Permit !� _ :"`CITY OF TIGA MECHANICAL PERMIT
`� COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00329
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/31/2007
PARCEL: 1S12600-00300
SITE ADDRESS: 09779 SW WASHINGTON SQUARE RD D -11 ZONING: C -
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: CHAMPS
Project Description: TI - Project Value: $8,000
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:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
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 8/31/2007 $195.50
TIGARD, OR 97223 [MECPLN] Plan Rev 8/31/200i $48.88
[TAX] 8% State Surcha 8/31/200i $15.64
Phone: Total $260.02
Contractor:
ARROW MECHANICAL
TUALATIN, TIN, TUALATIN
97 0 RD
T 6 2 REQUIRED ITEMS AND REPORTS
UALT, OR 976
Contact #: PR! 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 questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued -. : 1 ' i 4I ,-■ / 4.4 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.
JUN /06/2007 /WED 10:13 AM 9-??9 5Co 11l-I Q P. 004
Meehan cal Permit A e ' JED FOR OFFICE. USE ONLY
City of Tigard teier 'POT 41. ' .7a
• 4 13125 SW Hall Blvd., Tigard, O �t\ 30 �UU Plan Revle ►r
C .
Phone: 503.639.4171 Fax: 501'5'8.1960 n,�g �Q Other Purr":
T I G ARD Inspection Line: 503.639.a175 C11 /y of Tlti D
ON Date y : y �` S See Page 2 for
Internet: www.tigttrd or.gov BU1 `�, ed/Meth° .' ), i �� upplementallnformadon
_ _ _ _ _ y�'l i /alt p , {,
.. .,:.., �.0 ..; ii .iii i i`li - T _ iu0�t. _wQ M . : i .' - _ i iE. - ter, s.1M r.�'iQ,; ( a1 / 1 -V 4c -iipll a is :- Iisi1i �i �.Q L •
I Mechanical permit fees' are based on the val o the work
❑ New construction XAddition/altesarion /replace • nt performed. Ind the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
'" = �± 'T 4.A TEGOI Yr,:n po IS R�JG� = ' •_ ,r4. Value S
uc:= � rt �✓: or.. ` -, -•` . . .. .... T`.r_ • ; , w • . a rS= f��nm. -i. _ s_. ^, •- -_a ti.�r -"r Est- :'=: :
_- STD) - ]�Q
r E14IS=FEE9
❑ 1- and 2- family dwelling A Cornmcrcial/mdustrial ❑ Accessory building
For special Information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. 1 Total
W + u :I sI`I it 'd NWAlS>5" -lik TIONf;,: ° ��= ?( j, _ Heating/cooling
{' Air conditioning or heat pump
riff. � t Job site address: �` s W . WAS (� ` (requires site plan showing placem nt) 14.00 v1►(��'
City /State/ZIW: T i cAOfd - op, qi�-a Furnace 100,000 BTU (duets/vents) 14.00
1
Furnace 100,0001 BTU (duets/vents) 17.90
Suite/bldg./apt. no.: Project name: ChNanipS Gas heat pump 14.00
Cross street/directions to job site: Duct work 0) 14.00 14:00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
,,1,." in -wall, in -duct, suspended, etc. 10.00
Subdivision: Vi��1► i VI(�t t►� ° u'� M(7 Q j Lot no.: Flue/vent for any of above 10.00
v' `� t"1 r -"�r Other 10.00
Tax map /parcel no.: Other fuel a .. !lances
` - - z -x :1.4 ,..0 „ • °ma c' ryry ��'1PnSCI 6OrtiW y�
6ItI(3� 4. = , ' ;-,. '5 �r Water heater (Mali/ G i . 10.00
'r rnz3�r . i>cnrt�.f - - _ .J. � ` !C -.etc, : ,__` ` c_. 1a..r, • .
