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11140 SW 124TH PLACE ADDRESS: lip r F— J - lreoc id sk"llcro(HAttir{(elslbUllding.doc co w J CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 Date Requested o i � - 1 �AM _PM BUP BLD – L)cation 40 ��.� (�� _ Sur'. -7 MEt' Contact Person _ .�Z�Q.GL- Phi ��` 1 PLM Contractor — _ P 60 l� SWR - BUILDING Tenant/Owner ELC _ Retaining Wall E'LYt Footing _ Acces- Ariz Fro rndation ° ( ` -) FPS Ftg Drain pm_ % , — C -wl Drain Inspection Notes-. ( �� ,r, � /�')A� -�1 ��gg S Slab --- p ►QZJ/�� U ICJy\ IU rltx �� L�'� Post h Beam aa� � �y )�] CGLL__ A - Ext Sheath/Shear ( C�t.rl,L 71;�J1,_„ M�w Int Sheath/Shear Framing - Insulation - Drywall Nailing 'irewall Fire Sprinkler _-_----- _ -- -___--- ---._ -__ Fire Alarm Susp'd Ceiling Roof Misc: ---- ------ -- - Final --� PASS PART FAIT_ - - -- -- - ------------ - PLUMBING Post& Beam - — - Under Slab Top Out -- --------- - ----... _ vVater Service Sanitary Sewer Rain Drains _ inal P SS--PAf?-T� FAIL ` MECHANICAL ) Rough In Gas Line _ ---- - - -- - - - -------------- Smoke Dari ,qrs SSS PART FAIL CTRICAL -- ---- ------ ----–- _ _ Service Rough In - ---- - - UG/Slab Low Voltage ---- --- - _ -- ----- i Fire Alarm Final F PASS PART _ FAIL SITE r Backfill/Grading -- - — - --- Sanitary Sewer w Storm Drain [ J Reinspection fee of$ --required before next inspection. Pay at City Hall, 13125 SW Hail Blvd J Catch Basin I ] Please call for reinspection RE:—__ [ )Unable to inspect-no access ire Supply line ADA - 4pproach/Sidewalk Other Date _ Inspector Ext Final PASS PART FAIL D9 NOT REMOVE this inspection record from the job site. CITY CSF TIGARD DEVELOPMENT SERVICES MECHANICAL PERMIT 13125 SW Nall Bivd., Tigard,OR 97223 (503)639.4171 PERMIT 'f. . . . . . . : ME:C98-018:'. DATES ISSUED: 05/22/98 PARCEL: 1S134CB-08700 SITE ADDRESS. . . : 11140 SW 1.24TH PL_ SUBDIVISION. . . . : ANTON F'ARK. ZONING: R-7 BLOCK. . . . . . . . . . . L(1T. . . . . . . . . . . . . :049 JURISDIL'TION: TIG -------------------------------------------------------------------------------- CLASS OF WORL'. . :ADD FLOOR FURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :SF UNIT HEPTERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . : R3 VENTS W/O APDL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPES-------------___ 0-3 HP. . . . : 1. DOMES. I NC I N: 0 —15 HP. . . . : 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0 F"IRE DAMPERS ). . ; 30-5Q HP. . . . : 0 WOODSTOVF_.S. . : 0 GAS PRESSURE. . . : 5&4- HP. . . . : 0 CLO DRYERS. . : 0 NO. OF UNITS----------- AIR HANDLING UN I TS OTHER UN I TS. : 0 FURN ( 1.00K BTL!- 0 (- 10000 cf m: 0 GAS OUTLETS. : 0 FURN ) =100K BTU: 0 ) 10000 cfm : 0 R e m ar-k _i : Add A/C unit to an existing single family dwelling. A/C units cannot be placed within the required setback areas. Owner: - ----_____________----________._---__---______._______ FEES TERESA BEAN type amor_rnt by da-+e recpt 11140 SW 124TH PI_.Ar:E PRMT $ 25. 00 GEO 05/22/98 98-3059811 TIGARD OR 972,2'3 `;PCT $ 1. 25 GEO 05/22/98 98--305988 Phone #: 579-32"51 Contractor- : JACOBS HEATING R A/C 1+4'74 BE M I LWAUK I E AVE ----------------------------------------- $ ------------------------------__--..__$ :6. 