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Permit
r, • !' a CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00505 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/17/2007 PARCEL: 1512600 -00300 SITE ADDRESS: 09601 SW WASHINGTON SQUARE RD L -1 ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG Project Description: FOREVER 21. T.I. Value: $40,000 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 [MECPLN] Plan Rev 10/23/20( $159.13 TIGARD, OR 97223 [MECH] Permit Fee 1/17/2007 $636.50 [TAX] 8% State Surcha 1/17/20W $50.92 Phone: Total $846.55 Contractor: JACOBS HEATING + A/C 4474 SE MILWAUKIE AVE PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 234 -7331 FAX 503- 808 -9108 Reg #: LIC 1441 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: i. t J��r - Permittee Signature: - / 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. Mechanic ermit Application FOR OFFICE ESE ONLY City of Tigard Received _ i , p r Permit N. Vt - . `d —. ."--0 T ; 11 • 1 9 ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1'!:1 tl 9 T y 2006 Date/By. , // /'!/ //� Other Permit TI G A R D Inspection Line: 503.639 Date Ready :y. �' ions El See Page 2 for Internet: www.tigard or.gov Nonfied/Method Supplemental Information -.., – �, `:../,. – - .mod.._ _ � TYPE OF WORK COMMERCIAL FEE* SCHEDULE – USE CHECKLIST ❑ New construction ❑ Addition/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 lahnr overhead and profit. CATEGORY OF CONSTRUCTION Value: 9 4 6 tiv. w _ RESIDENTIAL EQUIPMENT / S FEES* ❑ I- and 2- family dwelling tjd Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address:q (.0 ©i (� S I1, I iii( c al '✓ �r Air conditioning or heat pump r Furnace site plan showing placement) 14.00 City /State /ZIP: 'r 1.5e1, 0 1� "1 �1 ` Fuace 100,000 BTU (ducts/vents) 14.00 Q Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name; ( e ¥'f v. .2 i ,, vv •• 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 Flue /vent for any of above 10.00 Subdivision: Lot no.: Other: 10 00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 1– ' Gas fireplace 10.00 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 ❑ PROPERTY OWNER I TENANT Chimney/liner/flue/vent 10.00 Other: 10.00 Name: ,r 0 yC v'C r 21 Environmental exhaust and ventilation Address: Range hood/other kitchen equipment 10.00 City /State/ZIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 APPLICANT /�^^ CONTACT PERSON Attic/crawlspace fans 10.00 , Business name: W f ern )(c 4.61 v V` p Other: 10.00 r Fuel piping Contact name: IL—WIV S(r4 $5.40 for first four; $1.00 for each a dditional Address: LtAD ( Z Yv l t tv,► lt.Q -.k& r Furnace, etc. � Gas heat pump ` City /State/ZIP: J all (04 ktr a V.PU I (( Wall /suspended/unit heater Phone: (,e 0 1 4' ( Fax: : (3( Co q U 7 b'0 Water heater L � s C +� e f U/hs +ruc.1 r4" .( Fireplace E -mail: CONTRACTOR Barbecue Business name: Clothes dryer (gas) Other: Address: MECHANICAL PERMIT FEES* City /State/ZIP: Subtotal Minimum permit fee ($72.50) SQ Phone: ( ) Fax: ( ) Plan review (25% of permit fee) 4 ... .. ! j3 CCB tic.: State surcharge (8% of permit fee) / 2 TOTAL PERMIT FEE Authorized signature: Lt-.(,c-d ( T his permit application expires if a permit is not obtaine wi hin 180 '^ �£ �l1J c( t+ 11 days after it has been accepted as complete. Print namet t, Y l I Date: id (611 ( d(p • Fee methodology set by Tri- County Building Industry Service Board I \BwIdmg\Pennis\MEC- PermitAppdoc 04 /06/06 440- 4617T (I1 /02/COM/WEB) 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. 