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Permit
• - 1 C ITY OF TIGARD MECHANICAL PERMIT r� DEVELOPMENT SERVICES PERMIT #: MEC2000 -00348 r � l II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/28/00 PARCEL: 1S126C0-01107 SITE ADDRESS: 09477 SW WASHINGTON SQUARE RD A -7 SUBDIVISION: WASHINGTON SQUARE ZONING: C -G BLOCK: LOT: JURISDICTION: TIG 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: 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: 2 > 10000 cfm: GAS OUTLETS: Remarks: Installation of one VAV box and associated duct work. Owner: FEES PPR WASHINGTON SQUARE LLC Type By Date Amount Receipt BY THE MACERICH COMPANY PRMT CTR 8/28/00 $50.00 2720000000 ATTN: JANET FISHER, ASSET MGNT SPOT CTR 8/28/00 $4.00 2720000000 SANTA MONICA, CA 90407 Total $54.00 Phone: Contractor: BEWLEY MECHANICAL 5591 SW ARCTIC DR BEAVERTON, OR 97005 REQUIRED INSPECTIONS Mechanical Insp Phone: 626 -8986 Duct Inspection Reg #: LIC 000635 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 . n Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. Yo may obtain c ies of the - rules or direct questions to OUNC c ing 5 246 -9189. I sue By: � . � $ '1'j �� / - / '' Permittee Signature: Call (503)1,3! -4175 by 7:00 P.M. for inspections needed the next business day Plan C CITY OF TIGARD Mechanical Permit Application Recd .43125 SW HALL BLVD. Commercial and Residential Date Rec'd Ss TIGARD, OR 97223 Date to P.E. (503) 639 -4171, x304 Date to DST �- Print or Type Permit # tl 9 3Yg Incomplete or illegible applications will not be accepted Called Name of Development/Project Description - j „ io S -"S-€43P P e S Table 1A Mechanical Code Qty Price Amt Job� S treet Address �Jas�+� Suile# A) Permit Fee 10.00 � 7 1) Furnace to 100,000 BTU Address / +' (,`j S ) including ducts & vents see footnote 1,2 6.00 Bldg# City /State Zip 2) Furnace 100,000 BTU+ TIC(' rot Olt �7 a? 3 including ducts & vents see footnote 1,2 7.50 Name (or name of business) 3) Floor Furnace Owner 7 Ate C O t e of a { cart including vent see footnote 1,2 6.00 Mailing Address 4) Suspended heater, wall heater / or floor mounted heater see footnote 1,2 6.00 1 70 / W�'s L) C t i . / 1 4 ' 'e. 5) Vent not included in appliance permit City/State Zip hone 3.00 l(Ntr1c, T-e )C44 / 503 _ Check all that apply: *Boiler Heat Air Name (outame of business) For items 6 -10, see or Pump Cond Qty Price Amt footnotes 1,2 Comp - Zak_ » 1 _C$ 6) <3HP;absorb unit to Occupant Mailing Address 100K BTU S 85 S i..s C.i s4e a Jt»t S , ed. 7) 3 -15 HP;absorb unit 6.00 5 i City /State Zip Phone 100k to 500k BTU 11.00 it t 8) 15 -30 HP; absorb Sc-rot �� unit .5 -1 mil BTU 15.00 Contractor NdFne LA 9) 30 -50 HP; absorb cii 1.4v.1 C 4, e C IAA l C unit 1 -1.75 mil BTU 22.50 Prior to permit Mailing Address \ ( 10) >50HP; absorb unit issuance, a copy 5rja ( SG `PC b r >1.75 mil BTU 37.50 of all licenses ' /State Zip Phone5b5 11) Air handling unit to 10,000 CFM are required if fif)65 C12-6. - 8186 4.50 expired in COT Oregon Cons!. Cont. Board Lic.# Exp. Date 12) Air handling unit 10,000 CFM+ database (035 Az, ! - ((O -C)( - 7.50 Architect Name 13) Non - portable evaporate cooler k kot 'J c /S 4.50 Or Mailing Address 14) Vent fan connected to a single duct f 7- 4 c1'L5' C� 3.00 Engineer City/State Zip Ph ore 15) Ventilation system not included in g o n appliance permit 4.50 ' tt Cebu, of Got. `1(3v? 9. et' -42/1- 16) Hood served by mechanical exhaust Describe work to be done: 4.50 17) Domestic incinerators New Repair 0 Replace with like kind: Yes 0 No 0 7.50 Residen ial 0 CommercialK 18) Commercial or industrial type incinerator 30.00 Addition I in formation or description of work: • 19) Repair units NO 1 J ►`1'J 4- 4.50 20) Wood stove NOTE: For Commercial projects only; Units over 400 lbs qu ire 4.50 structural gas calcs. 