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Permit
a .6 CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00479 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/1/2007 PARCEL: 1512600 -00300 SITE ADDRESS: 09689 SW WASHINGTON SQUARE RD C -8 ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG PROJECT: COACH Project Description: TI - remove and replace (1) VAV box, alteration of ducts and grilles. Project Value: $10,808 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 8/1/2007 $243.65 TIGARD, OR 97223 [MECPLN] Plan Rev 8/1/2007 $60.91 [TAX] 8% State Surcha 8/1/2007 $19.49 Phone: Total $324.05 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 •uestions to OUNC by calling 503.246.6699 or 1.800.332.2344. / / 1/ 1 -sued By: � ( � Permittee Signatur L . � t Call 503.639.4175 by 7:00 a.m. for inspections ' hsiness 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'Perilit AUplicati0 ,-p FOR OFFICE USE ONLY , , : -D City of Tigard IS ' • Received ' / ) Permit No.: gc -x 7 9 13125 SW Hall Blvd., Tigard, OR 97 )'3•"-'--- 7 Plan Review / Phone: 503.639.4171 Fax: 503.598.1960 r ©a 2007 �ce t,�.,.. Date/By: \ Other Permit: F.1 sI Inspection Line: 503.639.4175 _a h j. c• 1 ' I D ReadyBy: Internet: www.ci.ti ard.or.us - <, 1I" " "" See Page 2 for B Cr , - � Notified/Method: Supplemental Information • E'OF:.WORK �;,; COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New construction 'Al Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ 8 then: f mechanical materials, equipment, labor, overhead and profit. CATEGORY OF CONSTRUCTION Value: $ C/ ❑ 1 - and 2- family dwelling ,ommercial/industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES* L • For special information use checklist. Multi - family ❑ Master builder ❑ Other: t'= a ecial in I n} /_ S � J Description I Qty. I Ea. Total ` 40 7 JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: 0 1 « - . / t0 J Air conditioning or heat pump 92 (requires site plan showing placement) 14.00 City / State/ZIP: Furnace 100,000 (ductslvents) 14.00 Suite/bldg./apt. no.: Cif: /ill Furnace 100,000+ BTU (ducts/vans) # ents) 17.90 C Pr oject name: (� ( // 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 ,% l/ // fi �, 17�L iee/aceTOC �/� " iY5 • resit Flue Gas vent r lace for water heater or gas L 0.00 a ,,,,,,k /�7 //S J� fireplace 10.00 r K " ' e jA A 15 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 ❑ ROPERTY OWNER I TENANT Chimney/liner /flue/vent 10.00 ® A � Ether. 10.00 _ Name: �'" j Environmental exhaust and ventilation _ Address: /l/'/� ,/ .mac , o r,�, ,� g< Range hood/other kitchen v/ equipment 10.00 City/ State/ZIP: 77 R e of ' /Q 2 Clothes dryer exhaust 10.00 Phone: ( ) Fax: Single -duct exhaust (bathrooms, ( ) toilet compartments, utility rooms) 6.80 PLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00 Business e: vf�de Other. 10.00 Contact name: �5 Fuel p iping f A�, $5.40 for first four; $1.00 for each additional Address: /e $Z0 il � /,-, , #Q„ Furnace, etc. /'� / Gas heat pump City/State/ZIP: 7,p , / 6 b 7..... Wall/suspended/unit heater Phone: (sot ‘9 6 Fax:: (6-a) ‘9/` Oe 7 9' Water heater E -mail: ® Fireplace Range CONTRACTOR / Barbecue Business name: /:�% � g /.lsli /lit -1 Clothes dryer (gas) Other: Address: /� �j� " � MECHANICAL PERMIT FEES* City/ State/ZIP: ..z_3,0 3 j � j"' ` ®,�.. Subtotal Phone: j�) 6 q 2 -„ �5 t Fax: (Z) ‘477-- 27 Minimum permit fee ($72.50) �.� 5 /� / Plan review (25% of permit fee) O Yl CCB lic.: 3/19 -c ' State surcharge (8% of permit fee) Y9 TOTAL PERMIT FEE a w 6,5". Authorized signature: x This permit application expires If a permit is not obtain d wit n 180 � / // �'� :� days after has been accepted as complete. Print name: C/ •' , te dr / �'f � Date� �� ® � • Fee methodology set by y Tri- County Building Industry Service Board 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. • • i:\Building\Permits\MEC- PermitApp.doc 12/03 2 QITY.,OF TIGARD 14(_.2-C2:07 BUILDING DIVISION PERMIT #:abor 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 I Inspection Requests (24 Hrs.): (503) 639 -4175 . INSPECTION WORKSHEET FOR DATE: 4241 TIME: PAGE: SITE ADDRESS: 45 9 9 LL l CLASS OF WORK: SUBDIVISION: LDT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: - Pour Time: Code # Inspection Description Confirm # Contact # v Message (Cfrt ituk Corrections /Comments /Instructions: it A AMIN" Emippnr v 7 491111114sw • • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL OR INSPECTION ❑ ADDIT ONAL EES ASSESSED Inspector: �� / Date: Phone #: (503) 718- . ` CITY,. OF TIGARD BUILDING DIVISION PERMIT #: MEC2007 -00479 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/1/2007 Phone: (503) 639 -4171 Il i iy , ,--- ' Inspection Requests (24 Hrs.): (503) 639 -4175 ": _� • / INSPECTION WORKSHEET FOR DATE: 9/4/2007 TIME: 7:01AM PAGE: 64 SITE ADDRESS: 09699 SW WASHINGTON SQUARE RD C - 8 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: COACH ' DESCRIPTION: Tl - remove and replace (1) VAV box, alteration of ducts and grilles. Project Value: $10,808 OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: ARROW MECHANICAL PHONE #: 503 - 6911565 Inspection Request Scheduled For: Date: 9/4/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 055000.01 503692 -1565 N • Corrections /Comore is /Instructions: /LI . 0k/■,--4 ------ —( p 0._■c_x_ c____,4 (.:& (7)2..,!Z __ -..&.. A c. *---- C D o • C . • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS , ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ` // Date: g/ k k/ 4)---) Phone #: (503) 718- 2 --Y 2-Y