Permit CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00348
ALA nil DATE ISSUED: 9/13/2005
I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S12600 -00300
SITE ADDRESS: 09374 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Mechanical TI. Project Value: $12,000
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 1
OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS: 0
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
GAS 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
WASHINGTON SQUARE LLC Description Date Amount
BY THE MACERICH COMPANY [MECPLN] Plan Rev 9/13/200f. $64.63
9585 SW WASHINGTON SQUARE RD [MECH] Permit Fee 9/13/200f $258.50
TIGARD, OR 97223 [TAX] 8% State Surchar€ 9/13/200; $20.68
Phone: 503 639 - 8865 [MECPLN] Addl Pln Rv 9/13/200f. $62.50
Total $406.31
Contractor:
BEWLEY MECHANICAL
7911 NE 33RD. DR. #250 REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97211
Phone: 626 - 8986
Reg #: LIC 63582
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
or 1- 800 - 332 -2344.
Issued B �,�/ ��
• ` � �L. Permittee Signature: v a,
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Jun 16 05 02:09p lyn davies 616493 p.1 ■
1echanical Permit Apfii6GiElVE ii; / / I (,I: (,II=I( I: I SI. ()NIA
City of Tigard Received
�!'/I��/. -.4m_ Permit No: HeCalez 603
13125 SW Hall Blvd., 'Tigard, OR 97223 Plan Review 4" ' 4 . 411 " Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 JUN 1 ?Q , ' .. Date/By: 3' /
Inspection Line: 503.639.4175 CITY •I I Date Ready/By. I� / lulls. 0 Page 2 for
OF TIGA Date Re/Methotl / _ / / /Q� Sapp •meotat Info •anion
Internet: www.ci.tigard.or.us BUILDING DIVISION T elimwexf�etin���J* }�
I TYPE OF WORK �� C t Ii ERCIAL FEE* SCHED LE / USE CHEC ISP
^= Mechanical permit fees* are based on the value of the work
❑ New construction ❑ Additi alteration/ placement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition Other: / mechanical materials, equipment, labor, overhead, and profit.
Value: $ i�� OoO
I CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1 - and 2 family dwelling Commerci dustrial ❑Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heaths coolin:
Air conditioning or heat pump
Job site address: 4 3 .7 jri,,1,/ ktitiA /, ?Q)�t� Q5 (requires she plan showing placement) 14.00
City/State/ZIP: .�/G 4A P J 9 �aff
Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100.000+ BTU (ducts/vents) 17.90
R Suite/bldg. /apt. no • /�S _v5 I Project name:JAp >/g I1.5 Gas heat .um. 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
WA iH /A1( TiAi t j (2 UA 'e- 44/41 l Residential boiler (radiator or
hydronic) 14.00
- Unit heaters (fuel -type, not electric),
in-wall, in -duct, suspended, etc. 10.00
Flue/vent for an r f a . • y e 10.00
Subdivision: I Lot no.: Other: ALYMb r -, 10.00
Tax map/parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
f / /M, • 9lle e-t1 t 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
Chimney/liner/flue/vent 10.00
PROP //nE/1WTY OWNER T TENANT Other 10.00
Name: / / Ace ,2 J cH Environmental exhaust and ventilation
l /// Range hood/other kitchen 10.00
Address: /� ox a , 7 a equipment
City /State/ZIP: 5 / /' t 74 MQ / `� ! � y 7 Clothes dryer exhaust 10.00
r Single -duct exhaust (bathrooms,
Phone: (•3 /0 3 ? q — 6 0(20 Fax: ( ) toilet corn .: men utili rooms 6.80
'.APP$.dCANT ONTACT PERSON Attic/crawlspace fans 10.00
Other: 10.00
Business name: p P,- Fuel piping
Contact name: Z. ) j7 V /e__...5 $5.40 for first four; $1.00 for each additional
/ / x:, etc.
Address: `7 5 I n �`� � / /l :� f Pomace, _ Gas heat P um P
City / State/ZIP: W Q V ) A4 J A / v/ AA / y(j V6 Wall /suspended/unit heater
Phone: 000 .285 78 66 I Fax::(( /6 qq j 3 - water heater
Fireplace
E -mail: Range
i CONTRACTOR Barbecue
Business name:0 t/ H Clothes dryer (gas)
J Other.
Address: MECHANICAL PERMIT FEES*
City / State/ZIP: Subtotal
•- Minimum permit fee ($72.50) a47r 0
Phone: ( ) Fax: ( ) Plan review (25% of permit fee) , b
CCB lie.: (035$ a--� State surcharge (8% of permit fee) api G
( i TOTAL PERMIT FEE 3,1.r
•
Authorized signature: � /�, /1/40/0_ �� This permit application ecplres if a permit is not obtained within 180
•C.(J `�' days after it has been accepted as complete..
