Permit tITY TIGARD MECHANICAL PERMIT
I� DEVELOPMENT SERVICES PERMIT #: MEC2002 -00411
� � I I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/1/02
PARCEL: 1 S 135BA -00102
SITE ADDRESS: 10100 SW WASHINGTON SQUARE RD A -1
SUBDIVISION: OAKBURG ZONING: C -G
BLOCK: LOT: 001 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 2
OCCUPANCY GRP: A3 VENTS W/O APPL: 1 VENT SYSTEMS: 1
STORIES: BOILERS /COMPRESSORS HOODS: 4
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG 3 - 15 HP: COMML.INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: N 30 - 50 HP:
GAS PRESSURE: M 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: 3 <= 10000 cfm: OTHER UNITS:
> 10000 cfm: 1 GAS OUTLETS: 11
Remarks: (4) hoods (3) HVAC units (1) mua (2) bath vents syst (1) b -vent for boiler
(11) gas outlets
Owner: FEES
PPR SQUARE TOO LLC Description Date Amount
BY MACERICH COMPANY [MECH] Permit Fee 11/1/02 $142.80
ATTN: JANET FISHER, ASSET MGMT
SANTA MONICA, CA 90407 [MECH] Permit Fee 11/1/02 $0.00
[MECPLN] Plan Rev 11/1/02 $35.70
Phone: [MECPLN] Plan Rev 11/1/02 $0.00
[TAX] 8% StateTax 11/1/02 $11.42
Contractor: [TAX] 8% StateTax 11/1/02 $0.00
DEVCON INC Total $189.92
PO BOX 3305
ARLINGTON, WA 98223 -3305 REQUIRED INSPECTIONS
Phone: 360 652 - 1444 Gas Line Insp Hood Inspection
Gas Line Insp Hood Inspection
Reg #: 64334 Gas Line Insp Hood Inspection
Gas Line Insp Fire Suppr Insp
Mechanical Insp Fire Suppr Insp
Mechanical Insp Fire Suppr Insp
Mechanical Insp Fire Suppr Insp
Shaft Inspection Final Inspection
Shaft Inspection
Shaft Inspection
Shaft Inspection
Hood Inspection
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
requir syo to o follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -00
Is ued By: _ r j ! / Permittee Signature: t _
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
09/12/2002 09:29 FAX 5035981960 CITY OF TIGARD al004
ope
.
.. MechanicalPermit Application
" Datereceivcd: Q / o A Permit no.: Wee/ r r g .00
_ mil" �I' City of Tigard HG) Pro era l.no.:
1 aPP i MMINIMIIIIII
City ofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued , A Receipt no.
Phone: (503) 639 -4171 SEP 1 7 2002
Fax: (503) 598-1960 Case file no.: Paymenttype:
Land use approval: Chi x UI ! It Jal) Building permit no.:
DING 'a 3iON
LYPE OF PERMIT
U 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi -family ❑ Tenant improvement
0 New construction ❑ Addition/alteration/replacement ❑ Other.
JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE
Job address: 0 ks �i . A ■ Il• , r , le, s ,irgEmim Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: Suite no.: value of all mechanical materials, equipment, labor, overhead,
Tax map/tax lot/account no.: profit. Value $ •
Loa Block: Subdivision: ''See checklist for important application information and
Project name: P - .V • di) s e. _ jai, .ayan1 ► ' klim ' - 40Y1 . •'urisdiction's fee schedule for residential permit fee.
City /county: 1. , ri.' t1.• EGE 1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE
Description and : tion of work on premises: 1' . s,.. . A. ti. • l A1iND COti11LERICAL/INDUSTIILAL EQUIPMENT SCHEDULE
'_ afa Yi • _ IVA . _, �e A e r /,v a • • L _ l A !' Fec(ea.) Total
Est. date of completion/iinspection: i i. L.. r I Qty. Res.oN Res. only
Tenant improvement or change of use: • VAC: III Is existing
space heated or •, nditioncd? Yes O No Air handling unit CFM
g Pa Air conditioning (site plan required) —
Is existing space insulated? ':, Yes ❑ No Alteration of existing ' ' AC system MI
MECHANICAL CONTRACTOR : •ilex/compressors
> . . ; ,,,� 4 ..... ..:...... State boiler permit no_: ,■�
Hess sr0..... �, HP Tons BTU /H
-ter, i , ..., .: : : = ��
Cif.- M- , - , A- 4U*--- •..- _ ZIP: _ lit it pump (site • Ian requited)
Eal �� ; b ndtall/replace ace/burner :TU /H ■ --
CM II --.'1.1" r «... , riU • .1 l I -I ■ • III .
