Permit CITY OF T MECHAN I CAL
- DEVELOPMENT SERVICES PERMIT
PERMIT # : MEC99 -0085
,_. °- _I 1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
DATE ISSUED: 03/01/99
0q 7( S PARCEL: 1 S 12ECO -01 107
SITE ADDRESS...: 5 SW WASHINGTON SQUARE RD #
SUBDIVISION ZONING: C —G
BLOCK LOT JURISDICTION: TIG
CLASS OF WORK..:ALT FLOOR FURN ° 0 EVAP COOLERS: 0
TYPE OF USE °COM UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:B VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES - 0 BOILERS /COMPRESSORS HOODS ° 0
FUEL TYPES 0 -3 HP ° 0 DOMES. INCIN: 0
3 -15 HP • 0 COML. INCIN: 0
MAX INPUT: 0 BTU 15 -30 HP - 0 REPAIR UNITS: 0
FIRE DAMPERS ?..: 30 -50 HP • 0 WOODSTOVES..: 0
GAS PRESSURE...: 50+ HP : 0 CLO DRYERS..: 0
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 3
FURN < 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks : Tenant Improvement to an existing retail space. Duct work only.
Owner: FEES
J CREW INC type amount by date recpt
770 BROADWAY PRMT $ 25.00 GEO 03/01/99 99- 313339
11TH FLOOR 5PCT $ 1.25 GEO 03/01/99 99- 313339
NEW YORK NY 10003
Phone #:
Contractor:
TRI— COUNTY TEMP CONTROL INC
13150 SE CLACKAMAS DRIVE
$ 26.25 TOTAL
OREGON CITY OR 97045
Phone #: 654 -3115
Reg #..: 72623
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Duct Inspect ion
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
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 by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952- 001 -0010 through OAR 952 - 001-0080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
Issue By �j _ - �/� !� Permittee Signature: _� A, l a,—
T wi,
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
01/28/99 THU 09:39 FAX 503 598 1900 CITY OF TIGARD
(A 002
_ , 1 1.OF TIGARD Mechanical Permit Application Plan check
Recd By
13125 SW HALL BLVD. Commercial and Residential
Date ReC'd
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Data to DST
Print or Type Permit Mite 99 - is 5
Incomplete or illegible applications will not be accepted Cain
Name a owaropmenuProlact Description
n Table 1A Mechanical Code
,ua a,5tt 5%. MO Ql Pnce Amt
Job ( eftm Aaaren n' Suaaa A) Permit Fee R, i!F ..r...4 '', 10.00'
Address ? - IS I' S W 5 tt)45h , sC b -6 1) Furnace to 100,000 BTU
istato including ducts & vents 6.00
2) Furnace 100,000 BTU+
111)n1 32 Including ducts & vents 7.50
Name for nano of bimetal 3) Floor Furnace
Owner f�iN`j,» ' Cle- (.45 44-e--- inducting vent 6.00
mama mama 4) Suspended heater, wall heater
c r /z A / R / ,r y C or floor mounted heater 6.00
S V� !/� �T 5) Vent not Included in appliance prim*
Phan
�i9 9 r /// _ 3.00
� CHECK ALL •Boller Heat Air
Name THAT APPLY: or Pump Cond Qty Price
6 ..1. C.re.t�J C. .
Mautrrg Address a) K BTU rb unit to ---- 6.00
Occupant /00K BTU
7) 0-15 T unit ----
city/state 500k zip I Phone 100k to 500k k BTU 11.00
r;) 15-30 HP; absorb
unit .5-1 mit BTU 15.00
N srrr
Contractor n�h� � /�����,, (f 9) 30 HP: absorb
1f0 t-tUhs l� eitn.y- CXx , snit 1 - 1.75 mil BTU 22.50
Prior to cop %3 a� $f7 dmmeess��'' 13) : absorb unit ---. -
a issuance. a Copy 13 1 Se U.4k[e
tn+irl� VIVO' VIVO' Di' >'t.76 6 mil mil BTU 37.50
of all licenses cur/stets Zip Phone 11) Air handling unit to 10,000 GPM
are required if _ C3eekc,i CT (3Q_ 47045 55l 22 W 4.50
expired in COT Oregon caua. Cant Baud Lk4 exp. Date 12) Air handling unit 10,000 CFM+
database 7a (02- 3 -at - Do 7.50
Architect Name 13) Non - portable evaporate cooler
- 4.50
Or Mane Addrsss 14) Vent fan connected to a single duct
3.00
lb) Ventilation system not induded In
Engineer COy/5tere ti I Phone appliance permit 4.50
16) Hood served by mechanical exhaust
Describe work to be done 4.50
,7) Domestic incinerators
(w) Repair Ala like kind: Ye. No 0 7.60
Residential 0 CorranerclalA ) 18) Commercial or Industrial type Incinerator
J 30.00
Additional information or description of work: 19) Repair units
RQ C ate. atom u) 0 V S `r i2a pier Soma. 20) Wood stove 4.50
.l is
4.50
21) Clothes dryer, etc.
4.50
Type of fuel: o0 0 natural gas 0 LPG 0 electric 0 21) Other units ,
4.50
I hereby admowledge that I have mad this application, that the information :'3) 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 outlet (each)
.60
Signature of OwnerlAgent Date ► im . •
Ilti,dmum Permit Fee $25.00 SUBTOTAL , M ¢ c'' -_
�� llr / - ' 6 % SURCHARGE " r
Contact Person @ Phone PLAN REVIEW 25% OF SUBTOTAL , �
Required for ALL commercial permits only ;:V•F , 4:
60i 1 ? 2 i a2 I4L�W s--s- 7 -zz� TOTAL = 0 .
n
'State Contractor Baler Certification required
"Residential NC requires site plan showing placement of unit
I :lmechpem,.doc rev 07(20198
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•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
20j-lour Inspection Line: 639 -4175 Business Line: 639 -4171
/ /. BUP
Date Requested 3` 7T AM X PM BLD
Location S V)CW1 _ I,Q�d 0 -12 Suite MEC Qq-DOaS
Contact Person j?TOh tom. i /1 L Ph PLM
Contractor � (Di Ph SSA — SWR
BUILDING owner J. °L ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: C� �Yti
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
- MECHATI L // f
Post & Beam " ����`�'� 74,97-----,L4/1-4/61 „T I/ v
ou
Gas Line
Smoke Damp rs
Fin �
SASS T ART FAIL
ELECTRICAL
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 1
Approach /Sidewalk D 3 2. ° 9 7 Inspector / i' e/�Q
Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.