Permit . .
Ai CITY OF TIGARD MECHANICAL PERMIT
-
o DEVELOPMENT SERVICES PERMIT #: MEC2000 -00337
_ II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6 3 9 -4171 DATE ISSUED: 08/22/2000
PARCEL: 1 S126C0 -01107
SITE ADDRESS: 09451 SW WASHINGTON SQUARE RD A -16
SUBDIVISION: WASHINGTON SQUARE ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
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:
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: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: 2 GAS OUTLETS:
> 10000 cfm:
Remarks: Mechanical TI
Owner: FEES
PPR WASHINGTON SQUARE LLC Type By Date Amount Receipt
BY MACERICH CORP PRMT DLH 08/22/20( $50.00 0004656
ATTN: JANET FISHER, ASSET MGM PLCK DLH 08/22/20( $12.50 0004656
SANTA MONICA, CA 90407 5PCT DLH 08/22/20( $4.00 0004656
Phone: Total $66.50
Contractor:
OREGON AIRE INC
7921 SW NIMBUS AVENUE
BEAVERTON, OR 97008 REQUIRED INSPECTIONS
Mechanical lnsp
Phone: 626 -2000 Final Inspection
Reg #: LIC 000642
•
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 OA : 9 11 -0010 thro • h OAR 952 -t • 1 -0080.
You may obtain co ' of these rules or direct questions t OUNC oy catnip kL46 -91: °.
Issue By: Permittee Signature.
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Plan C
CITY OF TIGARD Mechanical Permit Application Rec'd y
13125-SW HALL BLVD. Commercial and Residential Date Rec'd - ,o0
TIGARD, OR 97223 Date to P.E. - .0 0
(503) 639-4171, x304 l l di,t P806-6° a'3' ' Date to DST 2t 404
Print or Type Permit # tif_62A
d �- �
Called � -90 7 �2
Incomplete or illegible applications will not be accepted C a As
Name of Devel ment/P ject Description
Table 1A Mechanical Code Qty Price Amt
it Address t �� Suite#
9V57 A) Permit Fee At 4* 16.00
Job
Address � / W/ 1) Fumace to 100,000 BTU
Bldg# City/state Zip including ducts & vents 9.65
2) Furnace 100,000 BTU+
E taw) 02 9 7 9-9-3 including ducts & vents 12.00
Name (or name of business) 3) Floor Furnace
Owner FAR w , 4- (=5r? A:-0 including vent 9.65
Mailing Address or Z.. 4) Suspended heater, wall heater
1 0 p ALA 04 aoe ; '5 g or floor mounted heater 9.65
5) Vent not included in appliance permit 4.75
City /State (� Zip Phone Check all that apply: 'Boiler Heat Air
;�l eft- For items 6 -10, see or Pump Cond Qty Price Amt
Name (orpame of business) footnotes 1,2 Comp
.Name )t (Zen S cif-Nei/ 6) Repair units 8.40
Occupant Mailing Address
9�c 5A0 5A0 k/ ,,i ///��� ii A. 7) <3HP;absorb unit to 100K BTU 9.65
City/State Zip Phone 8) 3 - HP;absorb unit
<0.04-2 Oa ei?P-P 100k to 500k BTU 17.65
Contractor Name 9) 15-30 HP; absorb
6 / 1412e unit .5 -1 mil BTU 24.15
Add 10) 30 -50 HP; absorb
Prior to permit unit 1 -1.75 mil BTU 36.00
issuance, a copy �� �� c 11) >50HP; absorb unit >1.75 mil BTU
of all licenses State Zip i Phone 60.15
are required if G /L iR .c ' g , 3 -°� � 12) Air handling unit to 10,000 CFM G"�
expired in COT Oregon Const Cont. Board Li Exp. Date �( 7.00
database (p�f 31/43 3-1.6,z_ 13) Air handling unit 10,000 CFM+
Architect Name 11.85
- 14) Non - portable evaporate cooler
or Mailing Address 7.00
15) Vent fan connected to a single duct /
Engineer City /State Zip Phone 4.75
_ _ 16) Ventilation system not included in
appliance permit 7.00
Describe work to be done: 17) Hood served by mechanical exhaust
= 7.00
New 0 Repair 0 Replace with like kind: Yes 0 No 0 18) Domestic incinerators
Residential 0 Commercial 70 Modification yg 12.00
19) Commercial or industrial type incinerator
Additional information or description of work: 48.25
20) Other units, including wood stoves
7.00
NOTE: For Commercial projects only; Units over 400 lbs., located on the 21) Gas piping one to four outlets
roof, require structural calcs. prepared by licensed engineer. 3.75
Type of fuel: oil 0 natural gas 0 LPG 0 electric )b 22) More than 4 -per outlet (each) .75
I hereby acknowledge that I have read this application, that the information Minimum Permit Fee $50.00 SUBTOTAL i ';1/;,°'r; °` 0 '' i
given is correct, that I am the owner or authonzed agent of 8% SURCHARGE . '', ' 42:t I •:e= PLAN REVIEW 25% OF SUBTOTAL ''4'*F�` , ,11 . CO . w
the owner, that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only ° '4,04; 4 . 'f ''' 't 1 b•-• i
4ii re of r cull( \�/1 ,�1 •'° . r
Date TOTAL K' ` '
T -d- I_c3� �,•:
•
ont�erson Name Phone
Other Inspections and Fees it l/ 6 .5 0
I 3 3 - 2� 1. Inspections outside of normal business hours (minimum charge -two hours) $50.00 per hour
r 2. Inspections for which no fee is specifically indicated (minimum charge -half hour)
Foonotes for commercial projects only: $50.00perhour
1. Provide full schematic of existing and proposed gas line and pressure. 3 Additional plan review required by changes, additions or revisions to plans (minimum
2. Provide drawings to scale showing existing and proposed mechanical charge - one - half hour) $50.00 per hour
'State Contractor Boiler Certification required
units. "Residential A/C requires site plan showing placement of unit
I:\mechperm.doc rev 11/1/99
- CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
UP •
Date Re / quested AM PM BLD
/�
Location `y VC} I J(S/L C74171 S ' Suite ;zi 406 - 00337
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner S , ,g 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
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
(MECHANIC
Post &Beam
Rough In ,V
Gas Line v
Smoke ampers
Final'
ASS PART FAIL
CTRICAL
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 g/1, /b 6 \/ C Ex l
Other Date Inspector
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.