Permit C TIGARD MECHANICAL PERMIT
i DEVELOPMENT SERVICES PERMIT #: MEC2006 -00405
r � l II DATE ISSUED: 8/18/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09751 SW WASHINGTON SQUARE RD D1 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: VAV box, ductwork, grills and registers. Value: $8544.00
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 8/18/200E $206.30
TIGARD, OR 97223 - [TAX] 8% State Surcha 81181200E $16.50
[MECPLN] Plan Rev 8/18/200E $51.58
Phone: 503- 639 -8865 Total $274.38
Contractor:
ARROW MECHANICAL
10330 SW TUALATIN RD
TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503- 691 -1879
PRI 503- 692 -1565
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 By. 4 4_ ,„ ' Permittee Signature: . ,�
Ca 1 3- 639 -4175 by 7:00 a.m. for inspection t at b mess ay.
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.
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MechaMical Permit AWT t>t l 1 FOR oI Flcl•. USE O�NI..
' t 1t�
City of Tigard Received , Iril 1 i Permit N. .. 4 ' zips
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ����
Phone: 503.639.4171 Fax: 503.598.1960 AU G 1 5 2001 , , , I '� • Date/ aril/ /W Other Permit:
Inspection Line: 503.639.4175 4 �I Date t ® See Page 2 for
Internet: www.ci.figard.or.us "� ""
� ; Notrfied/Met ad Information �—
UT OF iL.lii- r
�) llYlT'E OF WORK COM MERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction [ Addition/alteration/replacement Mechanical permit fees' are based on the value of the work d
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
8 -CATEGORY OF 'CONSTRUCTION Value $ , 6p T_
RESIDENTIAL EQUIPMENT / SYSTEMS FEES * -
❑ 1 - and 2 family dwelling C ommerciaUindustrial ❑ Accessory building
❑ Multi - family 0 Master builder For special information use checklist.
❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job Site address: //�t Air conditioning or heat pump
b'1 �!l (5, WAbi}1r1�'�PN j( Q. (requires site plan showing placement) 14.00
City /State/ZIP: '� c(.. (1 2Z3 Furnace 100,000 BTU (ducts/vents) 14.00
Suite bldg. /apt. no.: J P name: Furnace 100,000+ BTU ( ducts/vents) 17.90
p_ An1c Ip 144r7I iTirrl( 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
Gas fireplace 10.00
Litr , 1/Ay Q0 / 7 „ T 1 Q.
, Is / Of A 6 + rt�gi4Tc15 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 - • JTENANT . Chimney/liner/flue/vent 10.00
Other- 10 00
Name: kOvA ra L E n 14 0) IT101I Environmental exhaust and ventilation
Address: Range hood/other kitchen
v� t+ 1,tp,Tbt4 �A i i equipment 10.00
City /State /ZIP: 1-15 AA. O R- 47 ZZ 3 Clothes dryer exhaust Fax: 10.00
Phone' ( ) J Single -duct exhaust (bathrooms,
( ) toilet compartments; utility rooms) 6.80
APPLICANT. ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Other: 10.00
Business name: A EQ®Lv /44". e i
Fuel piping
Contact name: D 6 1 N5 ASR $5.40 for first four; $1.00 for each additional
Gas heat
Fu etc.
Address: i c, 330 5 v w . TOMKTli-1 QC) Gas pump
City /State /ZIP: -1,, AA AT I na OK q7061. Wall /suspended/unit heater
) q2 - 1561 Fax:: (5-0-.) Water heater
Phone: (
5�3 �� Fireplace
E -mail: Range
- CONTRACTOR . - . Barbecue
Business name: A Kew )-",i;(.itA.l.41 L/,
Clothes dryer (gas)
Other:
r
' Address: ( -633e, 5 a „�. 115 All M R D MECHANICAL PERMIT FEES*
City /State /ZIP: T�Ai „...1., ti; b k 47ot0`L Subtotal
Phone: (o3) q'j - i 566- Fax: (T03) 1 I�j71 Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic.: 5' 19.E State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature , 1 .
