Permit C ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00075
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/27/2008
PARCEL: 1512600 -00300
SITE ADDRESS: 09619 SW WASHINGTON SQUARE RD L04 ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: POTTERY BARN
Project Description: TI - Project Value: $74,600
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: 2
STORIES: 2 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 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: g 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 2/13/200€ $1,079.00
TIGARD, OR 97223 [MECPLN] Plan Rev 2/13/200€ $269.75
[TAX] 12% State Surch 2/13/200€ $129.48
Phone:
Total $1,478.23
Contractor:
HVAC INC
5188 SE INTERNATIONAL WAY
MILWAUKIE, OR 97222 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 462 -4822
FAX 503- 462 -6555
Reg #: LIC 50897
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.
Issudd By: &t 411/ 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.
MT r 3 9&) I 1 wt -
Mechanical Permit Application FOR OFFICE USE ONLY
City of Ttgard Dads ,�
Plan Review-MP) �,��Tj Permit No. /,firQ 404 13125 SW Hall Blvd., Tigard, OR 97223 . �/
Phone: 503.639.4171 Fax: 503.598.1 EV4 Other Pe. it.
� °1°511 Date/By: 40 1 a m p
Inspection Line: 503.639.4175 'ij) Date Ready/By: n , to El See Page 2 for
r.
Internet. www.ci tigard ous ' � Notified/Method. O� o� rCo //' Supplemental Information
a
OF WORK ® C % MMERCIAL' FEE* , SCHEDULE = USE CHEMIST
C ,
� � w _
❑ New construction �g 145 'v'l t sent Mechanical permit fees* are based on the value of the work
� performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition �Ipt, mechanical materials, equipment, labor, overhead, and profit.
CATE STRUCTION . -- . -- - - - . Value: $'7 C QV
- . ' RESIDENTIAL EQUIPMMENT /SYSTEMS'FEES *'
❑ I- and 2- family dwelling ercial/i ustrial ❑ Accessory building
❑ Multi-family 0 Master builder For special information use checklist
❑ Other:
Description p Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION - Heating/cooling
Job site address: q 62 I q S 4 il. SS RA Ra Air conditioning or heat pump
!✓� I (r N 615 Svt (requires site plan showing placement) 14.00
City/ State/ZIP: " c d ( 0� Furnace 100,000 BTU (ducts/vents) 14 00
v ( Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: I n f,tf Ra,rfl G Gas heat pump 14.00
Cross street/directions to job ste. ,k1 Sa 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
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK - Water heater 10 00
w. � Gas fireplace 10 00
JJ
L t ( A-nO\' jC.,,/'V (J 6 G?f eS ` LA S fa0 H ea) Flue vent for water heater or gas
/�
- fireplace _ 10 00
C Dl^ k) L //4 &P(° s S&. Air,/ t�,(� .. rt / -oiS-- Log lighter (gas) 10 00
/1 etA) ..Q4( au.S'- S °- e-/ /S ao/u, eut,t p e,---S Wood/pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner/flue/vent 10.00
❑ PROPERTY' OWNER f TENANT Other: 10.00
Name: �0T l eyty 2)40_0 Environmental exhaust and ventilation
Address Range hood/other kitchen
equipment 10.00
City /State /ZIP: Clothes dryer exhaust 10 00
Phone: ( ) Fax: Single -duct exhaust (bathrooms,
( ) toilet compartments, utility rooms) 6.80
. 0 APPLICANT ' J ' CONTACT PERSON Attic /crawlspace fans 10.00
IA -u n n Fuel 10 00
/
Business name: �}-/ (� l
Fuel piping
Contact name: c) ,e__.Ji4 6 J 55.40 for first four; 51.00 for each additional
Address:
�// Furnace, etc.
Gas heat pump
City /State /ZIP. Wall/suspended/unit heater
Phone: ( ) Fax:: ( ) Water heater
I E -mail: Fireplace
Range
__ CONTRACTOR Barbecue
Business name: } �(�� Clothes dryer (gas)
" — ( C Other:
Address: 6 l k S E mQ\ .- MECHANICAL PERMIT FEES* _ - .
