Permit c.6;
A A CITY OF TIGARD MECHANICAL PERMIT
X64, DEVELOPMENT SERVICES PERMIT #: MEC99 -00121
" r� II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/7/99
PARCEL: 1S135BA-00102
SITE ADDRESS: 10164 SW WASHINGTON SQUARE RD B4 -1
SUBDIVISION: OAKBURG ZONING: C -G
BLOCK: LOT: 001 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: 0 EVAP COOLERS: 0
TYPE OF USE: COM UNIT HEATERS: 0 VENT FANS: 0
OCCUPANCY GRP: M VENTS W/O APPL: • 0 VENT SYSTEMS: 0
STORIES: 0 BOILERS /COMPRESSORS HOODS: 0
FUEL TYPES 0 - 3 HP: 0 DOMES. INCIN: 0
ELC 3 - 15 HP: 1 COMML. 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
FURN < 100K BTU: 0 AIR HANDLING UNITS CLO DRYERS: 0
FURN > =100K BTU: 0 < =10000 cfm: 1 OTHER UNITS: 0
> 10000 cfm: 0 GAS OUTLETS: 0
Remarks: Installation of refrigerated merchandise cases. .
Owner: FEES
WINMAR OREGON INC Type By Date Amount Receipt
700 5TH AVE PRMT DRA 3/30/99 $25.00 99- 314062
SUITE 2600 PLCK DRA 3/30/99 $6.25 99- 314062
SEATTLE, WA 98104 -5026 5PCT DRA 3/30/99 $1.25 99- 314062
Phone: Total $32.50
Contractor:
RUDY'S COMMERCIAL REFRIGERATIO
1660 RUMRILL BLVD
SAN PABLO, CA 98906 REQUIRED INSPECTIONS
Mechanical Insp
Phone: 510 - 234 -9424 Final Inspection
Reg #:
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 -0080.
You m Qr a' copies of these rules or direct questions to OUNC by calling ( 3)246 -9189.
Issue .. k Permittee Signature: ,.a . Aix_ �`` 0 °—Y._
Call (503 639 -4175 by 7:00 P.M. for inspections needed the next usiness day
Plan Ch 7 C-
CITY OF TIGARD Mechanical Permit Application Recd
13.125 SSW HALL BLVD. Commercial and Residential . Recd if
TIGARD, OR 97223 Date to P.E. ..25-
(503) 639 -4171, x304 Date to DST 3 -- '7,
Print or Type 4; 6 a P9q- 007 9 Permit CO 'r -, - /'
Incomplete or illegible applications will not be accepted -3na< 3y � a
Name of Development/Project Description
Z-ef , v9S ' Table 1A Mechanical Code Qty Price Amt
Job Street Address � / � s�� / Su ite# A) Permit Fee ® 10.00
Address / G /`'y sits/ 4/ 44 8 - /- to 1) Furnace to 100,000 BTU
'� including ducts & vents see footnote 1,2 6.00
Bldg,/ City /State / Zip 2) Furnace 100,000 BTU+
// �`9' 4 7Z03 including ducts & vents see footnote 1,2 7.50
Name (or name of business) 3) Floor Furnace
Owner S p/' -5-747/41. /A/G including vent see footnote 1,2 6.00
Mailing ss 4) Suspended heater, wall heater
or floor /9 /A �� d f dre 'o C /d /G P�r�'e 5) Vent not included in heater
p appliance p see footnote 1,2 6.00
PP Permit
City/State Zip 14/5-416' RIRr) 3.00
GU//�tr> - G , ee k cA. �e• -69 ! Check all that apply: Toiler Heat Air
Name (or name of business) For items 6 -10, see or Pump Cond Qty Price Amt
��� nnir /L footnotes so Comp
Mai l ing Address >TCJ Ae 6) <3HP;absorb unit to
Occupant 100K BTU 6.00
/1‘1'/-rIti //jis /j 7 7) 3-15 HP;absorb unit
City/State p Phone 100k to 500k BTU 11.00 V
T 97003 8) 15-30 HP; absorb
Contractor Na unit .5 -1 mil BTU 15.00
p �f� ,
A 6» ' 9) 30 -50 HP; absorb
/�� 5ir/M ad unit 1-1.75 22.50
Prior to permit Mailing Address tT 10) >50HP; absorb unit
issuance, a copy //h/ 140.-//r//e/1/1 >1.75 mil BTU 37.50
of all licenses /state Zip Phone C574 11) Air handling unit to 10,000 CFM
are required if .S.r )hi dd, a4 .710'41 13 if iwzit - 4.50 V
expired in COT on Const. Cont. Board Lic.# Exp. Date 12) Air handling unit 10,000 CFM+
database 7 31 ( p (D ' 7 -0 1 - 7.50
Architect Name 13) Non - portable evaporate cooler
4.50
or Mailing Address 14) Vent fan connected to a single duct
3.00
15) Ventilation system not included in
Engineer City /State Zip Phone appliance permit 4.50
16) Hood served by mechanical exhaust
Describe work to be done: 4.50
17) Domestic incinerators
New 0 Repair 0 Replace w'lsh like kind: Yes 0 No 0 7.50
Residential 0 Commercial 18) Commercial or industrial type incinerator
30.00
Additional information or de of work: / 19) Repair units
/ /� /e- / Pt.4.. /fed,flic - C.6Se,$ 4.50
20) Wood stove
NOTE: For Commercial projects only; Units over 400 lbs require 4.50
structural gas calks. 21) Clothes dryer, etc.
