Permit CITY TIGARD MECHANICAL PERMIT
i ; � DEVELOPMENT SERVICES PERMIT #: MEC2004 -00636
r�' J- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/10/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT ZONING: C -G
SUBDIVISION: INASEIENGTON SQUARE LOT: JURISDICTION: TIG
Project Description: 2 level parking & 2 level retail.Valuation 928,000.00. Appliances in tables I & II plus 6- Relief hoods & 5
Intake hoods
CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 7
OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS:
STORIES: 2 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 4 DOMES. INCIN:
GAS 3 - 15 HP: COMML. INCIN:
MAX INPUT: 820,000 BTU 15 - 30 HP:
FIRE DAMPERS ?: N 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: 3 <= 10000 cfm: 6 OTHER UNITS:
> 10000 cfm: 3 GAS OUTLETS: 3
Owner: FEES
WASHINGTON SQUARE LLC Description Date Amount
BY THE MACERICH COMPANY [MECH] Permit Fee 6/10/200: $9,522.00
9585 SW WASHINGTON SQUARE RD [MECPLN] Plan Rev 6/10/200E $2,380.50
TIGARD, OR 97223 [TAX] 8% State Surchar€ 6/10/200: $761.76
Phone: Total $12,664.26
Contractor:
KINETIC SYSTEMS INC
DBA FULLMAN COMPANY REQUIRED ITEMS AND REPORTS
5711 SW HOOD
PORTLAND, OR 97201
Phone: 417 -0328 FAX
224 -5221
Reg #: LIC 32357
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: �q Permittee Signature:'
Call 503 - 639 -4175 by 7:00 a.m. for inspections that busin s 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.
/Sgs S,• 0 4 so RP
Mechanicnl' ° ft-.G
11CatlOn OR OFFICE USE ONLY
R eceive / Mechani O
AL xm si.- Date/ . G t0 Permit No.: - Cs'� -- �D p �jl 19d - DV
L c
3 200 Planning Appr. .1 Building
City of Tigard SEP Date/B • Permit No. •
13125 SW Hall Blvd. Plan RevtlwjO ' 3i, Other
Tigard, Oregon 97223 , lTy OF TIGARD Date/B : _ k Permit No.:
Phone: 503 - 639 -4171 Post -Rev" w t u Land Use
g � ;jt:F�,Qi f� giO0 Gm 0, ,, ; , ( t\ Date/By • i Case No.:
Internet: www.ci.tigard.or.us e •' I l Contact i A Juris.: ® See Page 2 for
24 -hour Inspection Request: 503 -639 -4175 - " Name/Method: I t -' T I o, Su. lemental Information.
S DR • GIO°3 — Of/r'
.. . y . ..�..,... ; :�: , TYPE�OF• W. ORIC..•.: . w;�_`;..:
.:: '_
... , � .....- . �: _:. ;- • . , ,� ��:� � ..= '. IGI
: COMERCIAL °'FEE!"SCHEDU L : ; °:USF::CHECICI;TST;. °:
New construction ❑ Demolition Mechanical permit fees* are based on the total value of the work
g r Addition /alteration/replacement ❑ Other: performed. Indicate the value (rounded to the nearest dollar) of all
. l , , ..... ; mechanical materials, equipment, labor, overhead and profit.
:`r;;;'': ��}. �� .r;��C:ATEG.QRY¢OF'.CQNSTRUGTIQ ::.�.•�::�; -; �. <;::-:.
❑ 1 & 2- Family dwelling gt-ommercial/Industrial Value: $ ° 128 1 000. See Page 2 for Fee Schedule
RESIDENTIAL EQUIPMEN TIS,YSTEMSSEE *'1SC13EDULE
❑ Accessory Building ❑ Multi- Family Description I Qty I Fee(ea.) I Total
❑ Master Builder . l;
Other' . : Heatinp 'ii • .: ,
:1;; J. OBSITEINFQRMATIONand ;LO:CATION: ?' ,': ?:•':. , Furnace - add -on air conditioning 14.00
Job site address: 9m8 Wp6thl lQlt S&. pc, Gas heat pump 14.00
Suite #: I g• p '
Bld /A t #: Duct work 14.00
Hydronic hot water system 14.00
Project Name: W1r1e�cJ M''�= Residential boiler
Cross street/Directions to job site: (for radiator or hydronic system) 14.00
u4 ga.. oxrc .. q tt.iteasecmciA Unit heaters (fuel, not electric)
(in wall, in -duct, suspended, etc.) 14.00
OF er (. ei u3p 14040 C-4 4 fact Flue /vent (for any of above) 10.00
Repair units
Lot #: f . 12
Subdivision:
• :. .. :':..... �: Other � ....,:. . •...
