Permit CITY F' TIGAR MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2002 -00076
'' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/20/02
PARCEL: 1S12600-01107
SITE ADDRESS: 09591 SW WASHINGTON SQUARE RD B -10
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:
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: 5
> 10000 cfm: GAS OUTLETS:
Remarks: (5) VAV'S
Owner: FEES
PPR WASHINGTON SQUARE LLC Type By Date Amount Receipt
P.O.BOX 21545 PRMT CTR 2/20/02 $72.50 2720020000
SEATTLE, WA 98111 5PCT CTR 2/20/02 $5.80 2720020000
PLCK CTR 2/20/02 $18.13 2720020000
Phone: Total $96.43
Contractor:
AANDREW'S MECHANICAL
16006 SW KIMBALL ST.
LAKE OSWEGO, OR 97035 REQUIRED INSPECTIONS
Mechanical Insp
Phone: 503 - 675 -0467 Final Inspection
Reg #: LIC 149831
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 - ou• h OAR
952-001-0080. __you may obtain copies of these rules or direct question �� OU, - •y calli
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nrA17R -Q1
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Issue By: �. �, � A - A �� Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspections ne• • next iness day
02/19/2002,10:53 FAX 5035981960 CITY OF TIGARD 11002
r i
Mechanical Permitt Applcati ®n •
Datereccived: A - _ %/, ��j 0 A le,
. City of Tigard RECEIV Ptoject/appl.no.: Expire date:
Ciryfffiga+d Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) b39 -4171 Date issued: Receipt no.:
Fax: (503) 598 - 1960 FEB 1 9 2002 Case file no.: Paymenttype:
Land use approval: an bap 'nfiAND Building Permit no -:
•
U M )t'EVI )'k:it�ll-
1 & 2 family dwelling or accessory t -' ContmerciaYindustrial 0 Multi - family Tenant improvement
O New construction ❑ Addition/alteration/replatcment 0 Other.
JOB SITE1111lORSIAII0�1 '..- . •(.:OM ILit('IAI,.VA UA 1.1:
.
Job address: Oil a i i., /,/I • . I
��AM Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: ' rite no.: ' _ /O value of all mec u�t materials, equipment, labor, overhead,
Tax map/tax lot/account no.: profit. Value $ 0 0, 00 -
L,ot: Blade Subdivision: ` ,, ,, ' , gill , , , : See checklist for important application information and
Project name: , T • ' ti. .'. S –G . — ' ;' jurisdiction's fee schedule for residential permit fee.
City /county�.,� , .1 + .1 ,S: 1 %\I 1.55111 ;1\( ` - I'I. :It\ll1 "I I 1 .!::c1IED
a 1 - seri.• - on and 'ocationof work on. sea: \D ((iSl\IEl tie *I.:l\DI.Slin: s1.rt)l lP\ EN F.SCIIUltiLL•
- : ... ;u . - .& ! -__ Total
Est. date of completion/ins . ; an: - _ — o .- leased . , oa w Res. only
Tenant improvement or change of use HVA� ■�
Air handling unit CFAd
Is existing space heated or conditioned? 1)'Yes 0 No Air conditioning (simpler' required) Mil
Is existing ..: insulated ?A Yes O No
311:(11: 5L.C:OI\1R5110lt. .','
� l ∎ St teboile 111
Business name: �riTiT ' • �� , _t � w _ HP Tons BTU/H
..,i .•1 , i•_ J std' 'r "'7:' ' . re _
City: _ _ r . (• E=ra ZIP: • O pump Heat pp (site plan required) ]♦
Phone' a . ,, r � r � 1,�- "- E-mail: n.: t ewe er BTU II
including ductwork/vent liner O Yea O No
CCB no.: I • ai 2 2.. DINFINI rrri r• - . .. "T.. , .... _ suspended, II
Ci -,.,. ' iv - wall, or floor mounted
Name (please print): . . • h 2M- . T. Vent for • ; l • liance other than fumafume= IM
, . . ,r r�^-: one
(V1''I �( is 1,1:It5111 Absmptionmo� BTU/H - �-
• Name: o S e• Q n 1 Chillers HP PM �
Address .. • 1 lm bet-Lk , eldramt • ■--
4r_: _ - . State: a? ZJP:4 0 S Applianooveat
Phone. '
fir r r �. _ .� &marl
U 11 ` Et' - ood 8, Ty p peession y stem
M I6 , _ Z1M -�ci vL 1 Exhaust fan with single duct (bath fsna) -
Mailing ,..., _ : . 1 . bto - ,m\ L �Jams Exhaust: .: -.• .antnumh� -:: •: orA MO s∎
'.
State: Q,= ZIP + 0 r-
�, 1 " " up to 4 out eta ■ _ -
_•_ Or...- _LP(1 --- N Oil
Phone: . - , _ '' . Is r E Fuel • n: each additional over • o ■ + • Is t♦ — ■
. 1 =\C INL- R ' N .. , r,,,. sc ma .1 required) ME d∎
Marne: umber of outlets - -
' Address: Decorative , _...
Ci : - . State: : ��� _ _ M MIMI
Phone: Fax:
E-mail: " • ..r: .. � =�MOM
Applicant's signature: . Date: rl Ell
Name (print): IIMMINIMMINIMMINIIIIMINIIIIIIMINIII �
° I(at all Mize:dam maws cola cads, ukase cal jistulictica au sews lafarmaien Pernit fee .... •• ,. «.. «..., $ a
OM= O 1►laststt tf Notice: This permit application ivftnimum fee. . » « «. »..... $
odh cad sattit i
13 / expires if if apermit is not obtained Plan review (al: 5{i) $
Rolfes within 180 days after it has been Slate surcharge (8%) »« $
Maas or medfiolskr a aw aunt se et wad $ accepted as complete. ?OT/!L •........••••••••• $
ca�atem weaoanme Amount 4404617 (old)
v
- CITY OF TIGARD BUILDING INSPECTION DIVISION --
24 -Hour Inspection Line: 639 -4175 Business.Line: 639 -4171 MST
l/ BUP
Date Requested S — /4 AM .PM BLD
Location / j �n� 6 s 4. S Suite EC Zoo 7 - rr 06 7 (
Contact Person t/ 7 c / Ph fJ c - G - 3 3 PLM
Contractor Ph a ti 3 - S/ Z 3 ( SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access: L L c 3 - 0 0 2 - /if 3 S / / (, 2
Foundation FPS
Ftg Drain L� G �v v a OD 69 SGN
Crawl Drain Inspection Notes: _ V/J S
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation •
Drywall Nailing
Firewall
Fire Sprinkler )1" Fire Alarm
Susp'd Ceiling r
Roof /
Misc:
Final
PASS PART FAIL •
•
PLUMBING
Post & Beam J /
Under Slab
Top Out
Water Service •
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
HANIOS /
�
Post & Beam
Rough In
Gas Line
Smoke Dampers
in
AS 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 In /� / D 1 C�
• Opheoach /Sidewalk Date yi `c I Ui Inspector "7/ L . Ext 1
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.