Permit CI T Y OF TIGARD MECHANICAL PERMIT
° ` COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00144
DATE ISSUED: 5/11/2007
gpAZiz 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S12600-00300
SITE ADDRESS: 09402 SW WASHINGTON SQUARE RD ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: DICK'S SPORTING GOODS
Project Description: Gas piping. Value: $1959.00
CLASS OF WORK: ADD FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS:
STORIES: 2 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: 4,730,000 BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: 9 <= 10000 cfm: GAS OUTLETS: 9
> 10000 cfm:
Owner: FEES
WASHINGTON SQUARE LLC Description Date Amount
BY THE MACERICH COMPANY
9585 SW WASHINGTON SQUARE RD [MECH] Permit Fee 5/11/2007 $72.50
TIGARD, OR 97223 [MECPLN] Plan Rev 5/11/2007 $18.13
[TAX] 8% State Surcha 5/11/2007 $5.80
Phone: Total $96.43
Contractor:
PMSI LLC
21195 NW EVERGREEN PKWY #204
HILLSBORO, OR 97124 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 466 -2222
Reg #: LIC 158286
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: j �� > � , , r Permittee Signature: of d //
Cali 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.
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lical Permit A Izcatioo t ;' ,f. �'T, ” ' F OR OFFI l s ue S O \L'1 �€ _ . •
C of Tigard Permit 00/# -
' a n 13125 SW Hall Blvd, Tigard, OR 97223 1 t \ I e may LJ n� " e �� J
Plan R 1 . - �
Phone: 503.639.4171 Fax: 503.598.1960 r ate/By: J �� Of Other Permit:
Ins ect ion Line: 503.639.4175 ,,gg t J�uis: H See Page 2 for
'5,1 A R P: p 0d 3 > � � ate Ready/By: g
:,."4, zi',44a_'tr4 Internet: www.tigard or.gov ' Notified/Method: •••-r Supplemental Information
CITY Cr _ IGATI 0
TYPE OF WORK EtL�'�1 L�JLJI�aV COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction ® Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
perfocmned'Indicate the value (rounded . a e nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipm- a. or, overhe.: and profit.
CATEGORY OF CONSTRUCTION V. e: $ $1,959.00
RESIDENTIAL E 1' IP ' • • : - MS FEES*
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating /cooling
Air conditioning
Job site address: 9400 SW Washington Square Rd (requires heat pump
q uires site plan showing placement) 14.00
City/State /ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: Dick's Sporting Goods -
Gas heat pump 14.00
Cross street/directions to job site: old Mervyn's space 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
t for building shell Gas fireplace 10.00
Gas
piping g 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 ❑ 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
Other
Business name: 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
Business name: PMSI LLC Clothes dryer (gas)
Other:
Address: 21195 NW Evergreen Pkwy Suite 204 MECHANICAL PERMIT FEES*
City /State/ZIP: Hillsboro, OR 97124 Subtotal
Phone: (503) 466 -2222 Fax: (503) 466 -2211 Minimum permit fee ($72.50) 72.50
Plan review (25% of permit fee) 4, / 5
CCB lic.: 158286 State surcharge (8% of permit fee) 5.80
: TOTAL PERMIT FEE l '' . 0 1
Authorized signature: P I t I 91,4A ( r 1^ Thi perm application expires if a permit is not obtained withi 1 0 l `
'I, days after it has been accepted as complete. &Q i
1 Print name: Lanell Robinson Date: 3/12/07 * Fee methodology set by Tri -County Building Industry Service Board "
1 / 1:\ Build ingWermits \MEC- PemtitApp,doc 04/06/06 440- 4617T(11/02/COM/WEB)
1.�
CITY OF TIGARD
BUILDING DIVISION ` ;`. ' � " PERMIT #: I+ F 007..00 144
