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Permit s . 1:; CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00249 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/15/2007 PARCEL: 1S12600-00300 } SITE ADDRESS: 09510 SW WASHINGTON SQUARE RD H -1 ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG PROJECT: TRADE SECRET • Project Description: TI - install new duct, (4) grilles and (1) VAV box. Project Value: $9,000 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: NAT 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: 1 OTHER UNITS: • GAS OUTLETS: > 10000 cfm: . Owner: FEES WASHINGTON SQUARE LLC Description . Date Amount – BY THE MACERICH COMPANY 9585 SW WASHINGTON SQUARE RD [MECH] Permit Fee 5/15/2007 $213.50 TIGARD, OR 97223 [MECPLN] Plan Rev 5/15/2007 $53.38 [TAX] 8% State Surcha 5/15/2007 $17.08 • Phone: Total $283.96 Contractor: BEWLEY MECHANICAL 7911 NE 33RD DR SUITE 250 PORTLAND, OR 97211 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 626 -8986 FAX 503- 641 -6348 Reg #: LIC 63582 • 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 = ` z / � 1 �/ � Permittee Signature: -�� vr Call 503.639.4175 by 7:00 a.m. for inspections -t • usiness day. This permit card shall be kept in a conspicuous place on the job site until completi • of the project. • Approved plans are required on the job site at the time of each inspec' • n. ._ ..e : G/z_e � at N. .-,, r 0 , ' r ux) ' Pitt Illili't71Ft+ ri, 4144 "}I l ar ' i w4 t� t i>'ri Mech anical ©t p e � I� , 4 0 l FOR OFFICEUE � � r i t � ,i - a 4�A�,tffdt....? r �rSrutfnb .,ro),rvttK Ana, r. , S jr s �4�Ek.3 Jdkh1 y t,.Y�1 ���4 � ° ill 6e,, � o f Tigard ' �� � r eceived _ /� { c)� � a s Date/By A Q Permit No kg1k0 7a i ° 13125 SW Hall Blvd , Tigard, OR 97223 3 • _ 4>i MAY — 2 20P Da Re ew ' ,'_ a' Phone 503 639 4171 Fax 503 598 1960 � O r her Permit 'T G Rd Inspection Line 503 639 4175 IA D at e Read 4741. °� Ztr7 :;tm. :i.mii' Internet www tigard or - gov CITY OF TI y `y 63 See Page 2 for Noufie Supplemental Information BUILDING DIVISI r' TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST ,� _ • w cconst��ction Mechanical permit fees • are based on the value of the work L7'> ❑ Ad dition /alteration replacement performed Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit • - CATEGORY OF CONSTRUCTION Valu $ - �� ,`_ • RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ I- and 2- family dwelling commercial /industrial ❑ Accessory building For special information use che:klist ❑ Multi- family ❑ Master builder ❑ Other: Description Qty Ea Total JOB SITE INFORMATION AND LOCATION : Heating/cooling Air conditioning or heat pump Job site address: .--- , C ci t 4/19 7 (requires site plan showing placement) 14 00 City/State /ZIP: 7 Furnace 100,000 BTU (ducts/vents) 14 00 ,� Furnace 100,000+ BTU (ducts/vents) 17 90 Suite/bldg. /apt. no.: Project name: it Six t,r�tP/ ( 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 1000 — Other 10 00 Tax map /parcel no.: Other fuel appliances ' ' DESCRIPTION OF WORK , . . Water heater 10 00 I / / Gas fireplace 10 -00 .L.1. S i 11: /`�� 1 ......,:n.......