Permit CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00122
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/27/2007
PARCEL: 1S12600-00300
SITE ADDRESS: 09534 SW WASHINGTON SQUARE RD H -12A ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: BARE ESCENTUALS
Project Description: Reconfigure with new. Ductwork, VAVs and registers. Value: $14,650.00
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 2/27/20W $293.60
TIGARD, OR 97223 [TAX] 8% State Surcha 2/27/20W $23.49
Phone: Total $317.09
Contractor:
CLIMATE CONTROL INC
16500 SW 72ND AVE
PORTLAND, OR 97224 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 453 -4822
FAX 503- 968 -7224
Reg #: LIC 62196
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: 6a4" Permittee Signature: _ _ _ J
Call 503.639.4175 by 7:00 a.m. for inspections that b ∎ siness day.
This permit card shall be kept in a conspicuous place on the job site til completion of the p 'ect.
Approved plans are required on the job site at the time of - -ch inspection.
Mechanical Permit Ap pLaa t ian , � i = ' ,. � r
, l' } FOR OFFICE USE ONLY
if Tzgard Received
b Date/Bp :A a' ? 07 33 Permit No.:t ev ? _ 00 /a Z,
13125 SW Hall Blvd., Tigard, OR 97223 n , /
Phone: 503.639.4171 Fax: 503.598.1960 FE 3 7 2 Plan Review
ti t `, i Other Permit:
Inspection Line: 503.639 4175 ■ t � y i'lI Dat Date/By:
Ready/By: lures Ed See Page 2 for
Internet: www.ci.tigard.or.us �� ';',.. � � �.- Notified/Method: / Supplemental Information
� �i u �
if MTT�,' -,T,Pa ,- %-rI•yn -- -
TYPE OF WORK . COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction �ddition/alteration/ replacement Mechanical permit fees* are based on the value of the work
/ performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit
CATEGORY OF CONSTRUCTION Value $ 1.4 ( P_
RESIDENTIAL EQUIPMENT / S�'STEMS FEES*
and 2- family dwelling Commercial /industrial ❑ Accessory building
For special information use checklist.
t] Multi - family ❑ Master builder ❑ Other:
Description I Qty. I Ea. I Total
�5 JOB SITE INFORMATION AND LOCATION Heating /cooling
Job site address: � -4( Air conditioning or heat pump
�� GTE SQ . ° K� a * "12
(requires site plan showing placement) 14.00
City /State/ZIP: •-----'?
/ /�Ri O A. 9 22 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100.000+ BTU (duets/vents) 17 90
Suite/bldg. /apt. no.: H - Z Project name: r
{ pr 5c6n / V9 JS 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
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
rA 1 /rfiZOV /I-,Fry! ennGiShnG AP RC - 4-1 n v i a F Flue vent for water heater or gas
fireplace 10.00
r-: Y.1.51 tr'5 ID u e l oai< VAV anx ?' /?ES /.Slrws r 126/ /A aA17ah Logliehter(gas) 10.00
t")"" SA"-tfop / di A/g'G t eaki r"/ GURAto f1 Wood/pellet stove 10.00
Wood fireplace insert 10.00
❑ PROPERTY OWNER I JTENANT Other Chimney/liner/flue/vent 10.00
Other 10 00
Name: ,3912. 6:5Cle.� i U A155 Environmental exhaust and ventilation
Address: Range hood/other kitchen
S tuASHtr J 7 1 .O equipment 10.00
City /State /ZIP: -1 6 ..,AgD o i Q . 3 Clothes dryer exhaust 10 00
Single-duct exhaust (bathrooms,
Phone: ( ) IV /A Fax: ( )
1.0/4 toilet compartments, utility rooms) 6 80
APPLICANT >0 CONTACT PERSON Anic /crawlspace fans 10.00
■
Business name: C.—\ / ( ' .j r r 4-1' t Other: 10.00
Fuel piping
Contact name: �j-tI v R /�/ S5.40 for first four; 51.00 for each additional
Address: f + 1 \ �- u, 7 � f �'..)I V ,.P , Furnace. etc. I
Gas heat pump
City/State/ZIP: . Q d OK. q 701. I Wall /suspended /unit heater
1
Phone:(" ..;) Water heater
;Fax:: 9 2_
453 —� 1 D / Fireplace
E -mail:
I
Range
CONTRACT R 1 I Barbecue I
Business name I y i s -rt (.:J� 11 1 6 ) Clothes dryer (gas)
Other: I I
Address: 1 ( 0 C6D r ( i '• 7 1 n a / MECHANICAL PERMIT FEES* ,93
City /State /ZIP: ) ' a � L 97a a S ub total ' ^" �,gg -6ff
Phone:5/ ) Fax: ( Minimum permit fee ($72.50) I
x ! Cr, 1� Plan review (25% of permit fee)
y
CCB lic.: 1 = St surcharge (8% of permit fee) I p'L3
imp._ TOTAL PERMIT FEE 8 b e t
Authorized signaturf ��� �_ This permit application expires if a permit is not obtained within 180
� r ■ days after it has been accepted as complete.
