Permit CI TY OF TIGARD MECHANICAL PERMIT
�l DEVELOPMENT SERVICES PERMIT #: MEC2005 -00407
=" I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/31/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09339 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: HVAC Value: $18,000
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS:
STORIES: 1 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
ELE 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
FURN > =100K BTU: < =10000 cfm: 1 OTHER UNITS: 2
> 10000 cfm: GAS OUTLETS:
Owner: FEES
WASHINGTON SQUARE LLC Description Date Amount
BY THE MACERICH COMPANY [MECH] Permit Fee 8/31/200: $339.50
9585 SW WASHINGTON SQUARE RD [TAX] 8% State Surchaq 8/31/200f. $27.16
TIGARD, OR 97223 [MECPLN] Plan Rev 8/31/200E $84.88
Phone: Total $451.54
Contractor:
ARROW MECHANICAL
10330 SW TUALATIN RD REQUIRED ITEMS AND REPORTS
TUALATIN, OR 97062
Phone: 692 - 1565
Reg #: LIC 5193
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:
Call 503 - 639 -4175 by 7:00 a.m. for inspections th t bum:- 4..*".
This permit card shall be kept in a conspicuous place on the job site unt completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Appli'' +!; FOR OFFICE USE ONLY
City of Tigard Received DateBy. A Q Permit No : ivie-- , di p 2
13125 SW Hall Blvd , Tigard, OR 97223 AUG
Phone 503.639.4171 Fax. 503.598.1960 3 to Plan Revie
la�ru I Date/By Other Permit: Inspection Line. 503.639.4175 el S� Date Ready/By: See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TI + Notified/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
ffi New 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
CATEGORY OF CONSTRUCTION Value: $ 1 Y / to kp l
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1 and 2 family dwelling ® Commercial/industnal ❑ Accessory building
For special information use checklist
❑ Multi family ❑ Master builder ❑ Other: Description I Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating /cooling
Job site address: 95 � vd v�0 L{ {W P Ri Air conditioning or heat pump
� (requires site plan showmi; placement) 14.00
City/State /ZIP: Tr, 6,942 A O Furnace 100,000 BTU (ducts /vents) 14.00
Suite/bldg. /apt. no. / Project name: ''�^' / Furnace 100,000+ BTU (ducts /vents) 17.90
T l J �11� V l /E Gas heat pump 14 00
Cross street/directions to job site: ,// I „�/ /, �(�� 7 0 am -Re Duct work 14.00
�/� ` � ' j ® T'� e Hydronic hot water system 14 00
k6/4,01 0..? C . f 4 . /i. Residential boiler (radiator or
�
+ rO1 E � O hydronic) 14.00
''�` "J 1 Unit heaters (fuel -type, not electric),
.: O13 7 30513 in -wall, in -duct, suspended, etc. 10.00
Subdivision: 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
17- Gas fireplace 10.00
`S+
• AsrA- ( A /`t 1, - 1 ) I - d u�.7 t 2. , tot � /mu ,S7) .bO$ Flue vent for water heater or gas
� / f ' 00 L Q Log l 10.00
' Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /msert 10.00
❑ PROPERTY OWNER I ❑ TENANT Chimney/liner /flue /vent 10.00
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
le APPLICANT if§ CONTACT PERSON Attic /crawlspace fans 10.00
Other:
Business name:
/'tkTouJ iMEGRAAhesti COW l RI'CX Fuel P �P� R S pi in 10.00
g
Contact name: �,Q' S G +N / C H $5.40 for first four; $1.00 for each additional
Address: /0 33 es 31 w � ��/�/47/ Al 7 1) , Gas heat etc.
/State /ZIP pump
Ci
tY T/ a��T� N Q R. � 7 � 6 � Wall/suspended/unit heater
Phone: 603 ) 69 -. /5' ,, Fax:: ( 53) 69 / - / 8 7 el Water heater
Fireplace
E -mail:
Range
CONTRACTOR Barbecue
Business name:A Ma OAK K AI CD J T®� 5 Clothes dryer (gas)
Other.
Address: t0&3 S t 1l9 i, Tt4 t+rLt Tr jt g D MECHANICAL PERMIT FEES*
City/State /ZIP: 47 Nt ,n ,k Subtotal 29'/, q,5'°
ll�'v ® " Minimum permit fee ($72.50)
Phone )65)8 — / 5 Fax:5 3) 4Q9/ -- / N 7 Plan review (25% of permit fee) 73, 7
CCB lic.: ! S 93 State surcharge (8% of permit fee) 23 b0
rl����� TOTAL PERMIT FEE '392
Authorized signatur L%%� ,... lN . This p ermit application expires if a permit is not obtained within' 180
days after it has been accepted as complete.
