Permit it
• •
CITY OF TIGARD MECHANICAL PERMIT
A DEVELOPMENT SERVICES PERMIT #: MEC2006 -00113
. `. r�I! 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/22/2006
PARCEL: 1S12600-00300
SITE ADDRESS: 09710 SW WASHINGTON SQUARE RD F -1 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Vav Box replace, duct, grills CE fan, controls. Value: $9000
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: 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: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
WASHINGTON SQUARE LLC Description Date Amount
BY THE MACERICH COMPANY [MECH] Permit Fee 2/22/200€ $213.50
9585 SW WASHINGTON SQUARE RD [TAX] 8% State Surchar€ 2/22/200€ $17.08
TIGARD, OR 97223
Phone: Total $230.58
Contractor:
ARROW MECHANICAL
10330 SW TUALATIN RD REQUIRED ITEMS AND REPORTS
TUALATIN, OR 97062
Contact #: FAX 503- 691 -1879
PM 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
Issued By: S �.c--L Permittee Signature: •
Call 503 - 639 -4175 by 7:00 a.m. for inspections tha iness 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.
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Mechanical Permit A ° lica on OFFICE r
Gitrefwitiffiamia IC USE Old LY
(' G i Date received Pemtit N
18880 SW Martina�t Aye FEB 2 2 2006 -z - 21 4. „be) 0'I i 00//3 .
Tualatin, OR 97062 D ate issued 1 N
Phone 503 -691 -3044 Fax 692-54 CI Tiii , • Receipt
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TYPE OF WORK COMMERCIAL FEE' SCHEDULE — USE CHECKLIST
Mechanical permit fees' are based on the value of the work
❑ New construction ddrtton /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 S 'PO ®p OD
RESIDENTIAL EQUIPMENT / SYSTEMS FEES'
❑ I- and 2- family dwelling ommerctal /Industnal ❑ Accessory building
For special information use checklist.
` ❑ Multi - family Master builder El Other: Description Qty En I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: — g J con S� mil✓, 5O A. A zi / condace ditionin g g add-on air
� 7.50
City/State /ZIP: q ?le, Gas heat pump 6.00
Suite/bldg. /apt no.: Project name reri° k' / Duct work 6 00
�° /'% )✓v Hydronic hot water system 6 00
Cross street /directions to job site i d .5 Residential boiler (radiator
t � ' ' or hydronic) 6 00
Unit heaters (fuel -type. not
electric), in-wall, induct.
suspended, etc. 6 00
Flue /vent for any of above 450
Other:
Subdivision: Lot no
Other fuel appliances
Tax map /parcel no.: Water heater 9.00
DESCRIPTION OF WORK Gas fireplace 7.50
1 � �° Flue vent for water heater
/ t v e p S/ Jt j ` ° ' ,p v c / t ��� or gas fireplace 450
,/ �� N ' /° v � v / Log tighter (gas) 4 50
d LE Wood/pellet stove 7 50
f�y Co9 Wood fireplace/insert 7 50
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Chimney/liner/flue/vent 4.50
Other:
❑ PROPERTY OWNER ❑ TENANT
Environmental exhaust and ventilation
Name Range hood/other kitchen
equipment 4 50
Address: Clothes dryer exhaust 4.50
City /State /ZIP: Single-duct exhaust
(bathrooms, toilet
Phone: ( ) Fax ( ) compartments, utility rooms) 3 00
❑ APPUCANT ❑ CONTACT PERSON Attidcrawlspace fans 4 50
Other:
Business n:une. Fuel piping I I
Contact mine' S2 00 for first four. S 50 for each additional
Furnace. etc
Address.
Gas heat pump
City /State /ZIP: Wall/suspended/unit heater
Water heater
Phone ( ) Fax ( ) Fireplace
E -mail: Ran e
CONTRACTOR Barbecue
Clothes dryer(eas)
Business name. L., ,,r,,,,,, Ai Are Al Other: Total Outlets
Address: / ) 3 3C Sid.) 7r- PA 44 7 A MECHANICAL PERMIT FEES'
Ci1j /ZIP: 7 ` 5 7I 2 Subtotal
Mini mum permit fee —
Phone: ( c 4 9 2 l 5' 6 Fax. (� ,‘ 9/ i / / J 7 Plan review (___.% of permit fee)
CCB Iic.: 5) 9 3 State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized il This permit application expires if a permit is not obtained
signature: - >>. - 41,_ within 180 days after it has been accepted as complete.
Print name: . ,r- 5 �A..../..r.,06:2- % , ,- Date: 2 .,r.....O -ea - Fee methodology set by Tn -Goan inkling Itvhntry Service B
,e 1,o ���//
CITY -0C TIGARD _ �►
BUILDING DIVISION PERMIT #:evi& 0006 -DO //3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIM : PAGE:
SITE ADDRESS: g7 /0 V v A2 N Sc // j Pd F` l CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: � ((�� PHONE #C61 (g — 1 SbS
'h,�(
CONTRACTOR: Ca ✓ PHONE #:
Inspection Request Scheduled For: Date: — — `c Pour Time:
Code # Inspection Description Confirm # Contact # ' Message
Gic
Corrections /Comments/ Instructions:
' SE ma c. F t • pel , : L t• .,
Viw
❑ PA ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FE r S ASSESSED
411110.!4(
Inspector: IF, Date: 1 *AI Phone #: (503) 718 - 2---4-z-3
f _
CITY OF TIGAR® /Y1 �C
BUILDING DIVISION PERMIT #: Z 0616 -°
it
1 3
13125 SW Hall Blvd., Tigard, OR 97223 311 411 DATE ISSUED:
Phone: (503) 639 -4171 w
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
_SITE ADDRESS: f 7 / d j ,, 5'0 CLASS OF WORK:
SUBDIVISION: LOT ;-. TYPE OF USE:
PROJECT NAME: -- "
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3—.2- 7-0 Pour Time:
Code # Inspection Description Confirm # Contact # Message
(' 1S fl y' le 9 - (�s�
Corrections /Comments /In ructions:
(Lict, 3/4 ) --ass
Cc-P-e-S
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: `� �- Date: 3 /z2/�' Phone #: (503) 718 -�
CITY OF TIGARD L `'
BUILDING DIVISION PERMIT #: MEC20ck 00113
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2i:012.00:3
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/ &2006 TIME: 7 :10AM PAGE:
SITE ADDRESS: 09710 SW WASHINGTON SQUARE RD F - 1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: FOR LOVE 21
DESCRIPTION: VtlY Box replace, duct, grills CE fan, controls. Value: $9000
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ARROW MECHANICAL PHONE #: 503 - 692 -1f65
Inspection Request Scheduled For: Date: 5r:,i2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 029386-03 36&01••8167 N
Corrections /Comments /Instructions: •
.I VA / • :
'W %_ mmI
— ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL F: S ASSESSED
Inspector: "4
Date: ° Phone #: (503) 718- 24\--2;