Permit CITY OF TIGARD
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00538
AEI i �- MECH PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/13/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09348 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Install new duct, grilles & (1) fan unit. Valuation: $28,000.
CLASS OF WORK: OTR 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 [MECH] Permit Fee 9/13/200E $474.50
9585 SW WASHINGTON SQUARE RD [MECPLN] Plan Rev 9/13/200E $118.63
TIGARD, OR 97223 [TAX] 8% State Surchar€ 9/13/200E $37.96
Phone: 503 639 - 8865 Total $631.09
Contractor:
BEWLEY MECHANICAL
7911 NE 33RD. DR. #250 REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97211
Phone: 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 • - • ; - 001 -0100. You may obtain copies of these rules or direct uestions to OUNC by calling 503 - 246 -6699
or 1 -:10- 332 -2344.
l
• I
Iss ed By:
♦ 1 Permittee Signature:
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.
73
Mechanical Permit Application ,
O FOR OFFICE USI: ONLY <
Of Tigard V / � , ' Receive _ ,7 Permit No G
13125 SW Hall Blvd., Tigard, OR RECEIVE , DatelBy
Plan Rene � � ��
Phone: 503.639.4171 Fax: 503.598.1960 .,•s0 l ,' i ' Date/By Other Permit
AUG �oO
Inspection Line: 503.639.4175 C _A el Date Ready. : y. )iris 0 See Page 2 for
Internet: www.ci.tigard.or.us ° ""' Notified/Method. i/ Supplemental Information
l Cs D1V COMMERCIAL FEE* SCHEDULE,— USE CHECKLIST
ew construction f.: ' 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 $ 2. r Cl
• RESIDENTIAL EQUIPMENT / SYSTEMS FEES* E
❑ 1- and 2 family dwelling Co mercial /industrial ❑ Accessory building
❑ Multi For special information use checklist
y ❑ Master builder ❑ Other:
Descnption I Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: � �( / / L� Air conditioning or heat pump
��
LA I.N� �S (�i/J / u'' S 1 40 -r�? (requires site plan showing placement) 14.00
City/State/ZIP: cf\ 2`Z 3 Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg./apt. no.: Project name: � ^ Furnace 100,000+ BTU (ducts/vents) 17.90
S {<__. Gas heat pump 14.00
Cross street /directions to job site. Duct work 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
DESCRIPTION OF WORK. Water heater 10 00
T .. 5 Ali Gas fireplace 10 00
K.(%. t r i (rr r ..,......_0-k Gas
vent for water heater or gas
(J) 4 fireplace 10.00
Q /� S' Log lighter (gas) 10 00
. Wood /pellet stove 10.00
Wood fireplace /insert 10.00
❑ PROPERTY OWNER l [1ENANT Chimney /liner /flue/vent 10.00
Other: 10.00
Name: c l _ _ _ - -T - Environmental exhaust and ventilation
a � � a Range hood/other kitchen
Address equipment 10.00
City /State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
❑ .APPLICANT ONTACT PERSON Attic/crawlspace fans , 10.00
•
/ / Other: 10.00
Business name: /_�
-Q-° �-� Fuel piping
Contact name: e �� $5.40 for first four; $1.00 for each additional
Address:
Furnace, etc.
Gas heat pump
City /State /ZIP. Wall /suspended/unit heater
Phone: ( ) I Fax: : ( ) Water heater
Fireplace
E -mail: /���/ Range
B oo . . Y CONTRACTOR Barbecue
( C / Clothes dryer (gas)
Business name: n a
i� ` e � Q t, w Other
Address: i f „ :I V ?.S MECHANICAL PERMIT FEES* • '
City /State /ZIP: M Ol. 2 ) ` Subtotal
Minimum permit fee ($72.50)
Phone: (/ \ ?)6 - i go/4 Fax: ( 3) cj (
/�+ �Q 3 544 Plan review (25% of permit fee)
CCB lic.: / C „2, 56 � State surcharge (8% of permit fee)
�— 'TOTAL PERMIT FEE
Authorized signature T his permit application expires if a permit is not obtained within 180
la J days after it has been accepted as complete.
Print name: 1LLe NH e r i• _, J i Date: .."36 . — (3 • Fee methodology set by Tri- County Building Industry Service Board
I \Buitding\Perm as\MEC- PermiiApp doc 12/03 440 -4617T (11 /02/COM/WEB)
Mechanical Permit Application - City of Tigard' •
Page 2 - Supplemental Information •
Commercial Fee Schedule:
Total Valuation:. • r. • 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.
•
i:\Building\Permits\MEC- PermitApp.doc 12/03 2
CIT`''® TIGARD
BUILDING DIVISION PERMIT. #: MEC2005 -00538
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/13 /2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 °
INSPECTION WORKSHEET FOR DATE: 10/27/2006 TIME: 7:16AM PAGE: 12
SITE ADDRESS: 09348 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SHARPER IMAGE
DESCRIPTION: Install new duct, grilles & (1) fan unit. Valuation: $28,000.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639 -8866
CONTRACTOR: BEWLEY MECHANICAL PHONE #: 626-8986
Inspection Request Scheduled For: Date: 10/27/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 019642 -02 360-601-7929 N
Corrections /Comments /Instructions:
�� ► . C� A-y opec< 1 !&r o P ( --
•r tjt -
- Ppov t TDE_ (()DF P t LT 11 �s
•
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: `v 1 rJ Phone #: (503) 718-
-•r
CITY`-OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005.00538
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/13/2005
Phone: (503) 639 -4171 4,
Inspection Requests (24 Hrs.): (503) 639 -4175.
INSPECTION WORKSHEET FOR DATE: 11/14/2005 TIME: 7:12AM PAGE: 135
SITE ADDRESS: 09348 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SHARPER ,
DESCRIPTION: Install new duct, grilles & (1) fan unit. Valuation: $26,000.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503"639 -8865
CONTRACTOR: BEWLEY MECHANICAL PHONE #: 626 -8986
Inspection Request Scheduled For: • Date: 11/14/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 021066 -01 360 - 601 -7930 N
Corrections /Comments /Instructions:
!r— 0e-6-Z U ( 7 ---- (-01 - 100-)0
•
•
P ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FO INSPECTION ❑ ADDITIO AL FEES ASSESSED
Inspector: Date: ( I Phone #: (503) 718-
CI OF TIGARD
BUILDING DIVISION PERMIT #: MEC200 &00538 1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9113/2005
Phone: (503) 639 -4171 A I I _
Inspection Requests (24 Hrs.): (503) 639 -4175 "__ .
INSPECTION WORKSHEET FOR DATE: 11/15/2005 TIME: 7:02AM PAGE: 45
SITE ADDRESS: 09348 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: 'WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SHARPER IMAGE
DESCRIPTION: Install new duct, grilles & (1) fan unit. Valuation: $28,000.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639-8865
CONTRACTOR: BEWLEY MECHANICAL PHONE #: 626 -6986
Inspection Request Scheduled For: Date: 11/15/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 021288 -01 360 - 601 -7930 N
Corrections/Comments/Instructions:
I
A . i ■ `_,
1 4. ira i
6 1 1, gip/ ■
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION , ❑ ADDITIO AL FE S ASSESSED
Inspector: Date: 6 '/ Phone #: (503) 718