Permit A O CITY OF TIGARD MECHANICAL PERMIT
'll " DEVELOPMENT SERVICES PERMIT #: MEC2005 -00560
' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
DATE ISSUED: 9/8/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09355 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: TI - Project Value: $17,850
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: 2 BOILERS /COMPRESSORS - HOODS:
FUEL TYPES 0 - 3 HP: 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 [MECH] Permit Fee 9/8/2005 $338.15
9585 SW WASHINGTON SQUARE RD [MECPLN] Plan Rev 9/8/2005 $84.54
TIGARD, OR 97223 [TAX] 8% State Surchar€ 9/8/2005 $27.05
Phone: 503 639 - 8865 Total $449.74
Contractor:
JACOBS HEATING + A/C
4474 SE MILWAUKIE AVE REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97202
Phone: 503 234 - 7331
Reg #: LIC 1441
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 -33 , r , .
Issued B , v i ti fah ' G1.'4 Permittee Signature:
'all 503 - 639-4175 by 7:00 a.m. for inspections at 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.
M c 'cal Permit Application FOR OFFICE USE ONLY
Cl of Tigard Received p �i / I Perrrut No A
`r Plan Review / D t76 WM.. ��546
13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.639.4171 Fax 503 598 1960 view
� D
' � ' Other Permit.
inspection Line 503.639.4175 a 1� nr I Plan Re Date Ready/By fun ,s ® See Page 2 for
Internet. www.ci.tigard.or us Notified/Method. // f , Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction Z Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
T
CATEGORY OF CONSTRUCTION Value: fl [3.56 6
RESIDENTIAL EQUIPMENT/ SYSTEMS FEES*
❑ I- and 2- family dwelling ® Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description I Qty. I Ea Total
JOB SITE INFORMATION AND LOCATION Heating/cooling '
Job site address: 9355 SW Washington Square Air conditioning or heat pump
(requires site plan showing placement) 14 00
•
City/State /ZIP: Tigard, OR 97223 Fumace 100,000 BTU (ducts/vents) 14.00
Fumace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: T19 Project name: Painted With Oil Gas heat pump 14.00
Cross street/directions to job site: Washington Square Mall 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
Gas fireplace improvement within mall expansion repla 10 00
Flue vent for r water heater or gas
fireplace 10 00
Log lighter (gas) 10 00
Wood /pellet stove 10.00
Wood fireplace /insert 10 00
❑ PROPERTY OWNER ® TENANT Chimney/liner/flue/vent 1000
Other 10.00
Name: Painted with Oil Environmental exhaust and ventilation
Address: 15816 Greenway Hayden Loop - Suite 100 Range hood /other kitchen
equipment 10.00
City/State/ZIP: Scottsdale, AZ 85260 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (480)948 - 7992 Fax: (480)948 - 2559 toilet compartments, utility rooms) 6.80
❑ APPLICANT ® CONTACT PERSON Attic /crawlspace fans 10.00
Business name: Epoch Design Group Other: 10.00
Fuel piping
Contact name: Peter Schrader $5.40 for first four; $1.00 for each additional
Address: 1155 Olivette Executive Parkway, Suite 100 Furnace, etc.
Gas heat pump
City/ State/ZIP: St. Louis, MO 63132 Wall /suspended/unit heater
Phone: (314) 721 - 1340 Fax: : (314) 721 - 1344 Water heater
Fireplace
E -mail:
Range
CONTRACTOR Barbecue
Business name: , �l ( C. 7 o a ti Ay- Clothes dryer (gas)
4G � �-� V Othe
Address: 44 se (V( 1 • ',, fi t i e _ I4V.e MECHANICAL PERMIT FEES*
City /State /ZIP: r, V r/J Z-49 Subtotal
Phone: (C 0 3) 7... .54.,. 6 :7331 Fax: ( ) Minimum permit fee ($72 50) �3 , /�
Plan review (25% of permit fee) 8Y 5y
CCB lie.: 1 Jr' State surcharge (8% of permit fee) a C " /; , +
TOTAL PERMIT FEE /��
Authorized Signature: Thi perm app expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name- c,A�Ja a G we . � Date: 71 bic • Fee methodology set by Tn- County Building Industry Service Board
i \Bud \m \
Building doe I2/ 440 -4617T (I 1/02 /COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005- 00556()
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/8/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/18/2005 TIME: 7:17AMV1 PAGE: 79
SITE ADDRESS: 09355 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: PAINTED WITH OIL
DESCRIPTION: TI - Project Value: $17,850
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639 -8865
CONTRACTOR: JACOBS HEATING + NC PHONE #: 503 - 2347331
Inspection Request Scheduled For: Date: 11/113/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 021840 -01 408 - 828 -6622 N
Corrections /Comments / Instructions:
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FO' INSPECTION ❑ ADDITIONAL FEES ASSESSED
r IP A
. r Inspector: Date: Phone #: (503) 718 -
li
CITY .CAFTIGARD
BUILDING DIVISION PERMIT #: MEC2005 -00560
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/8/2005
Phone: (503) 639 -4171 11
Inspection Requests (24 Hrs.): (503) 639 -4175 .'jll�
INSPECTION WORKSHEET FOR DATE: 10/19/2005 TIME: 7:03AM PAGE: 65
SITE ADDRESS: 09355 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: PAINTED WITI I OIL
DESCRIPTION: TI - Project Value: $17,850
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -8865
CONTRACTOR: JACOBS HEATING + NC PHONE #: 503-234 -7331
Inspection Request Scheduled For: Date: 10/19/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
625 Duct work 018690-01 408 -828 -6622 N
Corrections /Comments / Instructions:
( I LT - 1) )
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED •
Inspector: / Date: & i - 1 one #: (503) 718-