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Permit • CITY TIGARD MECHANICAL PERMIT I, DEVELOPMENT SERVICES PERMIT #: MEC2005 -00422 r �'J 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/16/2005 PARCEL: 1S12600-00300 SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT ZONING: C -G SUBDIVISION: TalitESEIENIGTON SQUARE LOT: JURISDICTION: TIG Project Description: Restroom remodel, add new exhaust fan & ductwork. Project Value: $7,330 CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: 1 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: 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 7/18/200; $184.70 9585 SW WASHINGTON SQUARE RD [TAX] 8% State Surchaq 7/18/200E $14.78 TIGARD, OR 97223 Phone: 503 639 - 8865 Total $199.48 Contractor: KINETIC SYSTEMS INC 26055 SW CANYON CREEK RD REQUIRED ITEMS AND REPORTS WILSONVILLE, OR 97070 Phone: 503 224 - 5200 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: Permittee Signature: f Call 503 - 639 -4175 by 7:00 a.m. for inspections 0 siness day. This permit card shall be kept in a conspicuous place on the job site u til completion of the project. Approved plans are required on the job site at the time of each inspection. FROM KINE =IC SYSTEMS 503 384 - 9502 (MON)JUL 11 2005 14:12/ST.14:11/No,6800267328 P 3 . iviecnanical Permit Application FOR 1)1-t7CL USE UNLI• City of Tigard E!CW PermitNo.: Hie 6- 13125 SW Hall dTigard, OR 97223 Phone: 503.639.4171 Fax: 503.598.1960 ., (4 . Date/ Date/By; Other Permit: Inspection Line: 503.639.4175 �, 1 _/_� J I 1 D �,,, Date Ready/By: Jude ® Ready/By: !J See Page 2 for • Internet: www.ei.tigard.or.us Notified/Method ;7 jy / Supplementalloformadon ,.,.,, „ 4:i,� ;pit, Ew0 r,,; - kt,...11� - , - ,.T,,YP ?t:w.o ;,' .,,,,,.,.�,,,,, ,, , , "• : CO MER,GAIsr,7�EE�'��IILCIIil� g •�.. _[al%j Ha+ i ❑ Ncw construction ® Addition /alteration/replacement • Mechanical permit fees* are based on the value of the work pertbmtcd. indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, eyujpment, labor, overhead, and profit. - .:.: :;',: .... : ', C rEGORl; is F cSTRUGTION ., :,`i �'I;,��}�}Y,II'�{'rr,i4jtu''.i Value: $ 57.330.00 - �'�'" _.�., . ,, .:�.� ': ' ' ,� oN :;;+; :• • r' •s`.:ri9:�,•.�'ri�tldNel41i1t� � �• �: r, y .,�, -. -.. • ❑ 1- and 2- family dwelling ID Commercial/industrial ❑ Accessory building ' � " a " "" " "' ��` 4 � 1 For special information use checklist. - ❑ Multi- family ❑ Master builder ❑ Other: Description l (qty. I Ea. I Total r , `i',;:;-,T,;! ' , � ' :∎''t:4.J;O +Slag_IX1t,011 !►t 11OlY1 N1) -; LUC` �I . , :' +1 llesting Joh site address: 9585 SW Washington Square Rd. Air conditioning or heal pump (.squires Bile plan shpwingplaCwment) - 14.(X) City/State /ZIP: Tigard, OR 97223 _ Furnace 100,000 BTU (ducts/vents) 14.00 Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: I Project name: Mall Restroom Remodel Can 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 Flue /vent for any of above 10.00 Subdivision: I Lot no.: Other: 10.00 Tax map /parcel no.: Other fuel appliances 1,,r, _ _ y � ' a is 1 °1YS .. - - : ',",; i l - � : 1 qn M y ^ ,•., ., W ater heater 0 ,,. , ...�+., i�5` R? � ',•�tDLSGR�P7�Q11t- rQF +WQltIC� ;;i.,,: ;,, J��'' li�fi ;,�'�� ?;''��iC•;';r - - - -- - 1 - - - Add new exhaust fan and ductwork serving new man's room, remodeled women's room Gas fireplace 10.00 and family restrooms. Flue vent for water heater or gas ' fireplace 10.0() Demo exhusting fart serving trash room. Log lighter (gas) 10.00 Wood/pellet stove 10.00 _ Wood fireplace/insert 10,00 .` ir _ Chinatey/liner/ ludvent 10.00 w', ; • .114%. P R .0,0VO!i!.ERss ri y ti; ,�_', rk` `} 4t N �`',' Other, 10.00 1 , f r� i.' r • ;:� : .a sYPI;CIAI!txl;li;j ; �]".4� °i.;�l. Name: The Macerich Company Environmental exhaust and ventilation Range hood/other kitchen Address: 401 Wilshire Blvd. Suite 700 equipment 10.00 City/Slam /ZIP: Santa Monica, CA 90401 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (425)867 -080B Fax: (425 -)867 -1577 toilet compartments, utility rooms) , 6.80 ; ,,..: r y , , - c , „ „x,l�Y�, =�.