Permit - -a
CITY OF TIGARD MECHAN I CAL
A,Ni��� DEVELOPMENT SERVICES PERMIT
1 3125 SW HaII Blvd., Tigard, OR 97223 (503) 639.4171 PERMIT # MEC98 -0250
DATE ISSUED: 06/5/98
PARCEL: 1S134DC -09300
SITE ADDRESS...: 11514 SW TWIN PARK PL
SUBDIVISION • TIGARD PARK ZONING: R -4.5
BLOCK • LOT -009 JURISDICTION: TIG
CLASS OF WORK..:ALT FLOOR FURN : 0 EVAP COOLERS: 0
TYPE OF USE -SF UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:R3 VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES • 0 BOILERS /COMPRESSORS HOODS ° 0
FUEL TYPES 0 -3 HP : 0 DOMES. INCIN: 0
:ELC 3 -15 HP • 1 COMML. INCIN: 0
MAX INPUT: 0 BTU 15 -30 HP : 0 REPAIR UNITS: 0
FIRE DAMPERS ?..: 30 -50 HP ° 0 WOODSTOVES..: 0
GAS PRESSURE...: 50+ HP • 0 CLO DRYERS..: 0
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 0
FURN ( 1O0K BTU: 0 (= 10000 cfm: 0 GAS OUTLETS.: 0
FURN ) =1O0K BTU: 0 > 10000 cfm: 0
•
Remarks: Frederickson a/c unit
Owner: FEES
ANDY FREDERICKSON type amount by date recpt
11514 SW TWIN PARK PL PRMT $ 25.00 JSD 06/25/98 98- 306853
TIGARD OR 97223 5PCT $ 1.25 JSD 06/25/98 98- 306853
Phone #: 620 -2834
Contract or:
FITZPATRICK HEATING & REFRIGTN
77615 SW CHESTNUT STREET --
$ 26.25 TOTAL
TIGARD OR 97223
Phone #: 245-3870
Reg #..: 000523
REQUI RED INSPECTIONS
This permit is issued subject to the regulations contained in the Cooling Lint Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
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 by 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
(503)246 -9187.
Issue By: Permittee Signatur
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + ++ + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
r
Plan Check -#
CITY OF TIGARD Mechanical Permit Application Recd By
13125 SW HALL BLVD. Commercial and Residential Date Recd ,77
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
Print or Type Permit # 41 E C , -0
4.
Incomplete or illegible applications will not be accepted called
Name of Development/Project Description
Table 1A Mechanical Code QTY PRICE AMT
Job Street Address Suttee A) Permit Fee
Address -0- -0- 10.00
Btdge Ctty/State Zip 7 aa� 1 Furnace to 100,000 BTU 6.00
75 '7 3 including ducts & vents
Name (or name of business) 2.) Furnace 100,000 BTU+ 7.50
Owner 19,147y /er.,e cis °4 / including ducts & vents
Mailin Address 3.) Floor Furnace 6.00
/15 /y S. ,/ 7 Jv,✓i Pi. including vent
City/State Zip - / Phone 4.) Suspended heater, wall heater 6.00
-Ter/� _i) q 7Z' ? 6J4 - (7 2 S N or floor mounted heater
N e (or name of business) 5.) Vent not included in appliance permit 3.00
' ' FezPtCkso/-
Occupant Mailing Address � 6.) Boiler or comp, heat pump, air cond. 6.00
// S t,�l
/9 5. , Ti✓/ A✓ /% / R . to 3 HP; absorb unit to 100K BUT
Crty/State Zip I Phone 7.) Boiler or comp, heat pump, air cond. j 11.00 / ��
T t/i9'�O 3-15 HP; absorb unit to 500K BTU" l �
Contractor Na ®h 8.) Boiler or comp, heat pump, air cond. 15.00
FT ,%�, 15-30 HP; absorb unit.5 -1 mil BTU"
Prior to permit Mailing Address �/ 7 9.) Boiler or comp, heat pump, air cond. 22.50
- �_f
issuance, a copy - 7‘/j,,/, C7yET?.
r-u-% 30-50 HP; absorb unit 1- 1.75mi1 BTU"
of all licenses City/State Zip Phone 10.) Boiler or comp, heat pump, air cond. 37.50
are required if "f ` � y "A_ J > t i - 7 e _ 9 7 V7 > 50 HP; absorb unit 1.75 mil BTU"
expired in COT O on Const. Cont Board Licit Exp. Date 11.) Air handling unit to 10,000 CFM 4.50
database .5(9-?Y5 / -621 -9?
Architect Name 12.) Air handling unit 7.50
10,000 CTM+
or Mailing Address 13.) Non - portable evaporate cooler 4.50
Engineer City /State Zip I Phone 14.) Vent fan connected to a single duct 3.00
Describe work New 0 Addition 0 Alteration 0 Repair 0 15.) Ventilation system not included 4.50
to be done Residential Non-residential 0 in appliance permit
Additional Description of work: 16.) Hood served by mechanical exhaust 4.50
17.) Domestic incinerators 7.50
S7 /9"f /c.
fisting use of / 18.) Commercial or industrial 30.00
building or propeffy type incinerator
19.) Repair units 4.50
Proposed use of 20.) Wood stove 4.50
building or property
21.) Clothes dryer, etc. 4.50
Type of fuel - oil 0 natural gas 0 LPG 0 electric $ 22.) Other units 4.50
I hereby acknowledge that I have read this application, that the information 23.) Gas piping one to four outlets 2.00
given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with Oregon State laws. 24.) More than 4 -per outlet (each) .50
re of Owns /A • • ent Date *SUBTOTAL "a r
// / 5% SURCHARGE n' k < -
�� /' P r /
-�. / /�/� C9 r: sw �=i. .t ' "` r, V
Contact Person N. me Phone PLAN REVIEW 25% OF SUBTOTAL .' .V; .
Required for all commercial permits only. 1r - _+ --;, - 7
1)/1"U� /
L � n (� -1 � ! _ � C
I TrP �rG /G O� /S 3 TOTAL 7d t«,?-,
'Minimum permit fee is $25 + 5% surcharge 1. ' °x 4 -�/„`2 >
U cv/ "
"Residential A/C requires site plan showing placement of unit.
l:lmechprmt.doc rev 4/15/98
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)4-77 (
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1 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
/408 p • BUP
023 Date Requested / 2 ((r AM PM BLD
//5/4 &
Location / /5 / (2 Suite
Contact Person L. )- uCG Ph (.,2..0 c 3 ` J " PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access.
Foundation �A /e m G ! / e v /04 ,76 �,� j,� N // FPS
Ftg Drain l�1 �C Cam%` /i 9tX r) /�'lJ SGN
Crawl Drain Inspection Notes: v��
Slab , �Q SIT
Post & Beam Z -'/ A �� -a
Ext Sheath /Shear
Ina Sheath /Shear 41,/,
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
& MI P
Now
ASS PART FAIL
PLUMBING
Post & Beam
Under Slab L \
Top Out
Water Service ,
Sanitary Sewer
Rain Drains
Final
PASS— -PART FAIL
4 \)(
Post & Beam
Rough In (�
Gas Line
Smoke Dampers
Fin a -P SS
PART 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 q
Other Date 1 3 � Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.