Permit l: _
CI TY OF TIGARD MECHANICAL PERMIT
v l� DEVELOPMENT SERVICES PERMIT #: MEC2005 -00555
61- I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/22/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09359 SW WASHINGTON SQUARE RD ZONING: C -G
' SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: T.1. Valuation: $35,000.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 2
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
ELE 3 - 15 HP: 2 COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: N 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: 2
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
WASHINGTON SQUARE LLC Description Date Amount
BY THE MACERICH COMPANY [MECH] Permit Fee 9/22/200: $569.00
9585 SW WASHINGTON SQUARE RD [MECPLN] Plan Rev 9/22/200E $142.25
TIGARD, OR 97223 [TAX] 8% State Surchar€ 9/22/200E $45.52
Phone: 503 639 - 8865 Total $756.77
Contractor:
BEWLEY MECHANICAL
5591 SW ARTIC DR REQUIRED ITEMS AND REPORTS
BEAVERTON, OR 97005
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 questio- t• OU C by calling 503 - 246 -6699
or 1- 800 - 332 -2344. I
Issued By: Permittee Signature: / / .rl4 //
Call 503 - 639 -4175 by 7:00 a.m. for inspections tha j iness day.
This permit card shall be kept in a conspicuous place on the job si ntil completio of e project.
Approved plans are required on the job site at the tim • of each inspecti. n
«v'ian s . . Mec fo3s?
anical Permit Applic lion U FOR OFFICE USE ONLY
Receed
City of Tigard � Date /By iv / /� Permit No / � — �
13125 SW Hall Blvd , Tigard, OR 97223 '` '2 Plan Review (•,
t7 -3 f ' Other Permit
Phone. 503.639 4171 Fax: 503 598 1960 i! Date/By S
Inspection Line: 503 639.4175 ' ' r / i' 11. Date Ready /By MI ® See Page 2 for
Internet' www.ci.tigard or us Notified /Method Supplemental Information
, TY ff ?F )VPRK: " COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction ® Addition /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: Commercial tenant imrovement mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value $ i l�(1
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building
Multi-family For special information use checklist.
12 y ❑ Master builder ❑ Other:
Description Qty Ea I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 9359 SW Washington Square Road Air conditioning or heat pump
(requires site plan showing placement) 2. 14.00 2$
City /State /ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts /vents) 14.00
Project name: Washington Square Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: T -21 Starbuck Gas heat pump 14 00
2.
Cross street/directions to job site: SW Scholls Ferry Road Duct work '3 14.00 4
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.: 1S1260000300 Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
Mechanical for tenant space buildout in new mall expansion 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
❑ PROPERTY OWNER El TENANT Other: 10.00
Name: Starbucks Coffee Company Environmental exhaust and ventilation
Range hood /other kitchen
Address: 2401 Utah Avenue South equipment 10 00
City /State /ZIP: Seattle, WA 98134 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (206)318 -1575 Fax: ( ) toilet compartments, utility rooms) 6.80
® APPLICANT ® CONTACT PERSON Attic /crawlspace fans 10.00
Other 1 ,. .» j 10 00 10
Business name: Olympic Associates Company Fuel piping
Contact name: Jeffrey Strockbine $5.40 for first four; $1.00 for each additional
Furnace, etc
Address: 701 Dexter Avenue North, Suite #301 Gas heat pump
City /State /ZIP: Seattle, WA 98109 Wall /suspended/unit heater
Water heater
Phone: (206) 674 -6119 Fax: : (206) 285 -4371 Fireplace
E -mail: jstrockbine @olympicassociates.com Range
CONTRACTOR Barbecue
Clothes dryer (gas)
Business name: TBD Other
Address: MECHANICAL PERMIT FEES*
City /State /ZIP: Minimum permit fee s $ 7 5-K 2 50) 1
Phone: ( ) Fax: ( ) Plan review (25% of permit fee) y/
CCB tic.:
State surcharge (8% of permit fee) c./57,7
TOTAL PERMIT FEE -756.77
This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
' * Fee methodology set by Tn- County Building Industry Service Board
Print name: Date:
i \Budding \Permits \41EC- PermnApp doc 12/03 440 -4617T (1 I /02 /COM'WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT # 14eC avUS - - 653
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
A
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: q3S 0/4- • SO, CLASS OF WORK:
, SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: • PHONE #:
Inspection Request Scheduled For: Date: f f 17 5 Pour Time:
Code # Inspection Description Confirm # Contact # Message
:
3C0-66( -793
Corrections/Co ents /Instruction
•
4/1
1(\,4K,j.k.„ P"'"
•
ASS 0 PARTIAL APPROVAL CANCEL El NO ACCESS
❑ FAIL • ❑ CALL FOR INSPECTION ❑ ADDITION L FE ASSESSED
Inspector: i� Date: 1 ( ( ( v phone #: (503) 718-
CITY OFTIGARD
BUILDING DIVISION PERMIT #: MEC2005 -00556
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/22/2005
Phone: (503) 639 -4171 1
Inspection Requests (24 Hrs.): (503) 639 -4175 "'I �..
INSPECTION WORKSHEET FOR DATE: '11/15/2005 TIME: 7:02AM PAGE: 34
•
SITE ADDRESS: 09359 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE ' LOT #: TYPE OF USE:
PROJECT NAME: STARBUCKS
DESCRIPTION: T.I. Valuation: $35,000.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503. 639-8865
CONTRACTOR: 3EWLEY MECHANICAL PHONE #: 503-626-8986
Inspection Request Scheduled For: Date: 11/15/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 • Mechanical final 021301 -01 360-601-7930 N
Corrections /Comments /Instructions:
•
I Trak
•
•
PASS 0 PARTIAL APPROVAL 111 CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL Fe INSPECTION ❑ ADDITI AL F ES ASSESSED
it Inspector: ■ Date: � ' l ` " Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200G -00565
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/22/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/14/2005 TIME: 7:12AM PAGE: 76
SITE ADDRESS: 09369 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: STARBUCKS
DESCRIPTION: T.I. Valuation: $35,000.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639.8865
CONTRACTOR: BEWLEY MECHANICAL PHONE #: 503 - 626 -8986
Inspection Request Scheduled For: Date: 11/14/2005 Pour Time
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 021116 -01 360-601 -7930 N
Corrections /Comments /Instructions:
- r lat
•
•
❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL ❑ CALL FOR INSPECTION ❑ ADDITI AL FEES ASSESSED
"Li if
Inspector: Date: l Phone #: (503) 718-
. CITY GF.TIGARD
BUILDING DIVISION PERMIT #: MEC200S-00555
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/22/2005
Phone: (503) 639 -4171 1 1 , 1
Inspection Requests (24 Hrs.): (503) 639 -4175 ''I I..
INSPECTION WORKSHEET FOR DATE: 10/12/2005 TIME: 7:04AM PAGE: 88
SITE ADDRESS: 09359 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: STARBUCKS
DESCRIPTION: T.I. Valuation: $35,000.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639 -8865
CONTRACTOR: BEWLEY MECHANICAL PHONE #: 503-626-8986
Inspection Request Scheduled For: Date: 10/12/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 018052 -01 360- 601 -7930 N
Corrections /Comments /Instructions:
1 • or C-kt V' 'PP . va _r- obs
7
/-
6)1 i
❑ PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR I SPECTION ❑ ADDITI•NAL FEES ASSESSED V
. ♦ I
Inspector: r Date: ` ` one #: (503) 718-