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Permit
CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00690 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/27/2007 PARCEL: 1S12600-00300 SITE ADDRESS: 09499 SW WASHINGTON SQUARE RD A01 ZONING: C - G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG PROJECT: BINYON'S Project Description: TI - Project Value: $10,864 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: 1 BOILERS /COMPRESSORS HOODS: • FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: NAT 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: 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 11/27/20( $243.65 TIGARD, OR 97223 [MECPLN] Plan Rev 11/27/20( $60.91 [TAX] 8% State Surcha 11/27/20( $19.49 Phone: Total $324.05 Contractor: ARROW MECHANICAL 10330 SW TUALATIN RD TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 692 -1565 FAX 503 -691 -1879 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. # � Iss ed By: fi• i G ��L 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. i Mechanical Permit Application N is r , �� I OR OFFICE USE OI\LYti e w� i ''. #1 Rece ived - G. r r 7 R+ � �._ y Pem,tt No - i 13125 SW Hall Blvd., Tigard, OR 97223 Da Review , r i �J�O / f � City' Tigard Phone. 503.639.4171 - Fax: 503.598.1960 Plan Review V � . Date/By Other Permit: Line. 503.639.4175 � ;'� Internet. www.ci.tigard.or.us .*' .. e. Date Ready/By /� PI See Page 2 for - Internet. Notified/Method. � � �j 2 l Supplemental Information TYPE OF WORK . COMMERCIAL FEE* SCHEDULE - USE CHECKLIST . Mechanical permit fees* are based on the value of the work ❑ Demolition ]Other. ! performed. Indicate value (rounded to the nearest dollar) of all r mechanical materials; equipment, labor, overhead, d c o CATEGORY OF CONSTRUCTION Value. $ /O ' f7 111 m 1 RE - and 2- family dwelling P4- Eomercial/industrial 1=1 Accessory building SIDENTIAL EQUIPMENT / S`YSTEMS EES* ❑ Multj- family ❑ Master builder ❑ Other. — For special information use checklrsr /) �'!/ Description I Qty. I Ea I Total 7 JOB SITE INFORMATION AND LOCATION Heating /cooling / Air conditioning or heat pump Job site address' 1.7--Iri.ri4, _SW '% i W. (requires site plan showing placement) 14 00 City/State/Z[1'. 72-9 - / 97223 Fumace 100,000 BTU (ductsh•ents) 14 00 Suite/ bldg /apt no. --. ©7 l Project name 1 � / � 9A,k I00,000T BTU (duct's enG) 14 00 C I /'J �1%�'V'�`te Gas as h hea eat pump 14 00 Cross strcet/dtrections to job site Duct work I 14 00 Hy dron.c hot water system I 14 00 Residential boiler (radiator or hydronic) 14 00 Unit heaters (fuel -type, not electric), I i I to -wall, in- duct, suspended, etc 10 00 I Subdivision Lot no I Flue /vent for any of above I 10 OO Other I I lo no I; \ map /parcel no Other fuel appliances — I DESCRIPTION OF %\'ORI< Water heater 10 00 Gas fire lace I I 10 00 1 7 �. Ag A-e �/� /5/ecv t � P/t � s� / t t t Flue vent for «atzr heater or gas / fire.! ce � f000 I I Log lighter (gas) I j 10 00 Wood/pellet stose I OOOI Wood fireplace/insert I 10 00 I j ❑ PROPERTY OWNER I Chimney/1fner/ /lu:is,:nt I 10 00 . I ,1 I";\ AN I - -� Environmental i to 00 1 sn,c / s �.vs A � � Environmental exhaust and N cnttlation Address F Ss CS ` / /w _ /x, edg Range hood/other kitchen r V J .!//y'Ar/1 equipment 10 00 City /State/ZIP. 7,dej ( 917.2 Clothes dryer exhaust 10 00 Phone: %� Single -duct exhaust (bathrooms, ( ) Fax. ( ) toilet compartments, utility rooms) 6.80 jgf APPLICANT fg CONTACT PERSON Atttdcrawlspace fans 10 00 Business name Other- 10 00 piping I Contact name Fuel $5.40 for first four; $1.00 for each a dditional Address © 4110 , / / Furnace, etc � t Gas heat pump City /State /ZIP —,1114"r A g g Z 1ValVsuspcnded/unit heater Phone 0 ) c -0 2 /� _ `c Fax' (` C-9 7 / 79 Water heater E -mail. ! f 7 Fireplace Range CONTRACTOR( Barbecue Business name. �Q� q / i7/, Clothes dryer (gas) z"� Address- f /D ,3,3IOI 619 1�� / : J M . k Other. MECHANICAL PERMIT FEES• _City /State/ZIP. .72;04114;.--.77A.,. f 9 Subtotal ) "7 /� Phone Ir (f2 ^ /6--‘6- Fa ) e, / , / 79 Plan review (25% of permit fee) permit fee ($72 ee) de • • ! ) 01/ " CCB ` G L 7 ee 1 lie rsi / 7 State surcharge (8% of permit fee) / 9 TOTAL PERMIT FEE 2,7 .05 Authorized signature eeie....e..4.