Pnnt name: A.AT 5Q /A c MEP, Date: ?"- ri * Fee methodology set by Tri -County Building Industry Service Board
Mechanical Permit Application - City of Tigard •
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total Valuation: Permit Fee:
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
1:\Buildmg \Permits \MEC- PermitApp.doc 12/03 2
A4 EC_,?._Oz7 5- c)
Form 4a Project Name: Janeville at Washington Square Page: 1
SYSTEMS - GENERAL
Applicability Plans /Specs
Discussion of qualifying Show compliance by includin• • iti ' '• - detail
exceptions on page 4 -25 number, specification sec ' •Z.• . . 2.y .:.- z -,;.
1. Applicablity (Section 1317)
62858PE y I,
Is this form required?
0 Form Required. Complete form if a new HVAC system is being installed • Co •• „ • �!' - . of
existing HVAC system are being replaced (I.e., equipment, controls, duc 1' ;,.'• : ••n.) ik / •• ae+• O
20
❑ Exception. The building or part of the building qualifies for an ex•-pti• ; . ' .- • •de
requirements. Applicable code exception is Section 1317.1. Portions oft - ' n• that
qualify: 7, IRATION DATE: ,12 Li
Area: Exception ❑ -1 ❑ -2 ❑ -3
Area: Exception ❑ -1 ❑ -2 ❑ -3
Area: Exception ❑ -1 ❑ -2 ❑ -3
❑ Form Not Required. This project does not contain work required to comply with code.
2. Simple or Complex Systems (Section 1317.9 or 1317.10)
o Simple System. Building contains only Simple HVAC System(s). Complete this form (4a) and
equipment efficiency worksheets as required. Form 4b is not required.
❑ Complex System. Project includes a Complex System. Complete this form (4a), form 4b and
equipment efficiency worksheets as required.
3. Equipment Performance (Section 1317.5)
o No New HVAC Equipment. The building plans do not call for new electrical HVAC equipment,
combustion heating equipment, or heat - operated cooling equipment.
❑ Complies. All new HVAC equipment have efficiencies not less than those required by code.
The following equipment efficiency worksheets are attached:
❑ -4a ❑ -4b ❑ -4c ❑ -4d ❑ -4e ❑ -4f ❑ -4g ❑ -4h ❑ -41 ❑ -4j
4. Duct Insulation and Sealing (Sections 1317.7 8b 1317.8)
❑ No Ducts. The building plans and specifications do not call for new HVAC ducts or plenums.
o Complies. The plans and specifications call for all air - handling ducts and plenums to be
insulated and sealed as required by Sections 1317.7 &1317.8.
5. Distribution Transformers (Section 1316.1)
❑ No Distribution Transformers. The plans /specs do not call for new distribution transformers.
❑ Complies. All new distribution transformers comply with efficiency, testing, and labeling
requirements of Section 1316.1.1.
❑ Exception. The project qualifies for an exception per Section 1316.1.1, Exceptiion:
❑ -1 ❑ -2 ❑ -3 ❑ -4 ❑ -5 ❑ -6 ❑ -7 ❑ -8 ❑ -9 ❑ -10 ❑ -11 ❑ -12 ❑ -13 ❑ -14
Attach relevant documentation for appropriate exception. The plans /specs show compliance in the
i'
�_ , following locations:
4 - April 2005
Compliance with O55C, effective 01/01/05
Form 4a Project Name: Janeville at Washington Square Page: 2
SYSTEMS - GENERAL
6. HVAC Controls (Section 1317.4)
6.1 System Thermostat /Zone Controls (Section 1317.4.1)
o Complies. All new HVAC systems include at least one temperature control device responding to
temperatures within the zones.
❑ Exception. HVAC system qualifies for an exception from zone control requirements.
The applicable code exception is Section 1317.4.2, Exception 0-1 0-2
Portions of the building that qualify:
The plans /specs show compliance in the following locations:
Sheet M1.1 and Section 15500, 2.3, B
6.2 Off - hour Controls - Auto Setback or Shutdown (Section 1317.4.3)
o Complies. Systems must have at least one of the following features:
❑ Control Setback Complies. Each system is equipped with automatic control capable of reducing
energy through control setback during periods of non -use or alternate use of spaces served.
o Equipment Shutdown Complies. Each system is equipped with controls capable of reducing
energy use through automatic shutdown during periods of non -use or alternate use of spaces.
