Permit ti.,
CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC1999 -00510
+ - VIII 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/23/1999
PARCEL: 2S 115BC -04900
SITE ADDRESS: 16500 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: 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Remarks: Remove existing furnace and install a new furnace and air conditioning unit. A/C units cannot be placed within
the required setback areas.
Owner: FEES
IRENE GOLDSMITH Type By Date Amount Receipt
16500 SW KING CHARLES PRMT GEO 11/23/19E $50.00 KING CITY
KING CITY, OR 97224 5PCT GEO 11/23/19 $4.00 KING CITY
Total $54.00
Phone: 503- 598 -8558
Contractor:
JOHN P. GINTER MECHANICAL
2246 NE 217TH AVE
GRESHAM, OR 97030 REQUIRED INSPECTIONS
Heating Unt Insp
Phone: 503 - 849 -3647 Cooling Unt Insp
Reg #: Final Inspection
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 Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0o; I. You may obtain copies of these rules or direct questions to OUNC by
calling (503)24189. — — --
Issue By: � / ` Signature: OF
y Permittee Si
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
•
•
NOV - 23 -99 TUE 02:15 PM City of King City FAX :503 639 3771 PAGE 2„
• _ ' • Plan Check #
CITY OF TIGARD Mechanical Permit Application Recd By RA:A
13125 SW HALL BLVD.. Commercial and Residential . Date Redd Ii , -Q I
TIGARD, OR .97223 • . Date to P.E.
(503) . 63 . 9.4171,x304 . Date to DST fi 9�1'
Pri nt or Type Permit / /f`r /d •
• Inco or illegible applications will not be accepted . Caned
Name or Development/Proiect : • Description • •
• Table 1A Mechanical. Code Q Price Amt
v '," L __ ii # 16.00
.1) Furriace to•100,000 BTU III
Job Su-eel address t� y �t
Address oo ,.5 . f.J _ k: - 9.65
sidg# c tam ! Zi p Furnace ducts .r .r.
E, i...t a :4 y or 92224i . includin! ducts & vents see footnote 1,2 1111 12.00
Name (or name or business) - ( r • 3) • Floor Furnace . •
j including vent see footnote 1,2 a 9.65
Owner v e, - . d IAA t P
Mailing Address // . 4) .Suspended heater,Wall heater
( kik i t. vle5 5) Vent not included ins a •pliancepermit ' 4:75
Phone . Chec.k all that apply: `Boiler Heat Air ,
rfriffignin i-cis.. 9 . For items 6-10, see or . • Pump Cond •. Price Amt
• 1 • 9.65 slness) footnotes 1,2 • Comp
Occupant Mailing Address 7) 3-15 HP;absorb unit
100k to 500k BTU
City/Slato , Zip phone . 8).15 -30 HP; absorb
unit .5.1 mil BTU • ..
•
9) 30 -50 HP; absorb
•
Contractor, • • >~` y unit1 mil BTU • "
. 10) >50HP :.absorb unit
Prior to permit >1.76 mil BTU : 6'
issuance, a copy t - - 11 Air hand ling• unit to 10,000 CFM
of all licenses
are required if • - • i 12) Air handling unit 10.000 CFM+ -
expired in COT ' ' "
database " 13) Non - portable evaporate. cooler
Architect
: 14) Vent fan connected to a single duct •
or 15) Ventilation system.not included in
• appliance permit. "
•
Engineer cny!s+me zip: - 18) Hood 'served by mechanical exhaust
•
Describe won( to be done: — • ' 17) Domestic •incinerators
New 0 Repair 0 Replace with like kind: Yes No O 18) Commercial or Industrial type incinerator
Residential X Commercial 0
/'" 19) Repair units'
Additional info ation or description of work: yeti...,
0.t, 5 +i k 9 • •
�..4 .rwa c.C. K.s 4Ati . ta,euJ �cay.►iaeC. a (t ; 2 0 )wo od stove /gas FP /other units/clothe.dryer /etc.
NOTE: For Cornmerdal protects only; Units over 400 lbs. require 21) Gas piping one to four outlets
structural gas cabs_ • See footnote 1'
• Type . of fuel: oil 0 natural gas i( LPG 0 , electric 0 22) More than 4 .er outlet (each) . • . • MI .75 -
"rt ,+ Y '7`
Minimum •Permit Fee $50.00 SUBTOTAL �¢'',� i ii
I hereby acknowledge that I have read this application, that the Information 8% SURCHARGE }M( *�2' :tl
given' is correct, that I am the owner or authorized agent o f ' PLAN REVIEW 25.% OF SUBTOTAL , ' +ail 2adimil r�I,s�F �
Re • uired for ALL commercial permits oni le
the owner, that plans submitted are in compliance with Oregon. State laws. TOTAL rM ° "W aut • t S " k y
ignat of Owner gent . Date a'" .
/
Other inspections end Fees:
I / 2 3 " / ? l 1. Inspections outside of normal business hours (minlnum charge -two
S ntact Person N e • Phone • hours) $50.00 per hour
2. Inspections for which no fee Is specifically Indicated (minimum
. �` ' k k «(?- 3 ('('1. . . charge -half hour) $50.00 per hour
t? ` �F 3. Additional, plan review, required by changes. additions or revisions to
Foor•otis5 for commercial prdyects only: plans - (minimum, charge- one- halfhour) -$60 .00 -per hour •
1. Provide full schematic of existing and proposed gas.Iine and pressure.
2. Provide drawings to scale showing existing and proposed mechanical . *State Contractor Boiler Certification required
u "� •`Residential NC requires site plan showing placement of unit •
. • l:znechperm,doc rev 7/19/99 . .
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 =H Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested //- - AM PM BLD
Location 16 s"tti /e/i- ('4 /Y.5 Suite MEC /F99 --, 057 0
Contact Person Jo/' i , 0 Ph glf y3G «7 PLM
Contractor Ph SWR
BUILDING , °P Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation X J J 0,eed.) :61 FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
•
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misr: Lam/
Final
PASS PART FAIL
PLUMBING:. /' i1
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
Post & Beam
Rough In
Gas Line
Sm. e Dampers
°. PART <, >
� . CTRIC_AL "SV.'
Service
Rough In
UG /Slab
•
Low Voltage
Fire Alarm
Final
PASS PART FAIL
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
Approach /Sidewalk
Other Date Inspector r / Ext
I
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.