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Permit e , CITY OF TIGARD MECHANICAL PERMIT ifr4 u01 DEVELOPMENT SERVICES PERMIT #: MEC1999 -00304 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/23/02 PARCEL: 1S126C0-01403 SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD SUBDIVISION: ZONING: C -G BLOCK: LOT: JURISDICTION: TIG CLASS WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: 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: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1 > 10000 cfm: GAS OUTLETS: Remarks: Mechanical TI Owner: FEES THE MAY DEPARTMENT STORES Type By Date Amount Receipt 611 OLIVE ST PRMT CTR 7/23/02 $50.00 2720020000 ST LOUIS, MO 63101 5PCT CTR 7/23/02 $3.50 2720020000 PLCK CTR 7/23/02 $12.50 2720020000 Phone: HOUR CTR 7/23/02 $58.41 2720020000 HOUR CTR 7/23/02 $58.41 2720020000 Contractor: HOUR CTR 7/23/02 $58.41 2720020000 (additional fees not shown here) C K INDUSTRIES PO BOX 762 Total $303.50 BEAVERTON, OR 97075 KtUUIKtU INSPtU I TUNS Mechanical Insp Phone: 503 - 624 -6070 Duct Inspection Reg #: LIC 119163 Final Inspection Final Inspection 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 -0080. You may obtain copies of these rules or direct questi s to 0 N • ',calling Issue By: , ez.,LA 4 ) Permittee Signature/ Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next bu - < ess day i ; I • L -, 1 P Check - 1--2.C-- . CITY OF TIGARD ) Mechanical Permit Application Reed By 13125kSVAALL BLVD. Commercial and Residential Date Recd 7 /.2- TIGARD, OR 97223 1 Date to P.E./ ((D - 1 ° I (503) 639 -4171, x304 Date to DST -1 qiE9 1 Print or Type Permit # - �" 7 Incomplete or illegible applications will not be accepted a Callea -99 :o� Name of Development/Project Description p OG �� f'ICIL'R i F12ANk Table 1A Mechanical Code Qty Price Amt J Street Address Suite# A) Permit Fee ° � "" 16.00 Address -or ' 1) Furnace to 100,000 BTU �� © O �� Was including ducts & vents see footnote 1,2 9.65 Bldg# City /State Zip Ti '3�� J 2) Furnace 100,000 BTU+ Gf 7 2- 2 including ducts & vents see footnote 1,2 12.00 I Name (or name of business) nn 3) Floor Furnace Owner 1 QvtQ,(/l,'( gr eS -- includin vent see footnote 1,2 9.65 n Mailing Addr . ' 4) Suspended heater, wall heater p ' �l� or floor mounted heater see foot^:.�te 1,2 9.65 } I (A) t Q I (v e J t • 5) Vent not included in appliance permit 4.75 ( I I ) City/State Zip Phone Check all that apply: *Boiler Heat Air ^ L I,Cl , MD 10310 ( For items 6 -10, see or Pump Cond Qty Price Amt Name (or name of business) footnotes 1,2 Z Com 11 E Ei 4 1' rl;) W li V 6) <3HP;absorb unit to VI l (- 100K BTU 9.65 Q Occupant Mailing Address 7) 3-15 HP;absorb unit o , 100k to 500k BTU 17.65 r City /State Zip Phone 8) 15 -30 HP; absorb unit .5 -1 mil BTU 24.15 Contractor Name 9) 30 -50 HP; absorb C. 1� 1 "t unit 1 -1.75 mil BTU 36.00 / I 1 11c4US t 10) >50HP; absorb unit r'r. Prior to permit Mailing Add ss / >1.75 mil BTU 60.15 issuance, a copy PO t IDp x 76 a 11 Air handling unit to 10,000 CFM / of all licenses /State o Zip Phone 7.00 are required if CLUQ V\ - I$O l 707 6 7n 12) Air handling unit 10,000 CFM+ expired in COT Oregon Const Cont. Board Llc # Exp. Date 11.75 database 1 1 9 i ( p Z - ( - ( 9 0 13) Non - portable evaporate cooler Architect Name ) 7.00 6 11 I5 ` 5 / 1 Ck A55 Oat f 14) Vent fan connected to a single duct Mailing Address 4.75 or 5.200 S (-J Vi a_us:kw( *3 IR 15) Ventilation syst:.m not included in appliance permit 7.00 Engineer Ciy/State zip hone 16) Hood served by mechanical exhaust Par Ind a7z.0 ( 22 -6 .) 