Permit if k
4,, CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00370
�� II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/4/2006
PARCEL: 1 S135BA -00100
SITE ADDRESS: 10145 SW WASHINGTON SQUARE RD TGI ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE TOO LOT: JURISDICTION: TIG
Project Description: Replace HVAC unit. Valuation $8000.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
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 8/4/2006 $195.50
TIGARD, OR 97223 [TAX] 8% State Surcha 8/4/2006 $15.64
Phone: Total $211.14
Contractor:
WILLAMETTE HVAC SERVICE
PO BOX 23334
TIGARD, OR 97281 REQUIRED ITEMS AND REPORTS
Contact #: PRI 628 -6841
FAX 503- 848 -2597
Reg #: LIC 56951
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: Permittee Signature: 0/0
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.
Mechanical Permit A p p l i c a t i o n r O 1 ( OrrICI1 I N ( ) N i x
City of Tigard p ED y 6 , �`�� Permit No.• = i ( %, ' r O
:� B ° 13125 SW Hall Blvd., Tigard, ORCE!� Plan Review
Phone: 503.639.4171 Fax: 503. 8 Date/By. Other Permit:
T I G n It IJ Inspection Line: 503.639 1 I G 4 2006 Date Ready/By. HI See Page 2 for
Internet: www.tigard-or.gov AV N N Supplemental Information
CITY O F TIGARD
TYPE OF�VRJg1NG DIVISIOP� COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
El New construction ' Addition/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, overhead, wilorofit.
CATEGORY OF CONSTRUCTION Value: $ I ���-''
TI
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling aCommercial/industrial ❑ Accessory building
10 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: /0/ ,5--- �l / k ,} ,- Air conditioning or heat pump
L20,: +� v. ;. ( IA. - � 9 . �� (requires site plan showing placement) 14.00
City / State/ZIP: V Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg. /apt. no.: Project name. e
Furnace 100,000+ BTU (ducts/vents) 17.90
Cr F' t � C .n.• y � 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
) _�_ Gas fireplace 10.00
.. (A C- �x C C X y UV4 G (.4, . 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 ❑ TENANT Chimney /liner /flue/vent 10.00
Other: 10.00
Name: Environmental exhaust and ventilation
Address: 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 ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Business name:
Other: 10.00 _
Fuel piping
Contact name: $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
/ ) Clothes dryer (gas)
Business name: , ' f l 01 e -L l---/ ✓A C Other:
Address: 7 0 ) 3 .3 3 3 cf MECHANICAL PERMIT FEES*
City/ State/ZIP: T € ,,,,.�C G 1 '.8 ( Subtotal 19
Phone: ( ) 6 C 8 t,(( I Fax: ( ) 8 c.1. g -‘,2 S� Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CC Iic.: 5 Q - $ --- 7 State surcharge (8% of permit fee) fre
TOTAL PERMIT FEE i ), f y
This permit application expires If a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
Print name: I Date: I • Fee methodology set by Tri County Building industry Service Board
I:\ Building \PamitaVMEC- PennitApp.doc 04/06/06 440-4617T (I I/02/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 $230
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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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006 -00370
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/4/2006
Phone: (503) 639 -4171 1 gi
Inspection Requests (24 Hrs.): (503) 639 -4175 _ I I..
INSPECTION WORKSHEET FOR DATE: 8/16/2006 TIME: 7 :06AM PAGE: 2
SITE ADDRESS: 10145 SW WASHINGTON SQUARE RD TGI CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE TOO LOT #: TYPE OF USE:
PROJECT NAME: TGI FRIDAYS
DESCRIPTION: Replace HVAC unit. Valuation $8000.
OWNER: WASHINGTON SQUARE LLC. PHONE #:
CONTRACTOR: WILLAMETTE HVAC SERVICE PHONE #: 628-6841
Inspection Request Scheduled For: Date: 8/16/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 035092 -01 503.752 -4985 N
Corrections /Comments /Instructions:
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A❑P AR TIAL APPROVAL ❑ CANCEL ill NO ACCESS
- CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Dater I to 06 Phone #: (503) 718- 24-7