Permit C � �� �� � � ����� ��� � � ��*�m, no����mw~ -~^~ U������������������ PERMIT # ^ MEC94-0091
�0~^ ] � � � DATE ISSUED: 03/29/94
1u1ooaW*000*u.r/nmm.own*n wrou3°u1ww����(5wv)'nom~nr1
PARCEL: 2S115BC-05000
SITE ADDRESS...: 16505 SW KING CHARLES AVE
SUBDIVISION....: ZONING:
BLOCK..........: LOT.............:
______ ______
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:
:/GAS/ / / 3-15 HP ^ COMML. INCIN:
MAX INPUT: BTU 15-30 HP....: REPAIR UNITS:
FIRE DAMPERS?..: 30-50 HP ^ WOODSTOVES..:
GAS PRESSURE...: 50+ HP....: CLO DRYERS..:
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.:
FURN < 100K BTU: <= 10000 cfm: GAS OUTLETS.:1
FURN )=100K BTU: ) 10000 cfm:
Remarks: REPAIR GAS LINE
Owner: — ---- FEES
PELLITEER type amount by date recpt
16505 SW KING CHARLES PRMT $ 25.00 JG 03/29/94 —
5PCT $ 1.25 JG 03/29/94 —
KING CITY OR 97224
Phone #:
.
Contractor:
COLUMBIA HEATING
8900 SW BURNHAM
SPACE E-110
TIGARD OR 97223 — —
Phone #: 624-2704 $ 26.25 TOTAL
Reg #..: 76359
— REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line 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.
' '
•
� \ I ��� Permittee Signature�� � / ��N� ___ __
_ __ __
Issued By: . ______
/ / ~ Call for inspection — 639-4175
, .
•
.
MAR- 29 —'94 TUE 14:51 ID:CITY OF KING CITY FAX NO:503 639 -3771 #372 P01
Post -Ir brand f ax transmittal memo 7671 I #01 pages ■ ► 1balir KING CITY. co ca,. Ae4,:nc, co 1 1Y, Q.,, .
la,.MMMOM 15300 S.W. 116th Avenue, King City, Oregon 97224 Phone: Dept. Phone #60 39 - c/
COMMUNITY D
� ��.
APPLICATION FOR Fax# W Y— . -' 7 FHX# 4 c/27/
(Instructions an r..„..,
DATE ,4.2.17/
1. NAME OF APPL CANT: F . Phone No. 3
ADDRESS: 0 41/4-__. ADDRESS OF PROPOSED IMPROVII an .,L,,-.-,..g.
2. 'TYPE OF CHANGE, IMPROVEMENT OR CONSTRUCTION FOR WHICH PERMIT IS REQUESTED.
DESCRIBE BRIEFLY - A 'CH TWO COP S PLANS ( �R DRAWINGS OF
PROPOSED PROJECT: : ' �-C�' � - .i i c i !'L- 1.'"--
3. NAME AND ADDRESS OF CONl'RACi"OR4
PHONE NO.4 27e q LICENSE NO.7 06
4. NEIGHBORS WHO MAY BE AFFECTED BY THIS PROJECT WILL BE NOTIFIED BY THE CITY.
5. APPLICANT OR HER /HIS REPRESENTATIVE MUST BE PRESENT AT THE PLANNING COMMISSION
MEETING NEXT HELD ON
REPRESENTATIVES NAME PHONE NO.
(The Ki g City Planning Commission ail onsider only those applications received at least five (5) days
prior t a me ing.�) I �
SIGNATURE
*************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION RECEIVED BY DATE
APPLICABLE FEE RECEIVED $ &± TOTAL .
V /
PLANNING COMMIS ION DECISION: proved X Denied
•• • ITIONS . 1 444 't l�i� o /
'Apex r approved applications are valid for sis months only
• Signature QP 't4 Date 3 Ii N
NOTE: Ore n Bomebuilders Law requires that all persons who contract o r work on their residence be
registered with the Builders Board which means the contractor is bonded and insured on the job site.
For your protection, be certain your contractor is registered by calling City Hall Ph: 639 -4082.
NOTE: A permit must also be obtained f an the City of Tigard Department of
,Community Development Yes No
*************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
CITY OF TIGARD INSPECTION REPORT
The above listed project has been inspected and Approved Denied
Date Cannents
Signature
(BuZ ding - i.nAperton. ptecue. fin. one, (1) copy to King C.t ty
CO 2 -87
City of Tigard MECHANICAL PERMIT Planck/Rec. #
131.25 S\ / Hall Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639 -4171
Descnption
,/ / "' ", Table 3A Mechanical Code OTY PRICE AMT
Job �i / 1) Permit Fee 0 0 10.00
Address �f'G Lp
2) Supplemental Permit 3.00
^aTe w �� Furnace to 100,000 B EU
1) incl. ducts & vents 6.00
u�^ Address Phone Furnace 100,000 B1 U +
Owner 43? 2) incl. ducts & vents 7.50
u. Floor Fumance
3) incl. vent 6.00
Name la nano of b ' 1ess) Suspended heater, wall heater
4) or floor mounted heater 6.00
Uaing Adboss PhOAe Vent not Incl. in
Occupant 5) appliance permit CapStass z p Repair of heating, refng.
