Permit CI TY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00608
� - 13125 SW Hall Blvd., Tigard, OR 9 503 - 639 -4171 DATE ISSUED: 12/1/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09354 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: T.I. Value: $18,249.00
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:
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: 1 OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
WASHINGTON SQUARE LLC Description Date Amount
BY THE MACERICH COMPANY [MECH] Permit Fee 12/1/200: $353.00
9585 SW WASHINGTON SQUARE RD [MECPLN] Plan Rev 12/1/200; $88.25
TIGARD, OR 97223 [TAX] 8% State Surchar€ 12/1/200f $28.24
Phone: 503 639 - 8865 Total $469.49
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 s- for in OAR 95 101 -0010
through OAR 952 -001 -0100. You may obtain copies of these rules or direct questio - o ANC by - g 503 - 246 -6699
or 1- 800 - 332 - 2344.
Issued By: P ermittee Signatur-• j
Call 503 - 639 -4175 by 7:00 a.m. for inspectio - .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.
W.,
Wls.1414°6- 5r% Mechanica.• er.1 it A t tt al O t s - � � J�' , FOR OFFICE USE ONLY
City of Tigard i ' -- h 1 `n � R B Y , ; 4 7 4 Permit KW OOf el0603
13125 SW Hall Blvd, Tigard, a.' - Plan R `.
Phone: 503.639.4171 Fax: 503.598.1960 ei D By Other Pemut
Inspection Line: 503.639.4175 2 7 2005 .44. � �
CCD '� a . p � ` t ., e See Page 2 for d e, Internet: www.ci.tigard.or.us Notified/Method AQ ei Supplemental lnl' . atJ D /
F / t VI ' 1 3 1 1AL7 C +r LE = US CHECKLIST
. r 1i! �. � .
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❑ New construction wily.: y. 1 , i1 • , • I on/tepla�ent Mechanical permit fees' are based on the value of the work
performed Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Ot her. mechanical materials, equipment, labor verhead, and ofit
Value: s 4 1q
CATEGORY. OF CONSTRUCTION 1
RESIDENTIAL EQEIIPDIENT / SYSTEMS FEES*
❑ 1 - and 2- family dwelling 1ommercial mdushial ❑ Accessory building
❑ Multi- family ❑ Master builder ❑ Other For special Information use checklist.
Description I Qty. I Ea. I Total
9f JOB SITE INFORMATION AND LOCATION 111 g /g
Air t.J" SQ (r egt�ess aep ° IIanshowin g pla ce
Job site address: 136 ) ,^
!n�'S H" (NC Y 14.00
City /State/ZIP: 7 0 /1_ q7 7-7.3 nace 3 Furnace 100.000 BTtI iduets vents, 14.00
I Furnace 100.000+ BTU ideas vents 1 17.90
Suite/bldg. /apt. no.: I,./ / 5' I Project name: kit...._.__
Gas heat pump / 14 00
Cross street/directions to job site: (34 -L444 J e2s Duct work A 5 a.f too Fes. '1.4 14 00
Hvdronic hot water system 14.00
Residential boiler (radiator or
hvdronie) 14.00
Unit heaters (fuel -type, not electric),
in -wall. in -dud, suspended. etc. 10.00
Subdivision: &14 N un-f (Z r o fed - ` Lot no.:
Flue vent for any of above 10 0
Other. 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
M / A. , un_ _ 61 r r /1. it TO Flue vent for water heater or gas
p 1/4-6, S Lo
fireplace 10.00
s� �� Luglighter(gas) 1000
Wood pellet stove 10.00
Wood fireplace insert 10.00
Chmmev' leer flue vent 10.00
PROPERTY OWNER ❑ TENANT Other: 1000
Name: A _ Al ft t C.4. - Environmental exhaust and ventilation
ICI wt L ter t' .- f l,U°. Range hood/other kitchen
Address: y
S � S)-C. - ]Ott equipment 10.00
City/ State/ZIP: s Clothes dryer exhaust 10.00
0,,,,i A M o .j eeJk c� U4c� 1 Single -duct exhaust (hathrooms,
Phone: ( (p7 3 OA4 - 6 pop I Fax: ( ) toilet compartments. utility rooms) 6.80
. : - ❑ APPLICANT - - CONTACT PERSON Attic eraw tam 10 00
Other. 10.00
Business name: x n R.c S S (6 ( L nr IT- ' Y Fuel piping
name: Cy- M S r n. f) 1� U /l, - 't _e /( $5.40 for first four $1.00 for each additional
Address: Furnace. etc.
I ?_ 1 r ` `J (i 6 Gas heat pump
City/State/ZIP: ...f0rw‘A_4 ce c",_ q e s / Wall suspended unit heater
Phone: (3 3 6 3 Ov , I Fax:: (-5 a ) -3 O 3 �, G Pater heater � _
9 Fireplace
E -mail: �� Range
CONTRACTOR Barbecue .
l Clothes dryer (gas)
Business name: U L° y lrv_e_ G Cue_ —
l l
Address: Other. MECHANICAL PERMIT FEES*
City/ State/ZIP: Subtotal
Minimum permit fee ($72.50)
Phone: ( ) Fax: ( )
Plan review (25% of permit fee)
CCB tic.: State surcharge (8% of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 18
Authorized signature: Of I it has been accepted as complete.
days Print name: 01 <" M ,r-Kr,..-•.— I Date: el / -z / I • Fee methodology set by Tri- County Building Industry Service Board
i \Building \ Permits \MEC- PemutAppdot 12/03 440- 46171(11/02/COM/WEB)
CITY-OF TIGARD
BUILDING DIVISION PERMIT #: MEC210!:; 6 ;U#
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12J1/200f,
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1130/2006 TIME: 7:01AM PAGE:
SITE ADDRESS: 09354 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: THE WALKING" COMPANY
DESCRIPTION: T.I. Value: $18,249.00
OWNER: WASHINGTON SQUARE LLC, PHONE #: 603..639..a666
CONTRACTOR: BEVVLEY MECHANICAL PHONE #: 503 - 626 -8986
Inspection Request Scheduled For: Date: 1/30/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final , 026962 -01 360- 947 -0718 Y
Corrections /Comments /Instructions: 1 A
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1� I /11
iilkWeilallinTA A.
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P`� ASS PARTIAL APPROVAL CANCEL D NO ACCESS
❑ FAIL w CALL FOR INSPECTION ❑ ADDITI NAL F ES ASSESSED
Inspector: ,C /� Date: Phone #: (503) 718-
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