Print name / \/ A I p v i e > I me 1 • Fee methodology set by Tel-County Building Industry Service Board
Jun 08 05, 07:55A ENCON ROCKLIN 73 /, ) . S Q , :r.4 135 p.5
T (�l/ T� JJ ' ii/ C07 5 —00 .3f
�s -W1 x,1610✓ (rQV i
Form 2a Project Name: Page:
SUMMARY
j 7 Jj1 G?vAi gc�✓ - � - -
Project 1. Project Name �'- � f �( - � � _ �
i
2. Project Address '`
3. City/Town T I wP, OR - 5. County • = 1 2 ,,
4. Building, Gross Area (ft2) / 1 / 7 6. No. of Hoots' ° '
7. Construction Site Elevation Above 2,000 ft? - aYts'\ piNio
Attached Chapter Type ID Description
Building Envelope Fo rm 3a Building Envelope Attach
Forms and s Pe ng nveope - General D
Worksheets 3b Prescriptive Path -All Climate Zones ❑
• CodeComp Report for Simplified Trade -off ❑
* in lieu of 3b • Floppy disc with .occ CodeComp file
Check boxes to
Worksheet 3a Wall U- factor ❑ El
indicate attached 3b Roof U-factor
forms and 3c Floor U- factor 0
worksheets 3d Window /Skylight Schedule D
❑
Systems Form 4a Systems - General
❑
4b Complex Systems
❑
Worksheet 4a Unitary Air Conditioners - Air Cooled
4b Unitary Air Cond. - Water & Evap Cooled ❑
4c Unitary Heat Pump - Air Cooled 0
4d Unitary Heat Pump - Water Cooled 0 ,
4e Packaged Terminal A.C. - Air Cooled 0
4f Packaged Terminal Heat Pump - Air Cooled 0
4g Water Chilling Pkgs - Water & Air Cooled 0
4h Heat Rejection Equipment 0
4i Boiler - Gas -Fired and Oil- Fired ❑
4j Furnace & Unit Heaters - Gas and Oil -Fired 0
4k Simultaneous Heating and Cooling ❑
41 Air Transport Energy 0
4m Natural Ventilation 0
lighting Form 5a Lighting - General D
5b Interior Lighting Power - Tenant Method ❑
5c Int. Ltng. Power - Space -by -Space Method ❑
Worksheet 5a Lighting Schedule
5b Interior Lighting Power 0
Applicant 7. Name .J. " • )P jt •i/ "'PP 2 10. Telephone V6) t t 5 r 1 ''t
8. Company . e-^/C4n/ 11. Date [ 6 c ps
9 Signature
Attached No. of Pages . Description of Documentation
•
Document-
ation
i.ompnance wan W enecuve u iiu um,
Jun 08 05. 07:55a ENCON ROCKLIN 9164351135 p.6
Worlcsbeel 5a Project Flame: 11 111%12Y 11 Page:
LIGHTING SCHEDULE
(e) .ate-.. RA
= tom __ °� K cal VI
Lung �. at i
laminate - Lamp Ballasts tmfunebe re Luminaire
Power Fran Table
4 75 h/ ?xIct E9p 1R9 c4K ii-. 4i7 I 51-✓ I al -F Gl. - 75 -
of TZ w Tr S 7 i P (n/ 1 3Z w I EL EC- . 3'Z yes
rcriP.1 " l o V e l - 0 2 I 0Ge^� A l f , Sat/' g c . S.
r 1W L ny 7B^�v1 0 ►✓ 71-1..)00e,4 ) 70 ►,.- r c 70
250 W •91.,-06e^/ i Z s o 1,/ 1 C"L C o
R 70 'V 7n 9 ci > 1p me -Ipe 1 7o 1, / I Er- -1 - . z 7
j
54
Complete vita MSC llS CllatAS
Jun 08 05, 07:55a ENCON ROCKLIN 9164351135 p 7
Workshoel5b -1 Pro(ed Name: .1 hl 4 11.-1
}/ (Z.! pag.l___I
INTERIOR LIGHTING POWER
Spece.ey -Speoe kleahod Only - - Ship b cadrmn (O A users the Tenant e Method
Each room pmt (a) (b) (c) (d) (e) 0 (g) a) m a) (k)
be Identified. - Lore ID from Quam�yr of
Omulbo Room ID (do Spam Type Space Llgbtop Power WoMnoot Lundna (m Luednehw Lighting Room
lumberrea tor wadi rot loose any Area (Table 13•H) Type Budget 5a CAL mn lineal ft. for track Poor Em
Indwrldwd room fn blank.) (k (enter .. • type ants once per room) LPD (Watts) t a) (Il Totelllg.
