Permit a CITY OF TIGARD r MECHANICAL PERMIT
'� COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00491
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/6/2008
PARCEL: 1S12600-00300
SITE ADDRESS: 09653 SW WASHINGTON SQUARE RD MO2 A ZONING: C -
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: SANRIO
Project Description: Mechanical for TI. Valuation: $7561.00
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:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: 1 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 10/6/200€ $188.30
TIGARD, OR 97223 [MECPLN] Plan Rev 10/6/200€ $47.08
[TAX] 12% State Surch 10/6/200€ $22.60
Phone:
Total $257.98
Contractor:
OREGON HEATING & A/C
992 HIGHWAY 99 WEST
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PR! 503 -538 -2953
FAX 503- 345 -6628
Reg #: LIC 172126
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.
411111111ft
Issued By: 0j7 Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for inspections tha bu iness ay.
This permit card shall be kept in a conspicuous place on the job site til completion of the project.
Approved plans are required on the job site at the time of each inspection.
355 SW. . Sq `d. ( 7 )
Mechanical Permit A lication
� ` r °, ` , , FOR OFF IJ O „ t '
City of Tigard ,'
Received
' i% • 13125 SW !fall Bl Tigard, OR 9 72 ` � DateiBy,
L .� r, . ivy Permit No
I C5) Phone: 503 639 4171 Fax: 503 598' C / ✓ r. ' Plan Review !- : _
T I G A R D Inspection Line 503.639 4175 \ \y ' y- Date Re At"
J MIIIIIII
Other Permit
Internet www tigard -or goy
P frost R eadyiBq
( �� � \ E� d/Method !� / S u See Page 2 for
lemental
o)t'* �' v° `� t� g .�\ I �
:---, PP Information
❑ New construction - e '
® Add it i on /alteration /r p ermit fees` are based on ' t h value of the wo rk
t4:40:1
r
* e en Mech anica l permit the rk
❑ Demolition Other: performed Indicate the value (rounded to the nearest dollar) of all
+..s R
t eer mechanical materials, a u1 ment, labor, overhead, and profit Mr
.mo o : .. 'le >. , .' ..`-'''''S.,:-` .. >� ''' value 5 -
❑ 1 and 2- family dwelling ®Commercial /industrial ❑Accesso buildi ' ', IA ' . -r '� . . ' . '9� r i4t
❑ Multi family : Ss s:_.
0 builder Other For special information use checklist
i, . ve Y W .,, - ' g:' Description
t r r a .. t :.,r - .,� w rirx `a of a r .� Qty Ea. Total
i' -' _7 ?;k. ilea tin - /c0OIin•
Job site address: 9585 SW Washington Square Rd Space M04
Air conditioning or heat pump
City /State/ZIP: Portland OR 97223
(re. owes site .Ian showm .laccment) 14 00
Furnace 100,000 BTU (ducts/vents)
Suite/bldg. /apt, no.: Project name: Sanrio Furnace 100,000 BTU (ducts /vents)
1790
Cross street/directions to job site: Gas heat pump 14 00 111.1111
Duct work 10 00
Hydronrc hot water system 14 00 1
Residential boiler (radiator or
hvdronrc)
14 00 i
Unit heaters (fuel -type, not electric), .
