Permit CITY TIGARD MECHANICAL PERMIT
• 'r� DEVELOPMENT SERVICES PERMIT #: MEC2000 -00192
Ail 13125 SW Hall B lvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 05/18/2000
PARCEL: 1 S126C0 -01107
SITE ADDRESS: 09534 SW WASHINGTON SQUARE RD Oa
SUBDIVISION: ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT 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:
CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS
FURN > =100K BTU: <= 10000 cfm: 2 OTHER UNITS:
> GAS OUTLETS:
10000 cfm:
Remarks: Mechanical TI
Owner: FEES
PPR WASHINGTON SQUARE LLC Type By Date Amount Receipt
BY THE MACERICH CO PRMT GEO 05/18/20( $50.00 0002295
401 WILSHIRE BLVD #700 PLCK GEO 05/18/20C $12.50 0002295
SANTA MONICA, CA 90401 5PCT GEO 05/18/20( $4.00 0002295
Phone: Total $66.50
Contractor:
ARROW MECHANICAL
10330 SW TUALATIN RD
TUALATIN, OR 97062 REQUIRED INSPECTIONS
Mechanical Insp
Phone: 692 -1565 Final Inspection
Reg #: LIC 000051
ELE 34 -47CLE
ORIGINAL
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 may obtain copies • these r +s' or direct questions to OUNC by callin (503)246 -9189.
/ //
Issue By: � �� � / _ �` / Permittee Signature: a'' /LA-
Call (503) 639,- 5 by 7:00 P.M. for inspections needed the next business day
CITY OF TIGARD Mechanical Permit Application Recd Byck
13125 SW HALL BLVD. Commercial and Residential Date Recd 9
. TIGARD, OR 97223 n e .d ° Date to P.E. 0-4- ,,iri
(503) 639 -4171, x304 v P " Date to DST � ,
Print or Type Permit #1 - �OD PIP'
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
/, / Q / jn5 L n 5� U�r/e a J/ Table 1A Mechanical Code Qty Price Amt
Job Street Address.' 10 o Suite# A) Permit Fee 16.00
Address q53 el ,5 - 1454 . ,46A 1) Fumace to 100,000 BTU
including ducts & vents see footnote 1,2 9.65
Bldg# City /State v Zip 2) Furnace 100,000 BTU+
T: #1,Dte ( 17 (213 including ducts & vents see footnote 1,2 12.00
Name (or name of business) 3) Floor Furnace
Owner including vent see footnote 1,2 9.65
�-e /'i'!' �' 4) Suspended heater, wall heater
a iling Address
r •
n� Vent floor mounted heatpp Pee footnote 1,2 9.65
��� � /, /> ��� 5) Vent not included in appliance permit 4.75
City/State Zip 1 Phone Check all that apply: 'Boiler Heat Air
fct ii;c 901/0/ For items 6 -10, see or Pump Cond Qty Price Amt
Name (or name of bu CA footnotes 1,2 Comp
/Oa N I 6) <3HP;absorb unit to
ita l it) DAder 5 100K BTU 9.65
Occupant _ M ailing Address k 1114/1 7 ) 3 -15 HP;absorb unit
9 53 y 5 141 0 k 50 100k to 500k BTU 17.65
City /State trip Phone 8) 15 -30 HP; absorb
unit .5-1 mil BTU 24.15
Tit( t 0,4 3OA 97 ?3i 9) 30 -50 HP; absorb
- Contractor unit -1 -1.75 mil -BTU _ . _36.00_ . _ _ _ __ __
OW # 5iCA,/ 10) >50HP; absorb unit
Prior to permit Mailing Address „ / >1.75 mil BTU 60.15
issuance, a copy / 54" Tda a � . 11 Air handling unit to 10,000 CFM
of all licenses City /Statf i Zip Phone 2 7.00
are required if 74A/4 f. n i Qr 9 206.2 60-645 12) Air handling unit 10,000 CFM+
expired in COT Oregon Const. Cont Board Lic # Exp. ate 11 85
database 549'i //3/p0 13) Non - portable evaporate cooler
Architect Name rI �] 7.00
/y1 Vjv 5IUzo/' Ate la T5cr5 14) Vent fan connected to a single duct
or Mailing Address 4.75
�` / '`!l 15 Ventilation system not included in
/)' D ( 1 5f $/„'/e 3'v appliance permit 7.00
Engineer City/State n Zip Phone (ti 6) 16) Hood served by mechanical exhaust
kj1jer v ' jle i C41 9f iao$: 4 a R -PR/ 7.00
Describe work to be done: 17) Domestic incinerators
12.00
New 0 Repair 0 Replace with like kind Yes No 0 18) Commercial or industrial type incinerator
Residential 0 Commercial A 48.25
19) Repair units
Additional information or description of work: 8.40
20) Wood stove /gas FP /other units /clothe dryer /etc.