HVAC systems with equipment shutdown are equipped with at least one of the following:
o Programmable controls (1317.4.3.1 (1))
❑ Occupant sensor (1317.4.3.1 (2))
❑ Interlocked to a security system (1317.4.3.1 (3))
❑ Manually activated timers with 2 -hour operation max (1317.4.3.1 (4))
❑ Exception. The building qualifies for an exception to the requirement for automatic setback or
shutdown controls. The applicable code exception is Section 1317.4.3
Exception 0-1 ❑ -2
The plans /specs show compliance in the following locations:
Sheet M1.1
6.3 Control Capabilities (Sec. 1317.4.2.1)
o Complies. Zone thermostats are capable of being set to the temperatures described in Sec.
1317.4.2.1. Where used to control both heating and cooling, zone controls shall be capable of
providing a temperature range or deadband of at least 5 degrees F within which the supply of
heating and cooling energy to the zone is shut off or reduced to a minimum.
❑ Exception. The building qualifies for an exception to the deadband requirements.
The applicable code exception is Section 1317.4.2.1 Exception 0-1 0-2
Portions of the building that qualify:
The plans /specs show compliance in the following locations:
Sheet M1.1
6.4 Optimum Start Controls (Section 1317.4.3.2)
❑ Complies. Separate HVAC systems have controls capable of varying start-up time of system to
just meet temperature set point at time of occupancy.
o Exception. HVAC systems have a design supply air capacity not exceeding 10,000 cfm.
The plans /specs show compliance in the following locations:
Sheet M1.1
6.5 Heat Pump Controls (Section 1317.4.4)
o No Heat Pump. The plans /specs do not call for a new heat pump
- ❑ Complies. All new heat pumps equipped with supplementary heaters are controlled to minimize
the use of supplemental heat as defined in Section 1317.4.4.
•'r '� The plans /specs show compliance in the following locations:
r i.r
4-2 April 2005
Compliance with OSSC, effective 01/01/05
Form 4a Project Name: Janeville at Washington Square Page: 3
SYSTEMS - GENERAL
7. Economizer Cooling (Section 1317.3)
❑ No Cooling. The building plans do not call for a new fan system with mechanical cooling.
El Complies. Each new fan system has an air economizer capable of modulating outside -air and
return -air dampers to provide up to 100 percent of the design supply air as outside air.
❑ Exception At least one new fan system qualifies for an exception. The applicable code exception
is Section 1317.3, Exception 0 -1 0 -2 0 -3 0 -4 0 -5 0 -6
If Exception 3 is selected complete the following:
(a) Total cooling capacity of exempt units (Btu /hr)
(b) Total installed building cooling capacity (Btu /hr)
❑ Complies. Sum of exempt units rated at less than 54,000 Btu /hr is <240,000 Btu /hr or a/b
< 0.10 (10% of total building cooling capacity).
Unit Identifier of exempt units:
The plans /specs show compliance in the following locations:
Sheet M1.1
8. Economizer Pressure Relief & Integration (Section 1317.3.1 and 1317.3.2)
❑ No Economizers Required. Project does not contain a new fan system requiring economizers.
El Overpressurization Complies. The drawings specifically identify a pressure relief mechanism for
each fan system that will relieve the extra air introduced by the economizer.
o Integration Complies. Economizer is capable of providing partial cooling even when additional
mechanical cooling is required to meet the remainder of the cooling load.
❑ Exception. The applicable exception is Section 1317.3.2, Exception ❑ -1 0 -2
The plans /specs show compliance in the following locations:
Sheet M1.1
9. Hot Gas Bypass (Section 1317.5)
El No Hot Gas Bypass
❑ Complies. See allowable amount of hot gas bypass as a percentage of total cooling capacity in
table below.
Unit ID Rated Cooling Capacity Hot Gas Bypass Capacity
( ") < , Allowable Hot Gas Bypass
Rated Cooling Capacity Max,Hot Gas Bypass
� < 240,000 Btu /hr 50%
`1 >240,000 Btu /hr 25%
❑ Exception. Unitary packaged system with cooling capacity no greater than 90,000 Btu /h
4 -3 April 2005
Compliance with OSSC, effective 01/01/05
Form 4a Project Name: Janevllle at Washington Square Page: ' 4
SYSTEMS - GENERAL
10. Shutoff Dampers (1317.4.3.3)
❑ Not Required. Shutoff dampers are not required on this project.
o Complies. Each outdoor air supply & exhaust system shall be equipped with motorized dampers.