Tax map /parcel #: Water heater 10.00
1? =.5;.rt>-:::,: `i `v .ESCRIP:TION`OF:WORWA KVq0 :::6:A Gas fireplace
pC ikiNC oF A t-leuJ ' , N., eatt, Flue vent (water heater /gas fireplace) 10.00 '
Log
Fe Wood/Pellet lighter (gas) 10.00
P,��Ot� TO es vAe,i�rR �° Wood/Pe stove 10.00
A. 'two- ve.m. L- cftweroirvt $t ucivee Wood fireplace/insert 10.00 -
Chimney/liner /flue/vent 10.00
®!I ROPERTViOWNER. ': ° TENANT. ,r .;;f. ..:; :._t: i. ther
Name: prat Cp,APAI4q Env r ` E iii i a ust�8i'Veu t ll ii ti . „.:, .
. Range hood/other kitchen equipment 10.00
Address: ga kat,5titits L J.X \ S. Vtv. lob Clothes dryer exhaust 10.00
City /State /Zip: t'Jtot4UCf! I Cp cl' O1 Single duct exhaust
Phone: Fax: (bathrooms, toilet compartments,
i . :�::,.
• � 680
®= pPPILICAIVT`;'::" �`':'::��:,•:- ��:��, ' • ONTACTRRERSON,;� u rooms)
Name: r 10.00
T J kt` 1C Attic/crawl space fans
wl Other: 10.00
Address: °1GO retwttf . said "100
,..:. .....:': Fuel: P, iping :.. :' : " ....
City /State /Zip: sectt'ClE t mj q & * *($5.40 for first 4, $1.00 each additional)
Furnace, etc. **
Phone: 7.,ef . 4401. (co00 I Fax: ?•OCo. 4f ccoctsi Gas heat pump
**
E- mail: -} Ceti @, dtr . C Wall /suspended/unit heater
`` , ONT TOR`'- .. .... ..... Water heater **
Business Name: 1l 1J f.-'f -tc ■67 -c)-{ 11X., Fireplace **
Address: •57 Range **
City /State /Zip: cbextp94.0 cl eo l c4, 9 -/Jtn / . . . Clothes dryer (gas) **
Phone: - A -4 - 52-2./ Fax: 93 - Ll i 1 - 03 X Other: **
� Total:
CCB Lic. #: Me chani cal - Permit:Fees'' '
Authorize Subtotal: $ 9 � S2Z , DO
Signature: Date: 9(�) 0� Minimum Permit Fee $72.50 $
Plan Review Fee (25% of Permit Fee) $ Z _ 3 f3 n . 5 d
Z State Surcharge (8% of Permit Fee) • $ �- a / . 74
(Please print name) TOTAL PERMIT FEE $'
2 C
Notice: This permit application expires if a permit is not obtained within *Fee methodology set by Tri- County Building Industry Slervice Board.
180 days after it has been accepted as complete.
i:\Dsts\Permit 1:otmms\MecPermitApp.doc 01/03
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
P.
•
•
Commercial Fee Schedule: !'...:1 •:
Total`Valuation: :; Peirinit; "Fee:: .
$1.00 to $5,000.00 Minimum fee $72.50
$5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52
for each additional $100.00 or fraction
thereof, to and including $10,000.00.
$10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and
$1.54 for each additional $100.00 or
fraction thereof, to and including
$25,000.00.
$25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and
$1.45 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 and up $742.00 for the first $50,000.00 and
$1.20 for each additional $100.00 or
fraction thereof.
pP
........... .
