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Permit I. , CITY OF TIGARD MECHANICAL PERMIT 1 DEVELOPMENT SERVICES PERMIT #: MEC2000-00376 � " I 13125 SW Hall B lvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/19/00 PARCEL: 1S134DB-05600 SITE ADDRESS: 11057 SW 111TH PL SUBDIVISION: JEFFREY ESTATES ZONING: R -4.5 BLOCK: LOT: 012 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF • UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT:. BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Installation of exterior residential A/C unit. Unit cannot be placed within the required setbacks. Owner: FEES CHUNG -CHEN YUAN Type By Date Amount Receipt 11057 SW 111 PL PRMT CTR 9/19/00 $72.50 2720000000 TIGARD, OR 97223 5PCT CTR 9/19/00 $5.80 2720000000 Total $78.30 Phone: 620 -7798 Contractor: CENTRAL VALLEY AIR 1355 DAVIS ROAD SOUTH SALEM, OR 97306 REQUIRED INSPECTIONS Mechanical lnsp Phone: 503- 351 -7541 Final Inspection Reg #: LIC 127032 l 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 ork is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon ' w requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are et forth in OA' 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct 2 J estions to O - (, Ay calling (503)246 -9189. i Issue By: (ndijj.. _ - Permittee Signature: `��/ all (503) 639 -4175 by 7:00 P.M. for inspections needed the next business d • CITY OF TIGARD Mechanical Permit Application Plan Check# pP on Rec'd By .....• • f. 13125 SW HALL BLVD. Commercial and Residential Date Rec'd 9 / /9 /0-0 TIGARD, OR 97223 -0 Date to P.E. (503) 639 -4171, x304 Print or Type • 1 Date to DST Incomplete or illegible applications will not be accepted Permit# /9Q 2oA0 D0376 Called Name of Development/Project Description Table 1A Mechanical Code Qty Price Total Job Street Address Suite # 1) Furnace to 100,000 BTU f S l l L / including ducts & vents 14.00 Address ,'�� /�i 7 ✓ 2) Furnace 100,000 BTU+ Bldg# City /State Zip �� including ducts & vents 17.40 gyp, 77a) o) 5 3) Floor Furnace Name (or name of busines including vent 14.00 Owner G , ..-0-7 'Ch,...- J 1.,__,c,ti,..-- 4) Suspended heater, wall heater Mailing Addr /// or floor mounted heater 14.00 p d42-' 5) Vent not included in appliance permit 6.80 City /State Zip Phone 6) Repair units 12.15 Check all that apply: *Boiler Heat Air Name (or name of business) For items 7 -10, see or Pump Cond Qty Price Total U G`-e- footnotes 1,2 Comp - ** Occupant Mailing Address 7) <3HP; absorb unit to / 100K BTU Y 14.00 City /State Zip Phone 8) 3 -15 HP; absorb unit 4 d .70 , j ig 100k o 500k BTU 25.60 Name 9) 15 -30 HP; absorb Contractor / unit .5 -1 mil BTU 10) 30 -50 HP; absorb �V°J lJ �t� /J �! 35.00 Prior to permit Mailing Address unit 1 -1.75 mil BTU 52.20 issuance, a J r� v /� D S - 1 11) >50HP; absorb unit >1.75 mil BTU copy / V ✓ "" i �J 87.20 of all licenses City /State // �,.�" Zip Phone 12) Air handling unit to 10,000 CFM • are required if J ck di''�1 ' " 9 ' k 3-s /- 1 10.00 expired in COT Oregon Const. dont. Board Lic.# Exp. Date 13) Air handling unit 10,000 CFM+ database /,q) 71 Q 17.20 Architect Name 14) Non - portable evaporate cooler 10.00 Or Mailing Address 15) Vent fan connected to a single duct 6.80 16) Ventilation system not included in Engineer . City/State Zip Phone appliance permit 10.00 • 17) Hood served by mechanical exhaust Describe work to be done: 10.00 18) Domestic incinerators New/ Repair 0 Replace with like kind: Yes 0 No 0 17.40 Residenti� Commercial 0 . Modification 0 19) Commercial or industrial type incinerator Additional information or description of work: 69.95 20) Other units, including wood stoves 10.00 NOTE: For Commercial projects only; Units over 400 lbs., located on the 21) Gas piping one to four outlets roof, require structural calcs. prepared by licensed engineer. 