Subdivision: Washington Square
in-wall. in -duct, suspended. etc 14 00
Lot no.: Flue vent for an of above 6 80
Other
Y 1000
Tax map /parcel no.:
_
ycr" ° +'.r Other fuel a..hances • vP5s ';?;.'�T ,,+zc „ A� -" -t @ ' '(a b M' P- �ws6:',,,1 E ?;i� .ttk. -- ,�• ^ -:i -
J ;; .: . >r 3 , 4 s : Water heat
Tenant alteration of existing space f<• .. 10 00
Gas fireplace 10 00
Flue vent for water heater or gas
fireplace 10 00
Log lighter (gas) _ _ 10 00
Wood /.ellet stove , 10 00
n e ry g Wood fireplace /insert 10 00
hR inf „ '4 �:a s a ;r .geit ' ° Chimney/liner/flue/vent 10 00
s r r n, .;;
Name: Macerich Uther 10 00
Environmental exhaust and ventilation
Address: 11411 North Tatum Blvd
Range hood /other kitchen
City /State/ZIP: Phoenix AZ 85028 equipment 10 00
Clothes dryer exhaust 10 00
Phone: (602)953 6220 Single -duct exhaust (bathrooms,
Fax:
'y . ,z ,, l` 1 i' a f ) toilet compartments, utility rooms) 6 80
: * .:" "r id, @' .. x ;� o i`4., � sf Attic /crawls lace fans 0 00
Business name: PPS Other
10 00
Contact name: Brenda Bender Fuel .i.in:
Address: 75 60` Street Sw S5.40 for first four: S1.00 for each additional
Furnace, etc
Gas heat imp
City /State/ZIP: Wyoming MI 49548
Phone: (800) 285 -7866 x 3
Wall /suspended/unit heater 1
Fax : (616) 493 -9351 Water heater
E -mail: br endab @precisionpermits.co Fireplace
a'\*> ? , , Range
r isx.
1..`AY C.• .1ta ^Y ,.& 4 _+,,, , ' .%r ' r' .' Kt. °�: ,v � ' y � `�m , °;,r_' ,
s' " . < E ; : =�, t f
Barbecue
J • ► Clothes dryer (gas)
Address: I
Other
Add - q
City/State/ZIP: /Zip: • 4 „ ; _. r , riAl i•e I - _ _ -i
7!! Aid .. . , '' %ri.1
Phone: (503) Subtotal
S Fax: (3 Minimum permit fee (572 50)
6
CCB tic.: 17 - 6 �
Plan review (25% of permit fee)
State surcharge (12% of permit fee)
Authorized signature: TOTAL PERMIT FEE permit Q^ , This permit application expires if a permit is not obtained within IAO
Print name: R� � ^, �� days after it has been accepted as complete.
►� , D6-12 , Date a j / 2 ' Fee methodology set by Tn-
I \Bu idin P FY County Budding Industry Service Board
$ ermns \MFC Permit App doe 01/19/07
4 40.46177 (I 1i02iCO51/wT1i)
.
CITY OF TIGARD
" A. . . 1
BUILDING DIVISION PERMIT #: MEC200R 00491
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/6.0000 Phone: (503) 639 -4171 .� ill _ .-'
Inspection Requests (24 Hrs.): (503) 639 -4175 '!1 _..
INSPECTION WORKSHEET FOR DATE: 11/7/2008 TIME: 7:02AM PAGE: 24
SITE ADDRESS: 09663 SW WASHINGTON SQUARE RD MO2 A CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SANRIO
DESCRIPTION: Mechanical for TI. Valuation: $7561.00
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: OREGON HEATING & NC PHONE #: 5O3.538 - 2953
Inspection Request Scheduled For: Date: 11/7/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 07781E-01 503. 649.8162 N
Corrections /Comments/ Instructions:
1
i 0
.. r ,\ j/
.1)
.6AS El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
11 o� - Z�I Z1
Inspector: AZ Date. . / / Phone #: (503) 718
CITY OF TIGARD F t - -;: A - ,. # _.--
BUILDING DIVISION PERMIT #: -
MEC200e -00491
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/612001
Phone: (503) 639- 4171+api�l
Inspection Requests (24 Hrs.): (503) 639 -4175 J'.JJ °_ -..
INSPECTION WORKSHEET FOR DATE: 10/29/2008 TIME: 7 :00Am PAGE: 16
SITE ADDRESS: 09653 SW WASHINGTON SQUARE RD MO2 A CLASS OF WORK:
SUBDIVISION WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ,ANRIO
DESCRIPTION: Mechanical for TI. Valuation: $7561.00
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: OREGON HEATING & NC PHONE #: c03-5313-2953
Inspection Request Scheduled For: Date: Pour Time:
10/2912000
Code # Inspection Description Confirm # Contact # Mes-. ge
615 Mechanical rough -in 07732(1.01 503-539-2953 Y
Corrections /Comments /Instructions:
V -PAkS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ) 4 1 Date: r " ' Phone #: 503 718- 4 ?..y
( )
. • 1