7.00
NOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets
structural gas calcs. See footnote 1 3.75
Type of fuel: oil 0 natural gas 0 LPG 0 electric )St 22) More than 4 -per outlet (each) .75
Minimum Permit Fee $50.00 SUBTOTAL 55n.
I hereby acknowledge that I have read this application, that the information 8% SURCHARGE 7, 00
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL .t ,
the owne p , s / r3 r ped a n compliance with Ore on State laws. Required for ALL commercial permits only , �la
�. / --? TOTAL �..
09
Signs ure of owner /Agent Date
Other Inspections and Fees:
4/ r , °7 . /5- -'6 L 1. Inspections outside of normal business hours (mininum charge -two
Contact Person Name Phone hours) $50.00 per hour
2. Inspections for which no fee is specifically indicated (minimum
,prow g,'C A charge -half hour) $50.00 per hour
F notes for comme tal projects only: 3. Additional plan review required by changes, additions or revisions to
1. Provide full schematic of existing and proposed gas line and pressure. plans (minimum charge -one -half hour) $50.00 per hour
2. Provide drawings to scale showing existing and proposed mechanical
*State Contractor Boiler Certification required
units.
"Residential NC requires site plan showing placement of unit
l:\rnechperm.doc rev 7/19/99 /
BOO 5
OVER- THE - COUNTER (OTC) PERMIT
COMMERCIAL MECHANICAL PERMIT CHECK LIST
•
Description of Project: ((
Class of Work: 4 1,1- Floor Furnace: Evap Coolers:
Type of Use: 6 15m Unit Heaters: Vent Fans:
Occupancy Grp: I'I'I Vents w/o Appl: Vent Systems:
Stories: Boilers /Comprsrs: Hoods:
Fuel Types - 0 - 3 HP. Repair Units:
/ / / / 3 - 15 HP. Wood Stoves:
Max Input: Btu: Air Handling Units �J Clo Dryer:
Fire Dampers: <_ 10000 cfm: Oth Units:
Gas Pressure: H / M / L > 10000 cfm: Gas Outlets:
No. Of Units:
Furn < 100k Btu:
Furn >_ 100k Btu:
NOTES:
COMMERCIAL INSPECTION ACTIONS FEE MENU
Gas Line Ins.ection $ Permit Fee
$ i Plan Review
• • = • rn Inspection $ 4/ 8% State Surcharge
Shaft Inspection $ Additional Permit Fee
Hood Inspection $ Additional Plan Review Fee
Fire Suppr Inspection $ Inspection Fee
Duct Inspection $ Miscellaneous Fee
Fire Alarm Inspection
Fire Damper Inspection REMARKS:
Miscellaneous Inspection
Fire Alarm Inspection
inal lnspectio
'OA .0:41fr471
•I;YPE OF USE OPTIONS .OM °--- ; commercial CMS = commercial anufactured structure)
CLASS O WORK OP F OR ^AL SPERMITS NEV11,; = „new ?ADD addition ALT s erat on, A c• a S = ssry -.
TIONS p ' FP fire prot = s NOTE USE'0TH o FORS ENG RET AINING
NDa ciatro o r, pEM � demotttion,EP = re air, }:p . $-
DETACHED DE KS; SIG S, AWNINGS C ANOPIES)
I: /dst/forms /otcmech.doc 9/99
i:\dsts\forms\otc-mech.doc9/99 1
CITY OF TIGARD BUILDING INSPECTION DIVISION
MS
24 -Hour Inspection Line: 639-4175 / . Business Line: 639 -4171 I CO 00 )OS
1,�
Date Requested A �-(�/ M PM r / ( ' ZOVO - CEO )
Location q - O S (A) a Sk, ,S1 U4/U2 Suite VW - 00/ 7
Contact Person alliAA Ph (P3O - 24)1- 7 VA PLM
Contractor Ph r'
BUI SWR
LDI N) Tenant/Owner /W 0O - !t - f q ELC
' • all ELR .
