11599 SW 134TH PLACE-1 11549 5W '?4"' Place
CITY OF T I G A R D _ MECHANICAL PERMIT _
PERMIT#: MEC2002 004u3
rEVE.L.OPMENT SERVICES DATL ISSUED: 11/7/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S i33DB-01900
SITE ADDRESS: 11599 SW 134TH PL ZONING: R-12
SUBDIVISION: BRITTANY SQUARE NO. 2 LOT: 043 JURISDICTION: TIG
BLOCK: ----
FLOOR FURN: EVAP COOLERS:
CLASS OF WORK: OTR UNIT HEATERS: VENT FANS:
TYPE CF USE: SF VENTS WIO APPL: VENT SYSTEMS:
OCCUPANCY GRP: R3 HOODS:
STORIES: BOILERS/COMPRE_SSO_RS DOMES. INCIN:
FUEL TYPES 0 - 3 HP'
-- 3 15 HP: rOMML. INCIN
l_PG 15 -30 HP: REPAIR UNITS:
1IIAX INPUT: BTU 30 - 50 HP:
FARE DAMPERS?: 50+
GAS PRESSURE: 50+ HP: CLO DRYERS:
FURN < ROOK BTU. AIR HANDLING UNITS OTHER UNITS: 1
c= 10000 cfm: GAS OUTLETS: 1
FURN >=100K BTU: > 10000 cfm:
Remarks: Installation of gas insert and gas piping.
FEE
Owner. — —
Date Description Amount
SKINNER TIMOTHY R. & BARBARA ; 72.50
11599 SW 134TH PL INtl'.(]II 1'crmit I�cc 11/7/02 $0.00
TIGARD, OR 97223 INILCHI Pcrmif Fee 11/7/02
ITAX 1 k"„StatcTaX 11/7/02 $5.80
TAX 18"')shite,I-" 11/7/j2 $0.00
r'hone: 503-579-9398
Total $78.30
Contractor:
LUDEMAN'S FIREPLACE+ PATIO
12675 SW BEAVERDAM RD REQUIRED INSPECTIONS
BEAVERTON, OR 97 00 5-21 29
Gas Line Insp
Phone; (0(1ti4119 Mechanical lnsp
Final Inspection
Reg#: 51 ab"
ate of
This permit is issued subject to" : regulations o a an a�rdancegard Municipal w with approved plans Tthis permit will w 11 expire Codes. SpeciPIty ork is
and all other applicable laws. All work will b Oregon law
not started within 180 days of issuance, oro work
UtilispNotificdat�on Centerr more a.nThose rules are set forth OAK 952-001-00
requires you to follow rules adopted in the g ry
a .
Issued By: ,` � (� Permittee Signature:
}> ! i7. v
Call (503)639-4175 by 7:00 P.M. for Inspections needed the next business day
Oct-29--02 11 : 15A P .C)I
MectaulM Perms Application 7
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City of Tigard P,u ewappi.do.: Bapirm date:
Cl/YofTi8am Addmts- 7317.3 SW Hall Blvd.Tirmrt OR 972-2.1 ----
PIx1nr• (5(13)63Q.4l'1l O.tc.:���gd. 9YtF Rttciptno.:
FAR (5113)598-1960
Land USC 8ppf"al. il�uld,nbpaYm.t ne
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Job addles: // ev Al 7UV j" 'indicate rquipmcr.t quantities in boxta below Indicate the dollar
[lldg oo.: _ _ Suitt do.: value of all methanlcal tnntcnala,equiprtteut.labor.nvcftr,4
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pirrt if c permit it aot obtained S
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cm.1 t.-i—nim _— --�.�. Plaut teview(a
eAw within I or days aetr It I►ae here Statae tueclurp(8%)».-s _
�w.i siaZ rr .. astrper�l..t.rnplttr TOTAL.............-_.......S area,
-- _,.Lrti -- - aa0as111btDOCAA
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503)639-4171 BLIP --
Received ____.------- nate Requested_— AM-- PM _ BLIP —
Location 6 2 Z34 L Suite MEC
Contact Person _
.� Ph( —) � — �- — PLM —
(
Contractor_— -- Ph SWR
—) ELC
BUILDING Tenant/0 ----- — ----- —
Footing +-� '13 c7
ELC -
Foundation Access �7 L^ > j CF ELR -
Ftg Drain
Crawl Drain SIT -
Slab Inspection Notes:
Post&Beam ------- - - --
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear -
Framing - -- �—
Insulation
Drywall Nailing
Firewall
Fire Sprinkler --
Fire Alarm -
Susp'd Ceiling -- _
RootOther-
Final -----
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 _
MECH_A_NICAL —
— ..- - — — --
Post&Beam
Rough-In
Gas Line —
Smoke Dampers - -
QPAS PART FAIL
CTRICCA_L
service -
Rough-In
UG/Slab
Low Voltage --- ----—
Fire Alarm
Final Reinspection fee of$__ _ required before next inspection. Pay at City Hell, 13125 SVS'Hell Blvd
PASS PART FAILUnable to inspect-no access
SITE � Please call for einspertion RE ,.----• - --- - [j--- -
Fire Supply Line7( -�
ADA Date / )p ---_ _ Inspector f ✓ Ext
Approach/Sidev alk
Other: ----
Final DO NOT REMOVE this Inspection record from the job site
PASS PART FAIL