Permit CITY OF TIGARD MECHANICAL
DEVELOPMENT SERVICES PERMIT
PERMIT # • MEC98 -0010
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 01/08/98
PARCEL: 1S134DC -08500
SITE ADDRESS...: 11549 SW TWIN PARK PL
SUBDIVISION • TIGARD PARK ZONING: R -4.5
BLOCK - LOT -001 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 • 1 DOMES. INCIN: 0
:GAS 3 -15 HP • 0 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: Beckman A/C unit
Owner: FEES
TED BECKMAN type amount by date recpt
11549 SW TWIN PARK PL PRMT $ 25.00 JSD 01/08/98 98- 302358
TIGARD OR SPCT $ 1.25 JSD 01/08/98 98- 302358
Phone #:
Contract or:
PORTLAND METRO—AI RE
10010 SW BEAVERTON HILLSDALE HWY
26.25 TOTAL
BEAVERTON OR 97005
Phone #: 626 -7818
Reg #..: 000612
REQUI RED INSPECTIONS
This permit is issued subject to the regulations contained in the Cooling U n t 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.
• 101111°
Issue By: tj Permittee Signature: li euv-14,t____
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Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
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Plan Check #
CITY OF TIGARD Mechanical Permit Application Recd By 4/111110,
13125 SW HALL BLVD. Commercial and Residential Date Recd i i`M.
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
Print or Type Permit # MCC 5S 0° / a
Called
Incomplete or illegible applications will not be accepted
Name pf OevelopmenUP 1�� �/// c, Description
/ /5 Sk) IW /y1 is �/ c Table 1A Mechanical Code QTY PRICE AMT
Job Ad ress I Su e# A) Permit Fee -o- -0- 10.00
Address q Lt y Qi
Bldg# ,/ City /State Zip 1.) Furnace to 100,000 BTU 6.00
including ducts & vents
Name (or a of business) 2.) Furnace 100,000 BTU+ 7.50
Owner I l (or Q,Gf! Ili Q A including ducts & vents
Mailing Address I 3.) Floor Fumace 6.00
including vent
Crty /State Zip Phone 4.) Suspended heater, wall heater 6.00
or floor mounted heater
Name (or name of business) 5.) Vent not included in appliance permit 3.00
Occupant Mailing Address 6.) Boiler or Comp, heat pump, air cond. / 6.00 v: nr
to 3 HP; absorb unit to 100K BUT
Cdy/State Zip - Phone 7.) Boiler or comp, heat pump, air cond. 11.00
3-15 HP; absorb unit to 500K BTU"
Contractor Name 8.) Boiler or comp, heat pump, air cond. 15.00
Ar Mefro A / c. 15-30 HP; absorb unit.5 -1 mil BTU"
Prior to permit Mailing Apdress q / 9.) Boiler or comp, heat pump, air cond. 22.50
issuance, a copy &LC ...14, 0 ," . /- ///r j 1 fr 30-50 HP; absorb unit 1- 1.75mi1 BTU"
of all licenses City /State 10 (� ho D
z ip Boiler or comp, heat pump, air cond. 37.50
are required if QsA �, Q R '1' 12 b` 1 > 50 HP; absorb unit 1.75 mil BTU"
expired in COT r egon onst. Cont. Board Licit Exp. Date v , 11.) Air handling unit to 10,000 CFM 4.50
database 6/ 2 1 PO 3(3 '- l <l
Architect Name 13.) Non - portable evaporate cooler 4.50
or Mailing Address 14.) Vent fan connected to a single duct 3.00
Engineer City/State Zip - Phone 15.) Ventilation system not included in 4.50
appliance permit
Describe work New 0 Addition 0 Alteration Repair 0 16.) Hood served by mechanical exhaust 4.50
to be done Residential 0 Non - residential 0
Additional Description of work: 17.) Domestic incinerators 7.50
., C l r -c -c-71 /} , 51 18.) Commercial or industrial type 30.00
/ Incinerator
Existing use of ,S ) er c �2 19.) Repair units 4.50
building or property
20.) Wood stove 4.50
Proposed use of 21.) Clothes dryer, etc. 4.50
building or property
22.) Other units 4.50
Y
Type of fuel - oil 0 natural gasig LPG 0 electric 0 23.) Gas piping one to four outlets 2.00
I hereby acknowledge that I have read this application, that the 24.) More than 4 -per outlets (each) .50
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with Oregon State QTY. SUBTOTAL
laws.
•Kcitt )3 Signature of Owner /Agent Date <ii�) �Q *SUBTOTAL
Zj� (- 1 > / CI til 5% SURCHARGE ( e
Contact Person Name ,, Phone PLAN REVIEW 25% OF SUBTOTAL
rJ
f E ��1���2J� ` dZ { 7 ` / , p y r S TOTAL 7 �
i:4mechpmt.doc (rev 9 *Minimum permit fee is + 5% surcharge ��
Residential A/C requires site plan showing placem of u nit.
0)-/1/ . 5,e('-K < _-?›,t-
- ; , 5'
,\
CITY OF TIGARD BU • ING INSPECTION DIVISION MST
24 -Hour Inspection Lin:. 639 -417 Business Line: 639 -4171
BUP
Date Requested 2 - d a AM 1 -7 PM BLD
Location 1, 1 6 .4 -1 k %AJti-- /1 e -,r c)\---, Suite E - 0 0
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing
Foundation WO G✓■.R_ 1, FPS
Ftg Drain
Crawl Drain Expired/Research/Request ff�� . SGN
Slab GY CA-73( SIT
Post & Beam / .
Ext Sheath /Shear ( "
Int Sheath /Shear ;� cI
Framing t -1, i O T/-Q_ + ?--C c)12--r m`V Insulation yQ, / '^ r _
Drywall Nailing ' 1L.∎ ' A S Q)( () r \ N : Z■..,
Fire wall W \� `\ <_�� n . p 1
Fire Sprinkler G •- �' `A.� _
Fire Alarm � p �
Susp'd Ceiling Y� .P - r �1 �v ,
Roof C,rt.,e A, ilk _ � Q /�
F i na l l � � Vl 1�2�rJ1 y
Final
Cc_J� Gw� ,, ` _ ( _ f 1 � p
PASS PART FAIL Vv �/�-
PLUMBING d L23 - 4i - 1 \ x .S1 5 6
Post & Beam � Q
Under Slab C .617\ YV\ 1, ' vii _ (- Q _ !�
Top Out
Water Service c iA5 �C�fi�\ . �_
Sanitary Sewer `` / Q
Rain Drains CN 7,.-v\ _ '7 & SS C '+- (J-/'∎ c-c, V /� Q_ 6-4- C.7� , ;cc
Final ,/
PASS PART FAIL A ••• AA _ �� '_
CHANI 1�., � QQ •
os Beam v L� e_ C ' G ,-z -rJ` •
Rough In
Gas Line
Smoke Dampers
P ASS PART 0
ELECTRICAL
Service
Rough In
UG /Slab ( ,
Low Voltage 1.�/
Fire Alarm r
Final �/'
PASS PART FAIL I A,
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 ivj
Approach /Sidewalk D D 1) ClInsector 1
Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job sate.