Permit A
A CITY OF TIGARD MECHANICAL PERMIT
.0.-40,1, DEVELOPMENT SERVICES PERMIT #: MEC2005 -00582
,- I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/4/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09321 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: T.I. Valuation: $27,315.00.
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: 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: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
WASHINGTON SQUARE LLC Description Date Amount
BY THE MACERICH COMPANY [MECI - I] Permit Fee 10/3/200E. $466.40
9585 SW WASHINGTON SQUARE RD [MECPLN] Plan Rev 10/3/200: $116.60
TIGARD, OR 97223 [TAX] 8% State Surchar€ 10/3/200: $37.31
Phone: 503 639 - 8865 Total $620.31
Contractor:
BEWLEY MECHANICAL
7911 NE 33RD DR SUITE 250 REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97211
Phone: 503 626 - 8986
Reg #: LIC 63582
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 B : . , ;. I., T 1 i J., A ..:, _, , Permittee Signatur ( tB.—�.
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.
732, u- 51
Sent By: HP LaserJ et 3100; 4
Sep-14-05 10:41 AM; Page 2
tech _ , _ ' ermit - e 1 ' k lion 1 ' , , ' ' 1. 1 ‘'
City of Tigard I ' ` � • ; L- y 'w r �)
(VA IS �y. f 1eNo.:� CUD - 0 . .. bN0d n � .li
125 SW Hall Ti or. OR 97223
Mums: E�/ //-- odhcPen•U: h Mums: Mums: 103_09.4171 .4I7I A171 Fax: 503.59x1, 60 _. � Doe (
inspection Line: SO3.639.4115 SEP 1 6 200 , )l •I i .elee.y,
Internet vww.Ci.Ugmd,re.te -- Natiraa104 k. R earatanenee a•
CiTYOF_R -�-�
t9A IS IVON COMMERCIAL FF.E• $OIEDUU - USE CHECKLIST
[iAdditioeinitcraliunIteplaec went palar al permit fees" we brood de the veers amat week
0 New construction all
periar LdiDMe the value (rounded to the aearmt MU) of
0 Demolition ❑ Othex: moobanicd m+talals, equipment. labor ova an moth. do
Value: CATEGORY OF CONSTRUC17ON 1 i '
. - RFinnerfr1AI . eau 'nMENTlbrS1EMSFF,66e
U
CI 1- and 2-family dwelling Commeruialhndu 1 ❑ Acowsory building For gMCtor.Opbraattar %s+e dneutl/a
❑ Multi 0 Mosier builder 0 Other: Description [ Qty. [ B.. J Told
-
'nm wTE INFORMATION AND LOCATION IlnUa (eodhia
VIP 1 I /� Ii , Air conditioning al beet Pump I 14.
lob site address 93Z J � ' �y �I�I ( tr.aWra a »pm +rr+1 ■e Neil
City /se c zIP: D Furnace 100,000 BTU l ± as) 14.00
I I I �1 / � // ,_ Furnace 100.0141+ HTU (duOs"•nis) 17S11.1
Suite/bldg./apt. rw..: 0.... to Proioef name: �' 0.t Ci ns hear
M F1°0p_ 14.00
Cross saealdireclions MA site: Duct woeti 14.00
--
HA kink het water system 14.00
Residential boiler (radiawr or
._ .. --- - -w hydtonlc) 14,00
t nit heaps owl-p tint detmie),
l " i..waQ m.du4 our staid etc. I 10.00
(��� �� I� F1uolvene for an o f a bove 1 0.00
Subdivision: h��r, L uure. Lot no.: _ 1 % O Y...,.__._ 10.00
'nog inapipertel no.; I _ Ober tad appllanae - -
.. DRSCRIrTION OF WORK _ 10.W
1 fi �' / ! ; � , ill .� - .M M vvont wear heater or gas —1100:10
&ohm
146IlIdner (gas) 10.00
Wood/poletttove V 10.00
".,.• ..!_.. - Wood AICPlsociimnst . 10.00
❑ PROPERTY OWNER Ot erK7nita111udvont 1020 I ( 1ISNAPft ._,_...... -_,
Other 10.00
tr aa`auM iced vetttilallar
Name:: 6 (e _ A •1 w fl(� k. Emir . laud/other kitchen.
