Permit it CITY OF TIGARD MECHANICAL PERMIT
0 DEVELOPMENT SERVICES PERMIT #: MEC2005 -00579
°T I II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/15/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09329 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: 200 ft of condisate hne for A/C.
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: 0 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 9/15/200f. $72.50
TIGARD, OR 97223 [TAX] 8% State Surcha '9/15/200° $5.80
Total $78.30
Phone: 503- 639 -8865
Contractor:
PMSI LLC
21195 NW EVERGREEN PKWY #204
HILLSBORO, OR 97124 REQUIRED ITEMS AND REPORTS
Phone: 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, Permittee Signature: Q
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.
SEP-15-2005 10:56 MSI 5034662211 P.01/02
A Mechanical Permit Application 1:011 OFFICE USE ONIN
City of'Tigard Received"
Date/By:Y - - JO
;:4 Permit No.:W\ 6 c -- 4 .--
13125 SW Hall Blvd., Tigard, OR 97223
Alt Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 ' Date/By: Other Permit:
Inspection Line: 503.639.417 .... / - O?ilii
Date Ready/By: MI iii See Page 2 for
Internet: www.ci.tigard.or.us 10114i \ L\ Notified/Method: Supplemental Information
• COMMERCCAL TEE* SCHEDUL[ - USE CHECKLIST
zr,. i . ,:l:::::3;• ' : • - - • . - '• -
Mechanical permit fees* are based on the value of the work
El New construction a)!..Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition ' 0 Other. mechanical materials, equipment, labor, overhead, and profit.
R' - 4 , :ti. 9 40E - 160HY'br , potisTR.ticrioN , ' .
. Value: $
• • ' RESIDENTiAii*Q0IPMENT %.S*STEMS:FEESk,H,':::.,.
El 1 and 2 dwelling kgommercial/industrial 0 Accessory building
For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
. !. : .VJ! . WAil l1 =17::,M1011 : .11144#3 1 0 4 thCATI°N ' . ' Heating/cooling
Job site address: 01 zci wo,_, . %::k Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State/Z12: (.19_ C - 1 '-•N Fumace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducis/vents) 17.90
Suite/bldg./apt. no.: Project name: ,Stp1.1 0 Qp
Gas heat pump 14.00
Cross street/directions to job site: Duct work ( SAM Pi( 2o34 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
Flue/vent for any of above 10.00
Subdivision: Lot no.:
Other: 10.00 _
Tax map/parcel no.: Other fuel appliances
,
.'_ , . Water heater
. - 10.00
(. fireplace 10.00
t flinfl- --fr z4C MO t 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
Chimney/liner/flue/vent 10.00
iNtalin.-41A*Mitictoe*, :::;L: - .. - El .TENANT .1 Other. 1000
Name: kK . c.......C& ti r . Environmental exhaust and ventilation
Range hood/other kitchen
Address: ClV ..\....),...... ) ,..._ . .z::Th. 1.7... ?1;:si equipment 10.00
City/State/ZIP: OtCR-- ._ Clothes dryer exhaust 10.00
/ Single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
'I 0 'H'E .. • - - CONTACT PERSON • • Attic/crawlspace fans 10.00
Other: 10.00
Business name: Try)8 1 L.1_.-C,
Fuel piping
Contact name: o •••• FtUr • $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: Alps l L k
ga
..
° A AOA ° LA .0 _ A . I _
Gas heat pump
City/State/ZIP: nim r,,- wi ., l' c, , _ • Wall/suspended/unit heater
-... s,„ . 4/■.
Phone: Co " ' a • Da .a_ Fax: 4( 0,...__ -II
Water heater
Fireplace
E-mail: Range
tiR/IIPTAffiliPMEMPitfiglii*Nti514ifiticriziit ' : - - -.5- .-- - - . .
. . . Barbecue
'i:l,i .1-1,ho i i,:,p,,;,• 0 2lfk- -. •:4, (N.: : - •- • .. • r..„ -... , ' , .• . -
Clothes dryer (gas)
Business name: •
Other.
Address: 4...r411 i • A / I ' d , 7
- • - ' ' ' 2 *rilt4i 4
4
City/State/ZIP: 1 P I i •, r' yr, - _____ • - Subtotal
Minimum permit fee ($72.50)
Phone: ( ) I
Plan review (25% of permit fee)
CCB lic.: State su rcharge
la
4 AVIPM1 1 111111MM• _ _ (8% of permit fee) 5 -..1,
AM .
TOTAL PERMIT FEE 7,3 0
\ 1 A i This permit application expires if a permit is not obtained ithin 180
Print w
Authorized si :. 1 .ture: , i aggi 9 A 2 . , . I Ai" days after It has been accepted as complete.
...
name as li rMitaill . " - 0.-14----.44:311111111.63b • - A. • Fee methodology set by Tri-County Building Industry Service Board
NNW
i: \Building\ Permits\ MEC-PerznitAnn.daa 12/03 440-4617T (11/02/COMAYEB)
C OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005.00579
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9115/2005
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/9/2005 TIME: 7:09AM PAGE: 60
SITE ADDRESS: 09329 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SEPHORA
DESCRIPTION: 200 ft of condisate line for NC.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 -639 -8865
CONTRACTOR: PMSI LLC PHONE #: 503- 466 -2222
•
Inspection Request Scheduled For: Date: 11/9/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 020713 -02 303- 921 -4940 N
Corrections /Comments /Instructions:
v y fir7
•
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
f' ,gam
Inspector: , Date: t CTJ Phone #: (503) 718-
CfTWOF TIGARD -
BUILDING DIVISION PERMIT #: MEC2005 -00579
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/15/2005
Phone: (503) 639 -4171 Ai�ll*
Inspection Requests (24 Hrs.): (503) 639 -4175 „ - _-
INSPECTION WORKSHEET FOR DATE: 9/19/2005 TIME: 7:06AM PAGE: 47
SITE ADDRESS: 09329 SW WASHINGTON SQUARE RD CLASS OF WORK:
• SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SEPHORA
DESCRIPTION: 200 ft of condisate line for NC:
OWNER: WASHINGTON SQUARE LLC. PHONE #: 503 - 639 -8965
CONTRACTOR: PMSI LLC PHONE #: 503 -466 -2222
•
Inspection Request Scheduled For: Date: 9119/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message ,
625 Duct work 016011 -01 503 - 519 -0606 N
Corrections/Comments/Instructions:
•
i ./ 7I ,I(R....,...-----
,, WI VII WV --
' PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL EES ASSESSED
Inspector: Date: 1 l Phone #: (503) 718- '