- - 7 L e S Flue vent for water heater or gas fireplace 10 00 #1. ( i) vA " Log Log lighter (gas) 10 00 Wood/pellet stove 10 00 Wood fireplace /insert 10 00 ❑ PROPERTY OWNER I " NANT • Chimney/liner/flue/vent 10 00 Other _ 10 00 Name: ^ ` ( .e co r f ' K - 1� Environmental exhaust and ventilation Address: , r 7 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 ❑ APPLICANT *CONTACT PERSON Attic /crawlspace fans 10 00 Business name: �1 4J rt e, 4 Other 10 00 "' C 4�2r Fuel piping Contact name: {--/ & - 4"� 11, $5.40 for first four; $1.00 for each additional Address: Furnace, etc Gas heat pump City /State /ZIP: WalUsuspended/unit heater Phone: ( ) Fax: : ( ) Water heater Fireplace E -mail: Range CONTRACTOR Barbecue qezi„,762 nj-e . /.� ?% ( �� Clothes dryer (gas) Business name: ,� `'t Other Address: " /�� u'� v t ? d, MECHANICAL PERMIT FEES* City /State /ZIP: L „__,..j, \ �.. -, otre q -7 ,Z_) ( Subtotal Minimum permit fee ($72 50) ivl� .SD Phone: (•' e 76 , , 2 .... G Fax: (3 10 4 t ___14704,‘,.1 Plan review (25% of permit fee) CCB lic.: (0, 'c e 2 State surcharge (8% of permit fee) / 2. ing TOTAL PERMIT FEE Authorized signature: Th is permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: gkf , r � j " � �/ .Z Date: .5 r 0'•'7 • Fee methodology set by Tn- County Building Industry Service Board 1 \Buddm \ g\PermusMEC- PermitApp doc 04/06/06 440 -4617T (I I /02/COM/WEB) 4 A i 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. 1•\Building\Permits\MEC- PermitApp doc 12/30/05 2 CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2007 00249 ' 13125 SW Hall Blvd., Tigard, OR 97223 , DATE ISSUED: / 16 /2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 - 4175_ =� "I �� INSPECTION WORKSHEET FOR DATE: 5/23/2007 TIME: 7 :00AM PAGE: 47 SITE ADDRESS: 09510 SW WASHINGTON SQUARE RD H - 1 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: TRADE SECRET DESCRIPTION: TI - install new duct, (4) grilles and (1) VAV box. Project Value: $9,000 OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: BEWLEY MECHANICAL PHONE #: 503. 626 - 89B6 Inspection Request Scheduled For: Date: 5/23/2007 Pour Time: Code # Inspection Description Confirm # Contact # M-- 699 Mechanical final 048892 -01 253 - 820.9634 /eo rrections /Comments /Instructions: . c/ b cc a --) ( a) n \ 0,....„.....--- s .. , ...., i , PA ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: A (i Date: 5/Z3� / Phone #: (503) 718- 2-4 L7 J CITY OF TIGARD t- . i , w B DIVISION PERMIT #: MEC2007-00249 AR 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/15/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 �2 "'IL. INSPECTION WORKSHEET FOR DATE: 5/18 /2007 TIME: 7:02AM PAGE: 46 SITE ADDRESS: 09510 SW WASHINGTON SQUARE RD H -1 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: TRADE SECRET DESCRIPTION: TI - install new duct, (4) grilles and (1) VAV box, Project Value: $9,000 OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: REWLEY MECHANICAL PHONE #: 503- 626 -8986 Inspection Request Scheduled For: Date: 5/18 /2007 Pour Time: Code # Inspection Descripti• • ( � i C firm # Contact # Message 699 Mechanical4ieel= 0 048616 -01 503 - 626-8986 N 1/7 &((, • —'--v Corrections /Comments / Instructions: ''..7 4>Y 1 --f:L__J -- (----1" e------"."--...e (--&—k 1 7 0 - Ty—IL/ \AAA.A. c-7 \ 9„t_ QiLite_ 7- 0 k -7 '• 1 L D - / 7 ■ 5 4 f \ ki j/ \-(__.e 6 P: :8 I PARTIAL APPROVAL CANCEL ❑ NO ACCESS LA FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1�� V � a� ✓ Date: 5 t) ? Phone #: (503) 718 - �'f