1:\Building\Permits\MEC- PermitApp.doc 12/30/05 2 CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2006-00505 13125 SW Hall Blvd., Tigard, OR 97223 Y, DATE ISSUED: 1/17/2007 Phone: (503) 639 -4171 A - Inspection Requests (24 Hrs.): (503) 639 -4175 � °'' L. INSPECTION WORKSHEET FOR DATE: 6/6/2007 TIME: 7:01AM PAGE: 41 SITE ADDRESS: 09601 SW WASHINGTON SQUARE RD L - 1 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: FOREVER 21 'DESCRIPTION: FOREVER 21. T.I. Value: $40,000 OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: JACOBS HEATING + NC PHONE #: 503-234 -7331 • Inspection Request Scheduled For: V Date: 6/6/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 049702 -01 503-234-7331 N Corrections /Comments/ Instructions: op-4W e 2 / 2 ) .11,0'h 4 4-49-7A d 4k ,Tidp)i' /11m) rI) / _..... ito 0 ,, ic ,i)e, fq` oat/ a gl Op / 7 (_ col? 1 q 3 cod T -' Y 9‘1 1 X I PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL Fi INSPECTION ❑ ADDITIONAL FEES ASSESSED / ` 7 y . Inspector: ►� Date:, _ , - ._ Phone #: (503) 718- CITY OF TIGARD , BUILDING DIVISION ,""t PERMIT #: MEC2006-00505 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/4/2007 TIME: 7:01AM PAGE: 94 SITE ADDRESS: 09601 SW WASHINGTON SQUARE RD L -1 CLASS OF WORK: • SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: FOREVER 21 DESCRIPTION: FOREVER 21. T.I. Value: $40,000 OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: JACOBS HEATING + NC • PHONE #: 503- 2347331 Inspection Request Scheduled For: Date: 6/4 /2007 Pour Time: Code # Inspection Description Confirm # Contact # - Mess.•e 699 Mechanical final 049480-01 503 - 234 -7331 Corrections /Comments /Instructions: Fog 67 V V tit A-c ( S (Zeta at. c Fi"i S L . z , 4 FA M Italfreirg I - ❑ PASS II P' RTIAL APPROVAL ❑ CANCEL • ❑ NO ACCESS El FAIL P L FOR INSPECTION El ADDITIONAL FEES ASSESSED f ',Inspector: ' . Date: Phone #: (503) 718- Z61-74 CITY OF TIGARD BUILDING DIVISION - PERMIT #: MEC200600505 13125 SW Hall Blvd., Tigard, OR 97223 . DATE ISSUED: 1/17/2.007 Phone: (503) 639 -4171 tea , �� I Inspection Requests (24 Hrs.): (503) 639 -4175 . ,. "'I � INSPECTION WORKSHEET FOR DATE: 4/20/2007 TIME: 7:00AM PAGE: 81 SITE ADDRESS: 09601 SW WASHINGTON SQUARE RD L - 1 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: . PROJECT NAME: FOREVER 21 DESCRIPTION: FOREVER 21. T.I. Value: $40,000 OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: JACOBS HEATING + NC PHONE #: 503-234 -7331 Inspection Request Scheduled For: Date: 4/20/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 046847-01 503 -234 -7331 N Corrections /Comments /Instructions: _ ar, . y 46 - ice — 411W ❑ PASS K 1 "TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL • FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: — __ Dater ,O . Phone #: (503),718 Z6� CITY OF TIGARD " BUILDING DIVISION PERMIT #: MEC2006 -00505 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 1 L INSPECTION WORKSHEET FOR DATE: 4/20/2007 TIME: 7:00AM PAGE: 51 SITE ADDRESS: 09601 SW WASHINGTON SQUARE RD L -1 CLASS OF WORK: • SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: FOREVER 21 DESCRIPTION: FOREVER 21. T.I. Value: $40,000 ' OWNER: WASHINGTON SQUARE LLC,. PHONE #: CONTRACTOR: JACOBS HEATING + NC PHONE #: 503 -234 -7331 Inspection Request Scheduled For: Date: 4/20/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 635 Misc. inspection 046874 -01 209.603-2027 N Corrections /Comments /Instructions: • ❑ PASS rd P. 