Permit •� CITY OF TIGARD MECHANICAL PERMIT
I n DEVELOPMENT SERVICES PERMIT #: MEC2006 -00175
h� I� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/4/2006
PARCEL: 1512600 -00300
SITE ADDRESS: 09461 SW WASHINGTON SQUARE RD A13 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: HVAC. Replace existing VAV, like for like. Valuation: $ 6,200.
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: 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
9585 SW WASHINGTON SQUARE RD [MECH] Permit Fee 5/4/2006 $163.10
TIGARD, OR 97223 [TAX] 8% State Surcha 5/4/2006 $13.05
Total $176.15
Phone:
Contractor:
OREGON HEATING + NC INC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -2953
FAX 503 -537 -2172
Reg #: LIC 125815
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: Q� p
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business d�y.
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 Permit Application _. 1:01.2 OFFICE US °NI ..
Re ce ived ./ _ _
am o Tigard !? l ,, Permit No. Z
° 13125 SW Hall Blvd., Tigard, O' Date/By ` / �v�2�6 ad �-S`
; � Plan Review Other Penult
�� 11 � • Phone: 503.639.4171 Fax: 503.598 1960 Date/B
T I G A D Inspection Line: 503.639 MAY n ,� p 0 '{ 2006 2006 Date Ready/By lass El See Page 2 for
Internet: www.tigard-or.gov V 1 Nonfied/Method) % — D 6 .. �'( Supplemental Information
- TYP ` /OXK h I' -i n % r V 1
{� COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
ro q ) l - i' Mechanical permit fees" are based on the value of the work
El New construction Adc�iti�it/al ratton/ replacemnt performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CAT GORY OF CONSTRUCTION Value: $ W
RESIDENTIAL EQUIPMENT / SYSTEMS FEES* �fo
❑ I - and 2 family dwelling AI Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. Total
.9 VC / JOB SITE INFORMATION AND LOCATION Heating/cooling
� Air conditioning or heat pump
Job site address: -C)g 9 4 i0frytil n (requires site plan showing placement) 14.00 .
City /State /ZIP: ) Tiro/ ) IV Furnace 100,000 BTU (ducts/vents) 14.00
Suite /bldg. /apt no.: Project name: (64,1---.L4) Furnace 100,000+ BTU (ducts/vents) 17.90 i4
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 1 � /
Other: 10.00 1
Tax map /parcel no.. Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
� Gas fireplace 10.00
WA`/ \`\\(.-z , � j t) r \\\(-t-- 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
. . ❑ PROPERTY OWNER I ❑ TENANT Chimney /liner /flue/vent 10.00
Other: 10.00
Name: Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City /State/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
. 0 APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10 00
Business name 10.00
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail • Range
CONTRACTOR . Barbecue
Business name: ei4eSAS f fq
Clothes dryer (gas)
"1� " ���'"" Other:
Address: �U edp i MECHANICAL PERMIT FEES*
City /State/ZIP: 0“'"0/1/ /p ' Subtotal / / 0
Phone: ( J) S3$ 1 � Fax: ( - �c7 j ) $3 2,a/2...--- Minimum permit fee ($72.50)
®� Plan review (25% of permit fee)
CCB lic.: 1 2 - 5 i 5 eel,' State surcharge (8% of permit fee) a i3 '
/�
i 7./ �J ��/� �( /� L TOTAL PERMIT FEE /7 6 -
Authorized Signature: C ` 'i ( U ( This permit application expires if a permit is not obtained within 180
d ays after it has been accepted as complete.
Print name mi —
K7• )_ Date ,� a, I " Fee methodology set by Tn- County Building Industry Service Board
I \Bwiding\Pennas\MEC- PennitAppdoc 04 /06/06 440 -46i7T(II /02/COM/WEB)
•
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total Valuation: Permit Fee:
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:\ Building \Permits\MEC- PermitApp.doc 12/30/05 2
r 1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006 -00175
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/4/2006
Phone: (503) 639 -4171 �►
Inspection Requests (24 Hrs.): (503) 639 - 4175
INSPECTION WORKSHEET FOR DATE: 6/6/2006 TIME: 7 :02AM PAGE: 66
SITE ADDRESS: 09461 SW WASHINGTON SQUARE RD A13 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SWEET FACTORY
DESCRIPTION: HVAC. Replace existing VAV, like for like. Valuation: $ 6,200.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: OREGON HEATING + A/C INC PHONE #: 603 - 538.2953
Inspection Request Scheduled For: Date: 6/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 , Mechanical final 031147 -01 503 - 849.8162 Y
w 1U r
Corrections /Comments/ Instructions:
•
•
.Iii
SILT
I I priS Nuir
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDIT.*NAL FEES ASSESSED
Inspector: Date: A ;Alo 8 -
Phone #: (503) 71
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: M1= :C200& -0017 j
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/4L)0U6
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR ' DATE: 5/26/2006 TIME: 7:00AM PAGE: 66
SITE ADDRESS: 09161 SW WASHINGTON SQUARE RD M3 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SWEET FACTORY
DESCRIPTION: HVAC. Replace exiting VAV, like for like. Valuation: $ 6,200.
OWNER: WASHINGTON SQUARE LI..C, PHONE #:
CONTRACTOR: OREGON HEATING + NC INC PHONE #: 503- 538-2963
Inspection Request Scheduled For: Date: 5/26/2006 .Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in. 03063B-01 I 503-84g.8162 Y I
Corrections /Comments /Instructions: C I ''� . � .. G.( 4 � a r G v+ y v es 4- i' o )15
.111PMMI .4411 ,
1111111.1:' � � W
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR I PECTION ❑ ADDITIONAL FEES ASSESSED
11
Inspector: ( Date: _ 5la (al 0 Et) Phone #: (503) 718- 2W �3