Permit CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2006 - 00508
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/31/2007
PARCEL: 1S12600-00300
SITE ADDRESS: 09757 SW WASHINGTON SQUARE RD D - 4 ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: HVAC Valuation $5400
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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
WASHINGTON SQUARE LLC Description Date Amount
BY THE MACERICH COMPANY
9585 SW WASHINGTON SQUARE RD [MECH] Permit Fee 1/31/2007 $148.70
TIGARD, OR 97223 [TAX] 8% State Surcha 1/31/200i $11.90
[MECPLN] Plan Rev 1/31/2007 $37.17
Phone: Total $197.77
Contractor:
HVAC INC
5188 SE INTERNATIONAL WAY
MILWAUKIE, OR 97222 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 462 -4822
FAX 503- 462 -6555
Reg #: LIC 50897
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 d By: lx/ Permittee Signature: ()Q /2._
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.
tr= s4 q75- 7 $w h 04-rou) M? •E. AI" }daKM
MechakAcal Permit Application FOR OFFICE USE ONLY
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1 ,1111 City SW - '� ' ' >h Bt- /- / VI ti - PemntN "" ' .„ - • ! •
13125 SW Hall Blvd., Tigard, OR 9727
M ' Phone: 503.639.4171 Fax 503.598.1960 ., r Dmt Recrnc
^� `1 , () ate By 1/ g 4 6 1 5//'" other Penurt
TI G A R D Inspection Line: 503.639.4175 ! ` ) Date Rem By / !» El See Page 2 for
Internet www.tigard- or.gov Natifred/M ad: /0 / Supplemental Information
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TYPE OF WORT: f COMMERCIAL FEE' SCHEDULE - USE CHECKLIST
❑ New construction % Addit ion /alteration/replacement Mechanical permit fees* are based on the value of the work
performed Indiage the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, eq labor, overhead, and profit
CATEGORY OF C'ONSTRI'CTION Value: S 40 (0- O 0
❑ 1 and 2 family dwelling EitCommercialfindustrial ❑ Accessory building RESIDENTIAL EQUIPMENT 1 515"1 EA IS FEES'
❑ Multi ❑ Master builder For special information use checklist.
❑ � Description I Qty. I Ea I Total
t9 1. -1 JOB SITE INFORMATION AND LOCATION ' Heating/cooling
Air conditioning or heat pump Job site address:
° s4 S w w OK 41.4 (.J 4.ru of , S 0, , 1 3 04 gees site pica showing plcsemeni) 14.00
City/State/ZIP: T l( 0 b ft— 1 1-1...."'S Furnace 1 00.000 BTU t ducts vents t 14.00
Suite/bldg. /apt. no.: zQ ) 1/4 ,4 I Project name: Furnace 100,000+ BTU tswtis vents) , 17.90
�/ �' l }a �L V Gas heat pump 14.00
Cross street/directions to job site: Duct mark ,i. 14.00 ___V'
Brittonic hot water system 14.00
Residential boiler (rachdor or
hvdronic) 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
Gras fireplace 10.00
' IA-A/144 . A-1 ,-r e— s- r't r".-1 = 1..3 C-1 A.tti— 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
Chimney liner line vent 10.00
❑ PROPERTY OWNER It i Vf . TENANT
Other 10.00
Name: IV A- t.4-1) VC...! Environmental eshatnd and ventilation
Range hood/other kitchen
Address:
O4 ci U , -i.. --c - ST 1. - - , c 1.,. equipment 1000
City/ State/ZIP: ti.-0 0 vat , 1 ci G $ 1 I Clothes dryer exhaust 10.00
L".. 1 Single - dud exhaust (bathrooms,
Phone: (c () g) v 31 ( 2 3 l FaX (;U(a) g 1 o .66=31 toilet compartments. utility looms) 6.80
t,PPLI(_atv"I ❑ ('ONT..CT PERSON Attic cracrLspace faro 10.00
Business na e: Other: 10.00
G) mac- S t r �it�,- I- 7 r � Fuel piping
Contact name: Vim4 tJ ,U V ,., * l Cg 55.40 for first four; $1.00 for each additional
Furnace. etc.
Address: ] 3 - r 0 1 .1-- p v e sig (4-
Gas heat pump
City/ State/ZIP: r6 r -(.ei (�..- O' (sr-c., 1 Wall suspended unit heater
Phone: k, o ) 3 6 304_ I Fax : G k.) 3 Z 8 0 3 3 j., Water heater
Fireplace
E -mail:
Range
('()" TELA.CTOR v a p . ' Barbecue
Business name:
Clothes dn (gas)
Other
Address: MECH.LNl('AL PERMIT FEES*
City/ State/ZIP: Subtotal i et ..70
Minimum permit fee (572.50) i 75 , 5 0
Phone: ( ) I Fax: ( ) Plan review (25% of permit fee) !y , „;
CCB tic.: State surcharge (8% of pemtit fee) lCo !{
TOTAL PERMIT FEE (A i ea
Authorized Signature: This permit application espires if a permit is not obtained whin 180
days after it has been accepted as complete.
Print name: J .rte I Date: /oil g / ° Fee methodology set by Tri- County Building Industry Service Board
I.\BwldirgPemuts\MEC- Pem¢tApp doe )]7/05/05 440-4617T (I I /02/COMWEB)
CITY OF TIGARD ) (. I
BUILDING DIVISION ,. PERMIT #: ; b 00 . ,,7
13125 SW Hall Blvd., Tigard, OR 97223 . • DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 .,... �.ii •
INSPECTION WORKSHEET FOR DATE: 2!23/2007
TIME: 7.01 AM PAGE: 24
SITE ADDRESS: 09757 SW WASHINGTON SQUARE RD D-4 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: NA HOKU
DESCRIPTION: NA HOKU. Ti . (1,275 sq tt area)
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 2/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
_-,iK. C- 360. 601 -7929 N .
Corrections /Comments /Instructions: /
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❑ PASS p PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ C ' . FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 2 1_, () 7 Phone #: (503) 718 -, /
G
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MEC2006 -00508
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/31/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 .�Vitifl‘'
.
INSPECTION WORKSHEET FOR DATE: 3/30/2007 TIME: 7:00AM PAGE: 16
SITE ADDRESS: 09757 SW WASHINGTON SQUARE RD D CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: NA HOKU
DESCRIPTION: HVAC Valuation $5400
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: HVAC INC PHONE #: 503 - 462 4622
Inspection Request Scheduled For: Date: 3/30/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 045772 -01 360 - 601 -7929 Y
Corrections/Comments/Instructions:
. f ._
c ,
B3 PASS M PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ F. IL /4 CA L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: — Date: _ Phone #: (503) 718 -