Permit •
CITY TI GA R D MECHANICAL PERMIT
'° a it DEVELOPMENT SERVICES PERMIT #: MEC2000 -00338
-Al- Ail 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 D ISSUED: 08/22/2000
PARCEL: 1 S126C0 -01107
SITE ADDRESS: 09753 SW WASHINGTON SQUARE RD D -2
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: 1
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:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: < =10000 cfm: 1 OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Mechanical TI
Owner: FEES
PPR WASHINGTON SQUARE LLC Type By Date Amount Receipt
BY THE MACERICH COMPANY PRMT DLH 08/22/20( $50.00 0004656
ATTN: JANET FISHER, ASSET MGNT PLCK DLH 08/22/20( $12.50 0004656
SANTA MONICA, CA 90407 5PCT DLH 08/22/20C $4.00 0004656
Phone: Total $66.50
Contractor:
OREGON AIRE INC
7921 SW NIMBUS AVENUE
BEAVERTON, OR 97008 REQUIRED INSPECTIONS
Mechanical Insp
Phone: 626 -2000 Final Inspection
Reg #: LIC 000642
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 -1 11-0080.
You may obtain co • ies of these rules or direct questions to 0. 1 b allin t 1 , 6 -91:
B : V � P ermittee Signature:
•,
Issue y /�`�� �: 9 \ __ `_.
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
CITY OF TIGARD Mechanical Permit Application 1 Plan Recd B l eck #
y
1.8125 SW HALL BLVD. Commercial and Residential 0° �� Date Recd 9 -e3/-e 0
TIGARD, OR 97223 � � 0' Date to P.E. q - a /-ov
(503) 639 -4171, x304 Date to DST 2441
Print or Type Permit # ill as - 00338
Incomplete or illegible applications will not be accepted Called g- a2- -o0 7/47,:..y
Name of De pmen P roject Description
11.) V15 4 v � Table 1A Mechanical Code Qty Price Amt
Job Street Address VV Suite# A) Permit Fee ' ': ; :.' '„,:'1,1;g„ 16.00
Address 9753 $w 0.46/4. 1) Furnace to 100,000 BTU
including ducts & vents 9.65
Bldg# cit estate Zip 2) Furnace 100,000 BTU+
. / 6t9"d0 including ducts & vents 12.00
Name (or name of business) y 3) Floor Furnace
Owner /PR wA ' A)a,/ c�/l� 4il L • including vent 9.65
Mailing Address 4) Suspended heater, wall heater
/' d Ar or floor mounted heater 9.65
City/State Zip Phone Vent not included in appliance permit 4.75
�/ Check all that apply: 'Boiler Heat Air
'��u1t , 1}• 1 lD &I M to . For items 6 -10, see or Pump Cond Qty Price Amt
Name ame of busine ) footnotes 1,2 Comp "
6) Repair units
� " 8.40
Occupant ailing Address 7) <3HP;absorb unit to
100K BTU 9.65
City/State Zip Phone 8) 3 -15 HP;absorb unit
100k to 500k BTU 17.65
Contractor Name 9) 15 -30 HP; absorb
,r1 _ unit .5 -1 mil BTU _ = - 24.15
_ _ _� =�9,c /� t __ = 10) -30 =50 HP;-absorb- _ - _ - - _ - -_
Prior to permit Mailm22A ress t� unit 1 -1.75 mil BTU 36.00
issuance, a copy 72/0 Nf r � 2 , 11) >50HP; absorb unit >1.75 mil BTU
of all licenses C tats Phone 60.15
are required if ot/L 335- 2 ±63,-,10 12) Air handling unit to 10,000 CFM
expired in COT regon Const. Cont. Board .# Exp Date
d atabase l� y 7 C /�9 K 3 1 0 Z 7.