❑ Exception. The building qualifies for an exception to the motorized damper requirement. The
applicable code exception is Section 1317.4.3.3 Exception 0-1 0-2 0-3 0-4 0-5 0-6
The plans /specs show compliance in the following locations:
Sheet M1.1
10.1. Shutoff Damper Controls (Section 1317.4.3.3.1)
o Complies. Outdoor air supply and exhaust systems shall be provided dampers that automatically
shut when systems or spaces served are not in use or during building warm -up, cooldown, or
setback.
❑ Complies. Stair and shaft vents are capable of being automatically closed during normal building
operation and interlocked to open as required by fire and smoke detection systems.
The plans /specs show compliance in the following locations:
Sheet M1.1
10.2. Motorized Damper Leakage (1317.4.3.3.2)
❑ Complies. Motorized outdoor air supply and exhaust air dampers have a maximum leakage rate
of 4 cfm /ft2 at 1.0 in w.g. when tested in accordance with AMCA Standard 500 -1998.
o Exception. Packaged HVAC equipment may have maximum leakage rate of 20 cfm /ft at 1.0 in
w.g. when tested in accordance with AMCA Standard 500 -1998.
The plans /specs show compliance in the following locations:
Sheet M1.1
11. Piping Insulation (Section 1314)
❑ No New Piping. The building plans and specifications do not call for new piping serving a heating
or cooling system or part of a circulating service water heating system.
O Complies. All new piping serving a heating or cooling system or part of a circulating service water
heating system complies with the requirements of the Code, Section 1314.1.
❑ Exception. New piping qualifies for exception: Section 1314.1, Exception 0- 0-2
12. Occupancy Ventilation
o Complies. Mechanical ventilation systems provide the required amount of ventilation is indicated
in plans /specifications as specified in Chapter 4 of the Oregon Mechanical Specialty Code.
❑ Complies. Natural ventilation systems provide required amount of ventilation as certified by a reg-
istered architect or engineer as specified by Section1203.4.1, Exception. Attach worksheet 4m.
The plans /specs show compliance in Sheet M1.1
the following locations:
The plans /specs show compliance on
. '- the following pages:
r" 5 `!
J
{ 11
4-4 April 2005
Compliance with OSSC, effective 01/01/05
Form 4a Project Name: Janeville at Washington Square Page: 5
SYSTEMS - GENERAL
•
13. High Occupancy Ventilation (Section 1317.2.2)
❑ Complies. HVAC systems with ventilation air capacities of 1,500 CFM or greater that serve
areas having an average occupant load of 20 square feet per person or less from Table 1004.1.2
have a means to automatically reduce outside air intake.
Identify applicable systems:
Plans /specs indicate where equipment (i.e. carbon dioxide sensor) and sequence is specified:
❑ Exception. HVAC systems are equipped with an energy recovery device with at least 50%
recovery effectiveness.
o No High Occupancy Systems. Project does not contain an HVAC system as described above.
14. Exhaust Air Heat Recovery (Section 1318.3)
El Not Regulated. HVAC system does not have: 1) design supply air cap. of >10,000 cfm, and 2)
min. outside air supply >70 %, and 3) at least 1 exhaust fan rated at 75% of min outside air
❑ Complies. Heat recovery system increases outside air temperature by 20 °F (Climte Zone 1) or
30 °F (Zone 2) and has provision to provide bypass during air economizer mode.
❑ Exception. An HVAC system qualifies for an exception to this requirement. Applicable exception
from Section 1318.3 ExceptiorlJ -1 0-2 0-3 0-4 0-5 0-6 0-7
The plans /specs show compliance in the following
locations:
15. Large Volume Fan Systems (Section 1318.4.2.4)
o Not Regulated. The building plans or specifications do not call for fan systems over 15,000 CFM
that serve a single zone and function for the purpose of temperature control.
❑ Complies. Fan systems are equipped with variable frequency drive or two speed motor to reduce
airflow as required by Section 1318.4.2.3.
The plans /specs show compliance in the following
locations:
16. Variable Speed Drives (Section 1317.10.3.1)
o Not Regulated. The building plans or specifications do not call for fan and pump motors 10
horsepower and greater that serve variable -flow air or liquid systems.
❑ Complies. All fan and pump motors 10 hp and greater which serve variable -flow air or liquid
systems are controlled by a variable -speed drive.
❑ Exception. The building qualifies for an exception to the variable -speed drive requirement.
Portions of the building that qualify:
Applicable code exception is Section 1317.10.3.1, Exception
The plans /specs show compliance in the following
locations:
17. Service Water Heating (Sec. 1315)
❑ No New Water Heating. The building plans and specifications do not call for new water heaters,
hot water storage tanks or service hot water distribution systems.