City/State/ZIP: A' \ dij j cadt SL Oy1 q 7a a� Subtotal
( Minimum permit fee ($72.50)
Phone: 60 Li (x— 4 $ >2 Fax. y ( ._ (e)555 Plan review (25% of permit fee)
CCB lie.: 7 /a % State surcharge �/o of permit fee)
�tS� _ ^ L- � TOTAL PERMIT FEE
Authorized signature: 1 1 J� This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name:
,..---,1 e11r -b_ t kiv1 SOS I Date: a-1 (alb's? • Fee methodology set by Tri-County Building Industry Service Board
i.\ Building \ Permits \MEC- PermitApp doe 17/03 44046177 (I1 /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION • ' PERMIT #: MEC200B -00075
13125 SW Hall Blvd., Tigard, OR 97223 ,. -'. DATE ISSUED: 2127/2000
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 �
INSPECTION WORKSHEET FOR DATE: r ''/2006 TIME: 7:00AM PAGE: 23
SITE ADDRESS: 09619 SW WASHINGTON SQUARE RD L04 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
., PROJECT NAME: POTTERY BARN
• DESCRIPTION: TI - Project Value: $74,600
•
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: HVAC INC PHONE #: 503 - 462 - 4822
Inspection Request Scheduled For: Date: 5/19/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 070073 -01 503 -462 -4822 Y
Corrections /Comments/ Instructions:
•
4 I� 4 II PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspecto : Date: > Phone #: (503) 718- Z6/
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2008.00075
13i25 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/27/2008
Phone: (503) 639 -4171 �
Inspection Requests (24 Hrs.): (503) 639 -4175 : _..
INSPECTION WORKSHEET FOR DATE: 5/16/2008 TIME: 7:00AM PAGE: 37
SITE ADDRESS: 09619 SW WASHINGTON SQUARE RD L04 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: POTTERY BARN
DESCRIPTION: TI - Project Value: $74,600
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: HVAC INC PHONE #: 503462 - 4822
Inspection Request Scheduled For: Date: 5/16/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Mes - -
I
699 Mechanical final 069971 -01 503 -462 -4812
C..- ections /Comments /Instructions:
e.,
2.xJ e Nt cc. — 1�m i F2 rS
❑ PASS ' rARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AI ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: / -- , Phone #: (503) 718 - 2 "
CITY OF TIGARD 4:
BUILDING DIVISION A PERMIT #: MEC2008.00076
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/27/211053
Phone: (503) 639-4171 g
Inspection Requests (24 Hrs.): (503) 639 -4175 "'' �
INSPECTION WORKSHEET FOR DATE: 4/312008 TIME: 7 :02AM PAGE: 34
SITE ADDRESS: 09619 SW WASHINGTON SQUARE RD 1.01 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: POTTERY BARN
DESCRIPTION: TI - Projoci Value: $74,600
OWNER: WASHINGTON ON SQUARE LLC, PHONE #:
CONTRACTOR: HVAC INC PHONE #: 603 - 4822
Inspection Request Scheduled For: Date: 4/312008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
6Th Mochanical rough -in 067829 -01 603-80011309 Y
Corrections /Comments/ Instructions:
6-,h-fl-C_ -e_.,, ic C e - - 2...' sue)
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4, ec-.),-- <IA.9 /2-7" -e-
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•
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❑ PASS &ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
'
. ..( / 3/ 6-- y► Inspector: Date: L ` Phone #: (503) 718- 2 C( l Z 1
CITY OF TIGARD A i . ' ' , � ,
BUILDING DIVISION PERMIT #: hit_C ?00;30(375
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7J2712000
Phone: (503) 639 -4171 �,,�114�p►'
Inspection Requests (24 Hrs.): (503) 639 -4175 �!�.'"I � ..
INSPECTION WORKSHEET FOR DATE: 3/27/2008 TIME: 7:03AM PAGE: 2.1
SITE ADDRESS: 09619 SW WASHINGTON SQUARE RD LO4 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: POTTERY I3ARN
DESCRIPTION: TI - Project. Value: $74,600
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: HVAC INC PHONE #: 503 - 462.4822
Inspection Request Scheduled For: Date: 3/27/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Mes e
6IS Mcchar�ical rough -in 067434 -01 603-806-1809 V
•
• Correction /Comments/Instru tions: l
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. 12 1 0.A - c
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6
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❑ PASS rtPARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \- L� Da t e: V 2:7 /� Phone #: (503) 718- 2>f /
•