Permit CITY TIGARD MECHANICAL PERMIT
PERMIT #: MEC2005 -00823
41i� DEVELOPMENT SERVICES 06
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: DATE ISSUED: 4/25/20 /25/20 -00300
SITE ADDRESS: 09777 SW WASHINGTON SQUARE RD D9,10 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: T.I. Valuation: $ 25,600.
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: 1 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: Y 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 0 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: 4 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 4/25/200E $442.10
TIGARD, OR 97223 [MECPLN] Plan Rev 4/25/200E $110.53
[TAX] 8% State Surcha 4/25/200E $35.37
Phone: Total $588.00
Contractor:
ARROW MECHANICAL
10330 SW TUALATIN RD
TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503- 691 -1879
PRI 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: 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.
MPS hanical1'Illlt L'� �1 11Ca li O 11 A I K t FOR OFFICE USE ONLY
. City of Tigard i, ( / I p
� � f � , Received
Date/By. ermit No � ,l ,
13125 SW Hall Blvd , Tigard, OR 972 #1 y ' ' v
Plan Rev
Phone: 503 41 Fax. 503 598.1960 I Other Permit
• Date
Inspection Line: 503.639 4175 Re
Date Re. T li: –
4 H
�+ r 1 e See Page 2 for
Internet www.ci tigard on ` us _� ` �� Notified/Method .., III Supplemental Information
. vu� '
1 E Ac 'F'' - * f
�j��� jl� � A�,X�I ti COMMERCIAL FEE SCHEDULE — USE CHECKLIST
® New construction Q 7� i hfalt /replacement Mechanic. ` t� mit f s* are based on the value of the work �✓
perfo 'd ��, the value (rounded to the nearest dollar) of all
❑ Demolition ill Other: nine ida ���rrials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION fAkt) )NN Value: $ r a . 2 d 0 h
dwelling 1! SIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2-family L°
y g ® Commercial /industrial ❑ Accessory building d
111 Multi-family For special information use checklist. 4
y ❑ Master builder ❑ Other:
Description Qty. Ea. Total Cip
9 7 7 / JOB SITE INFORMATION AND LOCATION Heating /cooling
Job site address 5S5 W Washington Square Rd Air conditioning or heat pump NZ
(requires site plan showing placement) `I 14.00 S(, 0 r .
City/State /ZIP: Tigard, Oregon 97223 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90 O
Suite/bldg. /apt. no.: D -9 Project name: Hollister #511 Gas heat pump 14.00
P
Cross street/directions to job site: Washington Square Mall Duct work `f 14.00 51,.0
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
Retail Construction Gas fireplace 10 00
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
ID PROPERTY OWNER ® TENANT Chimney /liner /flue /vent 10.00
Other 10 00
Name: Abercrombie & Fitch Environmental exhaust and ventilation
Address: 6301 Fitch Path Range hood /other kitchen
equipment 10 00
City /State /ZIP: New Albany, Ohio 43054 Clothes dryer exhaust 10 00
Fax: 614 283 -8541 Single -duct exhaust (bathrooms,
Phone:
(614)283-6541 ( ) toilet compartments, utility rooms) 6 80
❑ APPLICANT ® CONTACT PERSON Attic /crawlspace fans 10 00
Other: 10.00
Business name: Thorson Baker & Assoc., Inc. Fuel ing i
P
Contact name: Jeff Zunt $5.40 for first four; $1.00 for each additional
Address: 3030 West Streetsboro Road Furnace, etc
Gas heat pump
City /State /ZIP: Richfield, OH 44286 Wall /suspended/unit heater
Phone: (330) 659 -6688 Fax: : (330) 659 -6675 Water heater
Fireplace
E -mail: jzunt @thorsonbaker.com Range
CONTRACTOR Barbecue
Business name: TBD Clothes dryer (gas)
s� Other
Address: MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal ii / , 0
Phone: ( ) Fax: ( ) Minimum permit fee ($72 50)
Plan review (25% of permit fee) I I
CCB lic.: State surcharge (8% of permit fee g 13 .4b
TOTAL PERMIT FEE J )yg,96
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Date: * Fee methodology set by Tn- County Building Industry Service Board
i \BuddmglPermits\. \mC- PermitApp doc 12103 440 -4617T (I1/02/COM/WEB)
CITY OF TIGARD . .__ ,
BUILDING DIVISION PERMIT #: MFC 005 -00823
13125 SW Hall Blvd., Tigard, OR"97223 DATE ISSUED: 4/2&200 i
Phone: (503) 639 -4171 � .4boolik-- I nspection Requests (24 Hrs.): (503) 639 -4175 A I
INSPECTION WORKSHEET FOR DATE: 6/2212006 TIME: 7:01AM PAGE: BB
SITE ADDRESS: 09.777 SW WASHINGTON SQUARE RD D9,10 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: HOLLISTER CO.
DESCRIPTION: T.i aluation: $ 25600.
•
OWNER: WASHINGTON SQUARE L.LC, PHONE #:
CONTRACTOR: ARROW M E CHAN ICAL PHONE #: `03692 15G5;
Inspection Request Scheduled For: Date: 6/2712006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 032110 -01 972-249-6695 N
Corrections /Comments/ Instructions:
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PASS ❑ PARTIAL APPROVAL ' ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 11 Date: 01 7 - 1-76 / C Phone #: (503) 718- 2 -- -Y Z i
CITY,IOF TIGARD .
BUILDING BUILDING DIVISION • PERMIT #: MFt:,2005.0 323
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4125/2006
Phone: (503) 639 -4171 ' •mo, l�l
Inspection Requests (24 Hrs.): (503) 639 -4175 _.' W °_-
INSPECTION WORKSHEET FOR DATE: 5/25/2006 TIME: 7 :03AM PAGE: 72
SITE ADDRESS: 09777 SW WASHINGTON SQUARE RD D9,10 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: HOLLISTER CO
DESCRIPTION: T.I. Valuation: $ 25,600.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ARROW MECHANICAL PHONE #: 503 - 692 - 1565
• Inspection Request Scheduled For: Date: 5/25/2006 Pour Time:
Code # Inspection Description Confirm # Contact # • Message
• 615 Mechanical rough -in 030552 -01 972.249-6895 N
Corrections /Comments /Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
III FAIL ❑ CALL FO INSPECTION ❑ ADDITIONAL FEES ASSESSE •
Inspector: ' � � Date: Phone #: (503) 718-
;
CITY OF TIGARD _.'
BUILDING DIVISION PERMIT #: INA E 02005.00 23
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/25/200!;:,
Phone: (503) 639 -4171 "'�� 1,' A,
Inspection Requests (24 Hrs.): (503) 639 -4175 `'1
INSPECTION WORKSHEET FOR DATE: 4126/2005 TIME: 7:03AM PAGE: 40
SITE ADDRESS: 09777 SW WASHINGTON SQUARE RD 09,10 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF'USE:
PROJECT NAME: HOLLISI ER CO.
DESCRIPTION: T.I. Valuation: $ 26,600.
OWNER: WASHINGTON SQUARE LLCM, PHONE #:
CONTRACTOR: ARROW MECHANICAL PHONE #: 603-692-1565
Inspection Request Scheduled For: Date: 4/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 028732 -01 . 503 - 692 -1565 N
Corrections/Comments/Instructions:
/7 c+ ./Ira. e-A",i (?)____r . ■r\l\.1
e `w
❑ ASS ❑ PARTIAL APPROVAL
El CANCEL El NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: i� 3 Date: L YZ(C)7 4 Phone #: (503) 718- ( /