Permit v-
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�' CITY OF TIGARD
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MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00054
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/20/2007
PARCEL: 1512600 -00300
SITE ADDRESS: 09730 SW WASHINGTON SQUARE RD F -8 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: LENS CRAFTERS
Project Description: LENS CRAFTERS. Relocate & add new ducts & grilles. Valuation $15,000.
CLASS OF WORK: OTR 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 2/20/2007 $299.00
TIGARD, OR 97223 [TAX] 8% State Surcha 2/20/2007 $23.92
Phone: Total $322.92
Contractor:
BEWLEY MECHANICAL
7911 NE 33RD DR SUITE 250
PORTLAND, OR 97211 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 626 -8986
FAX 503- 641 -6348
Reg #: LIC 63582
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:
6V....t,,Lif,.../....,0,_ � Permittee Signatur* i • �� � ii 1
Call 503.639.4175 by 7:00 a.m. for inspections tha business day. Ar
This permit card shall be kept in a conspicuous place on the job site until comply of the project.
Approved plans are required on the job site at the time of each ins section.
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MMech Jc Per mit ADalica� Q ralz OFFICt: t,st:ONI.\,
� 1 - Received
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City of Tigard 6� Receive 7 , a Perm;t N. G�'�I r
;� �+ a 13125 SW Hall Blvd., Tigard, OR 97223� 2007 Re Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date/By Other Perm
Inspection Line: 503.639.4175 ,i1Y /Ur i i6ARD
T I G n It IJ Date Ready/13y la ®
'otifi . ■ ethod ... See Page 2 for
www.tigard or.gov ����1�� DIVISION ,I 1 / / &,. Supplemental Information
!; - 10 C
TYPE OF WORK COMMERCIAL" FEE* SCHEDULE - USE CHECKLIST
❑ New construction ►ddition/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, verhe�d, and profit.
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ommercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description 1 Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: I J K (requires heat l a em
�- �� S (-if ' 4 , n y _C ( site plan showing placement) 14.00
City / State/ZIP: r ---- ' ��� r 9?-42 ? 7 Furnace 100,000 BTU (ducts/vents) 14 e ye
/�J// Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no : I Project name: C e;, f e �,u44 s 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: I 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
n Gas fireplace 10.00
0G (t) a(� d �+ - 7e°�J Flue vent for water heater or gas
L //t fireplace 10.00
G T ¢ ✓ �i / S Log lighter (gas) 10.00
'4t4- 7....T...0 d loan. to 44 ) Wood/pellet stove 10 00
Wood fireplace/insert 10.00
❑ PROPERTY OWNER I ( TENT Chimney/liner/flue/vent 10.00
r"`' Other 10 00
Name: L 0.... s L r _ _Environmental exhaust and ventilation
Address: T l 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 N TACT PERSON Attic/crawlspace fans 10.00
Other: I 10.00
Business name: g e4.4s l �� �‘, Fuel piping
Contact name: .P , $5.40 for first four; $1.00 for each additional
Address:
Furnace, etc.
Gas heat pump
City /State /ZIP: Wall/suspended/unit heater
Phone: ( ) Fax.: ( ) Water heater
Fireplace
E-mail: Range
CONTRACTOR Barbecue
Business name: �,��1 , ,L �� Other dryer (gas)
Address: c (/ •, 4(c ? �>r `1 e6 MECHANICAL PERMIT FEES*
City /State/ZIP: Rem -( ( ) ( Subtotal „.....„.1•9f Minimum permit fee ($72.50)
Phone: ( ) a)) Co, G, - Qcy f!? /' l Fax ) . r�� — Plan review (25% of permit fee)
CCB tic.. 7 ,yw
� ' � / -/‘--O9 State surcharge (8% of permit fee) 0 23: 0 23: 1i
"7 / TOTAL PERMIT FEE
Authorized signature j This permit application expires if a permit is not obtained within I80
days after it has been accepted as complete.
Print name: IC e y `r t' A ° "_ I Date: i - ' -1.11.... -1.11.... * Fee methodology set by Tn- County Building Industry Service Board
I'\Bwlding\Pe nits\MEC- PennitApp doc 04/06/06 � 4404617T (I I /07/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.
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1: 1Buildineermits MEC- PermitApp.doc 12/30/05 2
'CITY OF TIGARD _
BUILDING DIVISION PERMIT #: MEC2007- 00054
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/20 /2007
Phone: (503) 639 -4171 V
Inspection Requests (24 Hrs.): (503) 639 -4175 ...'. "'.--
INSPECTION WORKSHEET FOR DATE: 3 /13/2007 TIME: 7 :02AM PAGE: 27
SITE ADDRESS: 09730 SW WASHINGTON SQUARE RD F - 8 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: LENS CRAFTERS
DESCRIPTION: LENS CRAFTERS. Relocate & add new ducts & grilles. Valuation $15,000.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: BEWLEY MECHANICAL PHONE #: 503-626-8986 '
Inspection Request Scheduled For: Date: 3/ 13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 044733-01 503-626-8986 N
Corrections /Comments /Instructions:
. _Ilift
ArLii,
(PASS . TIAL APPROVAL ❑ CANCEL 111 NO ACCESS
❑ '' L A FOR INSPECTION ❑ ADDITION L FEE ASSESSED
Inspector: - III Date: ' v 9 Phone #: (503) 718 -
CITY OF TIGARD
A
BUILDING DIVISION PERMIT #: MEC2007- 00054
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/20 /2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 °'I �..
INSPECTION WORKSHEET FOR DATE: 3/12/2007 TIME: 7:01AM PAGE: 35
SITE ADDRESS: 09730 SW WASHINGTON SQUARE RD F -B CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: LENS CRAFTERS
DESCRIPTION: LENS CRAFTERS. Relocate & add new ducts & grilles. Valuation $15,000.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: BEWLEY MECHANICAL - PHONE #: 503 - 626.8986
Inspection Request Scheduled For: Date: 3/12/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 044647 -01 503-626-8986 N
Corrections/Comments/Instructions:
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Kerr .P.....toti>/
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
V
t
■ L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: - Date:v JE../D Phone #: (503) 718- Z