Assumed'Valuatti?ns- ; er: - �ance:::.�':,:�: . --
Value Total
Description: Qty (Ea) Amount
Furnace to 100,000 BTU, including 955
ducts & vents
Furnace > 100,000 BTU including ducts 1,170
& vents
Floor furnace including vent 955
Suspended heater, wall heater or floor 955
mounted heater
Vent not included in appliance permit 445
Repair units 805
< 3 hp; absorb. unit, 955
to 100k BTU
3 -15 hp; absorb. unit, 1,700
101k to 500k BTU
15 -30 hp; absorb. unit, 501k to 1 mil. 2,310
BTU
30 -50 hp; absorb. unit, 3,400
1 -1.75 mil. BTU
>50 hp; absorb. unit, 5,725
>1.75 mil. BTU
Air handling unit to 10,000 cfm 656
Air handling unit >10,000 cfm 1,170
Non - portable evaporate cooler 656
Vent fan connected to a single duct 446
Vent system not included in appliance 656
permit
Hood served by mechanical exhaust 656
Domestic incinerator 1,170
Commercial or industrial incinerator 4,590
Other unit, including wood stoves, 656
inserts, etc. •
Gas piping 1-4 outlets 360
Each additional outlet 63
TOTAL COMMERCIAL $
VALUATION: ;
is \Dsts\Permit Forms\MecPermitAppPg2.doc 01/03
CITF;TIGARD
BUILDING DIVISION PERMIT #: MEC2004 -00636
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/10/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 "'I��
INSPECTION WORKSHEET FOR DATE: 10/28/2005 TIME: 7:18AM PAGE: 2
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE EXPANSION
DESCRIPTION: 2 level parking & 2 level retail.Valuation 928,000.00. Appliances in tables I & II plus 6- Relief hoods &
5 Intake hoods
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: KINETIC SYSTEMS INC PHONE #: 417 -0328 FAX
Inspection Request Scheduled For: Date: 10/28/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 019727 -01 503 789 -9340 N
Corrections /Comments / Instructions:
A A A I �
1JIP!�� Kozrzoi
-`•�
.,.
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ C' L FOR I PECTION ❑ ADDITIO AL FE S ASSESSED
Inspector: , i" f Date: tg l./I:/ Phone #: (503) 718 -
CIT¥``t)F TIGARD
BUILDING DIVISION PERMIT #: MEC2004 00636
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
6/10/2005
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 '__..
INSPECTION WORKSHEET FOR DATE: 9/27/2005 TIME: 7:05AM PAGE: 83
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 09585 SW WASHINGTON SQUARE RD M#: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE
DESCRIPTION: WASHINGTON SQUARE EXPANSION
2 level parking & 2 level retail.Valuation 928,000.00. Appliances in tables I & II plus 6- Relief hoods &
OWNER: 5 Intake hoods PHONE #:
CONTRACTOR: WASHINGTON SQUARE LLC PHONE #:
KINETIC SYSTEMS INC 417 -0328 FAX
Inspection Request Scheduled For: Date: 9/27/2005 Pour Time:
Code # Inspection Description Confirm .# Contact # Message
610 Gas line 016665-01 503-789-9340 Y
Corrections /Comments/ Instructions:
bk..
1
4 (4 r5 A .a = Cft L _ L___),..
hDL FMI
Cj /�
•
•
❑ PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 111 Date: • Phone #: (503) 718-
CITY OF TIGARD
� E.c_ 2ao4 - ,
BUILDING DIVISION PERMIT #: oup7n9
13125 SW Hall Blvd., Tigard, OR 97223 �I�II
DATE ISSUED: 1/20/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 F__—
INSPECTION WORKSHEET FOR DATE: 9/21/2005 TIME: 7: 03AM PAGE: 9
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE EXPANSION
DESCRIPTION: Two-level retail with two -level parking structure 9 Restroom Revision. TIF Deferred
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: HOWARD S WRIGHT CONSTRUCTION PHONE #: 503-220-0895
Inspection Request Scheduled For: Date: 9/21/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
-266- Mit=inlopasetilgo - 84626134t 503 -866 -9280 Y
its n 0110Z-90-OS
Corrections /Co ennts /Inst
VOMME iffi .
' . ii1VgiVeM .
❑ PASS 1✓PARTIAL APPROVAL D CANCEL El NO ACCESS
❑ FAIL ❑ CALL Fs' INSPECTION ❑ ADDITIO AL FE S ASSESSED
A
Inspector: •'41, Date: . hone #: (503) 718-
i
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: MEC2004 -00636
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/10/2005
Phone: (503) 639 -4171 �
Inspection Requests (24 Hrs.): (503) 639 -4175 '�� 'IL
INSPECTION WORKSHEET FOR DATE: 9/14/2005 TIME: 7:09AM PAGE: 21
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE EXPANSION
DESCRIPTION: 2 level parking & 2 level retail.Valuation 928,000.00. Appliances in tables I & II plus 6- Relief hoods &
5 Intake hoods
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: KINETIC SYSTEMS INC PHONE #: 417 -0328 FAX
Inspection Request Scheduled For: Date: 9/14/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 015667 -01 971 - 563-7850 N
Corrections /Comments /Instructions: .
— 6 ,
6 "1°1 ) /\:1\ /.
- 01 %)L vp ' . .4 \f‘
❑ PAS ❑ P• 'TI • APPROVAL ❑ CANCE ❑ NO ACCESS
❑ FAIL ❑ ALL F•R INSPEC ON ❑ ADD IONAL EES ASS :SED
Inspector: Da Phone #: (503) 718 -
CITY OF TIGARD
A 1
BUILDING DIVISION PERMIT #: MEC2004 -00636
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/10/2006
Phone: (503) 639 -4171 I
Inspection Requests (24 Hrs.): (503) 639 -4175 . ''I I ..
