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Permit • A lv ' CITY O F T I G A R D MECHANICAL PERMIT °°die DEVELOPMENT SERVICES PERMIT #: MEC2000 -00373 I 131 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/25/00 PARCEL: 1S126C0-01107 SITE ADDRESS: 09546 SW WASHINGTON SQUARE RD H -16 SUBDIVISION: WASHINGTON SQUARE ZONING: C -G BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: FLOOR FURN: EVAP COOLERS: TYPE OF USE: UNIT HEATERS: VENT FANS: 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: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: 1 GAS OUTLETS: Remarks: Installation of air handling unit for TI. Owner: FEES Type By Date Amount Receipt PRMT CTR 10/25/00 $72.50 2720000000 PLCK CTR 10/25/00 $18.13 2720000000 5PCT CTR 10/25/00 $5.80 2720000000 Phone: Total $96.43 Contractor: ARROW MECHANICAL 10330 SW TUALATIN RD TUALATIN, OR 97062 REQUIRED INSPECTIONS Mechanical lnsp - Phone: 692 -1565 Duct Inspection Reg #: LIC 000051 Final Inspection ELE 34 -47CLE 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 of these rules or direct questions to OUNC y calling (503)246 -9 9. Issue By: p/yy( p _ Permittee Signature: j I c `— Call (50 ) 639 -4175 by 7:00 P.M. for inspections nee ed the next business day CITY OF TIGARD Mechanical Permit Application Plan C PP Rec'd By .tom Lam 13125 SW HALL BLVD. Commercial and Residential Date Rec'd 9�AP� TIGARD, OR 97223 Date to P.E. (503) 639 -4171, x304 Date to DST Print or Type 4u /o?000 -D.034.3 Permit # r£C2000.00393 • Incomplete or illegible applications will not be accepted Called ie ___ Name of Development/Project Description 1, P 5 i I _ `a l r �m s Table 1A Mechanical Code Qty Price Amt Job Street Address 1 A) Permit Fee 16.00 Address 958 SS S W 1 Wile, S0,'Poi\ siz,e 1) Furnace to 100,000 BTU including ducts & vents see footnote 1,2 9.65 Bldg# I City/State Zip 2) Furnace 100,000 BTU+ r2.atro DP. 97-Z23 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 Mailing Address 4) Suspended heater, wall heater or floor mounted heater see footnote 1,2 9.65 5) Vent not included in appliance permit 4.75 City/State Zip Phone Check all that apply: 'Boiler Heat Air For Items 6 -10, see or Pump Cond Qty Price Amt Name (or name of business) footnotes 1,2 Comp 6) <3HP;absorb unit to 100K BTU 9.65 Occupant _ Mailing Address 7) 3-15 HP;absorb unit 100k to 500k BTU 17.65 City /State Zip Phone 8) 15 HP; absorb unit .5-1 mil BTU 24.15 9) 1- HP; absorb Contractor N ame unit 17 5 mil BTU 36.00 11 rrvV) /1 i Y I 10) >50HP; absorb unit Prior to permit Mailing Address f `' >1.75 mil BTU 60.15 h issuance, a copy I L:... ( -) 1...� , T∎r-44.[ ct7 i 11 Air handling unit to 10,000 CFM of all licenses ' ip Phone 1 7.00 are required if T ,� � t>A i r 0 C e170 6 6,92- �= vzf 12) Air handling unit 10,000 CFM+ expired in COT Oregon Const.Cont. oard Lic.# Exp. Date 11.85 5 database 0) "I ee 3 1 � i - OU 13) Non - portable evaporate cooler Architect NaRe 7.00 14) Vent fan connected to a single duct 4.75 or Mailing Address 15) Ventilation system not included in appliance permit 7.00 Engineer City/State Zip Phone 16) Hood served by mechanical exhaust 7.00 Describe work to be done: 17) Domestic incinerators 12.00 New 0 Repair 0 Replace with like kind: Yes 0 No O 18) Commercial or industrial type incinerator Residential 0 Commercial ® 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 r Type of fuel: oil 0 natural gas a LPG 0 electric O 22) More than 4 -per outlet (each) .75 111111111" ,�1 Minimum Permit Fee $50.00 SUBTOTAL I hereby acknowledge that I have read this application, that the information 8% SURCHARGE �� ,� J '/ given is correct, that I am the owner or authorized agent of q PLAN REVIEW 25% OF�SUBTOTAL -� I Tier, at s SUBTOTAL are ilidn with O Pn State laws Re quire for ALL commercial units onl 4 • 11)1 Imo NfN^C�II mp L� V 7 CIC� TOTAL 44' Signature of(Owner /Agent Date Other Inspections and Fees: C ,9 2_ i S 1. Inspections outside of normal business hours (mininum charge -two .„,p Contact Person Name Phone hours) $50.00 per hour I f ) 2. Inspections for which no fee is specifically indicated (minimum if? �� charge -half hour) $50.00 per hour Foono f or commercial Jests 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 A/C requires site plan showing placement of unit • I:\mechperm.doc rev 7/19/99 CITY-OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested / 7 - AM PM BLD Location Cl J .YS -5 w we )4_ (5 Ad. Suite 11 /1) MEC . r/ o - C/ 0 , 7 3 Contact Person Ph ,)73 G Z / , 6C PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Ina Sheath /Shear � � A � 1 Framing .%f�q.�, Insulation Drywall Nailing Firewall Fire Sprinkler pc � &. ` c - - J & L -C < el- a,toL Fire Alarm �� C!4 C 0 Zr-t. Susp'd Ceiling Roof Misc: - Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains - Final P FAIL Post & Beam Rough In Gas Line Smoke I - is • - dal "t " L FAIL ELECTRAL 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 Date !0 / 4 2 - 1 Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • . CIT•OF tIGARD BUILDING INSPECTION DIVISION Z 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST BUP Date Requested 9�►"" PM BLD Location r- Sd WA, Suite MEC ( ZerD - 00 3'13 i Contact Person :L— - Ph loft. JAG PLM Contractor Sre -rNr70 Ph SWR BUILDING Tenant/Owner 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 ' tJ /4/460, .� /( P A Insulation Drywall Nailing A Cip pOd Firewall r Fire Sprinkler Fire Alarm Susp'd Ceiling r� I,. ` � Roof : � / b1) /��'+ K '"/ R 4 ( /4' % _7 • Final PASS PART FAI PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beall Gas Line Dampers 4 • PASS PART dr 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 Date /�}lo Inspector f.4/ / Ext 22/ Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. /UI_0_,,267716 - o 3 73 46...640 zaa,o - C- £s'/ CITY OF TIGARD BUILDING INSPECTION DIVISION MST 7�u e..0 313 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested /0 - 3d AM PM BLD Location S Gr/G s 4 5, /1�' . Suite /7 MEC Contact P so Ph 563 L /37 ) PLM Contractor Ph SWR BUILDIN Tenant/Owner 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 ' ' • SS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS P RT FAIL �MECHANICA� Post & Beam Rough In Gas Line Smoke Dampers Fin 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 Other Date ��1 Ins �'�— Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.