Permit CITY TIGARD MECHANICAL PERMIT
lc DEVELOPMENT SERVICES PERMIT #: MEC2003 -00091
61— 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/30/03
PARCEL: 1S126C0-01107
SITE ADDRESS: 09491 SW WASHINGTON SQUARE RD A -4
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: 1 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: 1 OTHER UNITS: 2
> 10000 cfm: GAS OUTLETS:
Remarks: Mechanical tenant improvement. Alteration of existing supply and return.
Owner: FEES
PPR WASHINGTON SQUARE LLC Description Date Amount
BY THE MACERICH COMPANY [MECH] Permit Fee 4/30/03 $72.50
9585 SW WASHINGTON SQ. RD.
PORTLAND, OR 97223 [MECPLN] Plan Rev 4/30/03 $18.13
[TAX] 8% StateTax 4/30/03 $5.80
Phone: Total $96.43
Contractor:
ARROW MECHANICAL
10330 SW TUALATIN RD
TUALATIN, OR 97062 REQUIRED INSPECTIONS
Mechanical lnsp
Phone: 692
Duct Inspection
Reg #: LIC 5193 Final Inspection
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 -00
Issued By: ; FL) Permittee Signature: c 7 4,
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
7/2003 14:57 2063419177 MURPHYVAREY PAGE 02
—®
Mechanical Permit Application ()F►HICE 1.1Sh. ()NIA'
Date received: , if Permit no. :/7 ! ./i - /I/ 4r /
��, t6
>>I City of Tigard Project/appl. no.: Expire date:
Ctry of Tigard Address: 13125 SW Flail Blvd, Tigard, OR 97223 Date issued: area Receipt no.:
I
Phone: (503) 639 - 4171
Fax: (503) 598 - 1960 Case file no.: Payment type:
Land use approval: _ Building permit no.:
1I PE OF Pr :Io
Cl 1 & 2 family dwelling or accessory Cl Commercial/industrial ❑ Multi-family X'enaait improvement
❑ New construction 0 Addition/alteration /replacement ❑ Other
Jolt till F. INFOLtitilAI ION ('ONINIF1t(•111, VALliAJ ION S('IILIM fi''
Job address: `I 40k1Y19 , n SR Lid re *r�0 ,q5-115 SW 4iM • Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: v Suite no.: A -o value of all mechaA�ca}l ]U + equiprt7,elat, labor, overhead,
Tax map /tax lot/account no.: profit. Value $ `/ 6 {/ 1 (
Lot: (Block: 'Subdivision: *See checklist for important application inforxnatiota and ¶ �
Project name: Z u . L , 7 store jurisdiction's fee schedule for residential permit fee. t
City /county: ZIP: I & 2 GAMILY DWLLLINL: PI•:Itii•ll I' hil 5(IIEDIi
Description and lqcatiqn, of work on pre tt•s : C ,27.;• Y IIDV. 0 AND l' UN11{ LRI(,\ IJI! VUl !,y77(IALEQUIPMt
3, S rif/tt( Fit c:.�'3' ' • 5 Fee (ea.) Total
Est. date of completion/inspection: WI 4 co rte Dew • on Qty. Rea only Res. onnly
Tenant improvement or change of use: r '
Air handling unit CFM 4 AJ
Is existing space heated or conditioned? O Yes ❑ No ,Aar con (site plan required)
Is existing space insulated? D Yes l0 No Alteration of existing IIVAC system
Boiler /compressors
Business name: � � State boiler permit no.:
HP Tons BTU/H
Address: / O / cr 3 0 , S Id 7j' a l /;s l(6)1-1/
_ P'isdsmoke dampers/duct smoke detectors
—
City: - 71//, // if. State: 0 ZIP: ' 0 . Heat pump (site plan required) I . ire a turner BTIJ/H
Phone s�- %"6ax: E-mail: Including ductwork/vent liner ❑ Yes 0 No
CCB no.: Instal /replaceTrelocate heaters - suspended,
City /metro lie. no.: wall, or floor mounted
Name (please • ' 1 t): _ • , < Vent for appliance other than furnace _
V W ! I'FItSON Refrigeration:
A�
'A Absorption units BTU/II
Name: pa✓yd M 4b7' y klb(r�rk {pry PS Chillers HP
1 Compressors EP
Address: a1 / /WA Ph /1 Environmental exbauet and ventilation:
City: 6'edYfle Stated ZIP: 817 fiance vent
Phone :7,D0 3 Kl Q?75 Fax: ZOfi / / 9 -mail: don* a Ulr r{t
s� 1/ r . kitch etUhazm at
hood fire suppression system
Name: 21/0415 Z 1 N e • Exhaust fan with single duct (bath fans) /
Mailing address: W — $()4 51 - SW {U 1 fe /C Exhaust s stem , , art from heati . _ or AC
City: IP : : 'T' F ptpmg an . ibtltion (up to 4 outlets)
tYVGIr� Type: LPG NG Oil
Phone: 40.5 55 Iwo Fax: I( 3'!:F (13' -Mail: % 4 •2Va* F p r pt eac additional over 4 outlets
EN(; I N U1 R ]Process piping (schematic required)
Number of outlets
Name: rg 1S J)1 CC>r$' Other listed appliance or equipment:
Address: b06 „ste w rf ,g-rp�- etc Decorative fireplace
City: s,2 v in e . I State: I ZIP: sle to/ Insert - type
Phone: fee tiy# 3371' : %M 7 email: Woolfstove/pellet stove
Applicant's signature: t % ' Date:
Other:
A
pp gt I /7103 Other.
Name (print): Par? , Mart by
' Not all Jurisdictions acct credit cards, plea call lnrisdicnon for more information. Permit fee $
0 Visa 0 MasterCard Notice: This permit application Minimum fee $
crtialt cxrd number / / expires if a penult is not obtained Plan review (at _ %) $
Expires within 180 days after it has been State surcharge (8%) .... $
Na of cardholder as shown on credit card accepted act complete.
$ TOTAL $
Cardtiolder_slgnature Amount , 4404617 (6/00/COM)
CITY OF TIGARD • 24 -Hour
& UILDING Inspection Line: (503) 6
INSPECTION DIVISION Business Line: (503) 63 171 MST
BUP
Received q Date Requested 7 -2 AM "Psi"-4 BUP 2
3
Location / 9 11 ( ' SO. RD' Suite MEC — D 06
Contact Person l - i 4 Ph ( bola/ ) to L 17— 76,(1.? PLM
Contractor Ph ( • ) 6a- 2 SWR
BUILDING Tenant/Owner - ELC
Footing ELC
• Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: ti ,/4 \ 4 Q � c sr - SIT
Post & Beam ' � � t " ''
Shear Anchors ) kA? n �= ,iL�CJ
Ext Sheath/Shear
Int Sheath/Shear i „ � �,� 1
Framing
11.\-A/2 " �9
Insulation Q/-2S-7d
Drywall Nailing I ��
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling •
Roof
Other:
Final An
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service • I.
Sanitary Sewer
Rain Drains ±+
Catch Basin / Manhole �3y
Storm Drain
Shower Pan 1
Other:`
Final
PASS PART FAIL " r'
MECHANICAL -
Post & Beam
ough-
Gas Line
S Dampers
final
PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final J 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 1
ADA
Approach /Sidewalk 7 / 2 f o 3
D Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site. •
PASS PART FAIL