Permit C ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00260
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/22/2008
PARCEL: 1512600 -00300
SITE ADDRESS: 09567 SW WASHINGTON SQUARE RD B03 B ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG •
PROJECT: FRED MEYER JEWELERS
Project Description: TI. Valuation: $10,000.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 2
OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS: 0
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:
CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 2
FURN > =100K BTU: <= 10000 cfm:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
WASHINGTON SQUARE LLC Description Date Amount
BY THE MACERICH COMPANY
9585 SW WASHINGTON SQUARE RD [MECH] Permit Fee 5/22/200E $231.50
TIGARD, OR 97223 [MECPLN] Plan Rev 5/22/200E $57.88
[TAX] 12% State Surch 5/22/200E $27.78
Phone: Total $317.16
Contractor:
ARROW MECHANICAL
10330 SW TUALATIN RD
TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 692 -1565
FAX 503 -691 -1879
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.
i /
Issued By: Permittee Signature
Call 503.. 75 by 7:00 a.m. for inspectio hat 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.
Mechanical Permit Application 00) FOR OFFICE USE ONLY
City of Tigard Received ., t No a 13125 SW Hall Blvd, Tigard, OR 9 7 O� Date/By. " ,0" / , c 0 LU ()
' . C ��0 Plan Review f
�� 11 Ph one: 503.639.4171 Fax: 5 1960 D B y . Other Permit , 1 , Y t I G A R D Inspect[ °° Lme: 503.639 D ate Ready/By Jima 0 See Page 2 for
Internet: www.tigard- or.gov 4 G l S lp� Notified/Method Supplemental Information
^O
TYPE OF W(163- COMMERCIAL FEE* SCHEDULE — USE.CHECKLIST
❑ New construction ® Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
❑ Demolition performed. Indicate the value (rounded to the nearest dollar) of all
❑ Other: mechanical materials, equipment, labor, erhea l,�pd profit.
CATEGORY OF CONSTRUCTION ' • - Value: $ i`�r�'�c�J�/JJ
El 1 and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
Multi For special information use checklist.
ID y ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 09567 SW WASHINTON SQUARE ROAD Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State /ZIP: TIGARD OREGON Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: B-03 Project name: FRED MEYER JEWELERS 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 TENANT IMPROVEMENTS Flue fireplace 10.00
ue vent for water heater or gas
TWO NEW VAVBOX'S ,TWO CEILING EXHAUST FANS, GRILLS END fireplace 10.00
REGISTERS Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
Chimney /liner /flue /vent 10.00
❑ PROPERTY OWNER I - -® TENANT Other: 10.00
Name: FRED MEYER JEWLERY Environmental exhaust and ventilation
Range hood/other kitchen
Address: 09567 SW WASHINTON SQUARE ROAD equipment 10.00
City/State/ZIP: TIGARD OREGON Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ‘ ❑ CONTACT PERSON Atttc/crawlspacefans 10.00
Other: 10.00 _
Business name: Arrow Mechanica, Inc. Fuel piping
Contact name: ART OR CAMERON $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: 10330 SW TUALATIN RD Gas heat pump
City/State/ZIP: TUALATIN OREGON 97062 Wall/suspended/unit heater
Water heater
Phone: (503) 692 -1565 Fax: : (503) 691 -1879 Fireplace
E -mail: ARROW MECH @VERIZON.NET Range
CONTRACTOR. '- '
Barbecue
c � Clothes dryer (gas)
Business name: ARROW MECHANICAL INC. !a_ A R 7 Other:
Address: 10330 SW TUALATIN RD MECHANICAL PERMIT FEES"
Subtotal
City /State /ZIP: TUALATIN OREGON 97062 Minimum permit fee ($72.50) ,9 I..
Phone: (503) 692 -1565 Fax: (503) 691 -1879 Plan review (25% of permit fee)
CCB lic.: 5193 State surcharge o of permit fee) a.. s
TOTAL, PERMIT FEE l 7.. (�
This permit application expires if a permit is not obtain within 180
Authorized signature: days after it has been accepted as complete.
.a Z ‘9"."" / ,9-3 S
CITY OF TIGARD
BUILDING DIVISION 'PERMIT #: MEC2000 -00260
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/22/2009 .
Phone: (503) 639 -4171 f - -
Inspection Requests (24 Hrs.): (503) 639 -4175 •M •
INSPECTION WORKSHEET FOR DATE: 7/8/2009 TIME: 7:00AM PAGE: 53
SITE ADDRESS:' 09567 SW WASHINGTON SQUARE RD B03 B CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: FRED MEYER JEWELERS
DESCRIPTION: TI. Valuation: $10,000.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ARROW MECHANICAL PHONE #: 503 -692 -1665
Inspection Request Scheduled For: Date: 7/9/2008 Pour Tirne:
Code # Inspection Description Confirm # Contact # Me
699 Mechanical final 072300-01 . 603.692 -1566 Y
Corrections /Comments / Instructions:
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PASS PARTIAL APPROVAL 0 CANCEL • ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION LI ADDITIONAL FEES ASSESSED
Inspector: • VU Date: / Phone #: (503) 718
CITY OF TIGARD
BUILDING DIVISION r , PERMIT #: MEC2008- 00260
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5122/2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639- 4175'I �..
INSPECTION WORKSHEET FOR DATE: 6/2/2008 TIME: 7:02AM PAGE: 18
SITE ADDRESS: 09567 SW WASHINGTON SQUARE RD B03 B CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: FRED MEYER JEWELERS
DESCRIPTION: TI. Valuation: $10,000.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ARROW MECHANICAL PHONE #: 503 -692 -1565
Inspection p on Request Scheduled For: Date: 612/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 070642 -01 503-692 -15G5 N
Corrections /Comments/ Instructions:
(5 ctC - 0 — Go ‘ e c>i ' i7
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di/JL:.4; VA-> c,6
�P$ ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
tip - a 24
Inspector: _. Date: /
Phone #: (503) 718-