Permit CITY T I GA RD MECHANICAL PERMIT
PERMIT #: MEC2003 -00173
'+r�l�� DEVELOPMENT H Hall Tigard, SERVICES 639 -4171 DATE ISSUED: 4/7/03
PARCEL: 1 S126C0 -01107
SITE ADDRESS: 09730 SW WASHINGTON SQUARE RD F -8
SUBDIVISION: WASHINGTON SQUARE 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:
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: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Replace existing rooftop HVAC unit with like kind. Project value: $11,000.
Owner: FEES
PPR WASHINGTON SQUARE LLC Description Date Amount
BY THE MACERICH COMPANY [MECPLN] Plan Rev 4/7/03 $40.97
9585 SW WASHINGTON SQ. RD.
PORTLAND, OR 97223 [TAX] 8% StateTax 4/7/03 $11.88
[MECH] Permit Fee 4/7/03 $163.90
Phone: Total $216.75
Contractor:
KEY MECHANICAL CO
8545 SE MCLOUGHLIN BLVD
MILWAUKIE, OR 97222 REQUIRED INSPECTIONS
Phone: 503 231 - 0731 Final Inspection
Reg #: LIC 93479
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
: ► T WA / 1 i �
I Sued 6 l i ' ) F
By: " ` ( �,, / Permittee Signature:
Call (503) 6 9 -4175 by 7:00 P.M. for inspections needed the next business day
Mechanical Permit Application !JFFICE USE ONLY
Date received. 7 7 03 Permit no.N jt1
'tCb - O , •
Asa Ali! City of Tigard Project /appl no • A xpire ■ate
Crrr of Tigard 13125 SW Hall Blvd, Tigard OR 97223 Date issued ' By. ,I Receipt no..
Phone: (503) 639 -4171 •
Fax (503) 598 -1960 Case file no.. Payment type -
Land use approval: Building permit no
TYPE OF PERMIT
•
❑ I & 2 family dwelling or accessory ❑ Commercial /industrial ❑ Multi - family ❑ Tenant improvement
❑ New construction 0 Addition /alteration /replacement 0 Other:
JOB SITE INFORMATION COMMERCIAL V SCHEDULE
Job address: '7 Q /FS l,IA - • Z.l Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no : Suite no.: value of all mechanical materia equipment, labor, overhead,
Tax map /tax lot /account no profit. Value $ —.
/ OOa.
Lot Block: Subdivision: *Sec checklist for iidportant application information and
Project name. CE../ 2 jurisdiction's fee schedule for residential permit fee
City /county ' i G �LD �a � P: 7 223 - '4/41 s 1 & 2 FAMILY;, DWELLING PERMIT 'FEE' SCHEDULE',
Description and location of work on premises: LACP Poo F A ND COMMERICAL/INDUSTRIAL EQUIPMENT SCHEDULE
✓f7ni.rv?'e� i41./. e u ... 1) ' I Fee (ea.) Total
Est. date of completion /inspection: Cl Description Qty. Res. only Res. only
Tenant improvement or change of use: HVAC: ■ --
Air handling unit CFM
Is existing space heated or conditioned? ❑Yes ❑ No Air conditioning (site plan required) - --
Is existing space insulated? ❑ Yes ❑ No Alteration of existing HVAC system -
MECHANICAL CONTRACTOR
St Boiler/compressors ,
ate to boiler r permit mit no •
Business name St
U - 4 A t a �- HP Tons BTU /H
Address. 47 :E / e Lou6 N Lt ,r1 Fire /smoke dampers /duct smoke detectors -
State: OK, ZIP • - ] ZZa . Heat pump (site plan required) IIM
Phone: so3 2e/ 0-7 Z . Si �ti14/reg lac fumace/bumer BTU /H ■ --
nc utim uciwork/vent liner ❑ Yes ❑ No
CCB no : , Install /replace /relocate heaters - suspended, ■ --
City /metro lic. no.: ' • ' wall, or floor mounted
Name (please print). (. v Vent for appliance other than furnace
. : ==
CONTACT PERSON Refrigeration:
Absorption units BTU /H :
rill
Chillers HP -
Address: d t p'ljl C '' Aelli Compressois HP ME
Environmental exhaust and ventilation: ■
v P State: Oe ZIP: 9`72 2.2._ Appliance vent
Phone. Fax /.-p') Fax• E -mail: Dryer exhaust ME
' OWNER Hoods, Type I/ II /res. kitchen /hazmat ■ __
hood fire suppression system
Name: Exhaust fan with single duct (bath fans) -
Mailing address: Exhaust system apart from heating or AC _
City. State: ZIP Fuel piping and distribution (up to 4 outlets).
Type. LPG NG Oil
Phone: Fax: E -mail: Fuel piping each additional over 4 outlets _
ENGINEER Process piping (schematic required)- - IIIII
Name. Number of outlets -
Other listed appliance or equipment: ■ --
Address: Decorative fireplace
City: State. ZIP: Insert - type -
Phone: Fax: E -mail
Woodstove /pellet stove _
Other:
Applicant's signature: /,ntlinf�' Date: 4110 Other: -
Name (print) / 4 'ts o I A (�
Not all jurisdictions accept credit cards, please call jut di
iscuon for mfoi matron Permit fee $ �Q '5. 7 b
❑ Visa ❑ MasterCard Notice This permit application Minimum fee ......... S
Credit card number expires if a permit is not obtained Plan review (at,,K %) $ 4/0 .9 7
Expires within 180 days after it has been State surcharge (8 %) ... $ I 1.• � g r N
Name of cardholder as shown on credit card accepted as complete I TOTAL $ 1 • / 5
Cardholder signature Amount 440 -4617 (6 /00 /COM)
CITY QF;TIGARD 24 -Hour - •
BUILDING Inspection Line: (503) 6 ` 1 5
MST
INSPECTION DIVISION . Business Line: (503) 171,- -
BUP
Received Date Requested S 4 AM PM BUP r�
Location 6 J6 U) 4- - SO ' e s) Suite ME J - 00( - 7,
Contact Person Ph ( ) .5-1,1-74 1. 7 PLM
Contractor Ph ( ) d:31 � SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab In n Noted 1 SIT
Post & Beam tia. _ =�--
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear 1 '
Framing
Insulation
Drywall Nailing o
Firewall
Fire Sprinkler rk--A- ..-^-7 i
Fire Alarm
'`� V \
Susp'd Ceiling
Roof
Other:
Final r \
PASS PART FAIL _ •
PLUMBING
Post & Beam
Under Slab i /'
Rough -In
Water Service
Sanitary Sewer /l -
Rain Drains
Catch Basin / Manhole
Storm Drain ` .0,Zr
Shower Pan
Other:
Final
PASS PART FAIL
MECHANIC
Post & Bea
Rough -In ' 1 / 11,
Gas Line r '
Smoke Dampe -
Fina FAIL
CTRICAL
Service
Rough -In .
UG /Slab
Low Voltage
Fire Alarm
Final ❑ 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
ADA 3
Approach/Sidewalk
Other: Date / Inspect \ y V' Ext
C7
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL