Permit r
CITY OF TIGARD
MECHANICAL PERMIT
ili Al
°''" COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00038
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/24/2008
PARCEL: 1512600 -00300
SITE ADDRESS: 09712 SW WASHINGTON SQUARE RD F03 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: AEROSOLES
Project Description: Duct to VAV box (1). Value' $5282.00
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:
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: 1
> 10000 cfm: GAS OUTLETS:
Owner: FEES
WASHINGTON SQUARE LLC Description Date Amount
BY THE MACERICH COMPANY
9585 SW WASHINGTON SQUARE RD [MECH] Permit Fee 1/24/200E $146.90
TIGARD, OR 97223 [TAX] 12% State Surch 1/24/200E $17.63
Phone: Total $164.53
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 OUNC by calling 503.246.6699 or 1.800 332.2344
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(�are-dati
Issued By: lk Permittee Signature:
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.
°, If , i i4 , ra 1 q �� `.. .�,�i
Mechanical Perm t L �°'f
_.� rJ i ' t, "' FOR °F:ICU: LSE ONLY
City of Tigard Received
t3' g Date/By: . 011 • j
III a a �_ . , r
13125 SW Hall Blvd., Tigard, ORi ,'232 v 20 0 Plan Review '
Phone: 503.639.4171 I ax, 503.5 $.1960 Date/By Other Permit
- - G A R D Inspection Line: 503. i9.f 1i5 j � . � D Date Ready/By. IIM El See Page 2 for
Internet: www.ti gv U's 1 d Notified/Method Supplemental Information
TYPE OF WORK COMMERCIAL FEE' SCHEDULE - USE CHECKLIST
❑ New construction ® Addition/alteration/replacement Mechanical permit fees' are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ 5282.00
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building
El Master builder For special information use checklist.
❑ Multi- family
❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 9712 SW WASHINTON SQUARE Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State/ZIP: TIGARD OREGON Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg. /apt. no.: F03 Project name: AEROSOLES Furnace 100,000 + BTU (dicrs /venu) 17.90
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
VA. V Pei e r DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
TENNANT IMPROVEMENTS TO EXISTING HVAC SYSTEM WITH A SINGLE Flue vent for water heater or gas
EXISTING FAN POWERED BOX THAT IS PNEUMATICLY CONTROLLED fireplace 10.00
Log lighter (gas) 10.00
- p u ,t 1. - f -D limi 86.k J Wood/pellet stove 10.00
Wood fireplace/insert 10.00
❑ PROPERTY OWNER I ® TENANT Chimney /liner /flue /vent 10.00
Other: 10.00
Name: Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name: Arrow Mechanica, Inc. Fuel piping
Contact name: ART OR CAMERON $5.40 for first four, $1.00 for each additional
Address: 10330 SW TUALATIN RD Furnace, etc.
Gas heat pump
City/State/ZIP: TUALATIN OR 97062 Wall/suspended/unit heater -
Phone: (503) 692 -1565 Fax: : (503) 691 -1879 Water heater
Fireplace
E -mail:
Range
CONTRACTOR Barbecue
Business name: Arrow Mechanics, Inc. Clothes dryer (gas)
Other:
Address: 10330 SW TUALATIN RD MECHANICAL PERMIT FEES*
City/State/ZIP: TUALATIN OR 97062 Subtotal l y(o,9O
Phone: (503) 692 -1565 Fax: (503) 691 -1879 tl Minimum permit fee ($72.50)
� ). Plan review (permit fee) ) '7. I,"
CCB lic.: 5193 State surcharge f permit fee)
TOTAL PERMIT FEE
AUthoriz. signature: This permit application expires If a permit Is not obtained within 180
I -.. Y /f (� 1� �/ r .� days otter U has been accepted as complete
I - - 1' A• l
CITY OF TIGARD . .
BUILDING DIVISION PERMIT #: MEC2000-00038
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 104/200:3
Phone: (503) 639- 4171I�
Inspection Requests (24 Hrs.): (503) 639 -4175 �:- '' I ..
INSPECTION WORKSHEET FOR DATE: 313/2008 TIME: 7:00AM PAGE: 32
SITE ADDRESS: 09712 SW WASHINGTON SQUARE RD F03 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: AFRO SOLES
DESCRIPTION: Duct. to VAV box (1). Value: $5282.00
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ARROW MECHANICAL PHONE #: 503 - 692
Inspection Request Scheduled For: Date: 3/3/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 065961 -02 503- 692-1565 N
Corrections/Comments/Instructions:
/ 4,
4
P ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ‘ v � Da te: 3 / 3 / Phone #: 503 718- Z '�Z-" C/
P ) I
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC20(}t°t•f1t"038 (:.:1. 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/24 /20013
Phone: (503) 639-4171 t1 r
Inspection Requests (24 Hrs.): (503) 639 -4175 . _ F_ / /
INSPECTION WORKSHEET FOR DATE: 212.5/2008 TIME: 7:00AM PAGE: 29
SITE ADDRESS: 09712 SW WASHINGTON SQUARE RD F03 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: AEROSOLES
DESCRIPTION: [)ur:t to VAV box (1). Value: $5282.00
OWNER: WASHINGTON SQUARE LI_C, PHONE #:
CONTRACTOR: ARROW MECHANICAL PHONE #: 503^692 -1555
Inspection Request Scheduled For: Date: 2126/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 065552 -01 503.692 -15565 N
Corrections /Comments /Instructions:
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❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
7,4 FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: / Phone #: (503) 718- Ly 2_41