Address. _O I I_ ;NW 1 ' M '4 _... _ -. -.__ � �a 10,00
City/State/21P: 1� 11 1 �Tt, i 'rigs U ryer othen d eithaw t 10.110
Single -duce catmint (badamorn y
?bone: ( 319 ) . 4 ' 00) NI., )0 eau: (XO) n.. O toga campartm0 ll. utility rooms) I 6.80
r, A u:Ar r (CONTACT PERSON At>ie%aawlsraoe f>tna • 10.00 _
/�µ'(�� Other. 10.00
Doziness name: a. It Cl1 I, 41 ('ti.fr.U.JL!�' . ...- .._..._..... PodPlplsg .
Contact name: - r . SSr Ron SIAM f r ach additions
•
85.4. for io i:J23
/ , x_ Uty /StatcrIll' 1 1R � .. _.. /uoitheatef Phone: f ) . � � . ' Fa x; • (a !/6"Yl . , -„
.ma11: C pl b siwil
w) , (y) ... _. _ I�.......
ONTR ACTO R Unbend
Clarinets Haan
■ Other
Addresa: 559 - ' 44. — 0/2.„ MECUANICAL Fmum Fmr
GK
City /Saate/ZIP• JO Do 02 97 0 5 , th _10 3 � _ _ . ... ... . _ Subtotal ---
Minimum perm fee (572.5
Phnnd: ( .5 03) to ' g9 g& Fax: ( ) .. _ _ tericor (bye of permit fro)
CCD lie.: Store nae:ltwge (8% of permit lee)
TOTAL PERMIT FEE
Taal peed! eppW+dea mans tea permit `err @MAW wind. m
Authorized sig l f�� �t/� altar m alas a► It Ion ha amend as moping.
Print name: 1�7fT1 rt n I I /J 11 h art• I ' Fee well iakpy se( try Triromely Building Industry Ser.:ex Herd
£ d 9LL l5££ l89 'ON /Z£ : S l 'IS /££ : £ l 5002 91. d3S (f1Hl) 1110d3
CITY
BUILDING DIVISION PERMIT #: MEC2005.00582
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/4/2005
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/27/2005 TIME: 4 :11PM PAGE: 32
SITE ADDRESS: 09321 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BEBE
DESCRIPTION: T.I. Valuation: $27,315.00.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -8865
CONTRACTOR: BEWLEY MECHANICAL PHONE #: 503 - 626 -8986
Inspection Request Scheduled For: Date: 10/28/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 019656 -01 612.96'3"0092 , N
Corrections /Comments /Instructions:
•
,)
./ . /its .1e1
C- , --Warr
•
' ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL FE S ASSESSED
p �� LO (503) Ins ector: Date: hone #: 503 718-
, ,
CITY OFTIGARD •
BUILDING DIVISION PERMIT #: MEC2005 -x0582
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: . 10/4/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 I �..
INSPECTION WORKSHEET FOR DATE: 11/21/2005 TIME: 7:13AM PAGE: 26
SITE ADDRESS: '09321 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BEBE )
DESCRIPTION: T.I. Valuation: $27,315.00.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639 -8865
CONTRACTOR: BEWLEY MECHANICAL PHONE #: 503 - 626-8986
Inspection Request Scheduled For: Date: 11/21/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 • Mechanical final 022039 -01 612-963-0092 N
Corrections /Comments /Instructions:
■ Mrir
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL U CALL FOR INSPECTION -❑ ADDITI NAL FEES ASSESSED
1
Inspector: Date: ` 2 J Phone #: (503) 718-