7.00 Describe work to be done. 17) Domestic incinerators 12.00 New 0 Repair 0 Replace with like kind: Yes`O No 0 18) Commercial or industrial type incinerator Residential 0 Commercial iS, 48.25 19) Repair units Additional information or descnption of work: 8.40 ' 20) Wood stove /gas FP /other units /clothe dryer /etc. ( 7.00 NOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets structural gas talcs. See footnote 1 3.75 I Type of fuel: oil 0 natural gas 0 LPG 0 electric 0 22) More than 4 -per outlet (each) .75 Minimum Permit Fee $50.00 SUBTOTAL ,(� I hereby acknowledge that I have read this application, that the information 7% SURCHARGE e � °� ? �Ijp given is Corr ct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL 4 .)_ t e wn r at alanibmitt ?compliance with eg, n Late laws. Required for ALL commercial permits only }' ��a+ TOTAL : x gnat of Owner /Agent ate ' ' ' J , Kclr l 3. e k Other Inspections and Fees: 1. Inspections outside of normal business hours (mininum charge -two Contact Persc&lame Phone hours) $50.00 per hour 3 ro o k in 5 evi 6 24 -(0070 2. Inspections for which no fee is specifically Indicated (minimum charge -half hour) $50.00 per hour Foonotes for commercial projects only: 3. Additional plan review required by changes, additions or revisions to 1. Provide full schematic of existing and proposed gas line and pressure. plans (minimum charge -one -half hour) $50.00 per hour 2. Provide drawings to scale showing existing and proposed mechanical units. *State Contractor Boiler Certification required "Residential A/C requires site plan showing placement of unit I:lmechperm.doc rev 02/4/99 • CITY OF TIGARD BUILDING INSPECTION DIVISION & MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 ,, / B ul� 0� — Date Requested it barn AM PM 1 5 l BLD Location q 3erb � / ad LdG ` RI Suite MEC CJ Contact Person Z / 1 Ph ?to' g9 PLM Contractor Ph SWR BUILDING Tenant/Owner Mite./ -.4-- �l G, � ELC iqI - 60 ( Retaining Wall ELR Footing Access: a n Foundation �� cL� 61 G a4JZ FPS Ftg Drain Crawl Drain Ins ec iQQn- Notes: / A 1 SGN Slab C'�.C�( �.!//� CBi►t� YY�.Z.C� SIT Post & Beam Ext Sheath /Shear 3 '�. Int Sheath /Shear Framing Insulation 4 r� , l / / / Drywall Nailing /._ _ �� L:_ _,Z.4--ea Fire wall 4 l (D _ Fire Sprinkler 6. (d — • . - Fire Alarm • I • r 1 Susp'd Ceiling - ..1. �, ��Z:� _ __ = - --,. Roof . / i M i �W . _ ,� iA _ �� I . _..t_._..../ -L;L;� . FAIL ' _ t .. BI BLC - D36 ( 4 "Q'./ A Post & Beam l � , � Under Slab X/V /1 1, .Q,/J� \ '1 zu\.� roc s -r g Top Out - I Water Service a &. , / '� c k s 1 4'L Sanitary Sewer / ( ( ,} Rain Dr 7 0 l 9 V, l ) CY1 c-L ,-- • Final t \.�-- PASS PART FAIL MECHANICAL I V V/ IG10I / b a 1,6 I - C\2_ 6-(', (�, S 1 � 1 Post & Beam l rr G / `` / U[ 4 . a - Gas In i LC/ 1CNvt s Do '3 0 I " ✓V1 od, -(..,‘A Line Smoke Dampers d p 0M O\cicl - 01)'2 3 S - \ Final ' �r rr � PASS P ART FAIL � 14 V �i � l ) d 'Z, — 1�vy`c� ,( _ /1 Service ELECTRICAL _ bY`� G( ) �� GV0s - Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date ` � 2_/ Inspector V ' Ext ] C I Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. .:°