nstal/repla .- teheaters- suspended, ■
City/metro lic. no,: wall, or floor mounted •
Name lease t — �'
lam)'. _ —_ _Refrigeration: � �=
CONTACT PERSON Absorption units BTU/H
Name: Chillers HP NM
Address: Compressors HP NM
]h nvironmentel I ad and ventilation:
City: State: ZIP: Ap.liance
■
Phone: Fax: E -mail: Dryer exhaust t1 : �=
OWNER Hoods. ype res. }arch • azmat
hood fire suppression system
Name: / • ,a 4 I a %/A h Exhaust fan with single duct (bath fans) - �_
Mailin g address: £1 ; lei. �►% I L! '• � _G � add i Ex gust system • art from heaun ; or AC NE
r 3 Fuel pipmg and : , ' . n (up to 4 ou cts) ■ �-
•� State: • ZIP: LPG NG Oil
Phone:4, -;;pygi,I % Fax: E- mail: Fuel pipin : each addition : over 4 outlets NM
ENGINEER _, p ping sc • emetic required) MM --
Da. Number of outlets I
—_
Name: • L . / s i. _' • , _ f7" , , , . ce or e
Address: ,ag :J. a ,�•� I �_ 1 Decorative -.lace ■
+ _ /. I� State:. ZIP: . 1 a Eisen- A' NM
Phone: 0. - • • • tove/pelletstove
�Z� %�Z�::. mail: .. �r � ��
Applicant's sign= Date:cFl IN oz- . _ . .
NM
Name (print) : tr-� ' : M
Nm an jar credit cards. please eau jurisdiction for more idarmadon. Permit fee $ /`Y /-
CI Visa O MasterCard Notice: This permit application Minimum fee $
Credit card number . / L expires if a permit is not obtained plan review (at %) $ :36 r70
mi within 180 days after it has been State surcharge (8 %) .... $ 7/ `-/% --
Name of cardholder as stow° an edit card accepted as complete.
. 3 TOTAL $ /c? y
Cmdhddee signature Amount 440•1617 (MXII'OM)
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CITY OF TIGARD 24 -Hour .
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: ` (503) 639 -4171 MST
BUP
Received r Date Requested -14 AM PM BUP
Location / 0 100 1/0 ft S Z Suite MEC <<92 + OO q1
Contact Person �.`.�- —L.-� Ph ( VA. S1 -' gi g'-3 94, PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access: -
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
AP. 6 0 v 5 � €
Drywall Nailing s' Q
Firewall 5- I.E /_ S j D 2?,€ P4 , e Pt/ 7/
Fire Sprinkler Q
Fire Alarm 0 1� 2,5 e,e /i`/�' lai+/ 0 wa "10 glLc.Aftt,✓J i ' ",(�
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL _
Post & Beam
Rough -In
s in
moke Dampers
legt PART FAIL
ELECTRICAL
Service .
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE D Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line
ADA /) `
Approach/Sidewalk Date 1 Z I / (, v -/ Inspector Ext
Other: V
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD " 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 g� Z UU Z - e.).3 INSPECTION DIVISION Business Line: ' (503) 639 -4171 9r4
BUP 20 Z— bG s Z
Received 'bate Requested / ' 223 AM PM BUP
Location /0/0 L4) k S 0 RD Suite MEC - 0
Contact Person Ph ( yoZ '{I � 3 (1 6 z - 00
Contractor Ph ( SWR
BU • ► Tenant/Owner ELC
ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Fire wall
Fire Sprinkler
Fire Alarm
s 'd Ceilin )
Roo
Other:
F':���
PA RT FAIL
BING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole /Z-C . •z /6 ee 770 / t(% �C
Storm Drain
I Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
t aFlagab
Gas Line .
Smoke Dampers
FiDaL
PART 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: El Unable to inspect - no access
Fire Supply Line
ADA Approach/Sidewalk Date / /�'3 Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: 03) 639 -4175
INSPECTION DIVISION Business Line:' (503) 639 -4171 MST
BUP
Received Date Requested ° "I AM PM BUP
Location t an , / 0 /40 10 / 4 � fap Suite 4 / EC 20. 9//
Contact Person Ph ( j ark�s � o?OV1 —�
Contractor Ph , ) 4. SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors 110
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall �` )
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL c_"
PLUMBING •
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PAT FAIL
R'ANICA
Post & Beam •
Rough -In
Gas Line
Smoke Dampers
inal )
PART FAIL
EL TRICAL
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 / ,l
Approach/Sidewalk Date v/ Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job sit
PASS PART FAIL