Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
4 , . CITY TIGARD N , MECHANICAL PERMIT 1 PERMIT #: MEC2000 -00086 � D EVELOPMENT SERVICES r � DATE ISSUED: 03/16/2000 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -417�� PARCEL: 1S126C0 -01107 SITE ADDRESS: 09712 SW WASHINGTON SQUARE RD F -3 N SUBDIVISION: - ZONING: C -G BLOCK: LOT: �mac`• 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: ELE 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: 1 OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Mechanical TI work. Owner: FEES PPR WASHINGTON SQUARE LLC Type By Date Amount Receipt BY THE MACERICH COMPANY PRMT DST 03/16/20C $50.00 0000694 ATTN: JANET FISHER, ASSET MGNT SPOT DST 03/16/20( $4.00 0000694 SANTA MONICA, CA 90407 Total $54.00 Phone: Contractor: ARROW MECHANICAL 10330 SW TUALATIN RD TUALATIN, OR 97062 REQUIRED INSPECTIONS Duct Inspection Phone: 692 -1565 Final Inspection Reg #: LIC 000051 ELE 34 -47CLE 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 ion Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. Yo ay obtain cosies of t - -e rules or direct questions to OUNC 'ling (50 )246 -9189. Is a By: / ,..„,_,/ , /` / _ // ' // Permittee Signature: A, /y7Z7.— Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day Plan Check # CITY OF TIGARD Mechanical Permit Application Recd By 13125 SW HALL BLVD. Commercial and Residential Date Recd N.' TIGARD, OR 97223 Date to P.E. -- (503) 639 -4171, x304 Date to DST Print or Type Permit # _eL tj -yy Incomplete or illegible applications will not be accepted Called -/ -629 y' . h Name of Avery Description A,W P,/ . S Ca l � G ides Table 1A Mechanical Code Qty Price Amt Job S q . • ; dress 5;;;,1, 7 Suite# A) Permit Fee 1•%'.2 , 10.00 1) Furnace to 100,000 BTU - Address + - -_ _ tra , Pal r- 3 Bldg# City/State Zip including ducts & vents 6.00 2) Furnace 100,000 BTU+ T ,, [ O re including ducts & vents 7.50 5 Name (or name of business) 3) Floor Furnace Owner including vent 6.00 Mailing Address 4) Suspended heater, wall heate or floor mounted heater 6.00 5) Vent not included in appliance permit City/State Zip I Phone 3.00 CHECK ALL *Boiler Heat Air Name (or name of business) /� s THAT APPLY: or Pump Cond Qty Price Amt 45A MIue/'r5 &Addi 6) Comp P •• Occu Occupant Mailing Addrbss 6 0K BTU unit to P 100K BTU 6.00 7) 3-15 HP;absorb unit City /State Zip I Phone 100k to 500k BTU 11.00 8) 15 -30 HP; absorb unit .5 -1 mil BTU 15.00 Contractor Name 9) 30 -50 HP; absorb ArrnrAJ t t et meal , Le- unit 1 -1.75 mil BTU 22.50 Prior to permit Mailing Address 10) >50HP; absorb unit issuance, a copy /D330 s54) roe4154;n Rot >1.75 mil BTU - 37.50 of all licenses City /State Zip Phone 11) Air handling unit to 10,000 CFM / ' • are required if . 1 Io• , h , Ore_ q701.02 GM-15105 I 4.50 si exp in COT Oregon Const. Cont. Board Lic.# Exp. Date 12) Air handling unit 10,000 CFM+ database s 93 7.50 Architect Name I Bolls 13) Non - portable evaporate cooler ' nenne� 1 L Bu Try 4.50 Or Mailing Address 11 !!�� 14) Vent fan connected to a single duct aU l �y i/ c!J1 Q9a 3.00 SS� .!'.tzl 15) Ventilation system not included in Engineer City/State Zip Phone Si $ appliance permit 4.50 �e.// canyon , CA 9/30 qaiR-qa-72 16) Hood served by mechanical exhaust Describe work to be done: 4.50 17) Domestic incinerators New 0 Repair 0 Replace with like kind: Yes'No 0 7.50 Residential 0 Commercial K 18) Commercial or industrial type incinerator 30.00 Additional information or description of work: 19) Repair units 4.50 20) Wood stove 4.50 21) Clothes dryer, etc. 4.50 Type of fuel: oil 0 natural gas 0 LPG 0 electric t' 22) Other units 4.50 I hereby acknowledge that I have read this application, that the information 23) Gas piping one to four outlets given is correct, that I am the owner or authorized agent of 2.00 the owner, that plans submitted are in compliance with Oregon State laws. 24) More than 4 -per outlet (each) .50 Signature of 0 er/ gent Date ' pe) (� �91 / 4 6 Minimum Permit Fee $25.00 SUBTOTAL _ Ai - / 3 ` A' ©d r /r! RCHARGE 1. ® d Contact Person Name Phone PLAN REVIEW 5% OF SUBTOTAL , `� , Required for ALL commercial permits only 4 TOTAL G d /� *State Contractor Boiler Certification required / Re A/C requires site plan showing placement of unit I:\mechperm.doc rev 07/20/98 L- 12-4 il ''� -' j v d- /Svc CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested J' /.c.�c O ) AM k PM BLD Location 0 1 r LOCUS Suite MEC ZO66 -nob RG • Contact Person U1 Ph PLM Contractor ,. Ph SWR ena BUILDING Owner 4S l 4 c 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 Misc: Final PASS PART FAIL PLUMBING Post & Beam • Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL II CHANICA Post & Beam Rough In Gas Line Dampers -A = PART FAIL ELECTRICAL Service Cl 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 Other Date 3 ,1 Inspector Ext Final PASS PART FAIL 0 NOT REMOVE this inspection record from the job site. •