Print name: ;: '' 2.
CiC f I Date: 9: 8 • Fee methodolou set by Tn- County Buddine Industry Service Board
I •.Buddin Permus\MEC- PcrmnA p dotty?'' l\ 440 -4617T (I I /02 /COM/WEB)
a �
CITY CIF TIGARD
BUILDING DIVISION PERMIT #: MEC2007- 00122
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/27/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639-4175
WORKSHEET FOR DATE: 4/512007 TIME: 7:03AM PAGE: 49
SITE ADDRESS: 09534 SW WASHINGTON SQUARE RD H - 12A CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BARE ESCENTUALS
DESCRIPTION: Reconfigure with new. Ductwork, VAVs and registers. Value: $14,650.00
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503
Inspection Request Scheduled For: Date: 4/5/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 046016 -01 925- 457 -3410 N
Corrections /Comments /Instructions:
C
K PASS / RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL % L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: _ a Phone #: (503) 718- MN,.
CITY OF TIGARD •
BUILDING DIVISION . PERMIT #: MEC20J7- 00122
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/2007
Phone: (503) 639 -4171 A
Inspection Requests (24 Hrs.): (503) 639 -4175 Vi--
INSPECTION WORKSHEET FOR DATE: 4/2/2007 TIME: 7:02AM PAGE: 53
SITE ADDRESS: 09534 SW WASHINGTON SQUARE RD H - 12A CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BARE ESCENTUALS
DESCRIPTION: Reconfigure with new. Ductwork, VAVs and registers. Value: $14,650.00
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503
Inspection Request Scheduled For: Date: 4/2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
625 Duct work 045787 -01 925.457 -3410 N
Corrections /Comments /Instructions:
p; PASS •ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL il ' ' L FOR INSPECTION ❑ ADDITION ' FEES ASSESSED
Inspector: _ Dat-: i 21 0 Phone #: (503) 718 - f
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MEC2007 -00122
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2127/2007
Phone: (503) 639 -4171 ' AA,
Inspection Requests (24 Hrs.): (503) 639 -4175 . V111
1 ..
INSPECTION WORKSHEET FOR DATE: 3/7/20007 TIME: 7:18AM PAGE: 56
SITE ADDRESS: 09634 SW WASHINGTON SQUARE RD H - 12A CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BARE ESCENI UAI. S
DESCRIPTION: Reconfigure with new. Ductwork, VAVs and registers. Value: $14,650.00
OWNER: WASHINGTON SQUARE LLB', PHONE #:
CONTRACTOR: CLIMATE CON1 ROL INC PHONE #: 503 -453 -4822
Inspection Request Scheduled For: Date: 317/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Methanical rough -in 044445-01 503. 573 -9591 N
Corrections /Comments /Instructions:
PASS • P: - IAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL IE , L FOR INSPECTION ❑ ADDITION L F' ES ASSESSED
Inspector: Date: Phone #: (503) 718- en '