dorm 'r - - /I� , AV .� (b) a (2 (a) I d:wA) Z 0 3' Pr) Power
l� _` �/ 1 5 34 z V
F04 lighting 7 100 ❑ 707 700
enter Irro l feet In
wham column (g). _
Oolunn (k). onto, ❑
sou of column 0) ❑
for each room �' 1:1C1< !bO P1 4 P; tI 1 7 ;t j I -L Z2-Y N 3 TL ❑ 9b q t ,<
for Me rmn See
Instructions. awamoie g 51 PO" 7F -oQM o. el '16 N ► 72- ❑ 32 IL
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Worksheet 5
ee0-_ Total B Wtcsht 5 T ) I ff
Total Sq F /i �O Z t.fplakp Power (sad eserrtyWark Daum) 1 i [ 73
Otbar Papas
(kitOdkiklenal I I
worksheets Total Number of Addnonal Worksheet Sb
necessary to catalog
ell hmiwwbes In
beibbrp WORKSHEET NUMBER f 0 )
Complete ln0 wedbn when more than ono g p1B (0 am Paola IN
Worksheet b lswrripleted Seomm�( apnW Rd+ haw tt�
( Mted) lot
5b-1
�.. �, 50-2
�r14.
5
_ 63
. � _ _
V. _
Suns eA➢worksheets _ SD worksheets
or; u of
Total Budget( at d waloheeal
-
5-5
omerrce ■ab O55C .rleame newel
Jun 08 05 07:55R ENCON ROCKLIN 9164351135 p.8
Fonn 5c Project Name. J PJ' — h i d W AV jz f Pa g e:l
INTERIOR LIGHTING POWER - Space - by - Space Method
Lighting Power t Total Interior { or Li 9 htin 9 Power
e Budget from Worksheet 51,4 (Sum of Column (I)) I 22-02 I
Track Lighting 2. track fighting (ft)
Total length of tk
Power
3. Line 2 muIUplled by 37.5 Wattsa t 0 75
4. Total amperage of circuit breaker(s) serving track lighting (amps) " ! I Q
5. Voltage of circuit breaker serving track lighting (volts) lL Q
8. Nfauinum wattage of track lighting (multiply line 4 by line 5) 7 nu
7. Track Lighting Power (lesser value of line 3 or line 6) q-75-
Building's 8. Total Interior Lighting Power from Worksheet 5b-1
Lighting Power (Sum of Gahm/11(m)) + / /57
9. Total Adjusted Lighting Power (fine 7 -v line 8) = 2.I Z f
10. Does design meet budget? Line 9 must be no greater than line 1. `FJ
5.3
Compliance Mfr O3sc emod»o OU04'05
Jun 08 05. 07:155a ENCON ROCKLIN 9164351135 p.9
Form 5b Project Name: ( / ✓ 11( '/' ' N IA / J "? V Page:I
INTERIOR LIGHTING POWER - Tenant Space Method
Lighting
Budget (a) (b) (c) (d)
Occupancy/ Tenant or Building Type Floor Area Max Power
Luling Power
Use Types (Table -13G) (sq ft) Density (W/ry') Budget (W
see InswoUona for
descrtprmn d
occupancy try
Lighting 1. Total Interior Lighting Power Budget (Watts) for Building.
Power -
Budget
2. Total length of track lighting (ft) Z /_
3. Line 2 multiplied by 37.5 Wattslft `;775
t7
4. Total amperage of circuit breaker(s) serving track lighting (amps) b r
5. Voltage of circuit breaker serving back lighting (volts) /24
Track 6 . Maximum wattage of track lighting (multiply fine 4 by line 5) 7400
Perng 7. Track Lighting Power (lesser value of tine 3 or line 6)
Buildings 8. Track Lighting Power (line 7) 7.1
Lighting
Power 9. Total Interior Lighting Power from Worksheet 5b-1 (Sum of Column (m)) • 115
10. Total Adjusted lighting Power (line 8 + line 9) = 1 L
11. Does design meet budget? Line 10 must be no greater than line 1. �C
as
S2
Co.ryewm win CssC. affective 01101/05
CITY Of TIGARD
BUILDING DIVISION PERMIT #:AtiC2dGs -CCS I te'
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 �6a4°11
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: R / ( �� TIME: PAGE:
SITE ADDRESS: q 3 ?A- Lt C. & CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: Dec() 065
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
akee- 0 ?1
Corrections /Comments /Instructions:
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ( \ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
I A
Inspector: Date: ` 10 0 #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005 00348
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/13/2005
Phone: (503) 639 -4171 p ji
Inspection Requests (24 Hrs.): (503) 639 -4175 F_
INSPECTION WORKSHEET FOR DATE: 11/9/2005 TIME: 7:09AM PAGE: 27
SITE ADDRESS: 09374 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: PAPYRUS
DESCRIPTION: Mechanical TI. Project Value: $12,000
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -8865
CONTRACTOR: BEWLEY MECHANICAL PHONE #: 626 -8986
Inspection Request Scheduled For: Date: 11/9/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 020839 -04 360 -907 -0718 Y
SAT- NA
Corrections /Comments /Instructions:
•
❑ PASS- ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: ( Phone #: (503) 718- ___TSAK)