Architect Name C/ 13) Air handling unit 10,000 CFM+
11.8.8
5
14) Non - portable evaporate cooler
or Mailing Address 7.00
15) Vent fan connected to a single duct
Engineer City/State Zip Phone 4.75
16) Ventilation system not included in
appliance permit 7.00
Describe work to be done: 17) Hood served by mechanical exhaust
7.00
New 0 Repair 0 Replace with like kind: Yes 0 No 0 18) Domestic incinerators
Residential 0 Commercial X ModificatiorK 12.00
19) Commercial or industrial type incinerator
Additional information or description of work: 48.25
20) Other units, including wood stoves
7.00
NOTE: For Commercial projects only; Units over 400 lbs., located on the 21) Gas piping one to four outlets
roof, require structural calcs. prepared by licensed engineer. 3.75
Type of fuel: oil 0 natural gas 0 LPG 0 electric 22) More than 4 -per outlet (each) .75
I hereby acknowledge that I have read this application, that the information Minimum Permit Fee $50.00 SUBTOTAL '' - '" " "' "-,; ;: , f, ', .
given is correct, that I am the owner or authorized agent of 8% SURCHARGE _' . - . : f -Y; II , v
the owner, that plans submitted are in compliance with Oregon State laws. PLAN REVIEW 25% OF SUBTOTAL , y F ' Y • _, + ,' (2'
Required for ALL commercial permits only -.-. , ` ; -
Signat a of *pi n Date TOTAL
fit '\ r
3JIJ 2.2
a o ame Phone �7 Ot her Inspections and Fees �/
1. Inspections outside of normal business hours (minimum charge -two ho s) $50.00 per hour
\ 2. Inspections for which no fee is specifically indicated (minimum charge -half hour)
Foonotes for commercial projects only: $50.0operhour
1. Provide full schematic of existing and proposed gas line and pressure. 3 Additional plan review required by changes, additions or revisions to plans (minimum
2. Provide drawings to scale showing existing and proposed mechanical charge - one - half hour) $50 00 per hour
'State Contractor Boiler Certification required
units.
"Residential NC requires site plan showing placement of unit
I: \mechperm.doc rev 11/1/99
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
14 -Hour Inspection Line:. 639 -4175 Business Line: 639 -4171
' l BUP
Date. Requested q —dU AM PM BLD
Location 75 A.) A Y15 SV. Suite 441119,0-000— 1 O 33?
Contact Person Ph 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 _ - O
Insulation
Drywall Nailing A.-- • �il/l A
Firewall
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 REST FAIL
161ECHANIG
Post & Beam . ._ . p
Gas Line
Smoke Dampers
Fi
`PART FAIL
•""CTRICAL
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 l / /� °�
Approach /Sidewalk Date � / , � / �� Inspector " ( � Ext �
- Other /
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CiTY OF TIGARD BUILDING INSPECTION DIVISION
MS
24 -Hour Inspection Line: 639 -4175 Business Line: 639 - 4171 ,
BUP Q�'5 `YT
Date Requested 4 l -2 ( AM 135 Bit, ,2--(2) a - 40 33 7
Location q -c3 Su) I2JA . Sui e ` a (P .- • - 0a?3
-mil
Contact Person Ph PLM I
Contractor Ph SWR ■
•
= UILD . - - Tenant/Owner :/ "
� �
aining Wall ELR
Footing Access: r ;�/�� �,,�t 00c-01 FPS liar
Foundation C�(N awl U - �
Ftg Drain SGN /
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear /i ? (7T
Framing teip,60 D Q 0_S v l C_ v Insulation , Drywall Nailing / Lr .._Q
Firewall
.I ire Spr w �j
Fire Alarm t � 1 A
Susp'd Ceiling AM11 r V ,l_I —`
Roof -. ` „
Mi • V 1.1i�
•
ASS PART FAIL
PLUMBING C, 5 ` _ r',_e,___( ?),-/-
Post & Beam
Under Slab A Sly Q � p W ‘ ^ �^ �-] (r
Top Out ��
Water Service ---) -- - v"\.. L S L _e__0k._ L4Sv'-f
Sanitary Sewer
Rain Drains
Final -
PASS PART FAIL � 1 � /-- � 5 R S �/ ` C,cvY- ,
ECH • c ICAL n 1 �,� r^
Post & Beam "� �J ��p� C� , v v
Rough In
Gas Line
S • e Dampers
in.
P • • SS 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
Approach /Sidewalk 7/P1(6 U ` ? (r
Other Date Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.