5.40 Type of fuel: oil 0 natural.ga . LPG 0 electric 0 22) More than 4 -per outlet (each) 1.00 Minimum Permit Fee $72.50 SUBTOTAL Ni,', ` " 7 2,50 I hereby acknowledge that I have read this application, that the � information given is correct, that I am the own: or authorized agent of 8% SURCHARGE u u S PO the owner, that plans s miffed are in�r•1 with Oregon State PLAN REVIEW 25% OF SUBTOTAL ri = : > °" laws. // Required for ALL commercial permits only ` ' ti�_�. n��`- ( Signatureowner /Agent Date • /) TOTAL _ ': s , �� 3 A _ ��ZV vL 6L� //r / e t7 Other Inspections and Fees: 1. Inspections outside of normal business hours (minimum charge -two hours) Contact rsone i Phone $72.50 per hour /� P� /'� d[si✓ J / A S . } 2. Inspections for which no fee is specifically indicated (minimum charge -half hour) J / $72.50 per hour Footnotes for commercial projects only: 3. Additional plan review required by changes, additions or revisions to plans (minimum 1. Provide full schematic of existing and proposed gas line and pressure. charge- one -half hour) $72.50 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: \dsts \forms\mechperm_rev.doc 9/8/00 01/15/1994 19:42 503 - 590 -8391 RTMCO PAGE 23 • f 1 \y� T ti 9 .CrTY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST BUP Date Requested 9' V- U 0 AM PM BLD Location 11057 .ScJ 1bd't fit' Suite MEC pt 'O C'U 3 7 ri Contact Person Ph 6 20 - 7718 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 - Int Sheath /Shear Framing Insulation Drywall Nailing Fire wall Fire Sprinkler !• Fire Alarm Susp'd Ceiling f Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PAS RT FAIL ECHANICA�L Post & Beam Rough In �j G Gas Line Smoke Dampers Fi PAS 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 [ ] Please call for einspection RE: [ ] Unable to inspect- no access Fire Supply Line ADA • Approach /Sidewalk Other Date %) Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • 'l• BUP - Building Permit ELC - Electrical Permit Inspection Description Date Passed By Inspection Description Date Passed By Footing /Setback Underground cover Foundation walls Wall cover Footing drain Ceiling cover Waterproof bsmt walls Electrical rough -in Slab Electrical service Crawl drain Electrical final Underfloor insulation Post/beam structural Shear walls /anchors ELR - Restricted Energy Permit Roof nailing I Inspection Description Date Passed By Firewall Low voltage Tilt -up panel Electrical final Masonry/Reinforcement Framing MFG- Structure set -up MEC - Mechanical Permit Insulation Inspection Description Date Passed By Drywall nailing Post/beam mechanical Suspended ceiling Gas line Engineered soils Mechanical rough -in Welding Lab Final Fire damper Concrete Lab Final Duct work Bolting Lab Final Smoke detector Fireproofing Lab Final Mechanical final - Z/- ego Structural observation Final inspection PLM - Plumbing Permit Inspection Description Date Passed By BUP - Fire Protection System Permit Plumbing underslab Inspection Description Date Passed By Crawl drain Sprinkler underfloor /slab Post/beam plumbing Sprinkler rough -in Plumbing top -out Sprinkler final RP /backflow preventer Fire alarm final Rain drain Storm drain Water service SIT - Site Permit Sanitary sewer Inspection Description Date Passed By Culvert/catch basin Footings Pump /fill septic tank Foundation walls Plumbing final Sprinkler supply lines Sprinkler underfloor /slab Catch basin /Manhole SWR - Sewer Permit Engineered soils NI Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final inspection Final inspection INSPECTION RECORD - BUP, PLM, SWR ELC, ELR, MEC SIT PERMITS CITY TIGARD MECHANICAL PERMIT 'I DEVELOPMENT SERVICES PERMIT #: MEC2000 -00376 :]�I DATE ISSUED: 9/19/00 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S134DB-05600 SITE ADDRESS: 11057 SW 111TH PL SUBDIVISION: JEFFREY ESTATES ZONING: R -4.5 BLOCK: LOT: 012 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Installation of exterior residential A/C unit. Unit cannot be placed within the required setbacks. Owner: FEES CHUNG - CHEN YUAN Type By Date Amount Receipt 11057 SW 111 PL PRMT CTR 9/19/00 $72.50 2720000000 TIGARD, OR 97223 5PCT CTR 9/19/00 $5.80 2720000000 Total $78.30 Phone: 620 - 7798 Contractor: CENTRAL VALLEY AIR 1355 DAVIS ROAD SOUTH SALEM, OR 97306 REQUIRED INSPECTIONS Mechanical Insp Phone: 503 - 351 -7541 Final Inspection Reg #: LIC 127032 Specialty This permit is issued subject to the regulations contained in the Tigard Municipal Code, State o f Ore. Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if ork is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon :w requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are et forth in OA' 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct 2 1f l estions to 0 - (t. •y calling (503)246- 9189. Issue By: (miegl Permittee Signature: 't/ all (503) 639 -4175 by 7:00 P.M. for inspections needed the next business d7 %NI