Permit `r-
o CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2009 -00049
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/29/2009
PARCEL: 1512600 -00300
SITE ADDRESS: 09508 SW WASHINGTON SQUARE RD J01 ZONING: MUC
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: CLEARWIRE
Project Description: Relocate ducts and grilles. Project Value: $2,500
New plan review required.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: M 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:
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: 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 1/29/2005. $84.00
TIGARD, OR 97223 [TAX] 12% State Surch 1/29/2005. $10.08
Phone: Total $94.08
Contractor:
BELL HEATING
15550 SE PIAZZA AVE
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 656 -1184
FAX 503- 656 -4650
Reg #: LIC 447
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.
Issu By: (1 4 Permittee Signatur- , ,, � t "
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.
Mecl nical Permit A ppi >t n , FOR OFFICE USE ONLY
� ��ED Received ( � q
City Of Tigard Date/By �Q� Permit
No �� , .�l /
U PI
q 1 3125 S Hall Blvd., Tigard, OR 9 72 2 3
P lan Review Other Permit
0 ? Phone. 503 639.4171 Fax. 503 51AR62 9 2009 DateBy.
TIGARD Inspection Line 503 639 4175 Date Ready/By / la See Page 2 for
Internet www.tigard- or.gov Notified/Method Supplemental Information
CITY OF TIGARD
Ty Ki , IVISIOAI
COMMERCIAL FEE! SCHEDULE — USE CHECKLIST
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 $ 2 3 °'C=3
❑ 1- and 2- family dwelling a-Commercial /industrial RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
❑ Accessory building
❑ Multi-family For special information use checklist
y ❑ Master builder ❑ Other: Description Qty Ea Total
% o g JOB SITE INFORMATION AND LOCATION �(� (re qg Heating/cooling
Job site address: 5 e. / - b 5 iU 7 Lam.= Atcondrtwnmg pump
uires site plan showing placement) 14 00
City /State /ZIP: 1 Furnace 100,000 BTU (ducts /vents) _ 14 00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: "3 Project name: �',p,,� al >i, (44, Gas heat pump 14.00
Cross street/directions to job site: Duct work 10 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 14 00
Flue /vent for any of above 6 80
Subdivision: Lot no.: Other 10 00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10 00
' I/n . Gas fireplace 10 00
�� T-) . A PP( 9 f - -I- 1 Oe -ecci __ Flue vent for water heater or gas
"' fireplace 10 00
T 57-41-r ` 111 ° °° """"" S . Log lighter (gas) 10 00
Wood/pellet stove 10 00
Wood fireplace /insert 10 00
Chimney /liner /flue /vent 10 00
ROPERTY OWNER ❑ TENANT Other 10 00
Name: 04 . -Q 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
1 Other 10 00
Business name. 1 ti,y3i Fuel piping
/ � PP� 1;
Contact name: `Gf �. C Ywt o'ryl.Qw l $5.40 for first four; $1.00 for each additional
Furnace, etc
Address:
i'�- r�l L -2 ` — Gas heat pump
City /State /ZIP: Zit P_ f M ,r te ( _- C:2-171L)1 7 Wall /suspended/unit heater
Phone: ( ) `� / 1, ' - Fax: ( (( t �
Fireplace 1
E -mail: heater
, / f� q
'�t�`f�i- �e��L1T��tt�s� „ cc:5v— Range
CONTRACTOR Barbecue
661)(6' , Clothes dryer (gas)
Business name: ftM A°, v Other
Address: • , MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal l'
Phone: ( ) F es: ( ) Minimum permit fee ($72.50) I; . 71,4420
—
Plan review (25% of permit fee) -�:'
CCB lie.: qc( 7 IV ���p _
State surcharge (12% fee) (d Or
TOTAL PERMIT FEE 94/, 07
Authorized signature: This p ermit a expires if a permit is not obtained within 180
QO days after it has been accepted as complete.
Print name: -)4E.,4, A yt Ri . r I Date: 1 / ( • Fee methodology set by Tn- County Building Industry Service Board
I \ Building\ Permits MEC- Permit App doc 01/19/07 440-46t7T(I1 /02 /COM/WEB)
Mechanical Permit Application - City of Tigard `
Page 2 - Supplemental Information •
Commercial Fee Schedule:
Total Valaation:_ 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.
•
1 \Building \Permits\MEC - PermitApp doc 01/19/07 2
CITY OF TIGARD
BUILDING DIVISION ' `� I / PERMIT #: MEC2009 -00049
13125 SW Hall Blvd., Tigard, OR 97223 ` DATE ISSUED: 1/29/2009
Phone: (503) 639 -4171 , alii(i V (
Inspection Requests (24 Hrs.): (503) 639 -4175 . ---.. l 7/3 2
INSPECTION WORKSHEET FOR DATE: 2/24/2009 TIME: 7 :0OAM PAGE: 1f5
SITE ADDRESS: 09508 SW WASHINGTON SQUARE RD J01 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CLEARWIRE
DESCRIPTION: Relocate ducts and grilses. Project Value: $2,500
New plan review required.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: DELL HEATING PHONE #: 503-656-1184
Inspection Request Scheduled For: Date: 2/24/ 2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 080781 -01 503307 -0462 N
Corrections /Comments /Instructions:
•
1 \ 114i
(■—_,
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J )
JIB PAS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED --/-)'4/1)
Inspector: vV" k Date: Phone #: (503) 718 - "
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��UUUU ��U���� DIVISION ' PERMIT kYEC2DD�ODQ49
,,,BUILDING �
13125SVV Hall Blvd, Tigard, ORQ7223 DATE ISSUED: 1/29/
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/5/2009 TIME: 7:0OAkA PAGE: 23
SITE ADDRESS: 09508 SW WASHINGTON SQUARE RD JOl CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME CLEARWIRE
DESCRIPTION: locate ducts and . Project Value: $2,500
New plan review required.
OWNER: VVASH|NGTONSC}UARELUC. PHONE #:
CONTRACTOR: BELL HEATING PHONE #: 5O3-.656-1184
Inspection Request Scheduled For: Date: 215/3009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough-in 080303'03 503-307^0402 N
Corrections/Comments/Instructions:
V :P-ilss- RTIAL APPROVAL CANCEL rl NO ACCESS
| | FAIL ALL FOR INSPECTION n ADDITIONAL FEES ASSESSED