Permit CITY TIGARD MECHANICAL PERMIT
1 k DEVELOPMENT SERVICES PERMIT #: MEC2000 -00234
1
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/12/00 f
PARCEL: 1S126C0-01107
SITE ADDRESS: 09619 SW WASHINGTON SQUARE RD L -4
SUBDIVISION: ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: OTR 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: 1
> 10000 cfm: GAS OUTLETS:
Remarks: Mechanical TI.
Owner: FEES
PPR WASHINGTON SQUARE LLC Type By Date Amount Receipt
9585 SW WASHINGTON SQ RD PRMT DEB 6/12/00 $50.00 0002884
TIGARD, OR 97223 5PCT DEB 6/12/00 $4.00 0002884
Total $54.00
Phone:
Contractor:
SUNS EQUIPMENT
PO BOX 6774
PORTLAND, OR 97228 -6774 REQUIRED INSPECTIONS
Duct Inspection
Phone: 281 -7720 Final Inspection
Reg #: LIC 60344
0
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• • .tion Center. Those rules are set forth in OAR 952 - 001 -0010 through O; R 952 - 001 -0080.
You ► ay obtain opies of t• -se r _ les or direct questions to OUNC by calling (503 •6 -• 89.
Iss By:. I - J �;/ / Permittee Signature: A
- Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next • in: s day
•
Plan Check # (e?
CITY •nF TIGARD Mechanical Permit Application a Recd By t IP
1.3125 SW HALL BLVD. Commercial and Residential r Date Recd G
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
Print or TypethteZAnsb-Cpl /p Permit # 3y
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
Table 1A Mechanical Code Qty Price Amt
/ Ia A) Permit Fee 16.00
Job Strlea4 r�ss 0 t bjai or Suite# .
Address S' -S o S'c3 A X-- St 1) Furnace to 100,000 BTU
t o including ducts & vents 9.65
�g# c�y/st to f 2) Furnace 100,000 BTU+
/ (Q - c ' f 422k. including ducts & vents 12.00
Name (or name of business) " 3) Floor Furnace
Owner ? ,(` £ESL including vent 9.65
Mailing Address, 4) Suspended heater, wall heater
3 2S-ts or floor mounted heater 9.65
�?jy� �.� 5) Vent not included in appliance permit 4.75
City/State Zip Phone Check all that apply: 'Boiler Heat Air
Std , 'vY1 ' P IA* 6V3 Z For items 6 -10, see or Pump Cond Qty Price Amt
Name (or name of busine ss I 6 footnotes 1,2 Comp
�D� f 6) Repair units
] c� 7( 8.40
Occupant Mailing ddress 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
t unit .5 -1 mil BTU 24.15
S S F� fit <C�/11 ` 10) 30 -50 HP; absorb
Pnor to permit ding Addres 36.
A / - 7 c f ? (/_ _/, un 1 -1 . 7 5 mil BTU
issuance, a copy 0 r (� ( ` �� 11) >50HP; absorb unit >1.75 mil BTU
of all licenses qty /State Zip _ Phone � 60.15
are required if �� 12) Air handling unit to 1 0,000 CFM
expired in COT Oregon Const Cont Board Lic # Exp Date 7.00
database (DO 3 y7 /0 - /K -0 / 13) Air handling unit 10,000 CFM+
Architect 6 c 11.85 ??�� � J
)» Q Pt.t / O 1 /V C 14) Non - portable evaporate cooler
Mailing Address ^� ,� (7 ,,� )J / t 7.00
or / a 7 g p etZe /4 A 44e
15) Vent fan connected to a single duct
4.75
Engineer Aity /State n.�1 q Zip Phone ( 62 6 p 16) Ventilation system not included in
► �akBtC , N4 111 I ��OY (1- 4 1 -/ 0 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 0 Modification 0 12.00
19) Commercial or industrial type incinerator
Addtti nal information or description of work: 48.25
/ , J �/` 20) Other units, including wood stoves
��� T / 7.00 a
NOTE: For Commercial projects only; Units over 400 lbs., located on the 21) Gas piping one to four outlets
roof, require structural talcs. prepared by licensed engineer. 3.75
Type of fuel: oil 0 natural gas 0 LPG 0 electric 0 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
given is correct, that I am the owner or authorized agent of 8% SURCHARGE . (....T?
PLAN REVIEW 25% OF SUBTOTAL
the owner, that plans sue fitted are in compliance with Oregon State laws. Required for ALL commercial permits only
Signature of ..nab ; gen 0 Date TOTAL I
'.."•,._
p/0-0 Other Inspections and Fees.
Contact Pets a . 51) 3
e t-e 1 `, 0 6.--Apt 1 Inspections outside of normal business hours (minimum charge -two hours) $50 00 per hou
/` C 7 ( z .0 ' L/ - 2 Inspections for which no fee is specifically indicated (minimum charge -half hour)
Foonotes for commerc' projects only: $50 ooperhour
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 A/C requires site plan showing placement of unit
Joo aC(ci
lArnechperm.doc rev 11/1/99
CITY OF TIGARD BUILDING INSPECTION DIVISION
'MST .
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 4/2_0/00 AM PM 2 BLD
Location 9 Co 14 u3ccst& Sj.L( _m Suite a 2000-002q
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner -8-- �. _._ _ �i✓ �►�1__ '? _ - _ _ _ . ix ELC
Retaining Wall ELR
Footing Access:
Foundation _ . °r . : . r FPS
7- . ;� - �----- �_ ,.._... � , � " ` ' �" "
Ftg Drain " ' . SGN
• Crawl Drain Inspection Notes: 4,, O „ I
Slab �f v �tst'r— -.. SIT
Post Beam �, _ 1
Ext Sheath/Shear \',i,, , --('� (O I
Int Sheath /Shear -'` -- f 9
Framing - - , /
Insulation L ; ' �
Drywall Nailing ��`T -4! �1 � Firewall S Fire Sprinkler A Fire Alarm g 0
Susp'd Ceiling - V A • �� . - �
�� =
Roof c � Q
Final i ■ ' • .
PASS PART FAIL
PLUMBING Wip^t P � _�_ •
Post & Beam —
Under Slab - (�,.. --) -" .r _O-i 0 ,
Top Out
Water Service _
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
M CHANICAI
Post m
lough Ir?
vas Line
Smoke Damper
Final
PASS A T FAIL
ELECTR L
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 /cry O P he oach /Sidewalk / [ A Inspector ��., J Ext l
Date / 5'
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.