Permit C ITY OF TIGARD Ze MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00264
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/8/2007
PARCEL: 1S12600-00300
SITE ADDRESS: 09685 SW WASHINGTON SQUARE RD C7 ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: LUCKY BRAND JEANS
Project Description: Duct, register and grille replacement.
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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
WASHINGTON SQUARE LLC Description Date Amount
BY THE MACERICH COMPANY
9585 SW WASHINGTON SQUARE RD [MECH] Permit Fee 5/8/2007 $184.70
TIGARD, OR 97223 [TAX] 8% State Surchar€ 5/8/2007 $14.78
Total $199.48
Phone:
Contractor:
ARROW MECHANICAL
10330 SW TUALATIN RD
TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 692 -1565
FAX 503- 691 -1879
Reg #: LIC 5193
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center.
Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OU NC by
calling 503.246.6699 or 1.800.332.2344.
Issued By. k / d• i� _� � i Permittee Signature: aa.( r � �
Call 503.639.4175 by 7:00 a.m. for inspections that business da
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechani J Lmipiicat EDI o FOR OFFICE USE ONLY •
- City of Tigard , pp Received g •
P�I li o 1 Date/By: Ay, ij� Permit Non/40G ..... G7 � ,
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503 598 1960 /�,. , ' Other Permit:
Inspection Line: 503.639.4175 �+� Y U' ` i ' Date/By: O ' " , - 2 ` Date ReadyBy: Jun$ _ ® See Page 2 for
Internet: www.ci.tigard.or.us BU! IL ' - ='- - • Notified/Method.. ' Supplemental Information
TYPE OF WORK 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.
CATEGORY OF CONSTRUCTION Value: $ -7, L/(
❑ 1- and 2- family dwelling { m
C'omercial/industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ Multi-family For special information use checklist.
y ❑Master builder 0 Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION 1 Heating/cooling
Job site address:9, j g,' S, 44/. ‘4..),16,4). SQu A/L- a...0. /i e09. Air conditioning or heat pump
C� (requires site plan showing placement) 14.00
City/ State/ZIP: 7), ��<7 , 0�2 7 : 2 2. Furnace 100,000 BTU ( ducts/vents) 14.00
Suite/bldg./apt. no.: Furnace 100,000+ BTU (ducts/vents) 17.90
e O Pro ject name:Lt,eG,,ey & 44/JD 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
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
Gas fireplace 10.00
a-
ter er /2 , /.. 7..2 / .2../4-4... . E /`//�� d PL...4C Eq,SrS 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
l� ;ROPERTY OWNER ❑ TENANT Chimney/liner /flue/vent 10.00
Other: 10.00
Name: GLC G/L
4 '/ 8/1- flla7) n �E.aJ�Js Environmental exhaust and ventilation
Address: S2 g3 ,41. C 0,47 At.� . Range hood/other kitchen
equipment 10 00
City/State/ZIP: (4644i -I 010 e..4 , 90056 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone:
231 2 S 2 - yapi, Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Business name: Other: 10.00
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: 4 O ��MA.�JC4"L L 6 �rrQ . _a
dryer (gas)
Other:
Address: Jo 330 54 . u,Ai_.q'- MECHANICAL PERMIT FEES*
City/State /ZIP: ---7-,_, 4LA1-7 ;), &e 9°7oe 2 Subtotal tO / • 7
P hone: Ep3) td .� , /6---4,,s- Fax: 3' 4c) /- / -7 Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic.: 57 3 State surcharge (8% of permit fee) / Li. 77
' TOTAL PERMIT FEE /9 . {GQ�
Authorized signa .13/ 11P- - 111111111r. e-- , <------ This permit application expires if a permit is not obtaintd wit in 80
days after it has been accepted as complete.
Print name: /1 ✓/ . /22 u 57-1,1..)5*-e Date g.- •7 -d • Fee methodology set by Tri -County Building Industry Service Board
Mechanical Permit Application - City of Tigard '
Page 2 - Supplemental I nfor m ation
Commercial Fee Schedule:
Total Valuation: Permit Fee:
$1.00 to $2,000.00 , a : , -Minimum fee $72.50 ,
$2,001.00 to $5,000:00 - $72.50 for the first $2,000.00 and $2.30
. • . 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.
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i:\ Building \Pernvts \MEC- PermitApp.doc 12/03 2
i
CITY OF TIGARD
BUILDING DIVISION ` PERMIT #: MEC2007 -00264
13125 SW Hall Blvd., Tigard, OR 97223 ,., DATE ISSUED: 5/8/2007
Phone: (503) 639-4171 1 liI�I
Inspection Requests (24 Hrs.): (503) 639 -4175 +� '':_� , ,,,_ .
INSPECTION WORKSHEET FOR DATE: 6/18/2007 TIME: 7:04AM PAGE: 29
SITE ADDRESS: 09685 SW WASHINGTON SQUARE RD C7 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME. LUCKY BRAND JEANS
DESCRIPTION: Duct, register and grille replacement.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ARROW MECHANICAL PHONE #: 503
Inspection Request Scheduled For: Date: 6/18 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # M � - -r�•.:
615 Mechanical rough -in 050389 -01 503 - 793 -2854 OF rM
Corrections/Comments/Instructions:
Air i S71 '\I Li Milli
• 7P-- ,.
' P 'A AL APPROVAL 111 CANCEL ❑ NO ACCESS
� FAIL ❑ ► , • OR INSPECTION . ❑ ADDITION FEES ASSESSED
Inspector: —
■,
Date: 16 O� Phone #: (503) 718- l�
lb
Gri- r
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00264
13125 SW Hall Blvd., Tigard, OR 97223 4 . DATE ISSUED: 5/8/2007
Phone: (503) 639 -4171 ,,11 i
Inspection Requests (24 Hrs.): (503) 639 -4175 :..'! "I I..
INSPECTION WORKSHEET FOR DATE: 6125/2007• TIME: 7:01AM PAGE: 59
SITE ADDRESS: 09685 SW WASHINGTON SQUARE' RD • C7-- ..:, CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #€f= TYPE OF USE:
PROJECT NAME: LUCKY BRAND JEANS Tzli
DESCRIPTION: Duct, register and grille replacement.
OWNER: WASHINGTON SQUARE LLC, ' -- ,-_, PHONE #:
CONTRACTOR: ARROW MECHANICAL __ PHONE #: 503 -692 -1565
Inspection Request Scheduled For: Date: 6/25/2007 - Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 050808 -01 503-692 -1565 N
Corrections /Comments / Instructions:
. 7 •
PASS " P. 'TIAL APPROVAL ❑ CANCEL El NO ACCESS
❑ FAIL - • , C FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
f•
Inspector: - - -- __ Date: ZS ---- /Phone #: (503) 718 -6