Permit ,1
4 1 , CITY OF TIGARD MECHANICAL PERMIT
`"Ir DEVELOPMENT SERVICES PERMIT #: MEC2005-00532
V 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/29/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09512 SW WASHINGTON SQUARE RD H -2 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: VAV boxes. 1 bath exhaust. Value: $3300.00
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: VV00DSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS 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 8/29/200; $102.40
TIGARD, OR 97223 [TAX] 8% State Surchar€ 8/29/200: $8.10
Phone: 503 639 - 8865 Total $110.50
Contractor:
CLIMATE CONTROL INC
16500 SW 72ND AVE REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97224
Phone: 503 - 453 - 4822
Reg #: LIC 62196
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and
all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not
started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1- 800 - 332 -2344.
l n t r ,
Issued By: � j Permittee Signature: �� 0p&t ,- n
Call 503- 639 -4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
•
M chanical Permit • , ;A.1., ( G FOR OFFICE USE ONLY
. . - _ . �® Receive
City of Tigard �t ,.
•J DateB gal 05 B Permit No ME�-Av0 _ 0063
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revi
Phone 503.639.4171 Fax: 503 598.196A 11'' 9 I
� Other Permit
1WU 9 205 ' Date/By - r /6_/.
Inspection Line 503.639.4175 ,$)I,i,, e. Date Ready/By. Ii5 See 'age 2 for
Internet. www ci.tigard.or us CITY OF TIGARD Notified/Method Supplemental Information
_
BUILDING DIVISION
. TYPE OF WORK COMMERCIAL' FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction 04 Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value $ 33 pp • c
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ I- and 2- family dwelling ® Commercial /industrial ❑ Accessory building
❑ Multi - family { u Master builder 0 Other: For special information use checklist.
Description Qty. I Ea. I Total
. JOB SITE INFORMATION AND LOCATION Heating /cooling
95 '� Air conditioning or heat pump
Job site address: ,JW WAShi ny t on S A e A (?d • / R /0 (requires site plan showing placement) 14.00
City /State /ZIP: t i l nit( o e 9-1 Fumace 100,000 BTU (ducts/vents) 14.00
Fumace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: L! OS 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
Lox. 1 Gas fireplace 10 00
R P Q L A C Q O VA U LOX I- cl (i CTS I- i O S f 9 I i 0 Flue vent for water heater or gas
( fireplace 10 00
Q.XI�AS f FAn Log lighter (gas) 10.00
Wood/pellet stove 10 00
Wood fireplace /insert 10 00
❑ PROPERTY OWNER 0 TENANT Chimney/liner/flue/vent 10.00
Other. 10 00
Name: Lids Environmental exhaust and ventilation
I ////�� Range hood/other kitchen
Address:
QS3S . 5W viptski 1 sriae ,ed, # ifs equipment 1000
City /State /ZIP: Ti J na d OR q � a y L Clothes dryer exhaust 10 00
Phone: ( ) 1 Fax: Single -duct exhaust (bathrooms,
( ) toilet compartments, utility rooms) 6.80
i, APPLICANT CONTACT PERSON Attic /crawlspace fans 10.00
+
Business name: C ' 1 ma C Other
1 Fuel piping 10.00
Contact name: S5.40 for first four; 51.00 for each additional
Address: .•. J Vim- n A - Furnace. etc.
Gas heat pump
City /State /ZIP: ' `•]_l f . ` �,` �� Wall /suspended /unit heater
Phone: A MEE 1 • Water heater
E -mail: ' Fireplace
Ranee
�,/� /� CON /TRRACTTRR Barbecue
Business name
I ! 1 et∎ I JJt 71 1 / Clothes dryer (gas)
I t Other.
�
Address: C , ( (1 MECHANICAL PERMIT FEES*
City /State /ZIP: r e5 ► 'T fay 6 C I7a a Subtotal
Phone: ) • , Fax: ( / Minimum permit fee ($72.50) Ida, qv
- • a. __ • • - _ti Plan review (25% of permit fee)
CCB lic.: r,��t 9 (..4' State surcharge (8% of permit fee) y /
W TOTAL PERMIT FEE I/O. 5
Authorized signature: n / l ^l •I !V l , This permit application expires if a permit is not obtained within 180
X�.iN1nV V days after it has been accepted as complete.
Print name: DA RR A n W . VRfor. Date: 51 • Fee methodology set by Tn -County Building Industry Service Board
I\ Building \ Permits \MEC- PermiiApp.doe 12/03 440 -4617T (I I /02/COM/WER)
CITY_ OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005-00532
1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/29/2005
Phone: (503) 639 - 4171 °'
Inspection Requests (24 Hrs.): (503) 639 -4175 z °'I Ii..
INSPECTION WORKSHEET FOR DATE: 9/22/2005 TIME: 7:12AM PAGE: 76
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 09512 SW WASHINGTON SQUARE RD H g:rT # TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE
DESCRIPTION: LIDS
VAV boxes. 1 bath exhaust. Value: $3300.00
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639 -8865
CONTRACTOR: CLIMATE CONTROL INC PHONE # : 503 - 453 -4822
Inspection Request Scheduled For: Date: 9/22/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 016334 -01 503 - 453.4822 N
Corrections /Comments /Instructions:
1 r
_ �- 1JII_
`ITI , ����WJP 421
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • CALL FOR INSPECTION ❑ ADDITI NAL FE S ASSESSED
�J
Inspector: I Aft Dte: C� 05- Phone #: (503) 718 -
mir