Footing Access: E L,C 2,071 0 06 y3 k2 /1 Co DO FPS
Foundation \
Ftg Drain . ( / SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing Sr_
Insulation \
Drywall Nailing A,
Firewall ,'�
ire Sp reDi
Fire Alarm t 1 r. C �, Q ,� „ n S � f
Susp'd Ceiling 6 'y�" 1 (1J� � —�" � �C 1 ; 7\ "-- 3 '. a■."-c9N
Roof I I ( „ s
Misc: Att SS PART FAIL Ci—C^1-
p
PLUMBING
Under Slab 4 -) � ; '7 \ {1 /■- j
Lt/� L L- LCD S _
Top Out
Water Service J S -.S �/ln
Sanitary Sewer 5 5 i Ci✓��l ' , ^ n (_ n
Rain Drains • qO1 V � /�( 1•j�
Final
PASS PART FAIL l . Al I 1 ' `AA_Al ♦ .. 1
Post & Beam C� _
Rough In Z ' °Y ^ v`.O / • tr-¢....de,1. / a•v
Gas Line
Smoke Dampers
t;<g% L
.• _ PART FAIL la 1 1j b G ` j�
ELECTRICAL
Service
Rough In
UG /Slab 0 '_ _
Low Voltage -C-- U/ ) ✓ � €� - � - �
Fire Alarm s' �-"�` /�
Final �.r VIA-, ./-�� � a . L"�r\
PASS PART FAIL .--M l�
SITE (�
Backfill /Grading 0 6 ' 0
Sanitary Sewer 7 of
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 Date (..0/) J2/ 4) Inspector )e V t Ext 3
Other
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 •
BUP
Date Requested c/169/00 AM PM BLD
Location - L 3C(. I'\ Me, Suite €21000 — CO 1 2
Contact Person 2 : ,11:A 44. Ph PLM
Contractor Ph SWR )
BUILDING Tenant/Owner N P%{Z A'l-- = ■ rJ - ELC
Retaining Wall ELR
Footing Access:
id apI
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int
F amin ath /Shear J(a
Insulation (I
Drywall Nailing r, ' , 1.
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
CHANICAL)
Post & Beam
Rough In
Gas Line
Smoke Dampers
S' PART FAIL
EL ' TRICAL
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 /ci Appr Date oach /Sidewalk `p /' Inspector (/ Ex
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
3.)1 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
BUP
Date Requested V/VOD AM g 6?- 7 --3 M BLD •
Location MI L e. J L4. 4c./�- Suite MEC Mb a
Contact Person AMP " ! ,L / . j Ph (eZ- / ('ST PLM
muga w Contractor Ph SWR
BUILDING Tenant/Owner c ° �� oD ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing I MI I Off. . _ 1 A k C rm. a -
Insulation 1 ��
Drywall Nailing ��
� C.� —•��� �N � -P � `J
Firewall I , (2—c k `� 1 ��
Fire Sprinkler \,J VVV
Fire Alarm e
Susp'd Ceiling ' "
Roof
Misc:
Final
PASS PART FAIL : /UI = ` --
PLUMBING k e"Cre,--
Post & Beam �
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART . FAIL
I t HANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
,
PASS PART
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 ,,
Approach /Sidewalk
Other i Date `P / C 6 - 6 Inspector Ext S C i
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
BUP
Ilk Date Requested � f�� � AM PM BLD
•
Location �`-- - , VV-, c / I� 1V -e -Suite 'MEC ?,Q0�-06 ,9 g
Contact Person
�� q t A . Ph 1' q 2 - is , s P
Contractor Ph SWR
BUILDING - Tenant/Owner A0-4 U-r /i3O M.Q_-' 1 ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing .
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm /DOC T � �� 4 6 r4 Z .
Susp'd Ceiling _
Roof Co ��,2 •
Misc:
Final
PASS PART FAIL •
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL)
Post & Beam
(11
Gas Line
•
Smoke Dampers
�j PART FAIL
E TRICAL
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 / / 7/d a
Otheoach /Sidewalk Date (d I nspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.