�y Attic/crawlspace fans ' 10.00 • , 1 , _ . ... l2l'lAl'PI:1tGi'1riro'':i " � it it'o : ir�' ii i , ,.. i i r ieti o . 0 11V -'_ , n.'r r�., lI :v'r, ilex i;l,iNE (T: ?. : {,•'.s- :;- i...... Other: 10.00 _ Business name: Kinetic Systems Inc Fuel piping Contact name: Peder Trelstad 55.40 for first four; $1.00 for each additional humace, etc. Address: 26055 SW Canyon Creek Rd. Gas heat pump City /Slale/Z1P: Wilsonville, OR 97070 Wall/suspended/unit heater Water heater Phone: (503) 709 - 2928 l Fax: : (503) 384 -9502 Fireplace E -mail: Range ' ''';- i;i+ , ;11'11:, x 'sh�`°',�Yr „ It ,• , t c M, i r't, �' ": ;<:•' Barbecue .. :1�,�., ti . j• , �jl� e} .i ,.l � f'Y, }I',, . .. W'yl�'i"�': ': =,.;• ';:.�r. � "• '`'.'=::` " .'-..�•-: , ° Cfll!1'1'+R•AGTQiil,t,. +l'�. �.l��?,,:,, „_;; �• - Clothes dryer (gat) Business name: Kinetics Systems inc. ()Met , M.,'tiv% A'.,� ", NI'.r._. �•, lh i�rl I..ni �4' : .. Address: 26055 SW Canyon Creek Rd. Ailtyj j f Cd ► 4 - I ffi igir � lUorl; 4 City/Statc/'L1P: Wilsonville, Or 97070 Subtotal • Minimum permit fee ($72.50) / S� 72) Phone; (503 - 224 - 5200 1 Fax: (503 - 2244521 Plan review (25% of permit fcc) --8- - CCB lie.: 32357 State surcharge (8% of permit fee) /AI; 7g TOTAL PERMIT FEE / 99. it, 7•hh permit appiication expires If a permit Is not obtained within 180 Authorized signature: ` _ days after It has been accepted as complete. I Print name: Peder Trelstad f Date: w • Fee methodology set by Cuou Building industry 5ervi.c Beard iuirunyWdmatal -P wAo l7/ , 1 , 44na61 Tr(IIro2/COM/w6a) ' V �, 7fit 65 0 4-4k Le-a.) ‘11/21t CITY TIGARD BUILDING DIVISION PERMIT #: MEC200&00422 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/16/2005 Phone: (503) 639 -4171 Alte Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 17 SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: WASHINGTON SQUARE EXPANSION DESCRIPTION: Restroom remodel, add new exhaust fan & ductwork. Project Value: $7,330 OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 639 - 8865 CONTRACTOR: KINETIC SYSTEMS INC PHONE #: 503 -224 -5200 Inspection Request Scheduled For: Date: 10/31/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 019885 -01 503 789 -9340 N Corrections/Comments/Instructions: YIP"— �v I t Y r a PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED / �� Inspector: i, // 1 Date: 6 � Phone #: (503) 718- . F TIGARD BUILDING DIVISION PERMIT #: MEC2005.00422 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/16/2005 Phone: (503) 639 -4171 ,,11 yq�i�l Inspection Requests (24 Hrs.): (503) 639 -4175 :.�i 1.L INSPECTION WORKSHEET FOR DATE: 10/26/2005 TIME: 7:07AM PAGE: 82 SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: WASHINGTON SQUARE EXPANSION DESCRIPTION: Restroom remodel, add new exhaust fan & ductwork. Project Value: $7,330 OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639 -8865 CONTRACTOR: KINETIC SYSTEMS INC PHONE #: 503-2245200 Inspection Request Scheduled For: Date: 10/26/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 640 Exhaust hood 019368 -01 503 - 789-9340 N Corrections /Comments /Instructions: , , II , ,_______________ l s. �1 --ft._ Winn ® 3ijf_ ,____- _ , r PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL : C' LL F R INSPECTION [1] ADDITI *NAL FE S ASSESSED ■ Inspector: 4 Date: I 6 Phone #: (503) 718- F TIGARD IP C- , BUILDING DIVISION PERMIT #: p2v0 a - / � Z 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 .v.,,,, ^'(I "i� Inspection Requests (24 Hrs.): (503) 639 -4175 ..,, :_.. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: '3 8'( ''e/ 1i- . s Q' CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: I OWNER: - - -_. PHONE #: G n(� �� 1 CONTRACTOR: 6 PHONE #: / / / M/ /os Inspection Reques or: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message 6.V-5 Pocr of 617434 0 l Corrections /Comments /Instructions: _ A II -_ ' , , i ( ' I - .4 (P -,- - ____ I NF , ❑ PASS RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL _ CALL FOR IN El ADDITI NAL EES ASSESSED *tea Inspector: '�`/ Date 03 Phone #: (503) 718- .