • • / r . 1 ei 'ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES. ASSESSED Inspector: Date: 11 3 Me) Phone #: (503) 718- 2L I Z V •