This permi application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: � G f` I iNgia it I Date: i > 11_ a Fee methodology set by Tn County Building Industry Service Board
i\ Budding \Pertnits\MEC- PermitAppdoe 12/03 J 440- 4617T(II /02/COM/WEa)
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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i:\ Building\Permits\MEC- PermitApp.doc 12/03 2
CITY OFTIGARD
BUILDING DIVISION PERMIT #: MF_C2005 -00405
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/18/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175 '.�il�..
INSPECTION WORKSHEET FOR DATE: 10/2/2006 TIME: 7:03AM PAGE: 17
•
SITE ADDRESS: 09751 SW WASHINGTON SQUARE RD D1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ADVANCED NU fRI TON
DESCRIPTION: VAV box, ductwork, grills and registers. Value: $8514.00
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503. 639-8865
CONTRACTOR: ARROW MECHANICAL PHONE #: 503 -692 -1565
Inspection Request Scheduled For: Date: 1012/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 037501 -01 503.572 -05577 N
Corrections /Comments/ Instructions:
I I - Srs
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ' ❑ NO ACCESS
I I FAIL ❑ CALL FO' INSPECTION ❑ ADDITIONAL FEES ASSESSED
11
Inspector: r Date: 1® Z _ O` Phone #: (503) 718-
2
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\
CITY °0E-TIGARD
BUILDING DIVISION PERMIT #: MEC2006-00405
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 13/113/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/29/2006 TIME: 7 :06AM PAGE: 74
SITE ADDRESS: 09751 SW WASHINGTON SQUARE RD D1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ' ADVANCED NUTRITION
DESCRIPTION: VAV box, ductwork, grills and registers. Value: $8544.00
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -8865
CONTRACTOR: ARROW MECHANICAL PHONE #: 503-692 -1565
Inspection Request Scheduled For: Date: 9/29/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough-in 037361 -01 503 -572 -0577 N
Corrections /Comments / Instructions:
d 2) 4 1NUT( C V Citn -- ,
❑ PSS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED
7"?k_d
Inspector: Date: 1, Phone #: (503) 718 -
CIT'PeiF TIGARD
BUILDING DIVISION PERMIT #: iViEC2006-00405
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/18/2006
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/26/2006 TIME: 7 :06AM PAGE: 4
SITE ADDRESS: 09751 SW WASHINGTON SQUARE RD D1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ADVANCED NUTRITION
DESCRIPTION: VAV box, ductwork, grills and registers. Value: $8544.00
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503. 639-8865
CONTRACTOR: ARROW MECHANICAL PHONE #: 503 - 692.1565
Inspection Request Scheduled For: Date: 9/25/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 037175 -01 503 -572 -0577 N
Corrections /Comments /Instructions:
■
V\ v
❑ PASS PARTIAL APPROVAL CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR , SPECTION ❑ ADDITI NAL EES ASSESSED
Inspector:
Date: / (503) 718- v
�I Phone #: c
CITYVFTIGARD
BUILDING DIVISION PERMIT #: MEC2006 00405
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/10/2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/75/2006 TIME: 7:06AM PAGE: 3
SITE ADDRESS: 09751 SW WASHINGTON SQUARE RD D1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ADVANCED NUTRITION
DESCRIPTION: VAV box, ductwork, grills and registers. Value: $8544.00
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -8865
CONTRACTOR: ARROW MECHANICAL PHONE #: 503
Inspection Request Scheduled For: Date: 9/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
625 Duct work 037175 -02 503 -572 -0577 N
Corrections /Comments /Instructions:
1 /
r PASS ❑ ' PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL IN CALL FOR INSPECTION ❑ ADDITIO AL F S ASSESSED
Ii
Inspector: Date: Phone #: (503) 718-