Permit A C I Y OF TI /"'1 R D MECHANICAL PERMIT
in DEVELOPMENT SERVICES PERMIT #: MEC2006 -00276
�I
'=-� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 \ DATE ISSUED: 6/16/2006
PARCEL: 1S12606-00300
SITE ADDRESS: 09589 SW WASHINGTON SQUARE RD B9 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Raise grilles to match ceiling height. Valuation: $2500. 6/ 710;?6 DDED- ( -2)- V .AV_BOXES:j
1VALLJATION NOW $8,500 TOT-L -
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:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
WASHINGTON SQUARE LLC Description Date Amount
BY THE MACERICH COMPANY
9585 SW WASHINGTON SQUARE RD [MECH] Permit Fee 6/14/200€ $84.00
TIGARD, OR 97223 [TAX] 8% State Surcha 6/14/200€ $6.72
[MECH] Addl Permit 6/28/200€ $120.50
Phone: 503- 639 -8865 [TAX] 8% State Surcha 6/28/200€ $9.64
Total $220.86
Contractor:
HVAC INC
5188 SE INTERNATIONAL WAY
MILWAUKIE, OR 97222 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 462 -4822
FAX 503- 462 -6555
Reg #: LIC 50897
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 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.
- 1 fi -" 25.- . Issued : y: Permittee Signature: � Q
_ _ .........., Call 503 - 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.
Mechanical Permit Api ti nII �_ i FOR OFFICE USE ONLY
s City bf Tigard 1 t JJ h { lr I RDeact y C 4V /B d � � � D , 4 „,, , L . Permit No. ,^ I
13125 SW Hall Blvd., Tigard, OR 97223 I 1,
Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 , Date/By: Other Permit.
Inspection Line: 503.639 4175 - e• I Date Ready /By: 0 See Page 2 for
Internet: www.ci.tigard.or.us W Notified/Method: Supplemental Information
'L.:I Y Ur a d'.,tal,..1(r
iiiiroWycittic _ r c C T s -r,. COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
eplacement Mechanical permit fees' are based on the value of the work
❑ New construction gi Additio 1/alte[atjQJ
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
OD
CATEGORY OF CONSTRUCTION Value: $ a 5 e ,
El 1- and 2- family dwelling [ omm cia dustrial ❑ Accessory building RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
❑ Multi - family ❑ Master builder ❑ Other: For special information use checklist
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: q 589 w � Q r Air conditioning or heat pump
/J (requires site plan showing placement) 14.00
City/State/ZIP: Cit Furnace 100,000 BTU (ducts/vents) 14.00
y �L� � Y
/ eC j (T Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: �J Project name: M Abe, /tu ORk601 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
� —a p l Gas fireplace 10.00
Y CL( Se._ Cp. Ci d1 L ,n0.1-e k Flue vent for water heater or gas
C� fireplace 10.00
b ' n R C � t- Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner /flue /vent 10.00
❑ PROPERTY OWNER RI TENANT
Other 10.00
Name: Al Pb fiN QIZEGOOv Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City /State /ZIP: Clothes dryer exhaust 10.00
Phone: ( ) Fax: Single -duct exhaust (bathrooms,
( ) toilet compartments, utility rooms) 6.80
Iy' APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
n Other: 10.00
Business name: Aa YtC_____.
Fuel piping
Contact name: —3 q d, ay $5.40 for first four; $ 1.00 for each additional
Address: I � Y 1�J Furnace, etc.
Gas heat pump
City /State /ZIP- WalUsuspended/unit heater
Phone: ( ) Fax:: ( ) Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
1 ' I n e Q _ . Clothes dryer (gas)
'
Business name. ri V h t \
(
p �� Othe
Address: S l O S�. -, ea MECHANICAL PERMIT FEES*
City/State /ZIP: 1A/U__Liu t Ic (:),tega Subtotal '4I a)
t' Minimum permit fcc ($72.50)
Phone:
( 503 ) C( (02 y$a� : ( 503 ) 'f (D a ` (0 SSS Plan review (25% of permit fee)
CCB lie.: 50W 1 State surcharge (8% of permit fee) 7L
TOTAL PERMIT FEE 9 72,
Authorized signature: cG Look This p ermit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: S (,l off 4 I Date: (D / /[ f / (p • Fee methodology set by Tri -County Building Industry Service Board
i \ Building \Permits\MEC- PermitAppdoe 12/03 440. 4617['(11 /02/COM/WEB)
CITY ®F TIGARD
BUILDING DIVISION PERMIT #: MEC2006 00276
13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 6/1642006
. Phone: (503) 639 -4171 'Veit
Inspection Requests (24 Hrs.): (503) 639 -4175 . '
INSPECTION WORKSHEET FOR DATE: 6/1/2006 TIME: 7 :02AM PAGE: 18
SITE ADDRESS: 09589 SW WASHINGTON SQUARE RD B9 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME:. MADE IN OREGON
DESCRIPTION: Raise grilles to match ceiling height. Valuation: $2500. 6/27/06, ADDED (2) VAV BOXES,
VALUATION NOW $8,500 TOTAL.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503.639.8865
CONTRACTOR: HVAC INC PHONE #: 503 - 462 -4022
Inspection Request Scheduled For: Date: 6/1/2006 - Pour Time:
Code # Inspection Description , Confirm # Contact # - Message
699 Mechanical final 034169-02 50 :1 -462 -4822 N
Corrections /Comments /Instructions:
41114
9
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0
•
•
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Q r �1
Inspector: Allitat Date: V ` orb Phone #: (503) 718
IllPv
•
CITY OE-TIGARD •
BUILDING DIVISION _ PERMIT #: MEC2006- 00276
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0/162005
Phone: (503) 639 -4171 Pgp
Inspection Requests (24 Hrs.): (503) 639-4175
1
__—
INSPECTION WORKSHEET FOR DATE: 7/27/2006 TIME: 7 :03AM PAGE: 76
SITE ADDRESS: 09589 SW WASHINGTON SQUARE RD B9 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: MADE IN OREGON
DESCRIPTION: Raise grilles to match ceiling height. Valuation: $2500. 6/27/06, ADDED (2) VAV BOXES,
VALUATION NOW $8,500 TOTAL.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 633.8865
CONTRACTOR: HVAC INC PHONE #: 503 - 462 -41322
Inspection Request Scheduled For: Date: 7/2712006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 033852 -01 503- 593 -6880 Y • .�
Corrections /Comments /Instructions:- beANO
1
•
..
F ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL C • CALL FOR INSPECTION ❑ ADDIT ONAL FEES ASSESSED
Inspector: VI , Date: Z , ) Phone #: (503) 718-