Permit 4
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00696
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/28/2007
PARCEL: 1512600 -00300
SITE ADDRESS: 09607 SW WASHINGTON SQUARE RD L01 B ZONING: C -
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: FAST FIX JEWELRY
Project Description: TI - remove /replace VAV box, new duct work. Project Value: $7,976
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 11/28/20C $195.50
TIGARD, OR 97223 [MECPLN] Plan Rev 11/28/20C $15.64
[TAX] 8% State Surcha 11/28/2a $48.88
Phone: Total $260.02
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.
Issued B , a r v • , 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.
Mechanical Permit Applicati RECEIVED FOR OFFIC E USE ONLY
City of Tigard Received ,r PemutNo: N��f ^� �Q�
�' g NOV 2P, 2001 Dam Y. !�. !/
13125 SW Hall Blvd, Tigard OR 97223 �' Plan Review
Phone: 503.639.4171 Fax: 503.598.1 OF TIGARD Date/By Other Permit
T I G A R I) Inspection Line: 503.639 a./ Date Ready/By funs ® see Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method j (j Supplemental Information
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, labor, overhea profit.
CATEGORY OF CONSTRUCTION Value: $ 79 76
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ® Cotnmercialindustrial ❑ Accessory building For special ,nformanon use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Air conditioning or heat pump
Job site address:9 SW WASHIGTON SQUARE RD SPACE #L01 B
(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.: L01B Project name: FAST FIX 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.: 10.00
Other:
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
TENNENT IMPROVMENTS. (1) NEW REPLACEMENT VAV BOX , NEW DUCT Gas fireplace 10.00
WORK FOR (1) SYSTEM Flue
la ent for water heater or gas
10.00
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: FAST FIX JEWELRY AND WATCH REPAIRS Environmental exhaust and ventilation
Range hood/other kitchen
Address: 09499 SW WASHIGTON SQUARE RD SPACE #L01B equipment 10.00
Clothes dryer exhaust 10.00
City/State/ZIP: TIGARD OREGON
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
Attic/crawlspace fans 10.00
® APPLICANT ® CONTACT PERSON
Other: 10.00
Business name: ARROW MECHANICAL Fuel piping
Contact name: ART / CAMERON $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: 10330 SW TUALITIN RD Gas heat pump
City/State/ZIP: TUALITIN OREGON 97062 Wall/suspended/unit heater
Water heater
Phone: (503) 692 -1565 Fax: : (503) 691 -1879 Fireplace
E -mail: Range
Barbecue
CONTRACTOR
Clothes dryer (gas)
Business name: ARROW MECHANICAL Other:
Address: 10330 SW TUALITIN RD MECHANICAL PERMIT FEES*
City/State/ZIP: TUALITIN OREGON 97062 Subtotal K
Minimum permit fee ($72.50) `
Phone: (503) 692 -1565 Fax: (503) 691 -1879 Plan review (25% of permit fee) twig
CCB lie.: 5193 State surcharge (8% of permit fee) . /5,4 LtA
TOTAL PERMIT FEE' A6 b
This permit application expires If a permit is not obtained within 180
Authorized signature-2 0 01--* A6 days after it has been accepted as complete.
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