25 TOTAL PORTL_ANr. OR 9720= Phone #: 503-234--7331 Reg #. . : 200014 ------- REDUIRED INSPECTIONS -----_ This permit is issued subject to the regulations contained in tho Cooling Unt Insp Tigard Municipal Code, State of OrF. Specialty Codes and all other Misc. Inspection applicable laws. All work will be done in accordance with Final. Ins pre ct i o r, _ approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for tore than 190 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 952-01-0080. You say r- obtain copies of these rules or direct questions to OUNC by calling Y_ _ 15031245-9181. TsSI_re D Permittee Signati_rr .....t++++t++•4 .....4.+tt++t++t+t+4•tt++t++t+++4++ttt+.t+++++t+t+t++++t++++t+++++++ Call 639-4175 by 7:00 p. m. for insper_tions needed the next bLrsiness day +++++++++++++++-`{++}++++++++++++++++++++++4-4-4-4.+++++++++4++4++++++++++a Plan Check#_ CI'rY CF TIGARD Mechanical Permit Application Recd By 13125 SW HALL BLVD. Commercial and Residential Date Recd _ TIGARD, OR 97223 Date to P E. (503) 639-4171, x304 Date to DST 1 Print or Type Permit Called J _ Incomplete or illegible applications will not be accepted N f DeveropmenuProp' Description C'r7�f`T/K/L Table 1A Mechanical Code OTY PRICE AMT Job s Address surer A) Permit Fee -0- -0- 10.00 Address Bids# Crtyrsute T�t ip1 ) Furnace to 100,000 BTU I 6.00 Ird 1 3 including duds&vents _ Name(or name of business) U 2.) Furnace 100,000 BTU+ 7.50 Owner ( rtj1 Pyarte-- including duds&vents MalingAddress 3.) Floor Furnace 6.00 I10 a`7 f 1, including vent _ Cute p Zlp Phone 4.) Suspended heater,wall heater ,i.00 {- 4 a`' or floor mounted heater _ Milne( nems of buillim r}/{tea► 5.) Vent not included in appliance permit 3.00 Occupant Merilrrig Address7 6.1 Boder or comp,heat pump,air Gond. 6.10 i11 L J to 3 HP;absorb writ to 1ooN.BUT" CnW3ta a Z1P Pha is 7) Boiler or comp,heat pump,air Gond. 11.00 _3-15 HP;absorb unit to 500K BTU" Contractor Nip c 8.) Boder or comp,heat pump air Gond. 15.00 (Pnor to '11i ) 15r 30 HP;absorb und.5-1 mo BTU" issuance M I i Address 9.) Boder or comp,heat pump,air Gond 2250 applicant 30-50 HP;absorb unit 1-1.75md BT must provide ail clyistatp10 Tlp ) Boiler or comp,heat pump,air coo 37.50 contractor OF- - `) >50 HP;absorb unit 1.75 mil BTU license Oregon I iiia.Cont.Board Lit:a Exp Date 11.) Air handling unit to 10,000 CFM 4 50 information i/}- I for CO r COT Business Tpx or Metro a Exp Date 12.) Air handling unit 10,000 CFM 7.5Q database)_ - Architect "rn° 13.) Non-portable evaporate cooler 4.50 Or Meiling Address 14) Vent fan connected to a single dud 300 Engineer CMrsute Zip Phone 15.1 Ventilation system not included in 4.50 appliance permit Describe work New O Addition Q Alteration O Repair O 16) Hood served by mechanical exhaust 4.50 to be done Residential O Non-residential O Additional Duscnption of work 17.) Domestic incinerators 7.50 - i 18.) Commercial or industrial type 3000 Incinerator Existing use of `�_ 19.) Repair units 4.50 building or propertyeJt,, _ 20.) Wood stove r mposed use of el 21.) Clothes dryer,etc. 4.50 building or property of�(--- 22) Other units 4 50 Type of Aiel-oil O r,a!vral gas O LPG O electric 23) Gas piping one to four outlets 2 00 I hereby acknowle fge that I have read this application,that the 24) More than 4-per outlets(each) 50 > information aivo;,is correct,that I am the owner or authorized agent of ~ the owner,that plans submitted are in compliance with Oregon State i� OTY SUBTOTAL -� laws Signature of Owner/Ag• , Date . 