Permit • .•
CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00773
II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/18/2006
PARCEL: 1S12600-00300
SITE ADDRESS: 09393 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: T.I. Valuation: $15,000.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: 1
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: 39,040 BTU 15 - 30 HP:
FIRE DAMPERS ?: U 30 - 50 HP: REPAIR UNITS:
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 1/18/200E $299.00
9585 SW WASHINGTON SQUARE RD [TAX] 8% State Surchar€ 1/18/200E $23.92
TIGARD, OR 97223 [MECPLN] Plan Rev 1/18/200E $74.75
Phone: Total $397.67
Contractor:
ARROW MECHANICAL
10330 SW TUALATIN RD REQUIRED ITEMS AND REPORTS
TUALATIN, OR 97062
Contact #: FAX 503- 691 -1879
PRI 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:
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.
Mechanics ermiW OatiOl; 1 = FOR OFFICE USE ONLY
` .
I wJ L v �� aS
Rece ived
City of Tigard Permit No
13125 SW Hall Blvd., Tigard, OR 97223 . , l ■ Date/By /�I _ G� �� 7
Phone 503 639 4171 Fax 503.598 196'0- " • 4 ZAJ /E,ra Dat y // Other Permit:
Inspection Line: 503 639.4175 - ■ �,��. I i Date Read! 4 - / yy �— v x runs El See Page 2 for
Internet www.ci tigard.or.us CITY OF TIGAF(D Notified/Method/G.2.-7 l l� Supplemental Information
RI ill flI�1G DIVISION ���++++���� (‘
TYPE OF WORK COMMERCIAL FEE* SCHEDULE – USE CHECKLIST \/
Mechanical permit fees* are based on the value of the work
❑ New construction n Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical matenals, equipment, labor, overhead, and profit
CATEGORY OF CONSTRUCTION Value: $ I� ad 0
dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES* C.
❑ 1- and 2-family g ® Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi-family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
Q39g JOB SITE INFORMATION AND LOCATION Heat 1g/cooling
Job site address: �� Air co • itioning or heat pump C
"• Y'%5 .g. O. oF',/, J/BII.l1'' y& ..400/W PIT (requires to plan showing placement) / 14.00 / V, IL)
City/State /ZIP: i&h+ 0 /O / 9 Za` Furnace 10,000 BTU (ducts/vents) 14.00
Suite/bldg./apt. no.: l7 Project name: Furnace 111,000+ BTU (ducts/vents) 17.90
lR eg`ai9go 14496 Gas heat pu . 14.00
Cross street/directions to job site: vi y r p �) All / J ii i � Duct work / 14.00 /: / ; r
tI �k Hydronic hot w. er system 14.00
Residential boile (radiator or
hydronic) 14.00 1
Unit heaters (fuel- • e, not electric), 7c/
in -wall, in -duct, susp • nded, etc 10.00
Subdivision: Lot no.:
Flue /vent for any of a.ove 10.00 /
Other. 10.0''
Tax map /parcel no.: Other•fuel appliances
DESCRIPTION OF WORK Water heater 11.00
t
Gas fireplace 0.00
k../iNt / . � ,iPfirrn/,A<(4 1 Flue vent for water heater or :as
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
❑ PROPERTY OWNER *I TENANT Chimney/liner /flue /vent 10.00
Other: 10.00
Name: /; { 4 ,, ( 2 *,-,», : ( 7 j / 11 r4 Environmental exhaust and vent' ation
Range hood/other kitchen
Address: 7/, (;p rig," Pry 1ll equipment 10.00
City/State/ZIP: > ' , , 1:0;;;;;--7/ Clothes dryer exhaust 10.00
Single -duct exhaust (bathro• s,
Phone: ( 2/ );zpg .( /' /) Fax: ( ) toilet compartments, utili rooms) 6 :0
❑ APPLICANT CI CONTACT PERSON Attic /crawlspace fans 10.10
Business name:�� ‘, )4l f
Other: 10.0
j t �, 9� /� �� Fuel piping \
Contact name: ' , - r VI $5.40 for irst four; $1.00 for each additional
Address: 6' r Furnace, etc
a;�% �
_ ' I AA, , r`; 1' G�i it 0
Gas heat pump
City/State /ZIP: R/ , / /i Fi i0 /ay /, /- yi '% '-- Wall/suspended/unit heater
Phone: ( ) 4,:,,,,, ��(/i
' % • (-A, I Fax: : ( ` , ; - , , , / ) /„ ,�1 Water heater
Fireplace
E -mail:
Range
CONTRACTOR Barbi e
Clo es dryer (gas)
Business name: cl,-\---0 ‘.J 1 \■‘\.4... C.)\—, Other
Address: MECHANICAL PERMIT FEES*
City /State /ZIP. Subtotal
Phone: ( ) Fax. ( ) Minimum permit fee ($72.50) 7 5 ,
Plan review (25% of permit fee) /3 f
CCB lic.: State surcharge (8% of permit fee) (//;
TOTAL PERMIT FEE t 1 5/3
Authorized signature: This permit application expires if a permit is not obtain . withi 180
days after it has been accepted as comple .
Print name: Date: * Fee methodology set by 'Fri-County Building Industry Service Board
r\BuildmgWermus\MEC- PermiApp doc 12/03 440-4617T (11 /02/COM WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200E- 00773
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /11812006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 „Lilt
INSPECTION WORKSHEET FOR DATE: 4/27/2006 TIME: 7 :04AM PAGE: 92
SITE ADDRESS: 09393 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ABERCROMBIE KIDS
DESCRIPTION: T.I. Valuation: $15,000.
OWNER: WASHINGTON SQUARE L.LC, PHONE #:
CONTRACTOR: ARROW MECHANICAL PHONE #: 503692 -15E66
Inspection Request Scheduled For: Date: 4/27/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 028815-01 503-692 -1565 Y
Corrections /Comments /Instructions:
(6;00 - (1; oep
VOW
PASS ❑ PARTIAL APPROVAL NCEL ❑ NO ACCESS
❑ FAIL • ALL FOR INSPECTION ❑ ADDITIONAL F ES ASSESSED
I/LII
Inspector: IL I/ Date: V r - Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: tMMEC2005•00773 i
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1/18/200F.�
Phone: (503) 639 -4171
A F i j1l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1120/2006 TIME: 7 :00AM PAGE: 98
SITE ADDRESS: 09393 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ABERCROMBIE KIDS
DESCRIPTION: T.I. Valuation: $15,000.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ARROW MECHANICAL PHONE #: 503-692 -1565
Inspection Request Scheduled For:. Date: 1/20/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
6l6 Mechanical rough -in 025331 -01 503 - 692- 1565 N
Corrections/Comments/Instructions:
•1 ' /
111WAS vW-41`''‘"VIIIIMEMIF
r ' - ! I V
❑ PASS - PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL FE S ASSESSED
Inspector: 116 Date: { 0- hone #: (503) 718-