Type of fuel: oil 0 natural gas 0 LPG 0 electric Cr 4.50
22) Other units
I hereby acknowledge that I have read this application, that the information 4.50
given is correct, that I am the owner or authorized agent of 23) Gas piping one to four outlets
the owner, that plans sub ' ed are in compliance with Oregon State laws. See footnote 1 2.00
24) More than 4 -per outlet (each)
SI ni� f �f / . t Da 50 7-7 / !!/ -3 / 4779 Minimum Permit Fee $25.00 SUBTOTAL ' //
C . ntact Pers • n N : me ' hone
✓`
�_) / 5% SURCHARGE -
J L3 P / T C S /O) Z3'/ 9yZ q PLAN REVIEW 25% OF permits ® I
Foonotes for commercial projects only: Required for ALL commercial ermits only
1. Provide full schematic of existing and proposed gas line and pressure. TOTAL
2. Provide drawings to scale showing existing and proposed mechanical
units. t. *State Contractor Boiler Certification required
"Residential NC requires site plan showing placement of unit
I:lmechperm.doc rev 02/4/99
c
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
Q BUP
Date Requested . � / (Y 9 / AM � PM BLD
Location 1 0 I lD� k9 &S h S'7' - Si PA ' 1 t MEC q / — w I z
Contact Person 'In t Q,l,Q, Ph 50) y,49 —' /Z PLM
Contractor Ph SWR
BUILDING Tenant/Owner pZ1145 ELC
Retaining Wall ELR
Footing Access: nA _
Foundation ; Y r�../� t� FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear 6) —"- I S J �� c) Q � •
Framing
�►�tV c.�J�
Insulation
Drywall Nailing (..
Firewall
Fire Sprinkler
Fire Alarm n
Susp'd Ceiling �' �-"-' r , ` S Q
Roof �j �� 5 .P x 1/4.---0 ) 0. S
Misc:
Final Q ` � L _ v\Z\ � �� -...D6 ' 6
PASS PART FAIL �V� a-- 09%--
PLUMBING �S g -{_Q._s,e
Post & Beam
Under Slab �_ ( _
Top Out - ■ r J
Water Service SO — _ - _. _ . ' • _ v
Sanitary Sewer • _
Rain Drains /I ■ Or • '' CJ l W ^ •
Final k PASS PART FAIL U )_AT _ S
4ECHA L,.„ 1 , _ C�.-� .-, �-
Post & Beam
Rough In --\--6-- • U •
Gas Line
Smoke Dampers
S . ART FAIL C� f .Q� r
ICAL Q.---PA/L-. ti , S
Service
Rough In �Q.�
UG /Slab C�� ��� v r J L.--e /
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 ►,1 0 /J
O
0... e._____
ther Date JC Inspector e) Ex;
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
Qy BUP
Date Requested $ I 7 1 AM PM BLD
Location (NCO q (A //�� , sq • Suite MEC / z
Contact Person OM I efl' , Ph g00'4/ 7 PLM
Contractor 1 r,rn Ph SWR
L
BUILDING Owner LO O.,55 O S ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: t( („_ y, �, j fl /+
Slab 4 �.�t./�1'1� ` SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation -
Drywall Nailing
Firewall
Fire Sprinkler ?era/0os/ X ASS
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 P RT FAIL
ANIC
Post & Beam
Rough In
Gas Line
Smoke Dampers
S PART FAIL
ELECTRICAL
Service
0
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
Other oach /Sidewalk Date I Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.