Permit Rt
CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00047
All 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/7/2006
PARCEL: 1S12600-00300
SITE ADDRESS: 09581 SW WASHINGTON SQUARE RD B8 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Sony Style T.I. Valuation: $17,000.
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:
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: 3 OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
WASHINGTON SQUARE LLC Description Date Amount
BY THE MACERICH COMPANY [MECH] Permit Fee 2/7/2006 $326.00
9585 SW WASHINGTON SQUARE RD [TAX] 8% State Surchar€ 2/7/2006 $26.08
TIGARD, OR 97223 [MECPLN] Plan Rev 2/7/2006 $81.50
Phone: 503 639 - 8865 Total $433.58
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 O . ' • - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1 -80 0- 332 -2344.
I /
Issue By: / i // Permittee Signature: � %ri
Call 503 - 639.4175 by 7:00 a.m. for inspections t •iness 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 fermit Application FoR OFFICE USE ONLY
n "'t !F /:i')'1 Received
City of�,Tigard � _ �,� ; . Permit No ` : �, -Y (4 77
13125 SW Hall Blvd., Tigard, OR 97223 — � Date/By - `� A •
Phone: 503.639.4171 Fax: 503.598.1960 „I :� Plan Review Other Permit
i I h f I i ' l DateBy.' �� %
Inspection Line: 503.639.4175 y r j J �� Date Re.. : ,,/ WM 65 See Page 2 for
Internet: www.ci.tigard.or.us ' ohfied/Method ' 4 ar Supplem tal Informat
• T _ . - D `i 7� !/ZI/1C :. �__ v ./ W
'E �i1NOING DIVISION .� • 10 ; RCIAL FEE* SCHEDULE USE CHECKLIST
Mech: ical permit fees* are based on the value of the work
❑ New construction C Addition /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 Value: $ ( 7 CtXD ...
IV
❑ 1- and 2- family dwelling m O mercial/industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ Multi family 0 Master builder For special information use checklist.
❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating /cooling
Job site address: CI 5g W W Air conditioning or heat pump
I.
�� 1 (requires site plan showing placement) 14.00
City /State/ZIP: '-'T ve l 1 Dv& C j ' � Z'2) Furnace 100,000 BTU (ducts/vents) 14.00
U Furnace 100,000+ BTU ( ducts/vents) 1 7.90
Suite/bldg. /apt. no. Project name:
Q Lc
5o1�/.{/ ` 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
f. hydronic) 14.00
'”
I Ag 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
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
L,, � Gas fireplace 10.00
�?� tGun. \ e” Q v A- � , 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
`T� Other: 10.00
Name: Eli Oil, r ;Sn( - Environmental exhaust and ventilation
,, Range hood/other kitchen
Address:
1 may► Y\ J c equipment 10.00
City /State /ZIP: ep.tr Rs T 0 - 1 ( ' Clothes dryer exhaust 10.00
v Single -duct exhaust (bathrooms,
Phone: ( 211) C 2, ._ j(7 ( 3 , Fax ( ) toilet compartments, utility rooms) 6.80
;1►PPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
q /ek n�� �� . Other: 10.00
Business name: V V r ( t Fuel piping
Contact name: ` 4 j, J j .� $5.40 for first four; $1.00 for each additional
Address: 4(s3, NC )00r_
� t Furnace, etc.
`�' Gas heat pump
City /State /ZIP. \ jp , t ^ � ow l /Pf
4 _ /� U}
) ' Q E j (( I Wall /sus.ended/unit heater
Phone: (lac () /1 v 2 ../
_ 5 ' C 2 � 1 7 F ak V ( � v ( q l1 .. - Water heater
Ll' /��,, [,,� y,_ Fir • lace
E- mail . \l/.�
• J ' ► er W l I /� l>/ r $IV 4& ). CCM Range CONTRACTOR Barbecue
Business name: 4 ' t _
)r /i . re � Clothes dr er
v' "^ �_
Other:
�
Address: /033 c . / gr` cc / h MECHANICAL PERMIT FEES* ,
City /State /ZIP , )4 0 7 7c% a Subtotal
rj3 ) Q Minimum permit fee ($72.50)
Phone: (5
`.. - 1 566 ' Fax: ( D ) q/ /f77' Plan review (25% of permit fee)
CCB lic.: /5 ( 1 State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: / / -I� This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: - _. 3 Date: / Zg C(Q • Fee methodology set by Tn County Building Industry Service Board
I \Bwlding\Permus \NEC- PermrtApp.doc 12/03 S - . 17T (11 /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 $230
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- PenmitApp.doc 12/03 2
CITY OF TIGAR® 01.0_,C_,
BUILDING DIVISION • PERMIT #:7 er
p --4)° O 7
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639- 4171i�l'�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 6 5— O ( — W II-, SO ` CLASS OF WORK:
SUBDIVISION: J LOT #: TYPE OF USE:
PROJECT NAME: `�, <j T
DESCRIPTION: ���, ,
OWNER: "`�/ �1 PHONE #:
CONTRACTOR: PHONE #: „.<
Inspection Request Scheduled For: Date:,? — 7 -6 , Pour Time:
Code # Inspection Description Confirm # • Contact # Message
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Corrections /Comments /I tructions:
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/ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ,
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \/i Date: —3/Z7(° Phone #: 503 718 - - 2 /
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' CITY OF TI GAR D (Yl..e,_
BUILDING DIVISION PERMIT #:? ,0( _ Ovo (4 7
13125 SW Hall Blvd., Tigard, OR 97223 _ ' DATE ISSUED:
Phone: (503) 639- 4171 kb
Inspection Requests (24 Hrs.): (503) 639 -4175 .�'.� .
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 9 g I V,4-, SQ. V E3 CLASS OF WORK:
SUBDIVISION: LOT #: , TYPE OF USE:
PROJECT NAME: , 1 U
DESCRIPTION: * ∎5(.3 LT/ 6 pL
OWNER: PHONE #:
CONTRACTOR: • • PHONE #:
Inspection Request Scheduled For: Date: 3 — 2 3— 0 40 Pour Time: A _ i , ,
Code # Inspection Description Confirm # Contact # Message �-
(a— C3& v) ‘ 1 a (0
Corrections /Comments/ Instructions:
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PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL EES ASSESSED
Inspector: Alt/ Date: 3 z" Phone #: (503) 71 8- Z