21) Clothes dryer, etc. Type of fuel: oil 0 natural gas 0 LPG 0 electric 4.50 22) Other units A I hereby acknowledge that I have read this application, that the information '!� 4.50 given is correct, that I am the owner or authorized agent of 23) Gas piping one to four outlets the owner, that plans submitted are in compliance with Oregon State laws. See footnote 1 2.00 24) More than 4 -per outlet (each) Si nature of Owner /A e Date .50 ‘;) 8 - 1z8 _d 6 Minimum Permit Fee $25.00 SUBTOTAL 1111 WI r - ontact Person Name Phone _' / r S�3 5% SURCHARGE 11111111 4 / ( if9 /�Q Z('- ' B G PLA REVIEW 25 /o OF SUBTOTAL 11111111111 . Foonotes for commerct I projects only: Required for ALL commercial permits only 0 1. Provide full schematic of existing and proposed gas line and pressure. TOTAL 6 2. Provide drawings to scale showing existing and proposed mechanical u nits. _ *State Contractor Boiler Certification required "Residential A/C requires site plan showing placement of unit l:\rnechperm.doc rev 02/4/99 • - -CITY OF TIGARD BUILDING INSPECTION DIVISION • 24 -Hour Inspection Line: 639 -4175 : Business Line: 639 -4171 MST BUP • Date Requested /0 AM PM BLD Location a g 77 5" etiee3i s AR Aetp Contact Person Ph 533- is ZG - BQgv PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear • Int Framing th /Shear n t / I alas ge,m1 AtzOuJ /ice ' , /,7 d 7&._- Insulation Drywall Nailing 1 U , 4 ())1).46 - 0 4 0 , 6(67` �S Nf ,63-1AJ 7)5'77414c-c Fire wall — 7j, , ( /t1 04t - 4c / 's / ' /h 16Cs oA) 4 � Fire Sprinkler � Fire Alarm 73 is r Susp'd Ceiling Zoft Roof Misc: 'r,�, I _ / Final V t►U �AiA/ db4S -4 ) R.00/ - egeiiee to PASS PART PLUMBING oh/ S►E.5./M re a01712445, Gi ., Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL • fIECHANICAt> Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service 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 Other Approach/Sidewalk Date / / 9/) Inspector 05L/� Ext v Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. r • C ITY QF TIGARD BUILDING INSPECTION DIVISION MS 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 ® c; 2 06 � Ode)-3 Date Requested /b - Z AM PM BL Location G 94 71 S w G t / G S 4 S G Suite' �---' ' " 2 — ' ' 3 ( Y Contact Person V ,: ! Ph 333 CZ b S'(0 PLM Contractor Ph SWR � UILDIN� Tenant/Owner ELC eraining Wall ELR Footing Access: • Foundation . FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation f 4J i C d��7I- ,1/t t e i� Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof • Misc. DAIL ASS PART PLUMBING Post & Beam Under Slab Top Out - - Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MEC HANICA&I Posh & Beam Rough In Gas Line - •k- Dampers Fina 40 PART FAIL CTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer p Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please callior reinspection RE: [ ] Unable to inspect - no access ADA /` m, Approach /Sidewalk Date D/ y ! v Other I nspector 4S�L� Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site • CITY OF TIGARD BUILDING INSPECTION - DIVISION MST 24 -Hour Inspbction Line: 639 -4175 , Business Line: 639 -4171 - BUP -c U Z3 Date Requested /0 \ AM PM BLD Location G / c 7 7 Y C.' S) ' Suite MEC UY — Contact Person Et/t) Ph � - l 1O - Z G5 7 PLM Contractor "7 Ph SWR UILD Tenant/Owner ELC arcing Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear ' i3uP sew- 9 Int 1- - h /Shear 4 ii r 04t, I blC eaP 2/1/b — - -31 nda I N 2 /irk / / ;e& © I Drywall Nailing ?� !�l ,� / G' ' ] • Fire deG J /'" L. ire Alarm - Susp'd Ceiling • Roof Misc: Fin- .40 PART FAIL • i MBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final • PASS PART FAIL • ost & Beam ouq Gas Line Smoke Dampers Fin d ap PART FAIL • TRICAL • Service 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 / /�1l Approach /Sidewalk Date /0 ` / M Inspector ��� Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.