6) cooling, absorption unit 6.00
" -- Boiler or comp, heat pump, air cond.
j -2704/ 7) to 3 HP absorp unit to 100K BTU 6.00
'" ... Phone Boiler or comp, heat pump, air cond. .
/ 8) 3-15 HP absorp unit to 500K BTU 11.00
Contractor - Zp Boiler or comp, heat pump, air cond.
•
9) 15-30 HP absorp unit .5 -1 mil BTU 15.00
••800A ° �"� Tu " Boiler or comp, heat pump, air cond.
■ 10) 30 -50 HP absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowledge that hay read this application, that the • Boiler or comp, heat pump, air cond:
information given is correct; that I am the owner or authorized agent 11) > 50 HP absorp unit 1.75 mil BTU 37.50
of the owner, that plans submitted are in compliance with State Air handling unit to
laws, that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given is correct. (If exempt from State registration, Air handling unit
please g " ason b low.) — 13) 10,000 CTM + 7.50
–� _ Non portable
C /� d - �� 14) evaporate cooler 4.50
[ Vent fan connected
15) to a single dud 3.00
/ ��( Ventilation system not
16) included in appliance permit 4.50
b9naal. (CVm.f Of Veal Var Hood served by
17) mechanical exhaust 4.50
Descnbe work new () addition U alteration 4 repair W Commercial or industrial
to be done residential 0 non - residential O 18) type incinerator 30.00
Existing use of Other i.e., woodstove, water
building or property / " 19) heater, solar, clothes dryers, etc. 4.50
Proposed use of 20) Gas piping one to four outlets / 2.00
building or property 5(6-4/'
21) More than 4 -per outlet
Type of fuel - oil Q natural gaggtSL LPG Q electria0
NOTICE
- Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION . . •
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR . ;r 5% SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR
•
ABAN II • NED FORA PERIOD OF 180 DA SAT ANY TIME • - PLAN REVIEW 25% OF SUBTOTAL
AFTER • RK IS COMMEN ED.
Arad / :TOTAL
Special Conditions c
r
Date issued keIME-CHFUT
worTcm do,
Case Activity Listing 1/7/2005
2:01:40PM
TIDEMARK Case #: MEC94 -00091
COMPUTER SYSTEMS, INC.
/ /` Stu. . .f .%i/, /-. ,'gyp, . / ✓� ; ..t
>... <, �. Assig riei1`` Dorie °'` � U `dated.;, : �. >y., � >�r��` ✓: wry ' `
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to .
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ion. D ate..l.
°Ac putt, . . <D t
t �
� ..,, » tea <_ .Y,� „ P�... „�.:. . � „N,, ✓�.,,,�,,,,(w„ �,. ,.�.,.,(, g.,,,.� -k.; . ,;�. �r�,�.. _ . ,. ,. ,.,.�.,�.a_ti,,, , .� , P . w�,.�,�.... r r�:� Y.., �,,,,,a ,a,Y „ °, ,. ,, a , ..i,- ,,,,
MECA010 Plan check by 3/29/1994 None 3/29/1994
JG
MECA799 Final Inspection 3/30/1994 None PART MS 2/2/1996 need to call back on hot water heater
MRS owners son will add pipe to pressure
relief valve so it is not directed
towards the front.
MECA705 Gas Line Insp 3/29/1994 3/30/1994 None PASS MS 3/31/1994
MRS
MECA060 (F) Issue permit 3/29/1994 None PASS JLG 3/29/1994
JG
MECA800 Case Finaled 2/2/1996 None PASS MS 2/2/1996
MRS
Page 1 of 1 CaseActivity..rpt
)( INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec- O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection:
Footing Plbg. Underslab ech. Rough -in Appr /Sdwlk
Now-
Found. Plbg. Top Out Gas L ne FINAL:
Post /Beam Struct. San. Sewer inn ' -Bldg.
Post /Beam Mech. Rain Drain Insulation - Plumb.
Plbg. Underfloor Water Line / , Gyp. Bd. -Mech.
Date Requested: 3 - 3O 4`/ Time: X AM PM
Address: 145
C5 A5 (- iPermit # . 1 -/ # I)9/
Builder: 614?-7
THE FOLLOWING CORRECTIONS ARE REQUIRED:
-// / 4/ J
Inspector: / / d % / / %Z Date: Y7
1 ; APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
{(/� Call For Reinap.