Permit , r _. t.
C ITY OF TIGARD MECHANICAL PERMIT
A lli‘ 1 6 DEVELOPMENT SERVICES PERMIT #: MEC2005 -00525
41- r 1312 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/22/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09360 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: TI Project Value: $10,400.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 1
OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS:
STORIES: 1 _ BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
ELE 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: 1 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 9/22/200; $236.90
9585 SW WASHINGTON SQUARE RD [MECPLN] Plan Rev 9/22/200E $59.23
TIGARD, OR 97223 [TAX] 8% State Surchar€ 9/22/200; $18.95
Phone: 503 639 - 8865 Total $315.08
Contractor:
ARROW MECHANICAL
10330 SW TUALATIN RD REQUIRED ITEMS AND REPORTS
TUALATIN, OR 97062
Phone: 503 692 - 1565
Reg #: LIC 5193
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: _ � Permittee Signature: 29-
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.
,j 8/25/2005 08:46 Burnham) ne Denise Buehring -*Val Henzel 4/7
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M 3 ecilanic a ] Permit App1icatii n 7 4 '-'OR OFFICE USE ONLY
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City of Tigard �( �� �U L� L Dale/II p Permit No.: i f i to - •/y
L_ I__ Y 0 „rr�� " " _ �
13125 SW Hall Blvd., Tigard, OR 97223 Plan Ravi. Arfaig 193 , i
' CA
Phony. 503.639.4171 Fax: 503.598.1960 i . ,,, r , h �o�� Lf- :� � r�c. Date/By: ��rt/ Other Permit:
Inspection Line: 503.639.4175 12,,
.,1, . a J,� a' i . Data R -: • Tr ^_ 61 See Page 2 for ,1
Intern w ww . ard.or.us Notifie • e ad: / i Co . Supplemental Information V'
i� ti OD 37 ' Y I �' COMMERCIAL FEIE' SCHL11UI5 - .IfSE'CU C)Cl_[ST
t r i � � � 1tR1r511, .,.
Mechanical permit fees are based on the value of the work
El New construction it Addition /alteration replacement performed. Indicate the value (rounded to the nearest dollar) of all
El Demolition El Other: mechanical materials, equipment, labor, overhead, and roil
• •''''' ;',:•. 'r. , , h�CATEC ;GQNSTRlaCTIO. , -' ' ` � ,':: ,
1 Value: $ 14 y
;R):5 DENALi E
77QUD±4VI NTASYSTi m$,TI ES'.
El 1- and 2- family dwelling Lk'Lommercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi- family El Master builder ❑ Other. Description I Qty. I Ea. I Total
. .
JOB INFO AND LOCATION, . . Heating/cooling
934,0 S - l� ^ ' `c - � �
Air conditioning or
Job site address: - i � plan csJ(2�, (requires site plan showing howing placement) 14.00
City /State/ZIP: .-j• ; Qd (0--(2_. q�j '� Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU ( duets/vents) 17.90
Suite/bldg. /apt. no.: 16.
1 9 Project name: acc,ENA. C. ) , .tz4) 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: 1 0 pc4t A C c, " I Lot no.: Other. - 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION !OF ;WORK,
' Water heater 10.00
• Gas fireplace 10.00
Q�Q� J' PL J q . - e Q x� Um S - Flue vent for water heater or gas
> fireplace 10.00
l - lam c2e.A I - Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner /flue /vent 10.00
4L1 ' OWNER, a4 . Other: 10.00
Name: ((}}�� ��1Y R )1n[ () IDPi- I1 -42... / T \�'IU ILIA 4- t Environmental exhaust and ventilation
U,Cx C Range hood /other kitchen
Address: oe V1) 1..-tea .ln A-a � --'Q.f n • ' gre • ' Z W equipment 10.00
City/State/ZIP: pa • tq rl Clothes dryer exhaust 10.00
�i3 > 7 Single -duct exhaust (bathrooms,
Phone: (II lo) '' v 5 , z j Cb Fax: ((QLO � $. 56 M toilet compartments, utility rooms) 6.80
L'U4a'PLICANT .' : , ' '' , . ':, ' ,.p:.CON.F40 ,#.4- , _ craw p ce fans 10 0
.. Other: 0
Business name: K \ __ 1 MNA` tat_ Fuel piping
Contact name: 52. 1. Z SSA QAx% $5.40 for first four; $1.00 for each additiona
- Furnace, eta.
Address: Ilk. to • 1J`.)ct, ' t..0 , • - k . 4 s Gas heat pump
Wall /suspended/unit heater
City/State/ZIP: �i �) '� I - �-r Q Water heater
Phone: (� j_) \ts • (�q Fax:: (3L2) 110,--L • • L 1 1� Fireplace
E -mail: Ab p .t�.. (L(rt r C-LWN- _ Range
CONTRACTOR' Barbecue
Clothes dryer (gas) _
Business name: 'Q ��c•-..0 �N,-e.C, Other: -
Address: ' ci 3 3 6 5 (a �As> `4t 1 MECHANICAL PERMIT FEES*
Subtotal
City/State/ZIP: - iki,_ ) O cL. C 1 0'6 2
-,
�C , \ /� U Minimum permit fee ($72.50)
Phone: ( 3) 6�- - J �(5 I Fax: (�3 ‘g ? 17 ) ) - / S , Z3 Plan review (25% of permit fee) / 5 7'r
CCB lie.: 57 7 3 1 . q �Statesurcharge (8% of permit fee)
OR' TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized si • lature•5 days after it has been accepted as complete.
Date: g • • • Pea methodology set by Tri- County Building industry Service Board
Print name: �- 4-, L �� �`_ .
1.Inulldinee ito mC- P•rmitAPP.d00 12103 4 440.46 I iT (II/02/COM/WED)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005 -00525
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/2212005
Phone: (503) 639 -4171 Alb
, �
Inspection Requests (24 Hrs.): (503) 639 -4175 .�'!� __..
INSPECTION WORKSHEET FOR DATE: 10/27/2035 TIME: 4 :11PM PAGE: 67
SITE ADDRESS: 09360 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: GODIVA CHOCOLATIER
DESCRIPTION: TI Project Value: $10,400.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -8865
CONTRACTOR: ARROW MECHANICAL PHONE #: 503 -692 -1565
Inspection Request Scheduled For: Date: 10/28/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 019587 -01 503.692 -1565 N
Corrections /Comments /Instructions:
Ad!
iffirrWO1 /
Age
•
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FO' INSPECTION ❑ ADDITIONAL F S ASSESSED
Inspector: 1 / Date: Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006 -00526
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/22/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/1212005 TIME: 7:04AM PAGE: 120
SITE ADDRESS: 09360 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: GODIVA CHOCOLATIER
DESCRIPTION: TI Project Value: $10,400.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 63
CONTRACTOR: ARROW MECHANICAL PHONE #: 503-692-1565
Inspection Request Scheduled For: Date: 10/12/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 017966 -01 503 -692 -1566 N
Corrections /Comments /Instructions: •
S FL" kto eXii
• k Sc
ip
•
❑ PASS • PARTIAL APPROVAL CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FO" INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
Inspector: Date: `2, Phone #: (503) 718 -