'SUBTOTAL / )J 5%SURCHARGE ContW PenNa • Phone PLAN REVIEW 25%OF SUBTOTAL I TOTAL �� Ll < �. L 1; dOC (f•W *Minimum permit fee is S25+6%surcharge "Residential A/C requires site plan showing r•',cement of unit. yv[�* 5a)(07 MR fL( Lt�v I ��fi C1 I �C. TQvPCk' v joo� L�ivC RIO No 50AI-C t J t , c.D W (Ij 0 Orel _J CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 6;9-4175 Business Line: 639-4171 / BUP _Date Requested ��/ �4% AM�_PM _ BLD Locationl� I '�S c.' 4 +6, p r Suite MEC Contact Person �� '�C1t11 r1.ctCGc�_._ Ph S7_ �'�� PLM Contractor Ph SWR 1BUILDING — Tenant/Owner ELC Retaining Wall ELR Footing Access: ;� Foundation �f FPS Ftg Drain y(.,N ----- .--_. Crawl Drain Inspection - Slab _- SIT Post& Beam --- T Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing --------- _—.__. _ — _ — -—_- Firawall 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&ffeaffi -- - ----- ---- Rough In Gas Line —_— ---- ----- --_ LSqpke Dampers ' PART FAIL ELECTRICAL _ -.-------------- --- - - Service Rouah In UG/Slab Low Voltage - ---T Fire Alarm _ Finai PASS PART FAIL SITE (Backfill/Grading -- !-- --- — ----- �— --- -- Sanitary Sewer storm Drain I I Reinspection fee of$ _ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin i ] Please call for reinspection RE __- I )Unable to inspert no access Fire Supply Line - - - - ADA Approach/Sidewalk Other Date Inspector _E/ Final PASS PART FAIL_ DO NOT REMOVE this inspection record from the job site. ''\ CITY O F i!G A R � MECHANICAL PERMIT DEVELOPMENT SERVi%ES PERMIT#: M/07/199-00539 � DATE ISSUED: 12/07/1999 13125 SW Half 31vd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S134CB-08100 SITE ADDRESS: 11175 SW 124TH PL SUBDIVISION: ANTON PARK ZONING: R-7 BLOCK: LOT: 043 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: F_VAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORSHOODS: _ FUEL TYPE i 0 - 3 HP. DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: GAS PRESSURE: 50 + HP: WOOD STOVES: < 100K BTU: _ AIR HANDLING UNITS CLO DRYERS: OTHER UNITS: 1 FURN >=100K BTU: <= 10000 cfm: — GAS OUTLETS: I > 10000 cfm: Remarks: Gas insert with gas piping Owner: v FEES DOROTHY TOELLE Type By Date Amount Receipt 11175 SW 124TH PL PRMT BON 12/01/19 $50.00 99-320245 TIGARD, OR 97223 .5PCT BON 12/07!19f $4.00 99-320245 Phone:503-626-4652 L Total $54.00 - Contractor: T + K MECHANICAL TIMOTHY S W i NNE 11525 SW CANYON REQUIREn INSPECTIONS _ BEAVERTON, OR 97005 Gas Line Insp T Phone:626-4652 Misc. Inspection Reg#:LIC 00121165 Final Inspection ORIGINAI This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore Specialty Codes ar { all other applicable laws. All work will be done in accordance with approved J plans. This permit vtill expire if work is not started within 180 days of issuance, or if work is suspended for more vian 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 mgr- obtain copies of t`iese rules or direct questions to OUNC by calling (503)246 9189. I Issue By: I �('�({ _ Permittee Signature: 1 ( �'_ rl v - Call (503) 639-4175 by 7:00 P.M. for inspections needed the 4t business day Plan Check CITY OF TIGARD RE �ch�anical Permit Application Rec'dBy QI# 13125 SW HALL BLVD. Commercial and Residential Date Recd l�'' TIGARD, OR 97223 DEC Date to P.E. _ (503) 639-4171, x304 Date to DST ( COMMUNITY I Permit 