e
Gas fireplace 10.00
• L ILO 111 0 . i 0 1 L 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
> (�i.P>EiO h ?b J lte.3i a. °;-§ �� .4 :D xF �ia„t. ! Ch imney/liner /fludvenc 10.00
Other. 10.00
Natne(r Fief n 0 • 0(D Of tfJ h j V Environmental exhaust and ventllatlon -
Range hood /other kitchen
Address: 0 . 5, Al. a L/ 01 8 s - ? al equipment 10.00
City/ State/ZIP: 9 ( (�1�� �a J DQ
Clothes dryer exhaust � Single -duct exhaust (bathrooms, � ( /
�T 10.00
1
Phone: (533 ) 3 1. .g Fax: (0.3 ) `Q _ 5 iot.)- toilet compartments, utility rooms) Dr' 6.80 � yT '
, =A � _ _ _ _ , t , n .� s__ _ _- _ Attic/crawlspace fans 10.00
_=L..5,.:,..1:41. - ' • , , other: 10.00
Business name: ire% f D[ ( Fuel piping
Contact name:
l
I t 4 tlCi. n �' l v $5.40 for first four; $1.00 for each additional
Address: + 297 5(- �,� �u1,c FLmece, etc.
1 Gas heat pump
City/State/ZIP: M ce, ea 9050 I Wall/suspended/unitheater
Phone: (2 )) 38 • 6, 3D,) i Fax:: WO. rk('} 2 0331' Water heater
Fireplace
E -mail: Range
_ - . ,,�� .. _ _ 0 1V7 CLOttz�' �F. =;`. -' 0.4k- - Barbecue
Business name: ett69 Clothes dryer (gas)
Other: -
Address: '_•a,:- =ry)[C13'LG EL,S + _ f %.s_fig s- -
City/State/ZIP: Subtotal
Phone: ( ) p er; ( ) Minimum permit fee ($72.50) PM .
l = Plan review (25% of permit fee) IA. -
CCB lic.: State surcharge (8% of permit fee) 6 Vi
TOTAL PERMIT F - 9 /,0�`
I Thls permit opption expirai if a permit Is not obtain d w In 180
Authorize
� rii/
Illea( , r \ i/1/ y y
Print name: r " . �'� application days otter ft has been accepted as complete.
l MQ Date:c Ien • Fee methodology set by Tri- County Building Industry Service Board
1: \BuildingWermirs\i l C- PernstApp doe 04/06/06 4404617T (11 /07/COM/WBB)
42725
CITY OF TIGARD
BUILDING DIVISION • PERMIT #: MEC2007 -00329
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/31/2007
Phone: (503) 639 -4171 �'�
Inspection Requests (24 Hrs.): (503) 639 -4175 -. ' '1L
INSPECTION WORKSHEET FOR DATE: 9/20/2007 TIME: 7:00AM PAGE: 22
SITE ADDRESS: 09779 SW WASHINGTON SQUARE RD D-11 SS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CHAMPS
DESCRIPTION: TI - Project Value: $8,000
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ARROW MECHANICAL PHONE #: 503 - 692 -1565
Inspection Request Scheduled For: Date: 9/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 056029 -01 503.692 -1565 N
•
Corrections /Comments /Instructions:
5 4 -e_
►.4 P. ❑ P' RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL r • L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
7�/ �
Inspector: Date: Phone #: (503) 718 - Z. -
-�.
CITY OF TIGARD
' BUILDING DIVISION PERMIT #: MEC2007- 00329
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/31/2007
Phone: (503) 639 -4171 �lq '
Inspection Requests (24 Hrs.): (503) 639 -4175 IL .
INSPECTION WORKSHEET FOR DATE: 9/11/2007 TIME: 7:00AM PAGE: 53
SITE ADDRESS: 09779 SW WASHINGTON SQUARE RD D-11 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CHAMPS
•
DESCRIPTION: Ti - Project Value: $8,000
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ARROW MECHANICAL PHONE #: 503-692-1565
Inspection Request Scheduled For: Date: 9111/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 055453-01 503-692 -1565 Y
Corrections /Comments /Instructions:
siffv c V. 4. V. g
14 4 F_41Z
❑ PASS IIA,PARTIAL A' • .: ❑ CANCEL ❑ NO ACCESS
❑ FAIL 'CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED
Inspector: Date: /// 7 Phone #: (503) 718- 2---g5