Permit C ITY OF TIGARD MECHANICAL PERMIT
lilt DEVELOPMENT SERVICES PERMIT #: MEC2004 -00437
'�' �.� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/2/2004
PARCEL: 1S135BA-00102
SITE ADDRESS: 10124 SW WASHINGTON SQUARE RD A -7,8
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: 1
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
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: Add exhaust fan at server room.
Owner: FEES
PPR SQUARE TOO LLC Description Date Amount
BY MACERICH COMPANY [MECH] Permit Fee 7/2/2004 $72.50
9585 SW WASHINGTON SQUARE RD [TAX] 8% State Surchart 7/2/2004 $5.80
TIGARD, OR 97223
Phone: 503- 639 -8865 Total $78.30
Contractor:
ANCTIL SHEET METAL CO.
4320 N WILLIAMS AVE
PORTLAND, OR 97217 REQUIRED INSPECTIONS
Phone: 503- 281 -0752 Mechanical Insp •
Final Inspection
Reg #: LIC 8897
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 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246 -6699.
Issued By: Now ♦ Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
MecJanlwal Permit Application FOR OFFICE lis► ()NIX
City of Tigard o war , a ,6,(00
L j , �
13125 SW Hall B1vd'Tigard, OR 97223 Plan Revie
Phone: 503:639.4171 Fax: 503.598.1960 /As ° �' r ,,, . '' Date/By:
Other Permit:
Inspection Line: 503.639 4175 : , ,_ , '• I 1 :! I Date Ready/By. Iffin 111 See p 2 for
Internet www.ct.ttgard.or.us Notified/Method: Supplemental lnformation
TYPE OF WORK COMMERCIAL FEE' SCHEDULE - USE CHECKLIST
Mechanical permit fees' are based on the value of the work
New construction
❑ ddition/alteration/replacement
performed Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other. mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value. $ / gQp
dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1 - and 2 g ❑'Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description I Qty I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 1 b f ♦ a "( S v.) WASH INGibtJ
Air (requires site h owing pump
(requires site plan showing placement) 14.00
City/ State/ZIP T I G , o -. 9-72-2-3 Furnace 100,000 BTU (ducts/vents) 14 00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: 14 ,3v.ds Gas heat pump 14.00
Cross street/directions to job site: ^) - OGo t2 TD Lc» )6- . he,-s. Duct work 1400
Hydronic hot water system 14 00
Residential boiler (radiator or
hydronic) 14 00
Unit heaters (fuel -type, not electric),
in -wall, in-duct, suspended, etc. 10.00
Flue/vent for any of above 10.00
Subdivision: Lot Other. 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
.,I� Gas fireplace 10.00
Pr() t t D( I'4At,)ST �- ) S tJt'YL Pcrei Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
❑ PROPERTY OWNER I ❑ TENANT Ot y/liner/flue/vent 1000
Other: 10.00
Name: Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 1000
City/ State/ZIP: Clothes dryer exhaust 10.00
Phone: Fax: Single-duct exhaust (bathrooms,
( ) ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT aC PERSON Attic /crawlspace fans 10.00
Other. 10.00
Business name: Fuel piping
Contact name: p- -E CO4 4E- $5,40 for first four, $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City/ State/ZIP: Wall/suspended/unit heater
Phone' ( ) Fax:: ( ) Water heater
Fireplace
E -mail:
Range
CONTRACTOR Barbecue
Business name' At 4 C - T I L - N-T A cool-06- �� s dryer (gas)
Address: 1 -132o tJ . v..); I-L- i A H5 A J e MECHANICAL PERMIT FEES*
City/State/ZIP: P00- � c 9'7 Z 17 Subtotal �
Minimum permit fee ($72.50) /�'-4. 50
Phone: (5p3) 24 1- Q -iS - Fax: (SDI ) 2 • S - 72.1_ Plan review (25% of permit fee)
CCB tic.: b 0 / -) State surcharge (8% of permit fee) 40
^ TOTAL PERMIT FEE Zu .
...t..__ -a _ :...,.,... -,,. This permit application expires if a permit is not obtained within 180
C/}e'Ia- ConH,.J5
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECT4ON DIVISION Business Line: (503) 639 -4171 MST
BUP
Received - Date Requested 7- / AM PM BUP
Location I D I ?, 12)1q - s Q. Suite MEC 4/'i v 137
Contact Person Ph ( ) 2 -g / - O 7.5 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner K" 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
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof `..
Other:
Final — ,lls''
PASS PART FAIL r N
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
Gas Line
Smoke Dampers
L - ART FAIL
EL - ICAL
ervice
Rough -In AIL 4—.. / (1 ►_� - . i.� /
Low Voltage 1 �
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
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL