Permit p..
CITY TIGARD MECHANICAL PERMIT
1:14 DEVELOPMENT SERVICES PERMIT #: MEC2002 -00082
�'!° 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - DATE ISSUED: 2/27/02
PARCEL: 1S135BA-00100
SITE ADDRESS: 10145 SW WASHINGTON SQUARE RD TGI
SUBDIVISION: OAKBURG 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:
LPG 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: 1 <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: HVAC /R Replacement. Rooftop.
Owner: FEES
PPR SQUARE TOO LLC Type By Date Amount Receipt
BY MACERICH COMPANY PRMT CTR 2/27/02 $568.00 2720020000
ATTN: JANET FISHER, ASSET MGMT 5PCT CTR 2/27/02 $45.44 2720020000
SANTA MONICA, CA 90407
Phone: Total $613.44
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON
STE 1 REQUIRED INSPECTIONS
PORTLAND, OR 97202
Gas Line Insp
Phone: 239 -4600 Mechanical Insp
Reg #: LIC 33135 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 -0010 through OAR
952 - 001 -0080. You may obtain copies of these rules or direct questions OUNC by ca
r a
Issue By: Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next b siness day
Mechanical Permit Application OFFICE USE ONLY
Al lik Q EC E IV Date received ���j /0 --- Permit no.:� ec X? _� 4 -
_� �j Cit of Tigard �j Y ��
Y g • Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigar R 97221 n
FEB Phone: (503) 639 -4171 26 o!!2 Date issued: By: j I Receipt no.:
Fax: (503) 598 -1960 CIDI of H UAL Case file no.: Payment type:
Land use approval: El DING DIVISION Building permit no.:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory 0 CommerciaUindustrial 0 Multi - family 0 Tenant improvement
0 New construction VAddition /alteration/replacement 0 Other:
JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE
Job address: in / 46-- Sin) /4. 341;pol To,,l S'& ,Q .t Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: I Suitel'io.: value of all mechanical materials, equipment, labor, overhead,
Tax map /tax lot/account no.: profit. Value $ 3 8 O 0 0 ,0 .
Lot: (Block: I Subdivision: *See checklist for important application information and
Project name: > -ai d tS R It .Du jurisdiction's fee schedule for residential permit fee.
City /county: --7-7 I ZIP go st_i s 1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE
Description and lotion of work on premises: AND COMMERICAL /INDUSTRIAL EQUIPMENT SCHEDULE
I'/V.A C / R Rur Fee(ea.) Total
Est. date of completion/inspection: 3/ 3 0,0 1, Description Qty Res. only Res. only
Tenant improvement or change of use: HVAC:
Air handling unit CFM _
Is existing space heated or conditioned? 0 Yes 0 No Air conditioning (site plan required)
Is existing space insulated? 0 Yes 0 No Alteration of existing HVAC system
f lECIIANICAL CONTRACTOR Boiler /compressors
Business State boiler permit no.:
usiness name:
American Heating. Inc. HP Tons BTU/H
Address: 1339 SE Gideon St. Fire/smoke dampers/duct smoke detectors
City: Portland I State: OR I ZIP: 97202 -2418 Heat pump (site plan required)
Phone: 239 -4600 I Fax: 239-70381E-mail: J Install/replace furnace/burner BTU/H
CCB no.: Including ductwork/vent liner ❑ Yes O No
33135 InstalUreplace/relocate heaters — suspended,
City /metro lic. no.: 6 14 wall, or floor mounted
Name (please print): lie a- T " m4 " 3 N Vent for appliance other than furnace
CONTACT' PERSON Refrigeration:
Absorption units BTU/H
Name: SN A s ■Apa0ya7 Chillers HP
Address: Compressors HP
Environmental exhaust and ventilation:
City: I State: I ZIP: Appliance vent
Phone: Fax: E -mail: Dryer exhaust
OWNER Hoods, Type U II/res. kitchen/hazmat
hood fire suppression system
Name: [tRt[.by / 1I ntrpgJ4(7 l ers,...., .DNTS iC Exhaust fan with single duct (bath fans)
Mailing address: Ass i J�ot�gt..b s f3c.Vt� ZIP: 9 It xosh Exhaust system apart from heating or AC
City: ROS ILA cC V I State: S 6 6 1 Fuel piping and distribution (up to 4 outlets)
Type: LPG NG Oil
Phone: / _ c_ Fax: 7 6.. E -mail: Fuel piping each additional over 4 outlets
Process piping (schematic required)
Name: - Number of outlets
Other listed appliance or equipment:
Address: Decorative fireplace
City: I State: I ZIP: Insert - type
Phone: I Fax: I E -mail: Woodstove/pellet stove
Other:
Applicant's signature: I Date: Other:
Name (print): /1
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee $ ��� ' �v
O Visa ❑MasterCard Notice: This permit application Minimum fee $
Credit card number: / / expires if a permit is not obtained Plan review (at _ %) $ /
Expires within 180 days after it has been State surcharge (8 %) .... $ '/S -/'-/
Name of cardholder as shown on credit card accepted as complete. TOTAL $ G1 / 3 LiLf
$
Cardholder signature Amount 440 -4617 (6/00 /COM)
CITY OF TIGARD 24 -Hour , - .
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVt6ION Business Line: (503) 63 -4171 d:)'1.5 '
BUP
Received Date Requested � 7 AM PM BUP
Location /0/ . S WA . so, Q- D. Suite g_00 _ 000S2--
Contact Person &LI) -�' Ph ( ) .S 19 E7(.-C PLM
Contractor U Ph ( ) SWR
BUILDING Tenant/Owner T6 F- ELC
Footing ELC (I
Foundation
Ftg Drain Access:. — ( --�/ 64 . A e o 3 ' 1/41421 ELR
Crawl Drain \ 1 - be { .•`c"'e t.J .Le4t1
Slab Inspection Notes: / / - SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear ., i, / i f l , ` `
Int Sheath/Shear ��—
Framing . i --
Insulation OMISS. s
gs o g; S ,! c
Drywall Nailing , L // -- ��
Firewall L LGd- 0 0 a 1 - 1 Q # d 53 ( C� s )
Fire Sprinkler
Fire Alarm / 4 O a 0 a a 3t1 ( c dA V S
Susp'd Ceiling Q� II? �/ '
Roof
Other: S 3 — i I / / G✓` ` Lerl -
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer -
Rain Drains
Catch Basin / Manhole
Storm Drain ^'
Shower Pan //
Other:
Final
PASS PART FAIL
.�H4DU ■. 7
Post & Beam
Rough -In /' \°
Gas Line. (
Smoke P l''p - rs �4
in.
FAIL
ICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE El Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line
ADA i ... . ......„/". 1 -
Approach/Sidewalk Date `' Inspector a ` Ext3 l
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL