Permit V
CITY OF TIGARD MECHANICAL PERMIT
i DEV ELOPMENT SERVICES PERMIT #: MEC2000 -00067
6. 6 6 DATE ISSUED: 3/3/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 /jy PARCEL: 2S110CC -20900
SITE ADDRESS: 12364 SW KING GEORGE DR
SUBDIVISION: KING CITY NO. 5 ZONING:
BLOCK: LOT: 086 JURISDICTION: KIN
CLASS OF WORK: OTR 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:
LPG 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:
FURN <100K BTU: 1 AIR HANDLING UNITS OTHER UNITS: 1
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Installation of furnace, vent not included with appliance, gas piping and new gas fireplace.
Owner: FEES
JOEL LEWIS Type By Date Amount Receipt
12364 SW KING GEORGE PRMT DEB 3/3/00 $50.00 KING CITY
KING CITY, OR 97224 5PCT DEB 3/3/00 • $4.00 KING CITY
Total $54.00
Phone:
Contractor:
BELL HEATING
(GREG MILLETT)
15550 SE PIAZZA AVE REQUIRED INSPECTIONS
CLACKAMAS, OR 97015
Gas Line Insp
Phone: 656 -1184 Mechanical Insp
Reg #: LIC 447 Heating Unt Insp •
PLM 3 -286PB Cooling Unt Insp
Misc. Inspection
Final Inspection
•
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 No ' cation 6enter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
You ma obtain cops- of thes- ule or direct questions to OUNC by calling (50 )246 -9189
Issue Bye .I� ~ it l a Is 1 Permittee Signature: t � i ,/ 1 ! . .
Call (503) 639 •175 by 7:00 P.M. for inspections needed the next b siness day
MAR - 03,00 FRI 02:58 PM City of King City FAX:503 639 -3771 PAGE 2
,
I S Y I I Z 4 z) .° 7 ) f n Plan Check #
CITY OF TIGARD Mechanical Permit Application Recd By r:7c,h -,,t
13125 SW HALL BLVD. Commercial and Residential Date Reed , - g - 3-an
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST 3 3 X)
Print or Type Permit
Incomplete or illegible applications will not be accepted Called
Name of Development/Project , Description
44/ (C !el .. Table 1A Mechanical Code Qty Price Amt co
�' f ? sunog A) Permit Fee a.;. :;.' Y 10.00 /6 .
Ad
Job Street s 1) Furnace to 100,000 BTU R I �
Address A / 2 34S/ S AV K,"5_ Ce / , i 9.
1! including ducts &vents
slag# ' Crtyrstate Zip 2) Furnace 100,000 BTU+
;j 6 r including ducts & vents 7.50
Name for name of business) / 3) Floor Furnace
� a Including' vent . . 6.00
Owner
�rv�i /luJr. - 4) Suspended heater, wall heater
Malting Address or floor mounted heater 6.00
/2 34 Y $si7 if,-,,.'l _ G . 5) Vent not Included in appliance permit 4-2
.
City/State Zip / Phone ' 1 3.U0
�,? CHECK ALL "Boiler Heat 'Air
N er name or sines) THAT APPLY: or Pump ' Cord Qty Price Amt
Comp '^
So rv►.e„-- 6) <3HP ;absorb unit to — c?-&-(941 (p S
/� X
Occupant Mailing Addrea3 . . . 100K STU : / 6 0' / '
7) 3-15 HP;absorb unit
City /State Zip Phone 100k to 500k BTU 11.00
8) 15 -30 HP; absorb ,
' unit .5.1 mil BTU 15.00
Contractor . N a - 9)'3060 HP; absorb r
/.5 �ie - G unit 1 -1.76 mil BTU 22.50
Prior to permit Meiling address /n � 10) >50HP; absorb unit
issuance, a copy /fS5'p ,re /lea il.G- >1.75 mil BTU 37.50
of all licenses Crty/Starte - Zip Phone 11) Air handling unit to 10,000 CFM
are required if O4 s4 6 cs . On . f7 G /v 4.60
expired in COT Oregon Cone. Cent Board Licit • Exp. Dee . 12) Alr handling unit 10,000 CFM+
database 'V'Y 7 _ 7.60
Architect Nerve . 13) Non - portable evaporate cooler
C50
or Mairiny Adnress 14) Vent fan connected to a single dud 3.00
.„ • 15) Ventilation system not included in
Engineer Ciy/State z ` ph appliance permit : 4.50
16) Hood served by mechanical exhaust • Describe work to be done: W
4.50
17) Domestic incinerators
New 0 Repair 0 .Replace with like kind: Yes O No O . 7;50
Residential Commercial O 18) Commercial or industrial type Incinerator .
30.00
Additional information or description of work: 19) Repair units . . .
4.50
20) Wood stove : ..
4.50
21) Clothes dryer, etc_
4.50
Type of fuel: oil 0 natural gat.* LPG 0 eledric O 22) Other units $/
Z IA - .<3 , 11 �.- . , 4.50 71 S U 7 I hereby acknowleddge that I have read this application, that the information 23) Gas piping'o to four lets
given Is corned, that I am the owner or authorized agent of I 2.00 „g
the owner, that plans submitted are in compliance with Oregon State laws_ 24) More than 4-per outlet (each) ,
.50
Signature of Owner /Agent Date `, � v, ',1 . • a
. !)
Minimum Permit Fee SUBTOTAL ,• ' , ~ - apj q• e7
. 474° CHARGE ,~. ° .. , m7 -'2"
contact Person a Phone PIAN REVIEW 25% OF SUBTOTA ,, u' ". {" Cj"4,7" .
Required for ALL commercial permits TOTAL +ert ....,,
°State Contractor Boiler Certification required f �.,, i A
"Residential ANC requires site plan showing placement df unit J f
I:Mechperm.doc rev 07/20/98 -
✓ .
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 372 AM AM PM BLD
. Location I Z(P I K IY U e. Suite MEC IP'U ° rYp
Contact Person Ph . / 1_ 'g q.' j PLM
Contractor P Ph (OS C - 11 8411 SWR
BUILDIN;G�a ° .y Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation 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
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
P PART FAIL
ECHANICA
Post & -eam
ems'"'®
S oke Dampers
Final
PART FAIL
RICAL
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
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date �� U ( U Inspector
Other � Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.