INSPECTION WORKSHEET FOR DATE: 8/812006 TIME: 7:07AM PAGE: 31
SITE ADDRESS: 09685 SW WASHINGTON SQUARE RD MGMT OFFIC CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE EXPANSION
DESCRIPTION: 2 level parking & 2 level retail.Valuation 928,000.00. Appliances in tables I & II plus 6- Relief hoods &
5 Intake hoods
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: KINETIC SYSTEMS INC PHONE #: 417 -0328 FAX
Inspection Request Scheduled For: Date: 8/8/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
626 Duct work 013061 -01 603-998-7480 N
Corrections /Comments / Instructions:
•
I , r ? ! k W P1 !
-
r .... , _ter
r ■vialb P
❑ PASS ,PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR SPECTION ❑ ADDITIONAL FEES ASSESSED
- 11 11111' r Inspector: A 4 4/ 1 Date: (5 1-9-6 : 7 3 -. Phone #: (503) 718 -
CITY OF TIGARD . ..
BUILDING DIVISION • PERMIT #: MEC2004- 00636
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/10/2005
Phone: (503) 639 -4171 ^ I�
Inspection Requests (24 Hrs.): (503) 639 -4175 'L.
INSPECTION WORKSHEET FOR DATE: 8/1/2005 TIME: 7:05AM PAGE: 3
SITE ADDRESS: CLASS OF WORK:
09585 SW WASHINGTON SQUARE RD MGMT UFFIc�
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE EXPANSION
DESCRIPTION: 2 level parking & 2 level retail.Valuation 928,000.00. Appliances in tables I & II plus 6- Relief hoods &
5 Intake hoods
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: KINETIC SYSTEMS INC PHONE #: 417 -0328 FAX
Inspection Request Scheduled For: Date: 8/1/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
625 Duct work 012558 -01 503 - 99138480 N
Corrections /Comments /Instructions:
• I. o t f2
C�� - ft Cii ....._,
,.
I 0 - - - -
•
❑ PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR' SPECTION ❑ ADDITI NAL FEES ASSESSED
.
Inspector: AM 1, _ Date: `
1 l (Phone #: (503) 718-
•
CITY OF TIGARD -_
' BUILDINd DIVISION PERMIT #: MEC2004 -00636
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/10/2005
Phone: (503) 639 -4171 allii
` Inspection Requests (24 Hrs.): (503) 639 -4175 , �__..
INSPECTION WORKSHEET FOR DATE: 7/6/2005 TIME: 7:12AM PAGE: 72
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE EXPANSION
DESCRIPTION: 2 level parking & 2 level retail.Valuation 928,000.00. Appliances in tables I & II plus 6- Relief hoods &
5 Intake hoods
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: KINETIC SYSTEMS INC PHONE #: 417 - 0328 FAX
Inspection Request Scheduled For: Date: 7/6/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
625 Duct work 010775.01 503 -998 -8480 N
Corrections/Comments/Instructions:
— r t — PiNt *1 ( AST1 ffX-- ()lie sirrcOr atlifrif
1 ,
❑ PASS " PARTIAL APPROVAL 0 CANCEL • NO ACCESS
❑ FAIL III C AL FO' INSPECTION 111 ADDITI• A FEES ASSESSED
A. 1
I nspector: , ∎ Date: � � r 0 Phone #: (503) 718-
■
CIT4F,TIGARD
BUILDING DIVISION PERMIT #: MEC2004 -00636
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/10 /2005
Phone: (503) 639 -4171 �g ,
Inspection Requests (24 Hrs.): (503) 639 -4175 -_' "'I I..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE: B4
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE EXPANSION
DESCRIPTION: 2 level parking & 2 level retail.Valuation 928,000.00. Appliances in tables I & II plus 6- Relief hoods &
5 Intake hoods
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: KINETIC SYSTEMS INC PHONE #: 417 -0328 FAX
Inspection Request Scheduled For: Date: 6/30/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
695 Misc. inspection 010513.01 503-889-9350 Y
Corrections /Comments /Instructions: lovNCI-
COWNS
/ ( TFF RL) Cry x/ i______
g u r Cr( ,U t■ t , 6 1 . EX-.,
of= ' - ( jkbt (
❑ PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL in ALL FOR IN ECTION ❑ ADDITI AL FEES ASSESSED
Inspector: Date: SO hone #: (503) 718-