-.1 . This permit application expires if a permit is not obtained within 180 ^' / //yy days after it has been accepted as complete I' uu name ��t�' { Dale / / / Jrj D� / • Fec methodology set by ft: Count; Bolding Indu,try• Service Board CITY OF TIGARD �- BUILDING DIVISION PERMIT #: MEC2007 -00690 13125 SW Hall Blvd., Tigard, OR 97223 ' , DATE ISSUED: 11/21/2007 Phone: (503) 639 -4171 A'1�1i /_ Inspection Requests (24 Hrs.): (503) 639 -4175 ':� F _ S INSPECTION WORKSHEET FOR DATE: 12/4/2007 TIME: 7 :01AM PAGE: 15 SITE ADDRESS: 09499 SW WASHINGTON SQUARE RD A01 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: • PROJECT NAME: E3INYON'S . DESCRIPTION: TI - ' Project Value: $10,864 OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: ARROW MECHANICAL PHONE #: 503 -692 -1565 Inspection Request Scheduled For' U' Date: 12/4/2007 Pour Time: ci1 Code # Inspection Desc tiA Confirm # Contact # Me .age i 625 Duct work 060755 -01 360- 607 -0000 Y . Correction /Comments /In tructions: 61 ilA D _ 5" (a, ....... b ) ( - 0 . 9, (-/ ...._____, e_./ 3, 9 • /-6-x Lci lam. 34 5 5I 7.-. • , L 9 p s ❑ PASS 0- PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 1 7 Phone #: (503) 718 - Z YZ 91 Ili ii CITY OF TIGARD MECHANICAL PERMIT • COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00690 T IGARD: 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/27/2007 PARCEL: 1512600 -00300 SITE ADDRESS: 09499 SW WASHINGTON SQUARE RD A01 ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG PROJECT: BINYON'S Project Description: TI - Project Value $10,864 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: 1 BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: NAT 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: . J, Owner: i ' FEES WASHINGTON SQUARE LLC - Description Date Amount 1 BY THE MACERICH COMPANY , 9585 SW WASHINGTON SQUARE RD [IviEC_H] Pemmit Fee 11/27/20( $243 65 TIGARD, OR 97223 [MECPLN] Plan Rev 11/27/20( $60.91 [TAX] 8% State Surcha 11/27/20( $19 49 Phone: Total $324.05 Contractor: 3 ARROW MECHANICAL 10330 SW TUALATIN RD TUALATIN, OR 97062 REQUIRED ITEMS AND REP RTS `O 0 Contact #: PRI 503- 692 -1565 J FAX 503 -691 -1879 o Reg #: LIC 5193 0 b d 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. Iss ed B y: i / .. Permittee S j .: � ~ 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. INSPECTOR'S SIGNATURES ARE NOT Inspections Required for: • � e ADO7 ,0c496 REQUIRED ON GREEN INSPECTION CARD. ✓ Code 1 inspection Description PASS Date By :✓ Code Inspection Description. PASS Date By BUP - Building Permit ELC - Electrical Permit 405 Excavation 105 Underground /slab cover 410 Fill 110 Temporary electrical service 415 Grading 115 Electrical service 205 Footing 120 Electrical rough -in 805 MFG - Structure grading /footing 125 Wall cover 210 Foundation walls 130 Ceiling cover 215 Footing drain 135 Low voltage 220 Slab 140 Sign installation 310 Crawl drain 145 A/C or heating unit circuit 225 Post /beam structural 150 Hot tub /spa /pool 230 Underfloor insulation 195 M]sc. inspection 235 Shear walls /anchors 199 Electrical final 240 Exterior sheathing 245 Fiiewall 250 Roof nailing ELR - Restricted Energy Permit 255 Wu proofing basement walls 135 Low voltage 260 Tilt -up panel 195 Misc inspection. 265 Masonry 199 Electrical final 270 Reinforcing steel (rebar) 275 Framing 810 MFG- Structure set -up MEC - Mechanical Permit 280 Insulation _ 605 Post /beam mechanical _ 285 Duvall nailing 610 Gas line 287 Suspended ceiling 615 Mechanical rough -in 295 Misc inspection 620 Hydronic piping 899 MFG- Snuctuie final K 625 Duct work 498 Grading final 630 Fire damper 299 Final inspection j 635 Smoke detector shutdown 640 Exhaust hood 695 Misc inspection. K 699 Mechanical final BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab PLM - Plumbing Permit 910 Sprinkler rough -in 305 Plumbing underslab 915 Fire alarm rough -in 310 Crawl drain 920 Suppression trip test 315 Post /beam plumbing 995 Misc. inspection: -- 998 Alarm final 320 Plumbing rough -in 999 Sprinkler final 322 Shower pan 330 Water service 335 Rain drain 340 Storm dram SIT - Site Work Permit 505 Sanitary sewer 405 Excavation 345 Culvert /catch basin 410 Fill 350 Septic tank 415 Grading 395 Misc inspection 205 Footing 399 Plumbing final 210 Foundation walls 215 Footing drain 420 Sprinkler supply lines SWR - Sewer Permit _ 495 Misc inspection 505 Sanitary sewer 498 Grading final 595 Misc. inspection. 499 Final inspection 599 Final inspection I \Building \ Forms \InspCard -AOP -Blank doc 02/02/07