0 eo Print or Type Incomplete or illegible applications will not be accepted called Name of Developrrwnt(Prvjecf Description Table 1A Mechanical Code QtV Price Amt .rob Street Address Suilea A) Permit Fee 16.00 AddressJZC� �c��ttt pf a i - 1) Furnace to 100,000 BTU ,r- including ducts&vents see footnote 1,2 9.65 ldysl city/State Zip 2) Furnace 100,000 BTU+ - includir,-c'::ds&vents see footnote 1,2 12.00 Name(or name of business) 3) Floor Furnace Owner r including vent _ see footnote 1,2 9.65 Melling Address or Suspended heater,wall heater or floor mounted heater sea footnote 1,2_j 9.65 Zr i -)L) 0 1:i-v io(-c 5) Vent not Included in a "ance rmk 4.75 citylstate Zip Phone Check ail that apply: 'Boiler Heat Air (i (�,_ , ' 3 For Items 6-10,see or Pump Co�nd Qty Price Amt Na (or name of businass) fo)tn-tes 1,2 Comp - 6)-3HP;absorb unit to 100K BTU 9.65 Occupant Mailing Address 7)3-15 HP;absorb unit Ic._ 100k to 500k BTU 17.65 Cxy/State Zip Phone 8) 15-30 HP;absorb unit 5-1 mil BTU 24.15 9)30-50 HP;absorb Contractor Name ��II-- // unit 1-1.75 mil BTU 36.00 -i K jec`rQ 0Jd 10)>50HP;absorb unit Prior to permit Mailing Address >1.75 mil ti rU _V 60.15 issuance,a ropy / S Olt 11 Air handling unit to 10,000 CFM of all licences civ/State / �1 ZIP Phone 7.00 _ are required if �Jf�dd�1 D✓ 9'�Jp05 (patio G^ 12)Air handling unit 10,000 CFM+ expired in COT Oregon Const Cont.Board Llc lr p Date 11.75 _database x1�770 13)Non-portable evaporate cooler Architect Name 7.00 - 14)Vent fan connected to a single duct Mailing Address 4.75 _ or 15)Ventilation system not Included In appliance permit _ __. 7.00 Engineer city/state ZIP Phone 16)Hood ssrved by mechanical exhaust _ r()o Describe work to be done - 17)Domestic Incinerators 12.00 NeO) ,` Repair O Replace with like kind Yes O No O 18)Commercial or industrial type Incinerator "�"'� 48.25 ResidentiaCommercial O 19)Repair units Additional Information or description of work. ___ 6.40 q CiS i t ne- VISI'✓� 20)Wood stove/gas FP/other units/dothe dryedetc. 7.00 NOTE: For Commercial projects only;Units over 400 lbs.require 21)Gas piping one to fuur outlets structuralacmes calcs. See footnote 1 _ / 3.75 �' Type of fuel' oil O natural gas LPG O electric O 22)More than 4-per outlet(each) 75 CL \ Minimum Pennit Fee$56.60 SUBTOTAL } CC I hereby acknowledge that I have read this application,that the Information SURCHARGE 0(` N given is corred,that I am the owner or authorized agent of PIAN REVIEW 25°6 OF SUBTOTAL the owner,that plans submitted are in compliance with Oregon Stale laws. _ Required for ALL commercial permits only r TOTAL CO Signature�of OwnedAgent Date �/S/le/ Other Inspections and Fees: 1. Inspec Ions outside of normal huslnes• hours(minlnum charge-twn w Corttatct Person l4ame i one hours) $50,00 per hour 2. Ins specifically i Inspections for which no tee Is s y Indicated (minimum charge-halt hour) $50.00 per hour Foonotes forcommercialprojects only_ 3. Additional plan review regtdred by chang- additions or rsvlslons to 1. Provide full schematic of existing and proposed taas line and pressure. plans(minimum charge-one-halt hour)$50.00 per :�rr+tr 2 Provide drawings to scale showing existing and proposed mechanical units 'State Contractor Boiler Certification required - "Residential A/C requires site plan showing placement of cod 1.lrnechperm doc rev 02/4/99