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Permit
CITY TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2005 -00795 e:Ill 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/30/2006 PARCEL: 1S12600-00300 SITE ADDRESS: 09632 SW WASHINGTON SQUARE RD G -9 ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG Project Description: TI (3 VAV boxes & ductwork) Project Value: $24,000 CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: 1 OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS: STORIES: 1 BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: ELE 3 - 15 HP: COMML. INCIN: MAX INPUT: 29 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 1/30/200€ $420.50 9585 SW WASHINGTON SQUARE RD [MECPLN] Plan Rev 1/30/200€ $105.13 TIGARD, OR 97223 [TAX] 8% State Surchaq 1/30/200€ $33.64 Phone: 503 639 - 8865 Total $559.27 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 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. r/ Issued By: ��'� Permittee Signature: Call 503 - 639 -4175 by 7:00 a.m. for inspectio business day. This permit card shall be kept in a conspicuous place on the jo ite until completion of the project. Approved plans are required on the job site at the time of each inspection. 9 ich s - 1CirJ! yrts on 'rOR OFFICE USE ONLY Received City of Tigard � 1 Date/By M Permit No Mh ,,S. -mod 1q 13125 SW Hall Blvd., Tig Q�} 97223 , ' �l r Phone. 503 639 4171 Fa 503:598.1960 • I ' l' ` L/' , * Date/13y /B rr y Review gr l Other Permit Inspection Line: 503.639 4175 11 ' !l�I ( Date Read /By � ® See Page 2 for Internet: www ci tigard r. q� ,, �, N "JIM Supplemental Information P _ _ / /S� D 1 TYPE OF WORK r COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New construction ® Addition/alteration/replacement performed Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit Value. CATEGORY OF CONSTRUCTION $ r L ` C RESIDENTIAL EQUIP S TEMS FEES* ❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building For special information use checklist ❑ Multi- family ❑ Master builder ❑ Other: Description Qty I Ea Total ( 1632 \ JOB SITE INFORMATION AND LOCATION Heating/cooling � Air conditioning or heat pump Job site address-93711W WASHINGTON SQUARE ROAD (requires site plan showing placement) 14 00 City /State /ZIP: TIGARD, OR 97223 Furnace 100,000 BTU (ducts /vents) 14 00 Furnace 100,000+ BTU (ducts /vents) 17 90 Suite/bldg. /apt. no.: G-09 1 Project name: BATH & BODY WORKS 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 Flue /vent for any of above 10 00 Subdivision: I Lot no.: Other. 10 00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10 00 Gas fireplace 10.00 INTERIOR REMODEL OF RETAIL SPACE IN MALL FOR EXISTING TENANT Flue vent for water heater or gas "BATH & BODY WORKS" fireplace 10 00 Log lighter (gas) 10.00 Wood /pellet stove 10 00 Wood fireplace /insert 10 00 ❑ PROPERTY OWNER ® TENANT Chimney /liner /flue /vent 10 00 Other 10 00 Name: BATH & BODY WORKS Environmental exhaust and ventilation Address: THREE LIMITED PARKWAY Range hood/other kitchen equipment _ 10.00 City /State /ZIP: COLUMBUS, OH 43420 Clothes dryer exhaust 10 00 Single -duct exhaust (bathrooms, Phone: (614)415 -7000 Fax: (614)415 -7349 toilet compartments, utility rooms) 6 80 ® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10 00 Other 10 00 Business name: BATH & BODY WORKS Fuel piping Contact name: TIM SCHENK $5.40 for first four; $1.00 for each additional Address: 1120 EAST 80 STREET -SUITE 211 Furnace, etc Gas heat pump City /State /ZIP: BLOOMINGTON, MN 55420 Wall /suspended/unit heater Phone: (800) 541 -0821 Fax: : (952) 854 -4909 Water heater Fireplace E -mail: tims @elderjones.com Range CONTRACTOR Barbecue Business name: T - ,...... ` Z M g c t, a A 1C (_ 2,4q Clothes dryer (gas) — Other Address i t , i r : —! 03 30 e v,:, T� % tL � Q • MECHANICAL PERMIT FEES* City /State /ZIP: 7V s.,} ` N r t .. C� 7 © (r , Z, Subtotal J— f — Minimum permit fee ($72 50) $ 20,5 r Phone: (,�� VA 1-• ;� �4� — Fax: �j G` j VI I . 12 11 Plan review (25% of permit fee) /O5 13 CCB State surcharge (8% of permit fee) 33 TOTAL PERMIT FEE s) Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board I \Building\Permits\MEC- PermiApp doe 12/03 440 -4617T (I I /02/COM/WEB) • CITY -OF TIGARD BUILDING DIVISION PERMIT #: MEC2t)0S -0079G 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/3012006 Phone: (503) 639 -4171 • r'I�I Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4113/2006 TIME: 7:00AM PAGE: €4 SITE ADDRESS: 09632 SW WASHINGTON SQUARE RD G -9 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: 13Al H + BODY WORKS DESCRIPTION: TI (3 VAV boxes & ductwork) Project Value: $24,000 . OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-G39-0865 CONTRACTOR: ARROW MECHANICAL PHONE #: 803 692 '1568 Inspection Request Scheduled For: Date: 4/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mecllarlic3I final 021899 -01 928.301.9337 N Corrections/Comments/Instructions: Vfir' y v - PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL - ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 4/13 � p Inspector: `�4f Date: C�JO Phone #: (503) 718 -242Z5 CITY OF TIGARD • BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/30/2006 Phone: (503) 639 - 41714' AA Inspection Requests (24 Hrs.): (503) 639 -4175 i ^ 'I � .. INSPECTION WORKSHEET FOR DATE: 2/23/:1006 TIME 7:01AM PAGE: 71 SITE ADDRESS: 09032 SW WASHINGTON SQUARE RD G - 9 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: F3ATFI + BODY WORKS DESCRIPTION: 1'I (3 VAV boxes & ductwork) Project Value: $24,000 OWNER: WASHINGTON SQUARE LLC, PHONE #: LJO 639 CONTRACTOR: ARROW MECHANICAL PHONE #: 503 - 692 -1505 • Inspection Request Scheduled For: Date: 21 X006 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 027398-01 503. 692 -1565 N Corrections /Comments /Instructions: 1 . \. C . .11 4.1 U V `i , ` - , .- - .411011 — Alla W WI. 47- `mil r� ❑ PASS E PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO L FEE ASSESSED Inspector: 41 Date: hone #: (503) 718- a