Permit r'
A CITY TIGARD MECHANICAL PERMIT
lA DEVELOPMENT SERVICES PERMIT #: MEC2001 -00366
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/18/01
PARCEL: 1S134DC-09100
SITE ADDRESS: 11454 SW TWIN PARK PL
SUBDIVISION: TIGARD PARK ZONING: ' R -4.5
BLOCK: LOT: 007 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN <100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Replace gas furnace
Owner: FEES
KATHY STROM Type By Date . Amount Receipt
11454 SW TWIN PARK PL PRMT CTR 10/18/01 $72.50 2720010000
TIGARD, OR 97223 5PCT CTR 10/18/01 $5.80 2720010000
Total $78.30
Phone:
Contractor:
GEORGE MORLAN PLUMBING
9806 SW TIGARD
TIGARD, OR 97223 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 503 - 624 -6895 Mechanical Insp
Reg #: LIC 2734 Duct Inspection
PLM 26 -60PB 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 to OUNC by calling ((5�03)�246 -9189.
Issue By: Permittee Signature: rn Q"`
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
i 44 4
— T0' el — 1H101
1ef11/2000 09:51 FAX 5036847297 Clty of Tigard 16002
l
4111, c al r pp
echart a m at �. l V ,r ,,>,�� ° .,t';�k,'- _ � ; _�:
!t T� Date rccerved Prrmlt no •Il _ Do — �•
.• ,.
I;t. City of 11 , •t/appl.no• Expircdutc•
,t �:::.J J . , tY g 9110 �' Projec
Gv�o'Tigo Address: 13125 SW vd. tg rd / Dateis:ued• By: Rcc_sptno •
Phone: ( 3) 5 8-1960
F 1 1J 9/7 ys • (503) 598 -1960 4V / ail Case Me no.. Payment type.
Land use approval: 211111F Buildtn�pertilitno. •
,
t.�
1 fl III 1� , 'P
t- "1- l:', '..,-..r ti. i r ,; , 1 IPE.UI'•1'ENMI'[ `'∎:,_ !-'c: p: . _
t:r..�t
X 1 dr. 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improve - mint
O New cer:strsct;on X Addluan/altmtiorJreplaccment 0 Other: _
„gµ•.4. •;47>• ' JOB SITE INIURAIATION :� , r ; ;` r `' 2 Z; ``:, "' :COMP1EIN:R1: ' L1 SUIEDULE t ` .
lob address; �� � / r A, / Indicate equspmeot quantities in boxes below. indicate the dollar 5 ..
Bldg. no.: Sulk oo.. value of all mechanical materials, equipment. labor. overhead,
Tax map/tax lot/account no.: profit- value S
Lot IBlock: 15uhdivivissoo: 'Sec checUist far important application information and
jurisdiction's fee schedule for residential permit fee.
Project nnmt • i 0 9 / I
Carylcounry t e �� ZIP: 1 21h DWELLING Pfi11111 1't~: �1.1
Descnpuon and Iota • of work an prcniscs: reptfi rf 1 ANDC OnffinIIIIAIJ .�SERIAEEINIP111E11R
• ! Fee (a.) Toni
Est. dot •( completion/inspection: Docrilrtioo Qt7. Res. may Res. only
EIVAC:
Tenant improvement or chnge at use: Air handling unit CFM
Is existing space hcatod or conditioned? 0 Yes 0 No Air conditionsng (site planrequuea)
Is cxisting space insulated? 0 Yes 0 No Alteration of e.s&sling HVAC syatcrn
';r: ?s — •- 'NIECIIANICAL•CONTRA(1OII r•. .•,.•,'.'' Bollcrrromptasars ■
Snec boiler pettnlc no.:
I II ! I t Hp Tons BTU /H
Address: • Z0112 . • �� WW1' Fire / mokcdappers/ductsmokedetectors -- • — & M a l Hest pump (site plan rcquucd)
C ary. : 11 � Install /rc a:c.uma:c/Duraer i'sl. BTU /H
Phone: , • 1,WAI Fax: , k i s E tnsil: Including ductwork /vent1sner}(Yes l7 No
CCB no : X 73 install/replace elocatebentr.rs— suspeaaea. ■
CGry/metro lie no.: ! 9 (, / wall. or floor mounted
van; tar a • • linnet ocnc than tutm■ee
Name (please print): ib - - IP _I_ � S
' uwod
l'UN'1•• . PlRSUN Absorption units BTU /rt
Name: Chillers HP
Cnmptcsson HP
Address: . rsronmetatal exhaust and Tcaullssrson:
Cary 1 Scare: 1 ZEF': Appliance vent
Phone: Fax: Ismail: 1) o cT nust •
H ds. y p c i1/res. kttchcnJhaunt
• - ; .: •: hood fire supprci, ion system
Name: a / .t , . s .t I1// Bkhaust fan With single duct (bath fans)
Mailing address: ' � ! /ZW� erbsust sys a a t from cau or At,
� Fuel riptag atn• • •• butioc (up to 4 outlets)
EMIWA' / I Stntc:0r ZIP. diMM Iype: _LPC NG Oil
Phone.• Fax: E -mail: Fuel .i l eacb adomonal over a ouucu
- ENGINtilt I'm cesspiping (schcmuticrrquirod)
• - Number of outlets
Nasnc: Other lasted appliance or equipment
Address: Decorative f replace
Ctty l State: 1 ZIP: Insert —type
F b mail: "oa•stovdpeltctstove
Phone: Omer: --
Applicant's signature: • //rif/ . ;, i ''0 ;e: (Mier: —_
•
Narne (print): 0�� )♦ f. - ( .
Pcrmit fee F qa• 5C
Na cc
altruntd.ct.acu aept acdlt alit. phut call p.1.6.6.0.;.. fa. n•a.t inram.�ooa Nolsce: Th pcnnit npplication M.IIIlIIlllnl foe $
O va• O ldasuxOrd t ex Tres if a omit is not obtained
_ J . P P plan review (u ` %) S
its. 'coed n•tnecr Ecpws withal l80 der after it has been
accepted t complete. Srare surcharge (8 %) .... S cS • �2
pi.. ar caraaolor as shoo, as t cm9 ; TOT s 7� • s3 O
t...ereetda ateaatant naw'nt , aa0 -41('I (6r001CA1U
CM OF TIGARD BUILDING INSPECTION.. DIVISION .
MST -
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested / , —' AM PM BLD
Location / (F Suite MEC ( ._02 G 0,3a,
Contact Person �.h t-�, r Ph /7 7 / - (o 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
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
'ART FAIL
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 Date �� Z� —'!>
Other Inspe E x t
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.