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Permit 4 CI TY OF TIGARD MECHANICAL PERMIT 6 DEVELOPMENT SERVICES PERMIT #: MEC2005 -00551 ^- Il DATE ISSUED: 9/26/2005 13125 SW Hall Blvd., Tigard, O R 97223 503 - 639 -4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09396 SW WASHINGTON SQUARE RD ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG Project Description: Fan coil unit w /ducts & grilles, tie into chilled water main„ tap & run duct from OSA, relief Y blgd exhaust drops, install dryer flue. Valuation: $21,500. CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: 1 TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS: 1 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: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: 1 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 9/26/200E $386.75 9585 SW WASHINGTON SQUARE RD [TAX] 8% State Surchaq 9/26/200: $30.94 TIGARD, OR 97223 [MECPLN] Plan Rev 9/26/200E $96.69 Phone: 503 639 - 8860 Total $514.38 Contractor: ALLIANT SYSTEMS LLC 1600 NW 167TH PL, STE 330 REQUIRED ITEMS AND REPORTS BEAVERTON, OR 97006 Phone: 503 230 - 8991 Reg #: LIC 153420 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 -81:- 32 -23 j c7_ Iss ed By: � / Permittee Signature: k' • ` �i /ntJ 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. Mechanical uumit Application 9 : FOROFFICEUSEONLY . ■ City of Tigard �� Date /By• 7 - 6Y �.. Permit No i/ - i 3- 13125 SW Hall Blvd., Tigard, OR 97223 4-q-Alk (/ Plan Re view Phone: 503.639.4171 Fax 503.598.1960 . ,1 ' Date /By. is m Other Permit Inspection Line: 503.639.4175 � (� 1 ee I Date Ready /By ® See Page 2 for Internet: www.ci.tigard.or.us i'E! (� G; � Notified/Method• Supplemental Information - TVPE COMMERCIAL FEE* SCHEDULE — USE CHECKLIST - "f iLJING fli t - Mechanical permit fees* are based on the value of the work ❑ New construction ® Addition/alteratio rFakement performed. Indicate the value (rounded to the nearest dollar) of all oi ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. V` CATEGORY OF CONSTRUCTION Value: $ $21,500.00 El 1 - and 2-family dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES* y g ® Commercial /industrial ❑ A ccessory building For special information use checklist ❑ Multi- family 0 Master builder ❑ O ther: Description p I Qty. I Ea. I Total n 9390 / JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address:y583SW WASHINGTON SQUARE RD Air conditioning or heat pump (requires site plan showing placement) 14.00 City/State /ZIP: PORTLAND, OR 97223 Furnace 100,000 BTU (ducts/vents) 14.00 Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: STE RI I Project name: GiGi SALON & SPA 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 Subdivision: Lot no.: Flue /vent for any of above 10.00 Other: 10.00 i Tax map /parcel no.: Other fuel appliances w DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 INSTALL NEW HORIZONTAL FAN COIL UNIT ABOVE CEILING INCLUDING Flue vent for water heater or gas SUPPLY /RETURN DUCTWORK & GRILLES, TIE -INTO (E) CHILLED WATER fireplace 10.00 Log lighter (gas) 10.00 MAINS. TAP INTO AND RUN DUCT FROM (E) OSA, RELIEF AND BUILDING Wood/pellet stove 10 00 EXHAUST DROPS FROM OUTSIDE TENANT SPACE. INSTALL (N) DRYER FLUE Wood fireplace /insert 10.00 Chimney/liner/flue/vent 10.00 ® PROPERTY OWNER ❑ TENANT Other: 10.00 Name: BREMIK CONSTRUCTION Environmental exhaust and ventilation Address: 321 E. COLUMBIA HWY Range hood/other kitchen equipment 10.00 City/State /ZIP: TROUTDALE, OR 97060 Clothes dryer exhaust 10.00 Fax: 503 665 -2836 Single -duct exhaust (bathrooms, Phone: (503)665-2086 ( ) toilet compartments, utility rooms) 6.80 ® APPLICANT ® CONTACT PERSON Attic /crawlspace fans 10.00 Other: 10.00 Business name: ALLIANT SYSTEMS, LLC Fuel piping Contact name: MEG FRIEDOW $5.40 for first four; $1.00 for each additional Address: 1600 NW 167 PL, SUITE 330 Furnace, etc. Gas heat pump City/State /ZIP: BEAVERTON, OR 97006 Wall /suspended/unit heater Phone: (503) 230 -8991 Fax: : (503) 230 -9238 Water heater Fireplace E -mail: M.FRIEDOW @ALLIANT - SYSTEMS.COM Range CONTRACTOR Barbecue Business name: ALLIANT SYSTEMS Clothes dryer (gas) Other: Address: 1600 NW 167TH PL, SUITE 330 MECHANICAL PERMIT FEES* City/State /ZIP: BEAVERTON, OR 97006 Subtotal Minimum permit fee ($72.50) 38 *-2 S' Phone: (503) 230 -8991 Fax: (503) 230 -9238 Plan review (25% of permit fee) f^C Gf CCB lic.: 153420 State surcharge (8% of permit fee) 30, "e TOTAL PERMIT FEE 575",3e This permit application expires if a permit is not obtained within 180 Authorized signature: 14i days after it has been accepted as complete. Print name: MEG FRIEDOW Date: 08 -30 -05 * Fee methodology set by Tri- County Building Industry Service Board ddn.d617T / Ii /nM /rllbt /WP M , CITV.OF TIGARD BUILDING DIVISION PERMIT #: MEC2005 -00551 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/26/2005 Phone: (503) 639 -4171 a ° Inspection Requests (24 Hrs.): (503) 639 -4175 - : • "'I I.. INSPECTION WORKSHEET FOR DATE: 11/14/2006 TIME: 7:12AM PAGE: 129 SITE ADDRESS: 09396 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: GIGI SPA DESCRIPTION: Fan coil unit w /ducts & grilles, tie into chilled water main„ tap & run duct from OSA, relief Y blgd exhaust drops, install dryer flue. Valuation: $21,500. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639.8860 CONTRACTOR: ALLIANT SYSTEMS LLC PHONE #: 503-230 -6991 Inspection Request Scheduled For: Date: 11/14/2005 Pour Time: Code # Inspection Description Confirm # - Contact # Message 699 Mechanical final 021082 -01 971 -235 -3714 N "t Corrections /Comments/ Instructions: T _ r. I L x 1/7 ASS. ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED - Inspector: v Date: .• 'hone #: (503) 718 I,F CITI(OF TIGARD BUILDING DIVISION PERMIT #: MEC2005.00551 . 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/2612005 Phone: (503) 639 -4171 A l Inspection Requests (24 Hrs.): (503) 639 -4175 ...' - IL. INSPECTION WORKSHEET FOR DATE: 11/9/2005 TIME: 7:09AM PAGE: 80 SITE ADDRESS: 09396 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: t3IGI SPA DESCRIPTION: Fan coil unit w/ducts & grilles, tie into chilled water main„ tap & run duct from OSA, relief Y blgd exhaust drops, install dryer flue. Valuation: $21,500. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 -639 -8860 CONTRACTOR: ALLIANT SYSTEMS LLC PHONE #: 503-230-8991 Inspection Request Scheduled For: Date: 11/912005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 020651 -01 971 - 235.3714 N Corrections /Comments /Instructions: sr _ ,- ?; rig_ r l m ar ' i • • • • I PA S ❑ PARTIAL APPROVAL ❑ CANCEL LI NO ACCESS FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Date: l q Phone #: (503) 718- • CI T*' OF TIGARD BUILDING DIVISION PERMIT #: MEC200S -00551 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/26/2005 Phone: (503) 639 -4171 t Yl 1 Inspection Requests (24 Hrs.): (503) 639 -4175 ' ''I L. • INSPECTION WORKSHEET FOR DATE: 10/10/2005 TIME: 7:04AM PAGE: 106 SITE ADDRESS: 09396 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: GIGI SPA DESCRIPTION: Fan coil unit w /ducts & grilles, tie into chilled water main„ tap & run duct from OSA, relief Y blgd exhaust drops, install dryer flue. Valuation: $21,500. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639-8860 CONTRACTOR: ALLI ANT SYSTEMS LLC PHONE #: 503 Inspection Request Scheduled For: Date: 10/10/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 017839-01 971 - 235.3714 N Corrections /Comments /Instructions: ffeed ftawr ..I r iv., NOWAINIKOskr" • • (l PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL „ ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED \ L � 'kV' / f ; Inspector: '_ Date: t 1� Phone #: • (503) 718 - r' CI;TY.,9F TIGARD BUILDING DIVISION PERMIT #: MEC2005-00561 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/26/2006 Phone: (503) 639- 4171 c•d�� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/6/2005 TIME: 7:02AM PAGE: 2 SITE ADDRESS: 09396 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: GIGI SPA DESCRIPTION: Fan coil unit w /ducts & grilles, tie into chilled water main„ tap & run duct from OSA, relief Y blgd exhaust drops, install dryer flue. Valuation: $21,500. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639-8860 CONTRACTOR: ALLIANT SYSTEMS LLC PHONE #: 503 -230 -8991 Inspection Request Scheduled For: Date: 10/6/2005 Pour Time: Code # Inspection Description ' Confirm # Contact # Message 615 Mechanical rough -in V 017656-01 971 - 235.3714 N • Corrections /Comments / Instructions: Dk - A �Y z a � ❑ PASS tyr PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL OR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718 • 1