Permit CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00309
'� I 1 3 125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/7/2005
PARCEL: 1 S126CA -01000
SITE ADDRESS: 09009 SW HALL BLVD 142 ZONING: C -G
SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT: JURISDICTION: TIG
Project Description: Install (1) condenser unit, (1) evaporator coil and refrigeration lines for cooler supplied by customer.
Project Value: $1,800
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B 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: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
WASHINGTON SQUARE PLAZA Description Date Amount
BY THE CAFARO COMPANY [MECH] Permit Fee 6/7/2005 $72.50
P 0 BOX 422 [TAX] 8% State Surchar€ 6/7/2005 $5.80
FLORHAM PARK, NJ 07932
Total $78.30
Phone:
Contractor:
COMMERCIAL REFRIGERATION INC
5920 SE GLISAN STREET REQUIRED ITEMS AND REPORTS
PORTLAND, OR 972133790
Phone: 234 - 6445
Reg #: LIC 65271
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
o - 800 - 332 -23
ssued By: A ke../frpai_ P ermittee Signature: A 4 ` . _
Call 503 - 639 -4175 by 7:00 a.m. for inspections th. f . fns day.
This permit card shall be kept in a conspicuous place on the job si e until completion of the project.
Approved plans are required on the job site at the time of each inspection.
bUILLJ
Mechanical Permit .ate. "�h FOR OFFICE:USE ONLY — -
CI of Tigard Received A PermitNo.: !!pp
131 SW Ha11 Blvd., Tigard, OR 97223 n��� Date/By: �� ��� ` /� ��,TJ
J u N ( Plan Review
Phone: 503.639.4171 Fax: .503.598.1960 Other Permit: ll ® Seri �Q 2 —
® Uearr;Hr ; DateB
Inspection Line: 503.639.4175 - µ 1 Date Ready/By: MI See Page - for
7Y OF TIGA ._
Internet: www.ci.tigard.or . us Q4 �,i � � C {{pps�� ®tV ® � Notified/Me[hod: Supplemental Information
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lew 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.
t 3' �i*Ag r`l w:r v Value: $ 'g�
i . - - r �CATI;GOITy OF'=G,OI�STRIICTIO • ,Sc ' 1,, , /
§� '.s. .,.xaaa.2c� -r `� _,�..:�?��asx�; :s•:s �.a: �e s�.. .:�awr'�a�. s.�s..e �:• <,:�:�cg; s; :1'' -�, hr ^r .:s• >w�a =.`� 1.: ••s,.a. €r•�«• . . �;�;ra; =3..:�• „^ ,
❑ 1- and 2- family dwelling [ eommerciallindustrial ❑ Accessory building
,!', R S ,PRIT ;L E1�T >/aSI §TKMS�FF;ES*
Master builder For special information use checklist.
M ulti -famil
❑ Multi-family ❑ ❑ Other: Description Qty. Ea. I Total
"`� ” � � - i».�s�� sue. � �. �u�-�" �? .� _� �'.�';:°
"; 4 B' '[e 'T kl!IaStfritibtitAb$ l' ' �' ° fie ' ' Heating/cooling
„, is i i . i...:. -si :: -: .: a s :»a:.. � , i a4..t _ . ,, :z',"' " „�: k;ik. .. >;
Job site address: 9 � Air conditioning or heat pump
�� 5 (requires site plan showing placement) 14.00
City/ State/ZIP: . - -` c ArtA. Oa-- Furnace 100,000 BTU (ducts /vents) 14.00
Suite/bldg. /apt. no.: Project nameiR p ( 6-� C Gas Furnace 100,000+ BTU (ducts vents) 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: I 10.00
Tax map /parcel no.: • Other fuel appliances •
£ DESC�RIP { fIO' tV U W NIZ -r°� - Water heater 10.00
n Gas fireplace 10.00
:1 s7` - Oke C. cL�Sf7 Lo _ 5 Cl�/0 pife� Flue vent for water heater or gas
> i yg�oezD 't ai p� � m 1 ^ . fireplace 10.00
�[ I UJ tK�[�- Log lighter (gas) 10.00
�) �G'� Wood /pellet stove 10.00
I 6JAP 9. 1 Cea n t� 11‘..49 ood fireplace /insert 10.00
Ckr W + Chimney /liner /flue /vent 10.00
,� ti1P.R.O R MR �..� ., T a :
,. � ����� �� z. m- �� - �� �a��> � �..�..a� � 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
W' : � �,. OWi I � 4 ` , •.. � ii Attic /crawlspace fans 10.00
.. We - x . .-... .._ . .. -s, * . , „ ( . ..,. L�r G T _ P ON . ,. ,-,
Business name: �� U-�- 2��oiL ��(J ,,t t rCD Other: 10.00
Fuel piping
Contact name: „.i,..ill L 1i�"•( �r � C�� $5.40 for first four; $1.00 for each additional
�� �- Furnace, etc.
