Permit CI TY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00138
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/12/2007
PARCEL: 1 S12600 -00300
SITE ADDRESS: 1 ? SW WASHINGTON SQUARE RD B8 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: BOMBAY EXPRESS
Project Description: Replace VAV box & grilles.
Valuation: $6,400.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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:
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: 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 3/12/200? $166.70
TIGARD, OR 97223 [TAX] 8% State Surcha 3/12/2007 $13.34
Phone: Total $180.04
Contractor:
REQUIRED ITEMS AND REPORTS
Contact #:
Reg #:
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 By: Permittee Signature: � u� t � vvw Ole
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.
4
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard _ Received
13125 SW Hall Blvd., Tigard, OR 97223 RECEI ., �tRy:� -e, ��f Permit OOI
Phone: 503.639.4171 Fax: 503.598.1960 *s,y Plan Review Other Permit:
Inspection Line: 503.639.4175 MAR 1 2 NI- e�i +� I • DateBy: Date Ready/By: Jura ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
calf OF T IGARD
I • . - - TYPL -9 IV18101y COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
ID Add New construction Mechanical permit fees* are based on the value of the work
iti n/ lacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
- ' - CATEGORY CONSTRUCTION - Value: $ `O , OD
RESIDENTIAL EQUIPMENT / SYSTEMS FEES *"' . "
❑ 1- and 2- family dwelling mr
ot dustrial ID Accessory building For special information use checklist.
❑ Multi- family ` ,' - - builder ❑ Other: Description I Qty. I Ea. I Total
.• 1 /_ 447 JOB SITE INFORMATION AND LOCATION.' : • - Heating/cooling
f� ( 1 .i n) Aiq conditioning n pump
Job site address: "B• 1 ) 11 J k S ? /(d1 (requires site plan showing placement) 14.00
City/State/ZIP: 7 G ) 04-EGO/0 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Q
Suite/bldg./apt. no.: !� 5 Project name: I,^�, /y , YeSS Gas heat pump 14.00
Cross street/directions to job sue: '� r 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
DE SCRIPTION OF WORK _ _ ' - Water heater 10.00
Gas fireplace 10.00
Flue vent for water heater or gas
t� (acs 4 p 0 i/ PI ) fireplace 10.00
1 1�E.Vt bl��ts d Log lighter (gas) 10.00
C L LlLi3 Wood/pellet stove 10.00
d Wood fireplace/insert 10.00
Chimney/liner /flue/vent 10.00
❑ PROPERTY OWNER " I TENANT r. Other: 10 00
Name: TNY \ -kiN \ p reS S 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
,APPLICANT . ❑ CONTACT - PERSON _. Attic/crawispace fans 10.00
�,' II Other: 10.00
Business name:
!t )A�c Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax :: ( ) Water heater
E -mail: Fireplace
Range
• CONTRACTOR " Barbecue
Business name: {�� Clothes dryer (gas)
' T C � _ � � pn Other
Address: � gk Sty _1�r/, Q� r MECHf1 NICAL FEES• -
City/State21P: fkik to...,L)ct.LJ LQ. ere mn q7a')-2-___ Subtotal /6' (, 76
Phone: (SD (4 ,._ 4O- Fax.( 3) ( �f(oI -056S Plan review(25%of permit fee)
CCB lic.: `l State surcharge (8% of permit fee) i33y
TOTAL PERMIT FEE `S9.Oy
Authorized signature: _ ( t2.0. -„..Q__ t b ,....4,`A d--�.___ This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
I Print name: N e , Y v ., e P z i n �S Date: 31 /2._) • Fee methodology set by Tri -County Building Industry Service Board
i:\ BuildinglPenninVdEC- PermrtAppdoe 12/03 440.46177 (I1/02/COWWEB)
_� y
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00138
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/12/2007
Phone: (503) 639 -4171 Aron
Inspection Requests (24 Hrs.): (503) 639 -4175 "'l l..
INSPECTION WORKSHEET FOR DATE: 4/19/2007 TIME: 7:01AM PAGE: 64
SITE ADDRESS: 09647 SW WASHINGTON SQUARE RD FC CLASS OF WORK:
SUBDIVISION: WAS L +r• - • ` LOT #: TYPE OF USE:
PROJECT NAME: Bo BAY EXPRESS
DESCRIPTION: '' -Rep .- e VAV box & grilles.'
Valuatio . I •
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: HVAC INC PHONE #: 503'462
•
Inspection Request Scheduled For: Date: 4/19/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Mess- •e
c
699 Mechanical final 046748 -02 603-462-4822
i s
Corrections /Comments /Instructions:
•
•
►: PASS I •ARTIAL- APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL FA ► FOR INSPECTION ❑ ADDITI NAL EES ASSESSED
Inspector: ■_- Date: 1 d Phone #: (503) 7 - Z� 7