Permit " • CITY OF TIGARD MECHANICAL PERMIT
1419 DEVELOPMENT SERVICES PERMIT #: MEC2000 -00141
I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 06/13/2000
PARCEL: 1 S126C0 -01107
SITE ADDRESS: 09612 SW WASHINGTON SQUARE R
SUBDIVISION: 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: 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:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: Alteration to an existing tenant space.
Owner: FEES
PPR WASHINGTON SQUARE LLC Type By Date Amount Receipt
BY THE MACERICH COMPANY PLCK DST 06/13/20C $12.50 0002926
ATTN: JANET FISHER, ASSET MGNT SPOT DST 06/13/20C $4.00 0002926
SANTA MONICA, CA 90407 PRMT DST 06/13/20C $50.00 0002926
Phone: Total $66.50
Contractor:
ERIC L. SUNDBY
521 NE 17TH AVE
CAMAS, WA 98607 REQUIRED INSPECTIONS
Mechanical niel Phone: 360 - 833 -8989 Duct nsppection tion ORIGINAL
Reg #: LIC 133990 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 • i i . on Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
You ay obtain , opies of -ese ules or direct questions to OUNC by calling (503)246-9189.
Issue _ y: /. �:� P _ w ,I�� i Permittee Signature: O
Call (503 ;39 -4175 by 7:00 P.M. for inspections needed the next business day
r,
Plan C # 7 -
CITY OF TIGARD Mechanical Permit Application Rec'd
13125 SW HALL BLVD. Commercial and Residential Date Rec'd - 0
TIGARD, OR 97223 Date to P.E. Z - • (4 41
(503) 639-4171, x304 Date to DST -izz, iv 4 .
Permit # Ale- -45 / g ll
Print or Type
Called
Incomplete or illegible applications will not be accepted
I mes of Development/Project Descnption
a itcces-1,...e.S Table IA Mechanical Code °TY PRICE AMT
Job Sti . Add ess SCk 0 Suites' , A) Permit Fee -0- -0- 10.00
Address :....:-.,.. , . is..... r6 r Al , I.
f \I (\\ Cl 1 2 " ° \/
B) Supplemental Permit 3.00
Bldgit 1 5ity/ tat A Zip
s a , 0 •
• 1
. .1). •• .. '
Name (or name of business)
• 0 VIES 1.) Furnace to 100,000 BTU •
6.00
Owner
incl. ducts & vents li. - ' P - . - -
. '41- Al !-
Mailing ddress ) 2.) Furnace 100,000 BTU + 7.50
)
.
_ incl. ducts & vents
City/Slate Zip Phon- • 3.) Floor Furnace 6.00
..1
f l i vau•La7i:' `G.i"a" . - • SA incl. vent
Nye (or name o •usiness) , 4.) Suspended heater, wall heater 6.00
Q kelwe ACeSS'Iri'l'itt or floor mounted heater ,
. Occupant Mailing Address t. 5.) Vent not incl in ( ,1 3.00
Vtf 1 appliance permit 1,1
'II.,
City/State Zip Phone "‘xl 0 6.) Boiler or comp, heat pump, air cond. 6.00
64 At - • " 5 9 : • C4b to 3 HP; absorp unit to .100K BTU
Name 7.) Boiler or comp, heat pump, air cond. 11.00
3-15 HP; absorp unit to 5001< BTU
Contractor Mailing Address - A 8.) Boiler or comp, heat pump, air cond. 15.00
e iii w., pi . • .___, _ .. _ . rits - - - ' - - ' , , ## . 15-30 HP; absorp unit .5-1 mil BTU
Attach copy of RityhStat - A . Zip Phone r 9.)_ _Boiler or comp, heat pump, air cond. 22.50 -
Current Licenses QJ--vr--0 ( -14" 117( 0 top-1' - - ., 30-50 HP: absorp unit 1-1.75 mil BTU
f
Oregon Cwst. corn. Board Lic # Exp. gate / _ 10.) Boiler or comp, heat pump, air cond. 37.50
1/ L t5q/ &I( 7/ co > 50 HP: absorp unit 1.75 mil BTU
COT Business Tax or Metro # Exp. Date 11.) Air handling unit to 4.50
10,000 CFM
Architect • ame
1( pre .%s 12.) Air handling unit 7.50
.i a .. 1.- a • i t I 10,000 CTM +
or Mailing Address 13.) Non portable 4.50
V iii \)... t V\ 1 evaporate cooler
Engineer City/State Zip Phone "it 13 14.) Vent fan connected 3.00
,
II". -....ikac g. .,•• to a single duct
Describe work New 0 Addition 0 Alteratio e Repair 0 15 ) Ventilation system not j/ yK 4.50
to be done Residential 0 Non-residential . included in appliance permit
Additional Description of wor, 16.) Hood served by mechanical exhaust 4.50
q:n iC.Ar
y e tmook-e t c5
Q`kiSti e l(iaCk N) 17) Domestic incinerators 7.50
Existing use of
,..._ A 18.) Commercial or industnattype 30.00
building or property .i - Illt 1 1 incinerator
19 ) Repair units 4 50
Proposed use of ' 20) Woodstove 4.50
building or property 11•Ae VCCA (Al f t 1-
21) Clothes dryer, etc 4 50
Type of fuel - oil 0 natural gas 0 LPG 0 electric 0 22) Other units
/ 4.50
I hereby acknowledge that I have read this application, that the 23) Gas piping one to four outlets 2.00
information given is correct. that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with Oregon State 24) More than 4-per outlet (each) .50
laws.