Address: S I ti �C,`s ,~_�J
Gas heat pump
City/State /ZIP: 1km -- ® 17 2, / 3 Wall/suspended /unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail:
Range
,W : *7-,' ;'S` "; r7*± ., "?: - :;. sue: rt reerii^ : .�- �a 1.. Vi a. .; , °st , ,. `.
is _ .t .�E"C� Y) 'l�R O` a k . ,A�? .;. Barbecue
Business name: Clothes dryer (gas)
� /�.4 nt.ce G' Rafil l9 /�- Z`l!�� Other:
ti` rr.,;; x.',.^- r,^., 5�: 8 :. °„^.u�: ;;ttF.';a..a:,'"L a ^t^-. r?«_,.q,•, „cs.R3,h�.s'x�7eE^«i:�,•: it: . _..
Address: s--q2, / � _ ,- S « ;N.
/U 6_4 5 A) IY` C L writs
City/State /ZIP: � - (1_, Q7 '? . Subtotal �y�
Phone: (5 33) �34' C(4' 3 Fax: (so3) 2_67- 6667
Minimum permit fee ($72.50) � �V
Plan review (25% of permit fee)
CCB lie.: (9 6- S / State surcharge (8% of permit fee) 5
I TOTAL PERMIT FEE 75, 50
` � J — z 'e^ This permit application expires if a permit is not obtained within 180
Authorized signatureL y
days after it has been accepted as complete.
Print name`Te �/ , t4.. c. C.' e ^
\ wm Date ? - -c 5 7 * Fee methodology set by Tri- County Building Industry Service Board
i:\ Building PermitsC- Petmit 12/03 "�' C 440 -4617T (I I /02 /COM/WEB)
CITY, OF.TIGARD
BUILDING DIVISION PERMIT #: MEC2006- 00309
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/7/2005
Phone: (503l�639 -4171 ia p„ l � h „
Inspection Requests (24 Hrs.): (503) 639 -4175 �
INSPECTION WORKSHEET FOR DATE: 6/13/2005 TIME: 7:08AM PAGE: 79
•
SITE ADDRESS: 09009 SW HALL BLVD 142 CLASS OF WORK:
SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT #: TYPE OF USE:
PROJECT NAME: BAJIIO
DESCRIPTION: Install (1) condenser unit, (1) evaporator coil and refrigeration lines for cooler supplied by customer.
i Project Value: $1,800
OWNER: WASHINGTON SQUARE PLAZA, PHONE #:
CONTRACTOR: COMMERCIAL REFRIGERATION INC PHONE #: 2346445
Inspection Request Scheduled For: Date: 6/13/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 009027 -01 ' 503 - 234 -6446 N
Corrections /Comments / Instructions:
�l
4
ofi •
PASS El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
(l FAIL ❑ CALL FOR SPECTION ❑ ADDITIO L FE ASSESSED
14 1
Inspector: � Date: t 9 ' : 718-