Permit • w
CITY TIGARD MECHANICAL PERMIT
' r�� DEVELOPMENT SERVICES PERMIT #: MEC2004 -00529
A�JI� 13125 SW Hall Blvd., Tigard, OR 97223 (5 639 -4171 DATE ISSUED: 8/9/2004
PARCEL: 1S12600-00300
SITE ADDRESS: 09700 SW WASHINGTON SQUARE RD
SUBDIVISION: GIIABDBVGTON SQUARE ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
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:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: 2 OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: T1 (front entry remodel). Value: $28,118
Owner: FEES
PPR WASHINGTON SQUARE LLC Description Date Amount
BY MACERICH COMPANY [MECH] Permit Fee 8/6/2004 $488.00
9585 SW WASHINGTON SQUARE ROAD [TAX] 8% State Surcharl 8/6/2004 $39.04
TIGARD, OR 97223 [MECPLN] Plan Rev 8/6/2004 $122.00
Phone: Total $649.04
Contractor:
PSF MECHANICAL
9322 14TH AVE. S.
SEATTLE, WA 98108 REQUIRED INSPECTIONS
Phone: 206 - 764 - 9663 Mechanical Insp
Final Inspection
Reg #: LIC 90303
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.
Issued By: . ^ _- � Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspections needed a next business day
is ,�� —tv a- /.6
Meehan al Per kt l .,c 01;K ii : D FOR OFFICE USE ONLY
City of Tigard Received ' „/ Permit No
`J Date /By: V Q /� ( I ' 1 � ... dGCT '.. 0 059
13125 SW Hall Blvd., Tigard, O23 / Plan Revtet (� Other Permit.
Phone: 503 639.4171 Fax: 50 9$0 6 2004 Date /By: r 9 - 01 /n f
Inspection Line: 503.639.4175 � f Date Ready /By torts: RI See Page 2 for
Internet. www.ci.tigard.or us CITY OF TIGARD Notified /Method /c
ry; - Supplemental Information
BIM 11ING DIVISION Y
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction .. ddition/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: S Zg i/ g
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ I - and 2 family dwelling , /industrial ❑ Accessory building
For special information use checklist.
❑ Multi family ❑ Master builder ❑ Other: Descnption I Qty. 1 Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 9700 _SW W h li s 1P Air conditioning or heat pump
OP (requires site plan showing placement) 14.00
City/State/ZIP: -7-)& p, F t 0 2 col 2 3 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: N og,AsTforK Gas heat pump 14.00
Cross street/directions to job site:No D p ,R D et Q Duct work 14.00
f 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
l Flue/vent for any of above 10.00 p
Subdivision: pi Lot no.: N / Other: 10.00
Tax map /parcel no.: N ) Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
A ��� 1 Gas fireplace 10.00
/ q (G, / ifratg-ed /d441 Flue vent for water heater or gas
Al - /O, (2) / / — I /r,) fireplace 10.00
(i) (/� C Log lighter (gas) 10.00
i _ i - - l • -/L / i , _ ,, �!� / Wood/pellet stove 10 00
FAN / Wood fireplace/insert 10 00
a Chimney /liner /flue/vent 10.00
• ROPERTY OWNER ❑ TENANT
h.) A J Q L LL
Other: 10.00
Name: Environmental exhaust and ventilation
Address: q S S' ` - , ( v _ S -IQ I'�ry �/) Range hood/other kitchen
W equipment 10 00
City/ State/ZIP: 'r S. 6) kVA) 0R. q1 III Clothes dryer exhaust 10.00
/ Single -duct exhaust (bathrooms,
Phone: (226 ) 5 639 _ tile Fax: ( ) toilet compartments, utility rooms) 6.80
. 'APPLICANT 1SLCONTACT PERSON Attic /crawlspace fans 10.00
P $F 111E£11 A0J1&AZ ) 11`)(.._ Other: 10.00
Business name: Fuel piping P�P� g
Contact name: tiV A u N Ty $5.40 for first four; $1.00 for each additional
Address: q 32 ' Liii J 1-31V s Furnace, etc
Gas heat pump
City/ State/ZIP: GI to A 9 3) 041 WalUsuspended/unit heater
Phone: ( ) 76 t/.... gbbl Fax :: (1) / - $381 Water heater
Firepl
E -mail:
yN () PSF MEW COY\ g
Ran e ace
CONTRACTOR Barbecue
/93F /� � . . Clothes dryer (gas)
Business name: ' I ' C-61 n (/r'T L Other
Address: q.322 i P K S MECHANICAL PERMIT FEES*
t L
City/State/ZIP:� W q Shp 8 Subtotal ° tfo�l o"
��'
Phone: ( ) 66.1 Fax: ciao 76 ?- 9 gS / Minimum permit fee ($72.50)
Plan review (25% of permit fee) (✓YIClerg /W
CCB he.: R O Q 7 S a- - Q 6 State surcharge (8% of permit fee) 39 , 09
TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 18 tg Off
d ays after it has been accepted as complete. 0 '
ply Print name: t/A .) 11) T p ( Date: 1t )0/h y • Fee methodology set by Tn- County Building Industry Servic oard
t\ Building /Perm its 1MEC- PPermii App doc 12/03 440- 7617T(11 /02/COM /WEB)
CITY OF TIGARD 24 -Hour
BUILDING , Inspection Line:. (503) 639 -4175
INSPECTIONVIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested /6 7 AM PM BUP /
Location 9-71)D S 0-• Suite MEC 1� L i ' Sd
Contact Person Ph ( ) L P6 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm f\kiff:
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL filf PLUMBING i f
Post & Beam MOW!
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
SS, PART FAIL
ELEC • ICAL
e
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call f reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date J Inspect Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL