Permit C ITY ITT O F TIGARD MECHANICAL PERMIT
_, COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00133
'TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/29/2008
PARCEL: 1S12600-00300
SITE ADDRESS: 09646 SW WASHINGTON SQUARE RD G14 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: SWAROVSKI
Project Description: TI. Valuation: $32,000.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: 1 VENT FANS:
OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS:
STORIES: 1 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: 1 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: 1 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 4/29/200E $528.50
TIGARD, OR 97223 [MECPLN] Plan Rev 41291200E $132.13
[TAX] 12% State Surch 41291200E $63.42
Phone: Total $724.05
Contractor:
REQUIRED ITEMS AND REPORTS
Contact #:
Reg #:
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: / J '�i yA
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 proje t.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application _ T _ , :,FOR OFFICE: :USE ONLY "'--- , fi r °;
•�
ew (1�` DateBy: up 7- mi V Other Permit: / -/ / CO wv oda
" 13125 SW Hall Blvd., Tigard, OR 9 � , City ofaiga id 8 � ��� Permit No.:
--
r -- + • Plan Revr ••, (7
®` Date/By:
s ;, Phone: 503.639.4171 Fax: 503. �rcl
- - '` Inspection Line: 503.639.4175 \ ` 1 �U� ...ow'?
-
T,I GA IC D p Date Ready / By: luris: ® See Page 2 for
:�vp t Internet: www.tigard or.gov 0 P' 1 1�� Kra ® � Notified/Method: Supplemental Information
• TYPE OF W ' 1Q�' i ^ COMMERCIAL FEE* SCHEDULE USE CHECKLIST
❑ 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, and profit.
CATEGORY OF CONSTRUCTION
Value: $`32, J 00 c
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description Qty.
Ea. Total
('fa JOB S LE "1TTFORMATION AND LOCATION Heating/cooling
Job site address: 1 v V C t n� J ) (requires site plan showing placement) 14.00
Air conditioning or heat pump
�„� C A C'1 rt. 1�/
City /State /ZIP: 1 c Q2 9.1 Zz- 5 Fumace 100,000 BTU (ducts /vents) 14.00
Fumace 100,000+ BTU (ducts /vents) 17.90
Suite/bIdg. /apt.,rto., G,. ; 4. Project name: 0„..45x)14. ' Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
\-;41-‘,5k lr1C` pv1 V C tk+Clht, f\/) Ai I Residential boiler (radiator or
'Cj hydronic) 14.00
C Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Flue /vent for any of above 6.80
Subdivision: I Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
I Gas fireplace 10.00
P 10 j rOA I AZ, w �� 1\1 12.1 ' .r)Ct I wit 1 ¢ Flue vent for water heater or gas
t t i R ` ' fireplace 10.00
G 0 v1 Cie .1e1 ✓1 Sin('; 1.x.1'1 t J C Ul ;Tl.00 IC. .k Ov Log lighter (gas) 10.00
Z(pp4 T ' 1i •} IA) rxsL 1rxd.rt-, n S ikG i--e Wood/pellet stove 10.00
I Wood fireplace /insert 10.00
❑ PROPERTY OWNER I ❑ TENANT Chimney/liner /flue /vent 10.00
Other: 10.00
Name: ! " ' Ag.ozi Cam) 1 .10\)14,\)-i- l i3O rd 1 ✓ a 1. k1 Environmental exhaust and ventilation
L / "e--) i I I Range hood/other kitchen
Address:
"7 1 \>. '1 I Sl - 1 1 V 0 SiA.1 \Pia -7 C )Q equipment 10.00
I
City /State /ZIP: SCA\-0. iv \o%, ►cam, r
N A c lod D 1 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: 601) ( 155" (9ZZo Fax: (6OZ) (jam. -. ( toilet compartments, utility rooms) 6.80
❑ APPLICANT . CONTACT PERSON ttic /crawlspace fans 10.00
Business name: /� ` - j Other: 10.00
�\ .Qa�111i1 y , K;�IM rJ �nvly.(l 1-04s ' (J U l piping
Contact name: ► . , / / 04./1 1 •.1111 � 1 $5.40 for first four; 51.00 for each additiona
Address: C� /� `' f - ace, etc. • �l >✓( M _1 ' ROA' = !�v''� j � ( � �4 t' heat pump
City /State /ZIP: ( _JuLLi�• C''i Cf\ Q e)Z�3Z 1 v - i Wall /suspended/unitheater
_
Phone: ( 1O ) 8 - 7 L O I I L J I ( 5 i 0 ) Fax: : 10 ) (6 ._ Q 1 9 Water heater
Fireplace
E -mail: � Range
CONTRACTOR - , 64111W' arbecue
1-r-_/ ^ / �� "1,y4127-14-- 8 I Clothes dryer (gas)
Business name:
- L� N - G Other:
Address: 6,603 0� 1 3? MECHANICAL PERMIT FEES*
City /State /ZIP: (.2c.1k(A4 set (A1y4 �i� Subtotal
I ' T Minimum permit fee ($72.50)
Phone: (% / J Fax: ( )
/ Plan review (25% of permit fee)
CCB lic.: , y 1•/ r State surcharge (12% of permit fee)
Ty PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature: - r• - • - "---- ---
/k ._..„ a ( / L days after it has been accepted as complete.