. o Complies. All new water heaters, hot water storage tanks or service hot water distribution
systems comply with the requirements of the Section 1315.
❑ Exception. The applicable code exception is Section: Exception:
r. '3 :' Portions of the building that qualify:
0 "'� The plans /specs show compliance in the following locations:
Sheet M1.1
4 -5
April 2005
Compliance with OSSC, effective 01/01/05
I
Form 4a Project Name: Janeville at Washington Square Page: 6
SYSTEMS - GENERAL
18. Swimming Pools, Spas and Hot Tubs (Section 1315.5)
El No New Pools. The building plans and specifications do not call for new, swimming pools, spas
or hot tubs.
❑ On /Off Controls Complies. Spa and hot tub heaters are equipped with a readily accessible
ON /OFF switch as required by Section 1315.5.1.
❑ Ventilation Controls Complies. Pool ventilation system is controlled based on humidity.
❑ Cover Complies. All heated pools, hot tubs and spas are equipped with a cover.
❑ Heat Recovery Complies. Pools, Spas, and hot tubs, over 200 ft utilize recovered heat as
required by Section 1315.5.3.
❑ Exception. Heat recovery is not necessary as pool is heated by renewable energy or
waste heat recovery sources capable of providing at least 70 percent of the heating energy
required over an operating season.
19. Fume Hoods (Section 1317.2.1.)
o No Fume Hoods. The building plans do not call for fume hood systems that have a total exhaust
rate greater than 15,000 cfm.
❑ Complies. Fume hood systems have at least one of the following features:
❑ Variable air volume hood exhaust and room supply systems capable of reducing exhaust
and makeup air volume to 50% or less of design values.
❑ Direct makeup (auxiliary) air supply equal to at least 75% of the exhaust rate, heated no
warmer than 2° F below room set point, cooled no cooler than 3° F above room set point,
no humidification added, and no simultaneous heating and cooling used for
dehumidification control.
❑. Heat recovery systems to precondition makeup air from fume hood exhaust in accordance
with 1318.3 - Exhaust Air Energy Recovery, without using any exception.
The plans /specs show compliance in the following locations:
20. Parking Garage Ventilation (Section 1317.2.3)
El No Enclosed Garages. The building plans and specifications do not call for enclosed Group S -2
parking garages with a ventilation exhaust rate greater than 30,000 CFM.
❑ Complies. The plans and specifications call for carbon monoxide sensing devices as required by
Section 1317.2.3.
❑ Exception. Open parking garages.
21. Kitchen Hoods (Section 1317.11)
El Not Regulated. The plans /specs do not call for any new kitchen hoods with exhaust capacity
greater than 5,000 cfm each.
❑ Complies. All new kitchen hoods with a total exhaust capacity greater than 5,000 cfm have at
least 50 percent of the required makeup air; (a) unheated or heated to no more than 60 °F; and (b)
uncooled or evaporatively cooled.
=.' The plans /specs show compliance in the following locations:
22. Outside Heating Systems (Section 1317.12)
o No Outside Heating Systems. The plans /specs do not call for new permanently installed heating
systems outside the building.
❑ Complies. All new permanently installed outside heating systems are radiant gas fired systems
controlled by an occupancy sensor or timer switch as required by Section 1317.12.
4-6 April 2005
Compliance with OSSC, effective 01/01/05
OF_ TIGARD
BUILDING DIVISION PERMIT #: MEC2005.00407
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/31/2005
Phone: (503) 639 -4171 • Ak.
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/3/2005 TIME: 7:07AM PAGE: 73
SITE ADDRESS: 09339 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ,IANEVILLE
DESCRIPTION: HVAC Value: $18,000
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ARROW MECHANICAL PHONE #: 6921565
Inspection Request Scheduled For: Date: 10/3/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 017192 -01 503 -692 -1565 N
Corrections /Comments /Instructions:
/ A_, •
ariparagramimgroim
❑ PASS RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL . • CALL FOR INSPECTION ❑ ADDITION L FE S ASSESSED
Inspector: Date: (C Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005 -00407
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/31/2005
' Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/9/2005 TIME: 7:09AM • PAGE: 59
SITE ADDRESS: 09339 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: JANEVILLE
DESCRIPTION: HVAC Value: $18,000
•
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ARROW MECHANICAL PHONE #: 692 -1565
Inspection Request Scheduled • For: Date: 11/9/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 • Mechanical final 020713-03 303 - 921 -4940 N
Corrections /Comments /Instructions:
•
%4111
arM&VA
J.
❑✓PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL . ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � Date: ( (/? 6 #: (503) 718-