Permit A p
■
_ , a CITY OF TIGARD MECHANICAL PERMIT
• ° . COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00055
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/8/2007
PARCEL: 1S126C0-01403
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: MACY'S. (2) split system heat pumps. Value: $17,640.
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:
NAT 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: 2 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: 2 OTHER UNITS:
> 10000 cfm:
GAS OUTLETS: 2
Owner: FEES
FEDERATED DEPARTMENT STORES Description Date Amount
ATTN: RANDY MCGREAL
3RD AND PINE STREET [MECH] Permit Fee 2/8/2007 $335.45
SEATTLE, WA 98111 [MECPLN] Plan Rev 2/8/2007 $83.86
[TAX] 8% State Surcha 2/8/2007 $26.84
Phone: 206 -506 -7207 Total $446.15
Contractor:
FIRST CALL HEATING & COOLING
1650 NE LOMBARD
PORTLAND, OR 97211 -4798 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 247 -2054
FAX 503- 286 -5194
Reg #: LIC 102030
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 d B :
jr I Permitt Si nature:
Call 503.639.4175 by 7:00 a.m. for inspections hat 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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Mechanical Permit Applicatten�- -, FOR OFFICE USE O LV'
'Li _ - Received /�!j/)/! r
City of Tigard �, v Date/By: •A i;k Permit No E _ , ,-) (a JS
13125 SW Hall Blvd., Tigard, OR 97223 Plan Rev' i u � Other Permit" 20004 . - Y
Phone: 503.639.4171 Fax: 503.598.191A 2 5 2007 a,,,m Date/By _ I / ...MLA / •
Inspection Line: 503.639.4175 ■ ��•. l Date Ready : , lu ® See 'age 2 for
Internet www.ci tigard or.us Notified/Methog P'S t Supplemental Information
or jr a ,a ®I' tF — , 't- 11 i lit
,! ; iii, ." +=° , a: `.P.49 Cal. ' A R , r '1, `' - jOOMMEgCIAL FEE!,t5( DiiLE -" USE- CHECIKia`I_ST.,.
❑ 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
M .. Value $ _ 1r
❑ I- and 2 - family dwelling ® Commercial/industrial ❑ Accessory building ° "`
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. 1 Ea 1 Total
i'';k 0,, .:r' ``. : 'v, 4. tj I ' 0 , ,� O D,X:QCA`I'ION Att; ,- Heating/cooling (")
Air conditioning or heat pump
Job site address:
3 CC S' et ) /r ✓ v opi,„' n Si i j� _ (requires site plan showing placement) 14 00
Q
City / State/Z1P: q G Furnace 100,000 BTU (ducts/vents) 14.00
/ ��'��� ` �'� 3 r Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: .93/0a C / S Gas heat pump 1400
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00 (-
Residential boiler (radiator or j
hydronic) 14.E ICIld
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00 0
Flue/vent for any of above 10.00
Subdivision: I Lot no.: .
Other: 10.00
Tax map /parcel no.: Other fuel appliances
,,.7,. 1,7". I < % Water heater 10 00
& ; ^4'f3 ,_ ,f_ " . v ,s ' 0,,..1.,-6-1,7717-0-7 y ,: ++ vi w , °' _, t _ ` ` ,, ,
Gas fireplace 10.00
/ Sian A S /,if S y g A a-.§6 ptLi Flue vent for water heater or gas
fireplace 10.00
C Ahn� Ar#;0'''tu 7c , ',t4 , 5 1 Log lighter (gas) 10.00
.n AAA" Swjp✓y ' ` , sti• Wood/pellet stove 10.00
Wood fireplace/insert 10.00
,� � , , ,"- , .., Chimney /liner /flue /vent 10.00
>, .: e _a O `�� y IA ;, „ . :,,,,,,4,-;=.,z. P ,. 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
rl E . 'c " - d r ` . , ' CU'. -01 E W„--,1„, 'k,.• Attic/crawlspace fans 10.00
` Other 10.00
Business name: Fuel i in
PP g
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City /State/ZIP: WalUsuspended/unit heater
Phone: ( ) l Fax :: ( ) Water heater
Fireplace
E -mail: Range
4, , , A 2 t rs " -- '. t air ; , ;,. ;. 7 ,' g,` ' , �' Barbecue
Business name: ^ • 1 �+ Clothes dryer (gas)
`^ t A Cql- Coal ( A �+�h+ V' CAl /ni Other.
Address : / G 50 N & /...rr..,, bcti ;O)' :' ** N- , ;.1-1" . ':.' d ;° " :.
City /State/ZIP: P..04 Sa ® 9 ') al / Subtotal
oak Minimum permit fee ($72.50) . _S
Phone: (5 Am. 7 .24 6 3 I Fax: (< a9. S � 9 y Plan review (25% of permit fee) 3 * L
CCB lic.: / d AC) d State surcharge (8% of permit fee) ,,2 G
•
TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
!' days after it has been accepted as complete.
Print name: W O I P, AAP 3 t � q d,„ cm, 4 I Date: ) - a11...07 • Fee methodology set by Tri- County Budding Industry Service Board
I Buitding\Permus\MEC- PermdAppdoc 12/03 440- 4617T(11 /02/COM/WEB)
FROM :FIRST CALL HEATING & COOLING
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00055
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 2/8/2007
Phone: (503) 639 -4171 �"� Iii
Inspection Requests (24 Hrs.): (503) 639 -4175 ,'� » 1
INSPECTION WORKSHEET FOR DATE: 3/2/2007 TIME: 7:00AM PAGE: 6
SITE ADDRESS: Q9300 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MACY'S
DESCRIPTION: MACY'S. (2) split system heat pumps. Value: $17,640.
OWNER: FEDERATED DEPARTMENT STORES, PHONE #: 206 - 506 -7207
CONTRACTOR: FIRST CALL HEATING & COOLING PHONE #: 503 - 247 -2054
Inspection Request Scheduled For: Date: 3/2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 044264 -01 971 -235 -7761 N
Vet trt4 Os* ct
Corrections/Comments/Instruction
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • CALL FOR INSPECTION ❑ ADDITI• AL EES ASSESSED
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Inspector: 4 J V t Date: 0 Phone #: (503) 718 - 4_7--
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007-00055
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/8/20Q7
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 IL
INSPECTION WORKSHEET FOR DATE: 302007 TIME: 7 :00AM PAGE: 5
SITE ADDRESS: Q9300 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MACY'S
DESCRIPTION: MACY'S. (2) split system heat pumps. Value: $17,640.
OWNER: FEDERATED DEPARTMENT STORES, PHONE #: 206-506-7207
CONTRACTOR: FIRST CALL HEATING & COOLING PHONE #: 503- 747 -2054
Inspection Request Scheduled For: Date: 3/2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
625 Duct work 044264 -02 971-235-7761 N
Corrections /Comments /Instructions:
. . AM I, -
_,..._ .;_,
ci 5"4" `'
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL s II CALL FOi INSPECTION ❑ ADDIT NA FEES ASSESSED
1
Inspector: ■ / Date: 3 0 Phone #: (503) 718 - 44--Z--/