Signature of Owner/Agent Date/ / QTY.SUBTOTAL
0, -
1W if A CCegOri- SUBTOTAL
e . , q
.•
, y•i sq... 0 19k0 '
Contact Person Name 4 Phone 5% SURCHARGE 1?
MA tu e- AaAt) i Slc)- ii PLAN REVIEW 25% OF SUBTOTAL
TOTAL
t)
iftdstLmectipmt.doc (rev 7/96) 'Minimum permit fee is 525 + 5% surcharge (
-
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested •1 • AM PM BLD
Location o 56 /2. 6 41 4 7 k 51 .1. Suite MEC �r, G✓ — a iJ / 4 //
Contact Person fClo,c,s J Ph g/ ci - .2 L Z , -/ u s-q 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 Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall \\
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Final Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service •
Sanitary Sewer
Rain Drains
— PASS T FAIL
CHA _
Post & Beam
Rough In
Gas Line
S • Dampers
ina
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
Approach /Sidewalk
Other Date �� �Q Inspector E.
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 . Business Line: 639 - 417 •
(� BUP
Date Requested ?'' / e AM / / PM BLD
Location 94./ Z Sr,) C -Ia 4 , • s1, suit€ Gg ea /c/!
Contact Person Ph 41,- /0-77//3 PLM
Contractor Ph SWR
BUILDING Tenant/Owner FCI f, ..li S — Aa i ELC
Retaining Wall ELR •
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Ina Sheath /Shear ei, 2000, bo ` n 3 NO )1 ;4-) vI_6 (6p.
Framing Insulation , {.
Drywall Nailing G ') '�.v1� S ✓-. c ��IVJ
Fire wall 9 \
Fire Sprinkler
Fire Alarm •
Susp'd Ceiling ■ _
Roof
Misc:
Final
PASS PART FAIL
•
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART_ FAIL
MECHANICAL
i am
Rough In
Gas Line
Smoke Dampe -
Final
PASS j FAIL
ELECT
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 -2
Approach /Sidewalk Date 7/ Inspector Ext t5
Other �/
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
f 24'Hour Inspection Line: 639 -4175 Business Line: 639 -4171 411,00 ^ Q ®de
Date Requested — 2 - 2 — 0 5 ' 0 AM PM , rd d — Qd,-
Location (Q \ 7 - ` 71� Wu Rh.. 5 � -Ph Suite Z-- EC ,2-e1/ — 00/
Contact Person PLM
Contractor Ph SWR
�ILDIN Tenant/Owner CA t VC( ■• e S pre_ces 0-4/ .e S ELC
Retaining 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
Drywall Nailing Il/� i h l / • i A
Fire wall /� -?. ' 006 _0 D/K 3 � A ' _ . „ ,/) •
Fire Sprinkler ( � a 4—
Fire Alarm /��,�� c r .
Susp'd Ceiling („�`� Y / Y / �'✓� ` ea✓l �'l �-c/• T '
Ro
c : (LOC�� /i'1 / C ' ) / - ^� O V / 1
ma D � Aso[ — ,
- • 74 PART
U - NG ,
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer (
Rain Drains f 14 tV0 — Dv 'Da- ` j Q(� —
Final
al ART FAIL MC 000 J D / 7 f 'J ?.. of= — e n
ECH L
Post & Beam
Rough In
Gas Line
Smoke Dampers
ASS /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
Approach /Sidewalk
Date / 7jl/O Inspector
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.