'TIAL APPROVAL CANCEL ❑ NO ACCESS El FAIL . • C; - L FOR INSPECTION 1,,174 ❑ A: 'ITIONAL FEES ASSESSED . Inspector,. ' - g " 41111111111111 , / - Date:' 7 (Z19 ,e Phone #: (503) Z—‘ CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC200( 00505 13125 SW Hall Blvd., Tigard, OR 97223 '� DATE ISSUED: 1/17/2007 Phone: (503) 639 -4171 1,11 Inspection Requests (24 Hrs.): (503) 639 -4175 ...'!+� 1... INSPECTION WORKSHEET FOR DATE: 3/16/2007 TIME: 7:01Atvi PAGE: 38 SITE ADDRESS: 09601 SW WASHINGTON SQUARE RD L - 1 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: ' PROJECT NAME: FOREVER 21 DESCRIPTION: FOREVER 21. T.I. Value: $40,000 OWNER: WASHINGTON SQUARE LLC, PHONE #: ' CONTRACTOR: JACOBS HEATING + A/C PHONE #: 503-234-7331 Inspection Request Scheduled For: Date: 3/16/2007 Pour Time: Code # Ins•ec ■ir a Confirm # Contact # Message 615 Mechanical rough -in 044948 -03 971 - 227 -3613 N . Corrections /Commen • '. s: i ' ei!'Af • ❑ PASS orj •ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL M FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED . / Inspector: — �.0 Date i 0 Phone #: (503) 718 - III _ _. .._ _ .., CITY OF TIGARD , BUILDING DIVISION PERMIT #: MEC2006•00606 13125 SW Hall Blvd., Tigard, OR 97223 °f � DATE ISSUED: 1/17/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ..„... I I.. INSPECTION WORKSHEET FOR DATE: 3/16/2007 TIME: 7.01AM PAGE: 37 SITE ADDRESS: 09601 SW WASHINGTON SQUARE RD L - 1 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: FOREVER 21 DESCRIPTION: FOREVER 21. T.I. Value: $40,000 OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: JACOBS HEATING + A/C - . PHONE #: 503 Inspection Request Scheduled For: Date: 3/16/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 625 Dud. work 044948 -04 971- 22.7 -3613 N . Corrections/Comments/Instructions: ___UP_EC-1- K., CaC... a • LC1- 1></ /1\-i C r eSzt9r - i_________ n PASS 7 PARTIAL APPROVAL ❑ CANCEL . ❑ NO ACCESS ❑ FAIL LL FOR INSPECTION ❑ADDITION L FEES ASSESSED Inspector: r_ Dater l 0 Phone #: (503) 7 -18- Z-C97. ial%■1,_ CITY OF TIGARD BUILDING DIVISION PERMIT #: NlEC200S -00505 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1//712007 Phone: (503) 639 -4171 , /. Inspection Requests (24 Hrs.): (503) 639 -4175 �'!+, `'' -�" INSPECTION WORKSHEET FOR DATE: 3/1312007 TIME: 7:02AM PAGE: 58 SITE ADDRESS: 09601 SW WASHINGTON SQUARE RD L - 1 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: FOREVER 21 DESCRIPTION: FOREVER 21. T.I. Value: $40,000 • OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: JACOBS HEATING + NC PHONE #: 503 Inspection Request Scheduled For: Date: 3/13/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 044710 -01 971-227-3613 N Corrections /Comments /Instructions: r • n PASS E PARTIAL APPROVAL r CANCEL El NO ACCESS 111 FAIL I' L FOR INSPECTION • DITIO AL FEES ASSESSED Inspector: Dater t �. 0 Phone #: (503) 718- L . P CITY OF TIGARD BUILDING DIVISION r PERMIT #: MEC2006 -00505 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ' 11 INSPECTION WORKSHEET FOR DATE: 3/13/2007 TIME: 7:02AM PAGE: 66 SITE ADDRESS: 09601 SW WASHINGTON SQUARE RD L - 1 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: FOREVER 21 • DESCRIPTION: FOREVER 21. T.I. Value: $40,000 • OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: JACOBS HEATING + A/C PHONE #: 50 Inspection Request Scheduled For: Date: 3/13/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 625 Duct work 044710 -02 971 -227 -3613 N Corrections /Comments /Instructions: Ktert- ft ❑ PASS • PARTIAL APPROVAL ANGEL ❑ NO ACCESS ❑ FAIL % - LL FOR INSPECTION ❑ADDITION L FEES ASSESSED Inspector: Dat- 4IIIP Phone #: (503) 718 - ZO