Permit ., A CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00138 •
"
14'14.11111?‘ � 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 4/12/2006
PARCEL: 1S12600-00300
SITE ADDRESS: 09641 SW WASHINGTON SQUARE RD FC -7 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG '
Project Description: Installation of refrigeration equipment for walk -in cooler and freezer. Project Value: $2,500
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B 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:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
WASHINGTON SQUARE LLC Description Date Amount
BY THE MACERICH COMPANY
9585 SW WASHINGTON SQUARE RD [MECH] Permit Fee 41121200E $84.00
TIGARD, OR 97223 [TAX] 8% State Surcha 4/12/200E $6.72
Total $90.72
Phone: 503- 639 -8865
Contractor:
COMMERCIAL REFRIGERATION INC
5920 SE GLISAN STREET
PORTLAND, OR 972133790 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 234 -6445
Reg #: LIC 65271
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. - /
Issu C --------
Jaaditlth
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 Application . .
. .- FOR OFFICE USE ONLY.
City verigard
Alto -
Received . .
Date/By 4iy a 040 , _ ,,,,
Permit No . H
Plan Review , a am g
Other Permit:
13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503 639 4171 Fax: 503.598.1960 Azi,, Date/By.
Inspection Line: 503.639.4175 i II
.,4 6:.- Date Ready/By. A. El See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method ,0•71 e * Supplemental Information
gilk.MtVi : 7V 1": 'r -171a1 git 6i 'CLIS 11 '
0 New construction 0 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
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
WilLe24 eSi " 21411:41°.• Value $ 9._, 906
tig-:- ,,,-.,,, - 2. - .- ...... -5....ig.,-,-.4, - .4 ' ..- ' .*:"" .,...• ..' ''"', -- *' - :! - c- 3 &'.
,
...
0-t aFk.45E , .
0 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building ' ligii-MS ' IMP '" 1-4 ' - ' - --1%441'il:
For special information use checklist
0 Multi 0 Master builder 0 Other:
Description I Qty I Ea I Total
' fl, ' ;; Heating/cooling
---..t ..,.•-'...-: ' - , ,,,,e1.7 ...,..,,,e,......,,,,rt.11-se.oeq= „ao,-.7-.k. .r.z. w.,.....,...,..' ., e rt••••&: ...1,., , ,i7,..i' - •
Job site address: q C I SL w4s.,5 p..., . .
ATrau 5-a., Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State/ZIP: -r-ic",1 p i Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: FC- -7 Project name: $44-0,..16140,,,, mIlliu, e
1 v 1. 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
Vap i larkW-IpaCtivlipatgraf it c.4.2 , 2 1 .-lain Water heater 10 00
Gas fireplace 10.00
, _,...-A- 5 --1E r - Flue vent for water heater or gas
fireplace 10.00
Frpvu -- (J A &/' X_J C-cli 6 M_ Art) 4 Log lighter (gas) 10.00
Ljk_ 10c-C-.6 - 27.-70t) - Ota-e ) e..-P--4 Wood/pellet stove 10.00
Wood fireplace/insert 10 00
* „ - 7 ,, , ,,,, 4w ....... :wo , _03,x, Chimney/liner/flue/vent 10.00
.-,•4-, L ' „,...X ,.: A „„a„,,,,:4 - ,'-,-- 70 oth„. 10.00
Name: Environmental exhaust and ventilation
Range hood/other kitchen
Address: equipment 10 00
City/State/ZIP: Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( )
toilet compartments, utility rooms) 6.80
P.ST*. VIORPNWINtliantgatfte.:4.141Kge.rea Attic/crawlspace fans 10 00
Other: 10.00
Business name: CO ft,t bLI e_a_c_ ie 624Foliy 4 eei-rf esti Fuel piping
Contact rtame:"Te gip_ ki pi, e l $5.40 for first four; $1.00 for each additional
Address: 9 6 A ,, 6-L's ick_eu Fumace, etc.
Gas heat pump
City/State/ZIP: p vu C) V C -7 2_/ 3 Wall/suspended/unit heater
Phone: (57/ 2_ 3 Cf..- 6 LI et s Fax: : ( ...'37) 2_3ci_C96 ese" Water heater
Fireplace
E-mail: Range
tiMatIVREW#6 , : - .: - - - N,gil,M. Barbecue
Business name:Cx:p b.- de-L,/) Clothes dryer (gas)
c0/9,„A
Other
Address: 4 5 - 7) IQ .. ---/..,‘' 5 "Ai
City/State/ZIP: k".49irE-6- 0 &2____9-7243 Subtotal
Minimum permit fee ($72.50) 0140 G.'
Phone: (57D3 2,_.3ei_...( e f e (s - --- Fax: (: .....3 C.,(- C56Cr- Plan review (25% of permit fee)
CCB lie.: (bi-/ --7 ( 1/ //17 State surcharge (8% of permit fee) 6-7 g
Authorized signature: P7 1 2-- 9it expires TOTAL P ERMIT FEE
i egr This permit application
--------
if a permit is not obtained within 180
days after it has been accepted as complete.
Print nameli , p c _c e , f t_ i t/ Date:Lt.-710 --06-1 • Fee methodology set by In-County Building Industry Service Board
t \Buildtng\Perauts1MEC-PcrtrutApp doc 12/03 440-461 7T (11/02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: vv1 F�
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2...ocC =
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: . �A TIME: PAGE:
SITE ADDRESS: &4' Wi
„ r sT t , CLASS OF WORK:
SUBDIVISION: "`�'°� LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments/ Instructions:
If w ow_ %VW W
(
1PA ...-"----- El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL F ES ASSESSED
Inspector. Date: ZO 6 6 Phone #: (503) 718 - �_
CITY OF TIGARD
BUILDING DIVISION ` PERMIT #: MEC200S•00138
13125 SW Hall Blvd., Tigard, OR 97223 / DATE ISSUED: 4/12/2005 •
Phone: (503) 639 -4171 42, 1 �/ •
Inspection Requests (24 Hrs.): (503) 639 -4175 ; .51% �
INSPECTION WORKSHEET FOR DATE: 4/13/2005 TIME: 7:00AM PAGE: ( =9
SITE ADDRESS: 09641 SW WASHINGTON SQUARE RD FO? CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: PANDA EXPRESS
DESCRIPTION: Installation of refrigeration equipment for walk -in cooler and freezer. Project Value: $2,E•00
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 13865
CONTRACTOR: COMMERCIAL REFRIGERATION INC PHONE #: 503. 23440445
•
Inspection Request Scheduled For: Date: 4/13/2006 Pour Time:
Code -# Inspection Description Confirm # Contact # Message
r
6 15 Mechanical rough -in 027913 -01 503-234-6445 N '"
Corrections /Comments /Instructions:
i / 5. )_00s do 7 sr
q 7 S ( 7. 2- a-
�2 Q
0,6
•
•
SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • " �-�` 'Date: ‘ Phone #: (503) 718- Z y - Z
•