Permit J._ L CITY OF TIGARD
MECHANICAL PERMIT
', P " DEVELOPMENT SERVICES PERMIT #: MEC1999 -00450
`- „ � II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/20/1999
PARCEL: 1 S126C0 -01107
SITE ADDRESS: 09685 SW WASHINGTON SQUARE RD C -7
SUBDIVISION: 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: 2
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Remarks: Mechanical for tenant improvements. Install duct work and grills.
Owner: FEES
WINMAR CASCADE Type By Date Amount Receipt
700 5TH AVE PRMT GEO 10/20/19 $50.00 99- 319228
SUITE 2600 PLCK GEO 10/20/19c $12.50 99- 319228
SEATTLE, WA 98104 5PCT GEO 10/20/19c $4.00 99- 319228
Phone: Total $66.50
Contractor:
ARROW MECHANICAL
10330 SW TUALATIN RD
TUALATIN, OR 97062 REQUIRED INSPECTIONS
Mechanical Insp
Phone: 692 -1565 Duct Inspection
Reg #: LIC 000051 Final Inspection
ELE 34 -47CLE
0
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This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
You may obta co i ofese rules or direct questions to OUNC by calling (503) -9189.
Issue By: Permittee Signature: ,
Call (503) 639 -4175 by 7:00 P.M. for inspections neede the next business day
Plan Check #
CITY OF TIGARD Mechanical Permit Application Rec'd By
.- 13125 SW HALL BLVD. Commercial and Residential Date Rec'd
TIGARD, OR 97223 qrtDate to P.E. I 0 12.[444 °
(503) 639 -4171, x304 Date to DST
Print or Type Permit # c �6
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
WALK 1 N 1.r Lo (Vt PAa! r( Table 1A Mechanical Code Qty Price Amt
Job Street Address Suite# A) Permit Fee 16.00
9 (o.$S 544 was H i "GTD N 1) Furnace to 100,000 BTU
Address Sauro2 i 2014 B C 1 including ducts & vents see footnote 1,2 9.65
Bldg# City /State Zip
2) Furnace 100,000 BTU+
T GAR,D 02 including duds & vents see footnote 1,2 12.00
Name (or name of business) 3) Floor Furnace
Owner W jaJ M142 PAC, >-lc including vent see footnote 1,2 9.65
Mailing Address 4) Suspended heater, wall heater
700 SD"- Ave 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: Toiler Heat Air
S6 AT r 4.)A 9 710 4 For items 6 -10, see or Pump Cond Qty Price Amt
Name (or name of business) footnotes 1,2 Comp
I'i►jRLIC/ (r CoMPAAIY 1 0 K BTU bsorbunitto
� 100K BTU 9.65
Occupant Mailing Address 7) 3 -15 HP;absorb unit
9 GFS - S, u, I.• /d6-7& kiMate 2a(, 100k to 500k BTU 17.65
City /State Zip - Phone 8) 15 -30 HP; absorb
/ U D unit .5 -1 mil BTU 24.15
/
Contractor / Name 9) 30 -50 HP; absorb
unit 1 -1.75 mil BTU 36.00
/ 2POW M 1C NAit/ IC A L 10) >50HP; absorb unit
Prior to permit Mailing Address >1.75 mil BTU 60.15
issuance, a copy /O3 3 v S I,.) TEA r9 u9 T //1/ a p} C) 11 Air handling unit to 10,000 CFM
of all licenses City/State Zip - Phone 7.00
are required if 1/ 4 LATM/ )7t if )062. (12- /S/,S 12) Air handling unit 10,000 CFM+
expired in COT Oregon Const Cont. Board Lic.# Exp. Date 11.85
database 05 13) Non - portable evaporate cooler
Architect Name n 7.00
Dm.) erAi •' CoNsuirmur &i'6rt& 14) Vent fan connected to a single duct
or Mailing Address I 4.75
15) Ventilation system not included in
Bobo A I2r`.ar FRitoAY STE 50 (a appliance permit 7.00
Engineer crrystate Zip $r;1ne 16) Hood served by mechanical exhaust
Cf5DFv21) TX 7 LOZZ- 2, -21.58 7.00
Describe work to be done: 17) Domestic incinerators
12.00
New 0 Repair 0 Replace with like kind: Yes,O No 0 18) Commercial or industrial type incinerator
Residential 0 Commercial 11 48.25
19) Repair units
Additional information or description of work: //V.SrA C G Df/GT(aja 8.40
AND 64/ ta.i.S As S fto £..)N art PLANS 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
Type of fuel: oil 0 natural gas 0 LPG 0 electric 0 22) More than 4 -per outlet (each) .75
Minimum Permit Fee $50.00 SUBTOTAL EMI emu km
I hereby acknowledge that I have read this application, that the information 7% SURCHARGE EMI
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL 12.
the owner, that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only
TOTAL /
Signature of Owne nt Date /
�j Other Inspections and Fees: (�,
D �9n0 /6-,PO - 1 . 1. Inspections outside of normal business hours (mininum charge -two `'_
C n tact Person Name Phone hours) $50.00 per hour
J l 2. Inspections for which no fee is specifically indicated (minimum
jr (LT S H RC fiat (pq'Z- /S6 g --- charge -half hour) $50.00 per hour
Foonotes for commercial projects 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
units. 'State Contractor Boiler Certification required
"Residential A/C requires site plan showing placement of unit
I:\mechperm.doc rev 7/19/99 r P f `7' 60 ' d
OVER - THE - COUNTER (OTC) PERMIT
COMMERCIAL MECHANICAL PERMIT CHECK LIST
Description of Project:
Class of Work: Floor Furnace: Evap Coolers:
Type of Use: C. ` Unit Heaters: Vent Fans: 1
Occupancy Grp: Vents w/o Appl: Vent Systems:
Stories: Boilers /Comprsrs: Hoods:
Fuel Types - 0 - 3 HP. Repair Units:
3 - 15 HP. Wood Stoves:
Max Input: Btu: Air Handling Units _clo Dryer:
Fire Dampers: s 10000 cfm: Oth Units: 2
Gas Pressure: H / M / L > 10000 cfm: Gas Outlets:
No. Of Units:
Furn < 100k Btu:
Furn >_ 100k Btu:
NOTES:
COMMERCIAL INSPECTION ACTIONS FEE MENU
Gas Line Inspection $ Permit Fee
a _ „ : $ (A? Plan Review
Cooling Unit Inspection $ 8% State Surcharge
Shaft Inspection $ Additional Permit Fee
Hood Inspection $ Additional Plan Review Fee
Fire Suppr Inspection $ Inspection Fee
Duct Inspe $ Miscellaneous Fee
Fire Alarm Inspection
REMARKS:
Fire Damper Inspection
Miscellaneous Inspection
Fire Alarm Inspection
_CFina Inspecti
FORtoFFICE=USE ONLY: ,
PE OF USE O ON COM - commercial; CMS commercial ,Tanufactur�edstr i ..
LASS OF WORK•OPTIONS FOR ALL PE RMITS (NEW new• /ADD` ''additio `ALT alteration ACS = accessory 1%.7.*
FND = ups! ‘ .a ".'n; o' er,. "DE emoritio reps FPS ,fire protection system ..NOTE USE OTH FOR FENCES, RETAINING
WALL, DETACHEDADEC K S, SIGNS, AWNINGS CANOPIES) . _ ' -7. • t 't•r .
I: /dst/forms /otcmech.doc 9/99
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