Permit 1� • CITY OF TIGARD MECHANICAL PERMIT
l� DEVELOPMENT SERVICES PERMIT #: MEC2005 -00819
' II 13125 SW Hall B lvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 12/13/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT ZONING: C -G
SUBDIVISION: OktfSEINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: TI - kousekeeping area Project Value: $5,300
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: S1 VENTS W/O APPL: VENT SYSTEMS:
STORIES: 2 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 12/13/20C $146.90
9585 SW WASHINGTON SQUARE RD [MECPLN] Plan Rev 12/13/20( $36.73
TIGARD, OR 97223 [TAX] 8% State Surchar€ 12/13/20( $11.75
Phone: 503 639 - 8865 Total $195.38
Contractor:
INTERSTATE MECHANICAL INC
2609 SE 6TH AVE REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97202
Contact #: PRI 233 - 7171
Reg #: LIC 55190
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 e • ' • 52 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1-7.10-332-2344.
Iss • d By: /1 _ ///j ; / Permittee Signature: A
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.
Mechanical Permit Application FOR OI FICI. USE ONLY
CI :0 Tl and Received
`�� g Date/By: — Permit No.: // / m ■ �
13125 SW Hall Blvd., Tigard, OR 97223 , PLw Review
Phone: 503.639.4171 Fax: 503.598.1960 , %.' Dateal : Other Permit.
Inspection Line: 503.639.4175 _s_14. '� ;ICI I ? y
Date Ready/By. ru
Internet: www.ci.tigard.or.us Non/Method runs 55 See Page 2 for
fied/Metho 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: $ SJ - 00
❑ 1- and 2- family dwelling g Commercial/industrial RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ Accessory building
❑ Multi- family ❑ Master builder ❑ Other: For special information use checklist.
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
lob site address: 9585 SW Washington Square Road Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State/ZIP: Tigard Oregon 97223 Furnace 100,000 BTU ( ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: I Project name: s -Flt i eprng j ,4 ..e...1. 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: Washington Square 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
Install Ductwork From Existing VAV Box to housekeeping space 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
❑ PROPERTY OWNER I ❑ TENANT Chimney/liner /flue/vent 10.00
Other: 10.00 _
Name: Washington Square LLC Environmental exhaust and ventilation
Address: 9585 SW Washington Square Road Range hood /other kitchen
equipment 10.00
City/State/ZIP: Tigard Oregon 97223 Clothes dryer exhaust 10.00
Phone: ( ) Fax: Single -duct exhaust (bathrooms,
( ) toilet compartments, utility rooms) 6.80
® APPLICANT ® CONTACT PERSON Atticicrawlspace fans 10.00
Other: 10.00
Business name: Interstate Mechanical, Inc. Fuel piping
Contact name: Dan Osborne $5.40 for first four; $1.00 for each additional
Address: 2609 SE 6 Avenue Furnace, etc.
Gas heat pump
City/State/ZIP: Portland Oregon 97202 Wall/suspended/unit heater
Phone: (503) 233 -7171 Fax: : (503) 233 -2902 Water heater
Fireplace
E -mail: dosborne@intermech.com Range
CONTRACTOR Barbecue
Business name: Interstate Mechanical, Inc. Clothes dryer (gas)
Other:
Address: 2609 SE 6th Avenue MECHANICAL PERMIT FEES*
City/ State/ZIP: Portland Oregon 97202 Subtotal
Minimum permit fee ($72.50) / (p /o
Phone: (503) 233 -7171 l Fax: (503) 233 -2902 Plan review (25% of permit fee) ( 7
CCB lic.: 55190 State surcharge (8% of permit fee)
TOTAL PERMIT FEE , ?� R,
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
I Print name: Dan Oshn e I Date: 12.13.05 I • Fee methodology set by Tri -County Budding Industry Service Board
■
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CITY OF TIGARD
BUILDING DIVISION . PERMIT #: MEC2005 -00319
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/13/2005
Phone: (503) 639 -4171 A,mt
Inspection Requests (24 Hrs.): (503) 639 -4175 _ JJ'
INSPECTION WORKSHEET FOR DATE: 2/912000 TIME: 7 :04AM PAGE: ?A
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE
DESCRIPTION: 11 - kousekeeping area Project Value: $5,300
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639.8865
CONTRACTOR: INTERSTATE MECHANICAL INC PHONE #: 233.7171
Inspection Request Scheduled For: Date: 2/9/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
G99 Mechanical final 026563-01 503- 233.7171 _ N
Corrections/Comments/Instructions:
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SS ❑ PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS
❑ FAIL CALLS, OR INSPECTION ❑ ADDITI•NA FEES ASSESSED
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Inspector: 1/ i Date: 0 0 Phone #: (503) 718 - 2
1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200300R19
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 12/13/20f15
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 �' °'f L.
INSPECTION WORKSHEET FOR DATE: 12121/2005 TIME: 7:01AM PAGE: 71
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE
DESCRIPTION: TI - I<ousekeeping area Project Value: $5,300
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639-8865
CONTRACTOR: INTERSTATE MECHANICAL INC PHONE #: 233.7171
Inspection Request Scheduled For: Date: 12121/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
625 Dm work 023819-01 603.819.9168 N
Corrections /Comments/ Instructions:
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❑ PASS FT -14IAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDIT ONAL EES ASSESSED
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Inspector: I Date: l S Phone #: (503) 718-