s�
Print name: C, e , s LL t e v , Z S Date: .5 / <I • Fee methodology set by Tri- County Building Industry Service Board
1:\ Building\Permits\MEC- PermitApp.doc 01 /19/07 ¶ C -J1 .4 -39 SAS 4404617T(II/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 $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.
•
l:\ Building \Permits \MEC- PermitApp.doc 01/19/07 2
Branden Taggart -
To: maryann @nationwidepermits.com
Subject: Swarovski mechanical permit
Hello Marry Ann,
Per your request, I am sending you this e-mail with the hope that you can identify the licensed contractor who is
completing the work for the mechanical permit at the Swarovski store in the Washington Square mall. Since the permit
was issued without having the contractor information, the mechanical permit has been placed on hold. Once the
contractor is identified, we will remove the permit from the hold. We appreciate your help with this matter. If you have
any questions, please let us know.
Thank you.
Branden Taggart
City of Tigard
Building Permit Technician
(503) 718 -2439
1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2008-00133
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/29/20011
Phone:.(503) 639-4171 A n i fr411 4 1 :
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 511 '2008 . TIME: 7:00AM PAGE: 23
SITE ADDRESS: 09646 SW WASHINGTON SQUARE RD G14 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: swARovski
DESCRIPTION: TI. Valuation: $32,000.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: TRI TECH HEATING INC PHONE #: 360-8912002
Inspection Request Scheduled For: Date: 5/16/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mecliariical final 070004-01 360-907-7413
Corrections/Comments/ Instructions:
•
PARTIAL APPROVAL E CANCEL 1 I NO ACCESS
FAIL n CALL FOR INSPECTION I] ADDITIONAL FEES ASSESSED
Inspector:
Date: 1 b Phone #: (503) 718- Li6 / .
. .
CITY OF TIGARD
BUILDING DIVISION .
PERMIT #: i'4=:.2fy0t, 0013:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: , 112001 :-
Phone: (503) 639-4171
,,, k.■\ , 4
Inspection Requests (24 Hrs.): (503) 639-4175 AA A.L - •
Or
INSPECTION WORKSHEET FOR DATE: 4130!)C101 TIME: 7:1YANI PAGE: 23
SITE ADDRESS: :::01. ; C; 1 CLASS OF WORK:
SUBDIVISION: VV:i .A't . ,!,!.:01 - : LOT #: TYPE OF USE
PROJECT NAME:
DESCRIPTION: 11. '',-...., :2,f...;fj
OWNER: WA; -N Pi )N ,. (.LC, PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: :./30/:::=:;c) Pour Ili e: 04/
/
Code # Inspection Description Confirm # Contact # Mes:age
Corrections/Comments/Instructions: ,
1 \il\fl \ c) A.u,y--/N st-kl■ 04 \ r 01 .0 IAA LINThr I- e J 1 - e
It ...A..___I A - . •
fp
A' , ■A.■
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I t l ' - UtUti Afj •
I I PASS PARTIAL APPROVAL 0 CANCEL L j NO ACCESS
1 I FAIL fl CALL FOR INSPECTION Li ADDITIONAL FEES ASSESSED
Inspector: l' Ck■/ Date: Phone #: (503) 718-