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Permit CITY TIGARD MECHANICAL PERMIT * M k DEVELOPMENT SERVICES PERMIT #: MEC2003 -00590 t �� II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/15/03 PARCEL: 1 S 126C0 -01107 SITE ADDRESS: 09651 SW WASHINGTON SQUARE RD FC -10 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: A3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: 290,000 BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: L 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: 2 Remarks: 251' of new gas piping. Valuation: $2,350.00 Owner: FEES PPR WASHINGTON SQUARE LLC Description Date Amount BY THE MACERICH COMPANY [MECH] Permit Fee 10/15/03 $72.50 9585 SW WASHINGTON SQ. RD. PORTLAND, OR 97223 [TAX] 8% StateTax 10/15/03 $5.80 [MECPLN] Plan Rev 10/15/03 $18.13 Phone: Total $96.43 Contractor: DETEMPLE COMPANY INC 1951 NW OVERTON ST PORTLAND, OR 97209 REQUIRED INSPECTIONS Phone: 227 - 2641 Gas Line Insp Final Inspection Reg #: LIC 2510 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 -00 Issued By: Permittee Signature: J. / � � � ; Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next • s'- ess day 10/07/03 TUE 10:15 FAX Il001 • M : / 1v 10•g- 0ei /3t- A Mechanical ,- r L. City of Tigard v Da te • ' 4 pern7i t no.: T leceived ' �c NEee�3 5? I' City of 7lgrrad Address:' 13.125 SW Hall Blvd, T IOR 9 03 Pro • no.: empire darn: Phone: (503) 639-4171 ' 1 arc tssuee#� • • • Fax: (503) 598.7960 r / • Receipt no.: ' it el le n v; • : • : • • type: Land use approval; DIVISION • g„ permit no.: MT 1'F O1 I'l l2i.111 r ,,' U I & 2 family dwelling or accessory ❑ Commercial/industrial . ❑New construction eplacemcnt F �fi � Tenant improvement • CJ Addition/alteration/replacement ' • • 6•Otar: .too SIII 1 \l OWN! .k110\ Job address: y . Sw n i . . ( O I l 1 I : I t ( 1 k i k ■l , I : k 110\ �( I l i U1 I 1 '. Y Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: Suite no.: value of all mechanical matt ls, equipment, labor, overhead. Tax map /tax lot/account no.: profit. Value $ 4.41.,v_.._. L Lot Block: Subdivision: *See Pro roject name: : jurisdiction's checklist for important application information and c t nam Jction's fee schedule for residential permit fee. A -..i A ZIP: 1 \ 21 11111 1111 1;1 I 1'1:12: I I• I' `( Ill 1)1 i1 Description and 1.• ation on premises: rLm 3 . 1 . \I) ( ()11 \il 121( .'I, /I\I)t .'III?, %I I OI I1'311 \1 `1( III 1)1 1. 1 L Li i Est. daze . completion/inspection: Fec(ea.) Tenant improvement or change of use: HVAC : '. R'w•'J is existing space heated or conditioned? ❑Yes ❑ No Air handling unit CPM I- Is ex U existing space insulated? O Yes No Air conditioning (s(te plan ) 111f 11 '.I( I. ( <)\ 112 l'<)12 terd<wn o exloring ' A r�� l - Boi cdwrnpreaaors Business name: r 1 State I>er permit q0.: ,■� Address: ,1<� ; HP Tons BTU/H �. F smoke • • ... _ : duct stno. detectors � wi ZIP: Phorte:Urie , f E -mail: �y nip , e i� 7 p wt • . � �� U. II III CCB p0..: " Z including ductwork /vent liner O Yes O No Ciry/metro lie. no.: I►rep ace - ooze • •: . c•, ■ �� wall, or floor mounted • ' V e n t or a. • : ce other than furnace _ fir ( () \ I :k( I Pi Irv(►\ a ption units Name: �I'Y`�� A Chillers on units STU /H r Compressors HP MI IMMO Address: Compnsaots Hp City: State: ZIP: oweotst exha®t and v .1 caw r - D y e r exhaust vent Phone: Fax M �� E - mail: Dryer exharlSt _ 1)11 \ 1: 12 Hoods, Type V 11/res. kitcheo/hazmar IIIV Name: hood fire suppression system Mailing address: Exhaust with eln e duct fans) - � Exhaust stem : • . cant_ or AC MIN Phone: State. ZIP: II• - pip . B and d . • , 1 . , (up to 4 0 Oil ©r- Fax: E -mail: Type: 1_PC – NC Oil Fuel P• ac!: over 'outlets � I. \(.!: \1.1:12 Process oess as @ (schematic requrrt d) Number of outlets N - _� Address: t : . vc Epp I Ural , City: Decorative fireplace State: ZIP: Phone: �� ,� E -mail: 'T • — Applicant's signature :'I" / � �1= Date: D . • Ocher-. = �_ Z � ylt ' o , �" art �_ Name (print): Not oil j.eudiuiom accept ae4q� p,00,c call jurisdiction or mom in£otmarion. M_ � D visa U MastrsCad Credit cord number Permit f Notice; expires if a penru application Minim fee $ so i number / / eat permit is not obtained Plan review at c Expires 180 days it has been State surcharge (8 /o) $ / / 0 Name of mrdheldQ as shown 0.0 credit car accepted as complete. g (8 %) $ .5 B 0 Cardholder Sign TOTAL _ TOTAL $ 96 • rf 440.4617 (6r00/cOMo . CITY OF TIGARD 24 -Hour BUILPIN$ h Inspection Line: . 639 -4175 INSPECTION DIVISION " Business Line: ( F' • • 9 -4171 MST /� BUP Received Date Re nested (J�/ AM PM BUP . " lQ 5 / Requested 4 l - Si -- - Suite CIP 3 - DD ,5 Contact Person Der-,e444.,0 �7 - Ph ( ) PLM Contractor 4 CO - Ph ( ?) 227 --- Z& i 0 SWR BUILDING Tenant/Owner Thi/J(.( viii el S 1 TQ.cc7 ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: as -, / SIT Post & Beam Shear Anchors • ea r't W (- Ext Sheath/Shear Int Sheath/Shear ♦ ..11 S J \A-Q. „ , / � \ Framing � Insulation V_ �" /1 3 - " S 1�• Drywall Nailing / - V� r Firewall ! �t Fire Sprinkler _ ;� . Fire Alarm / �` �� Susp'd Ceiling ° Roof 4/ Other: �- • - - - - Final _ - - �_ • PASS PART FAIL PLUMBING Post & Beam �Q - \1 < Under Slab Nib G t it 0 /(/- ) -fir W ` ------ Water , Q p Water Service (J� 64 Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain D ! , , ^ U Shower Pan `� / Other: Final I 2337 149 P AS FAI M HANI Post & Beam Rough -In 'I s mo a Dam • - rs Final PART FAIL RICAL Service Rough -In UG /Slab Low Voltage - Fire Alarm Final fl Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS ' PART FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line y� / ` ADA Approach /Sidewalk Date \ V/' T( Insp ector 1 �'� " Ext Other: Final DO NOT REMOVE this Inspection record from the Job site.. . PASS PART FAIL a