Permit CITY TIGARD MECHANICAL PERMIT
AI DEVELOPMENT SERVICES PERMIT #: MEC2000 - 00239
Ail SW Hall Blvd., Tigard, OR 97223 (50 639 -4171 DATE ISSUED: 06/16/2000
PARCEL: 2S1 15B B -05000
SITE ADDRESS: 16180 SW KING CHARLES AVE
SUBDIVISION: ZONING:
BLOCK: LOT: JURISDICTION: KIN
CLASS OF WORK: 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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Replace gas furnace to 100,000 BTU and gas piping in single family dwelling.
Owner: FEES
CALKINS, MATTHEW C AND Type By Date Amount Receipt
DOROTHY E PRMT KJP 06/16/20( $50.00 KINGCITY ..
16180 SW KING CHARLES AVE 5PCT KJP 06/16120C $4.00 KINGCITY
KING CITY, OR 97224
Total $54.00
Phone:
Contractor:
GEORGE MORLAN PLUMBING
9806 SW TIGARD
(CCB EXP 6/2002) REQUIRED INSPECTIONS
TIGARD, OR 97223
Gas Line Insp
Phone: 503 - 624 -6895 Mechanical Insp
Reg #: LIC 00002734
PLM 26 -60p
ORIGINAL
•
-'
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 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 in the Oregon
Utility Notification Cen = . Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
You may obtain cop , •f these rules or direct questions to OUNC by calling (503)246 -9189.
Issue By: ) Permittee Signature: �J't oti,6 X - 74 X -- _4.
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
JUN -09 - 2000 13 46 r.lo
Pion L.neck tr•
CITY .(IF TIGARD. Mechanical Permit App ; .-{;; � t. `� Reed By
13125 SW MALL BLVD. Commercial and Resides ial 4, 11: *% Date toP.E.
TIGARD, OR 972 ,�� , 1 ,' ‘ Date to DST
(503)- 639 -4171, x304 (N ` permit # c � �Jt7 -t�z 3 5
�VO 1052 / / Q Print or Type � Called
Incomplete or illegible applications will° not be accepted _
Name of Do lopmenUProject Description Ot Price Amt
R r • - , , ` �/ Table 1A Mechanical Code 16.00
A dds � G�J Ll� A) Permit Fee
Job res jj // 1) Furnace to 100,00 BTU ed
Address / o /Xo / 1( CC (_ as v including ducts & vents see footnote t2 / 9.65 9
6100 s LP 2) Furnace 100,000 BTU+
I i )ngcy �� � ei 7020/ 4 Including ducts & vents see footnote 1,2 12.00
Name or named J L business) 3) Floor Furnace
n Including vent see footnote 1,2 9.65
OtOwner �- C r 1 a 4) Suspended heater, wall heater
MarienQ w Address or floor mounted heater see footnote 1,2 _ 9.65
' 5) Vent not included in appliance permit 4.75
City/State Zip Phone Check all that apply: 'Boller Heat Air
_ For Items 6 -10, see or Pump Cond Oty Price Amt
Name (or name of business) footnotes 1,2 Comp
6) <3HP ;absorb unit to
100K BTU 9.65
-SC M
Occupant Mating Address 7) 3-15 HP ;absorb unit
100jc to 500k BTU 17.65
City/Stale Zip Phone 8) 15 HP; absorb
unit .5 -1 ml) BTU 24.15
• 9).30 -50 HP; absorb 36.00
Contractor Name ' unit t -1.75 m il BTU
Gan , (Ylo r(.a.n PI urnbs vi9 10) > 50HP: ab sorb unit 60.15
Prior to permit anin Address >1.75 mil B J TU
issuance, a copy / &D� [1Cu [ 1 S _ • 11 Air handling unit to 10,000 CFM 7.00
of all licenses city to J zip Pnone
ere wired if a9 r� q'7.2.1.3 .244-60N) 12) Air handling unit 10,000 CFM+
11.65
expired in COT Deg � �n st. Cont. some tics Exp. / Date
database •0 7 34 0 �/' n "3 , 13) Non - portable evaporate cooler
7.00
Architect Name '
14) Vent fan connected to a single duct
4.75
Or Mulling Addreee 15) Ventilation system not included in
appliance permit . 7.00
Engineer City/State Zip Phone 16) Hood served by mechanical exhaust
7.00
)ascribe work to be done: ota. ; ; I i 4- we na C , 17) Domestic incinerators
J 12.00
New 0 Re it 0 Replace with like ki Yew No 0 18) Commercial or industrial type Incinerator
Residential Commercial 0 48.25
19) Repair units
8.40
4dditional Information or description of work: ,_ 20) Wood stove /gas FP /other units/clothe dryer /etc.
7.00
VOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets / TS
structural gas calcs. See footnote 1 / 3.75
rype of fuel: oil 0 natural gas)4 LPG 0 electric O 22) More than 4 -per outlet (each) .75
Minimum Permit Fee 560.00 SUBTOTAL ' '=
hereby acknowledge that I have read this application, that the information a% SURCHARGE `Y „-z
liven Is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL ... 1,. • r
he owner, that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only a ... _
TOTAL : ; i , • 00
signature of OwnedAgent Date Other Inspections and Fees:
, 42;<.) 1. Inspections outside of normal business hours (mininum charge -two
:on ct Person Name Phone hours) 560.00 per hour
2. Inspections for which no fee Is specifically Indicated (minimum
D e l Dccuis ( C/. Q charge -half hour) $50.00 per hour
:oonoted for commercial projects only: 3. Additional plan review required by changes, additlon•or revisions to
I. Providd full schematic of existing and proposed gas line and pressure. plans (minimum charge - one -half hour) $50.00 per hour
t. Provide drawings to scale showing existing and proposed mechanical 'State Contractor Boller Certification required
• units.
"Residential A/C requires site plan showing placement of unit
....� 704 Well TOTAL P.05
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 7 0° AM X PM BLD
Location 1 (7 � S 0 Lt� 4j-? Suite MEC 1,M0
Contact Person OJYW.f J Ph Co 3 . 1 ' PLM
Contractor Cee NjY z/\S'h C, Z -1- 0 I) SWR
BUILDING}. _ ` Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
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
RT FAIL
CHANT
Post • _ -
Rough In
vas Lj
Dampers
:!'S* j PART FAIL
ELE TRICAL
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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
__ Fire Supply Line - - _ _ _ _
ADA
Approach /Sidewalk
Date / // 6 C Inspector /UM Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.