12148 SW 131ST AVENUE ADDRESS:
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
Date Requested `� �t AM PM BLD
Location f .:� _3 1 �!� Suite _ MEC �1�t
Contact Person Ph PLM
Contractor } Ph SWR
BUILDING Tenant/�� 5 i�C' `_ C; % ���Ylc ELC
Retaining Wall ELR
Footing
Foundation Access: n / 2` C) C C FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab ` SIT
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing _
Insulation
Drywall Nailing —
Firewall
FireSprinkler _
Fire Alarm — -
Susp'd Ceiling
Roof
Misc: _
Final �—
PASS PART FAIL --
PLUMEING
Post&Beam -'
Under Si3b
Top Out --
V�aler Service
Sanitary Sewer — -
Rain Drains
Final _PASS PART PART FAIL
P6"'t a-Bea
Roigh In
Gas Line —
Snicke Dampers
-�� FART FAIL
ELECTRICAL —
Service _
Rough In
CLUG/Slab
cc Low Voltage
Ul) Fire Alarm
> Final
PASS PART FAIL _
SITE
� Backfill/Grading --
w Sanitary Sewer
-' Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Fiala, 13125 SW Hall Blvd
Catch Basin Please call for reinspection RF:
Fire Supply Line [ ] p [ ]Unable to inspect-no accp�s
ADA 1
Approach/Sidewalk � f `;
Other ` Date Inspector_ � Ext
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the Job site.
CITY ®� TIiGARD ME^,HANICALPERMIT _
DEVELOPMENT SERVICES PERMIT#: MEC1999-00533
13125 SW Hall Blvd. Tigard, OR 97223 503 639-4171 DATE ISSUED: 12/06/19994AB-
g ( � PARCEL: 25104AB-!6400
SITE ADDRESS: 12148 SW 131 ST AVE
SUBDIVISION: MORNING HILL NOA ZONING: R-4.5
BLOCK: LOT: 093 JLR ISDICTION: TIG
CLASS OF WCRK: 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: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + lip: CLO DRYERS:
FURN < 100K 9TU: AIR HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 Cf m: GAS OUTLETS:
> 10000 cfm:
Remarks: Install gas insert and gas piping in single family dwelling.
Owner: _ FEES
WONG, JAMES M/CINDY A Type By Date Amount Receipt
12148 SW 131 ST ST PR SIT KJP 12/06/19f $50.00 99-320154
TIGARD, OR 97223 5PCT KJP 12/06/19 $4.00 99-32018
Total $54.00
Phone:
Contractor:
T + K MECHANICAL
TIMOTHY S WYNNE
11525 SW CANYON REQUIRED INSPECTIONS
BEAVERTON, OR 97005 Gas Line Insp
Phone:626-4652 Misc. Inspection
Reg #:LIC 00121165 Final Inspection
_ I G I N' A1;4-
Li-
Y
—' 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 �s
J riot started within 180 days of issuance, or if work is suspended for more than 160 days. ATTENTION: Oregon ;jw
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAF-
952-001-0010 through OAR 952.-001-0080. You may obtain copies of these rules or direct questions to OUNC by
calling (503)246-91
Issue By: ��'y"-d�'� Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
Flan Check#
CITY OF TIGARD Mechanical Permit Application Recd By
13125 SW HALL BLVD. RECEIVEXornmercial and Residential Date Recd
TIGARD, OR 97223 Date to P.E.
(503) 639-4171, x304 DEC 1999 Date to DST
Print or Type
Permit 0
COMMUNITY DEVELOP} called
Incomplete or fl yible applications will not be accepted
�- Name of DeveloPment/Proiect Description
Table 1A Mechanical Code Qty fios Amt
1) Furnace to 100,000 BTU
Job Sveet Address sunea A Permit Fee __ _16_00
Addf els � 1tc
t)� includin9ducts&vents see footnote 1,2 9.65
Bldgs lty/Slate zip 2) Fumace 100,000 BTI.I+
including duds&vents see footnote 1,2 12.W
Name(or name of business) 3) Floor Furnace
including vent see foo note 1,2 9.65
Owner c 1 11 t6 1 4) Suspended heater,wall heater
Mailing Ad re., //�� or Floor mounter:heater see footnote 1,2 9.65
/ / /}c " a Vent not Included in a lianas ormit 4.75
city/stale / zip` Phone Check all that apply: 'Boiler Heat Air
I c7�'CI 17 -3S�v• f For Items 6-10,ase or Pump Co�nd City Price Amt
Name(or same business) footnotes 1,2 Com
6)<3HP;absorb unit to
_ 10OK BTU 9.65
Occupant Malling Address 7)3-15 HP;absorb unit
A H C. 100k to 500k BTU 17.65
COv/State zip I Phone 8) 15-30 HP;absorb
_unit.5-1 mil BTU _ _ 24.15
_ 9)30-50 HP;absorb
Contractor Name unit 1-1.75 mil BTU 36.00
10)>50HP;absorb unit
Prior to permit Mailing Address >i.75 mil BTU 60.15
issuantm,a copy r st-1 �L U�^- 1'. Air handling unit to 10,000 CFM
of ah licenses /Stara zip Phone _ 7•W
are required K V t� 6, qll 12)Air handling unit 10,000 CFM+
expired in COT regon Const ont Board L M Exp Date 11.75
databese �7 t 13)Non-portable evaporate cooler
00
Architect "de �'7.Name
14)Vent fan connected to a single dud
l 4.75
Mailing Address �
of 15)Ventilation system not in;luded in
appliance permit 7•00
Engineer CRY/State ZIP Phone 16)Hood served by mechanical exhaust
7.00
Describe work to be done 17)Domestic Incinerators
12.00
N")6ii-Repair O Replace wifh like kind Yes O No O 18)Commercial or industrial type Incinerator
Residenti�0 Commercial J _ 4840
19)Repair units �
Additional information or description of work �T 8.40
20)Wood stove/gas�Plother units/clothe dryer/etc.
to k- CJ (- ` �Iil �A t ���- _ 7.00 cX'
OTE: For Commercial projcJs-nly,Units over 400 Ibs require 21)Gas piping one to I, outlets
structural gas talcs See footnote 1 3.75 �13
22. More than 4- r outlet each 75 _
� Type of fuel. oil O natural ga LPG O electric O �_ __e° _�_-��
•- MI_n_Imum Permit Fee$50.00 SUBTOTAL
i" I hereby acknowledge that I have read this application,that the information SURCHARGE
given is carred,that I am the owner or authorized agent of PLAN REVIEW 2596 OF SUBTOTAL
>_ the owner,that plan,4ubmitted are in co pliance with Oregon State laws _Required for ALL commercial permits onl
J TOTAL /
L0Signature of Olitmer/A a Date
e/ Other Inspections and Fees:
1. Inspections outside of normal business hours(mininum charge-twin
-� Contest Person Nam 4 Phone hours) $50.00 per hour
2. Inspectlens for which no fee Is specifically Indicated (minimum
charge half hour) $50.00 per hour
Foonotes farm commercial projects only: 3. Additional plan review required by changes,additions or revisions to
1. Provide full scilemalic of existing and proposed gas line and pressure. plans(minimum chargecn f-half hour)$50.00 per hour
2. Provide dr;WHgs to scale showing existing and proposed mechanical
links. 'State Contractor Boiler Ceti�fication required
"Residential A/C requires site plan showing placement of unit
1 lmechpenn.doc rev 02/4/99