Permit CITY TIGARD MECHANICAL PERMIT
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DEVELOPMENT SERVICES
PERMIT #: MEC2006 -00210
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4,14„, 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/1/2006
PARCEL: 1S12600
SITE ADDRESS: 09522 SW WASHINGTON SQUARE RD H -7 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: TI- Eddie Bauer- Project Value: $16,600
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 1
OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS:
STORIES: 1 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS
FURN > =100K BTU: <= 10000 cfm: 4 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 8/1/2006 $320.60
TIGARD, OR 97223 [TAX] 8% State Surcha 8/1/2006 $25.65
[MECPLN] Plan Rev 8/1/2006 $80.15
Phone: 503- 639 -8865 Total $426.40
Contractor:
GREY WOLF HVAC INC.
4012 NE 120TH ST
VANCOUVER, WA 98686 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 475 -8664
Reg #: LIC 165139
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: : r
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 complei /• n • the project.
Approved plans are required on the job site at the time of each insp ction.
r
Mechanical Permit Application �A , 7 N . r ` ` I ' ' >I l ,1, .. ; ' �� v ` :;
City - of 'Tigard R � � � 9 � � Date/By: y: i 7 Q / Permit No.: H /7 �� �v
0 6 ... t).02./ f 0
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review 0
Phone: 503.639.4171 Fax: 503.598.1960 „t�, Date/By: Other Permit:
Inspection Line: 503.639.4175 AN 1 `7 , _tit '� - I-''• Date Rea. '4; ' W Juris: ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method - 6 ? . � Supplemental Informat
CITY OF TIr,ARD
TYP tIQF MRKKDIVISION COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Cd
Mechanical permit fees* are based on the value of the work
❑ New construction . 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: $ iPl Urn --n
RESIDENTIAL EQUIPMENT / SYSTEMS FEES* .
❑ 1- and 2- family dwelling tRI Commercial/industrial ❑ Accessory building
❑ Multi- family ❑ Master builder ❑ Other: For special information use checklist.
Description I Qty. 1 Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: //�� _ ,, n Air conditioning or heat pump '�
q5 Sw ituashin "� . a' (requires site plan showing placement) 14.00 ,6
City/State /ZIP: y . ( ,,Q O p a U a 3 Furnace 100,000 BTU (ducts/vents) 14.00
1 , r_ � t �` Furnace 100,000+ BTU (ducts /vents) I7.90 9
Suite/bldg. /apt. no.: j .. , / Project name: Eddie COt r Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00 'rJ
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric), d5
in -wall, in -duct, suspended, etc. 10.00
Lot no.: Flue/vent for any of above 10.00 —(—
Subdivision:
W0.Sh' }nt� t Xuee Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
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 /flue /vent 10.00
❑ PROPERTY OWNER IENANT
Other: 10.00
Name: pm er Environmental exhaust and ventilation
Range hood /other kitchen
Address:
1, , )\a— NE 3LD- equipment 10.00
City/State /ZIP: I ,,,,,, we q 7 fa- Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (LD, ), 7 5 — L - 76 , 1 4 Fax: (, ) toilet compartments, utility rooms) 6.80
APPLICANT 0 CONTACT PERSON Attic /crawlspace fans 10.00
Business name: Other: 10.00
Fuel piping
Contact name: ?wujCrD —Y■ $5.40 for first four; $1.00 for each additional
Address:
Furnace, 5� etc. ,
�� �� S� Gas heat pump
City/State /ZIP: \ t r t o ff , \ (Art � L4' Wall/suspended/unit heater
Phone: ( s - -- 1 Ai 0 G, Fax: : ( &/( 1(43_ 92s---/ Water heater
Fireplace
E -mail: nt , n e go ( (SIO1'� j ,f, • (dtr Range
. T `- CONTRACTOR Barbecue
Business name: Clothes dryer (gas)
Other:
7 Address: MECHANICAL PERMIT FEES*
City/State/ZIP: Subtotal
Minimum permit fee ($72.50) ,32Q, GO
Phone: ( ) Fax: ( )
Plan review (25% of permit fee) p a
CCB lic.: State surcharge (8% of permit fee) i2,5 6 5
TOTAL PERMIT FEE i
Authorized signature:. This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Date: • Fee methodology set by Tri County Building Industry Service Board
i:\ Building \Pdmits\MEC- PermitApp.doc 12/03 440 4617r(11 /02/COM/WEB)
- - ;-:- --
_ _....
CITY OF TIGARD .
BUILDING DIVISION
A PERMIT #: MEC2006-00210
13125 SW Hall Blvd., Tigard, OR 97223 --DATE ISSUED: 8/112006
Phone: (503) 639-4171 ,,,gH4':‘,
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 11/1312006 TIME: 7:04AM PAGE: 17
SITE ADDRESS: 09522 SW WASHINGTON SQUARE RD14: CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: EDDIE BAUER
DESCRIPTION: (U.:Eddie B9tler- Project Value: $16,600
OWNER: WASHINGTON SQUARE LLC, PHONE #: 50.639-8865
CONTRACTOR: GREY WOLF HVAC INC. PHONE #: 503-4768664
Inspection Request Scheduled For: Date: 11/13/2006 Pour Time:
/ de # Inspection Description Confirm # Contact # Message
699 Mechanical final 039641-01 818.314-2792 N
Corrections/Comments/Instructio s:
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,e 6DASS fl PARTIAL APPROVAL 7 CANCEL I I NO ACCESS
I FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
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Inspector: Date: Phone #: (503) 718- 7
■
CITY- -OF TIGARD
BUILDING DIVISION PERMIT #: MEC20Or.O0210
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0/1/2006.
Phone (503) 639 -4171 I�
Inspection Requests (24 Hrs.): (503) 639 -4175 j "' __:
INSPECTION WORKSHEET FOR DATE: 9/12/2006 TIME: 7:01AM PAGE: 60
SITE ADDRESS: 09522 SW WASHINGTON SQUARE RD H - CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: EDDIE 13AUER
DESCRIPTION: TI- Eddie Bauer Project Value: $16,600 ,
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 638 - 8065
CONTRACTOR: GREY WOLF HVAC INC. PHONE #: 503-476-8664
Inspection Request Scheduled For: I Date: 8/12/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
62; Duct vvork 036 45.02 818 - 314..2782 N
Corrections /Comments /Instructions:
PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL _ CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
401 f
Inspector: Date: Phone #: (503) 718
, .,..
CITY. OF TIGARD
BUILDING DIVISION
PERMIT #: MEC7006-00210
13125.SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/.0006
Phone: (503) 639-4171 s'4;11';:■it
Inspection Requests (24 Hrs.): (503) 639-4175 1 ft_n_ pj. m. .. as '
INSPECTION WORKSHEET FOR DATE: 9/11 TIME: 7:01AM PAGE: 61
SITE ADDRESS: 09572 SW WASHINGTON SQUARE RD H CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: FDDIE BAUER
DESCRIPTION: TI- Eddie Dauer- Project Value: $16,600 •
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639
CONTRACTOR: GREY WOLF HVAC INC. PHONE #: 503-475-8664
Inspection Request Scheduled For: Date: 9/12/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough-in 036346-01 818-314-2792 N
Corrections/Comments/Instructions:
--- 1 t 0 P•1 1\i0b f 01.)1 i'QAcibl3L-;.____
I a- P a..) - . •i-- ,
pi PASS 1 1 PARTIAL APPROVAL 7 CANCEL 1 1 NO ACCESS
CALL FOR 1 SPECTION 7 ADDITI NAL,FEES ASSESSED
Inspector: d i , Date: q Phone #: (503) 718-
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