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/11/200"/
Phone: (503) 639 -4171 ' °'`ce
Inspection Requests (24 Hrs.): (503) 639 -4175% p�lll
INSPECTION WORKSHEET FOR DATE: 1/3/2008 TIME: 7:00AM PAGE: 21
SITE ADDRESS: 09102 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SOUARE LOT #: TYPE OF USE:
PROJECT NAME: DICK'S SPORTING GOODS
DESCRIPTION: Gas piping. Value: $1%9.00
OWNER: WASHINGTON SOUARE LLC, PHONE #:
CONTRACTOR: PM.SI LLC PHONE #: 503-466-2222
Inspection Request Scheduled For: Date: 1/3/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 IMc'chanic; l final 06249 &01 503 - 465.2222 N
Corrections /Comments / Instructions:
PASS MI ARTIAL APPROVAL ❑ CANCEL n NO ACCESS
CALL FOR INSPECT n ADDITIONAL FEES ASSESSED
Inspector: Date: O Phone #: (503) 718 - e4
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MFC2007-0O144 44,0 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: E /1 !/; 001
Phone: (503) 639 -4171 �I(I
Inspection Requests (24 Hrs.): (503) 639 -4175 ':�
INSPECTION WORKSHEET FOR DATE: 10/2E12007 TIME: 7 :01AM PAGE: 57
SITE ADDRESS: 03402 SW WASHINGTON SQUARE RD CLASS OF WORK:
. SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DICK'S SPORTING GOODS
DESCRIPTION: Gas piping. Value: $1959.00
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: PMSI LLC PHONE #: 5034166
Inspection Request Scheduled For: Date: 10/25/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical filial 068289-0/ 503 - 209 -9083 N
Corrections /Comments /Instructions:
la o k l O a G L -., CL . _
1.40 GON(_ ' _Al'
'
i
n PASS Pa - IAL APPROVAL n CANCEL n NO ACCESS
,40,11110 AI a 'ALL FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED
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Inspector: �.�- Date: / 2 Phone #: (503) 718-
_ /'-ii
CITY OF TIGARD
BUILDING DIVISION ' . PERMIT #: MEC2007.00144
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 511//2007
Phone: (503) 639 -4171 s 'i ��'�
Inspection Requests (24 Hrs.): (503) 639 -4175 s =.:.
INSPECTION WORKSHEET FOR DATE: •10/16/2007 TIME: 7 PAGE: 59
SITE ADDRESS: 09402 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DICK'S SPORTING GOODS
DESCRIPTION: Gas piping. Value: $1959.00
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: PMSI LLC PHONE #: 503
Inspection Request Scheduled For: Date: 10/.1612Q07 Pour Time:
Code # Inspection Description Confirm # Contact # Mes, se
G!13 Mechanics( final 057643-01 503 466 2222 ,
Corrections /Comments /Instructions: Ttik-v Alo
- .4 _ _ -- �� 1 ( -- t--40C/14 . ' �t � if
❑ PASS • 'A: IAL APPROVAL ❑ CANCEL ❑ NO ACCESS
`� FAI / ' . OR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ■_ Date: / lG a7 Phone #: (503) 718 - ___
CITY OF TIGARD
BUILDING DIVISION PERMIT #: IE_:C007 a0144
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: F,tq I /2007
Phone: (503) 639 -4171 '.,,.°, �� „ � ,n,S �'
Inspection Requests (24 Hrs.): (503) 639-4175 „.44-All.
INSPECTION WORKSHEET FOR DATE: 10/10/2007 TIME: 7 :01AM PAGE: 26
SITE ADDRESS: 09402 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DICK'S SPORTING GOODS
DESCRIPTION: Gas piping Value: $1959.00
OWNER: WASHINGTON SOUARE LLC, PHONE #:
CONTRACTOR: PMSI LLC PHONE #: 503.466
Inspection Request Scheduled For: Date: 10/10/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
d/
610 Gas line 057312 -01 5 Q3 -'?03 -9083 f L
Corrections /Comments structions: RV
MI . Z:.' -- / . o 0 i ii- 1/� )
.i►l/ PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
i
Inspector: ‘ ./ - ^�: Date: 9�) I. d Phone #: (503) 718-
u
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