Permit CITY OF TIGARD MECHANICAL
Amvq,, fi'? i,' DEVELOPMENT SERVICES PERMIT
N �IPPERMIT #.......: MEC98-0221
:_.. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 BATE ISSUED: 06/1 1 /SF3
PARCEL: 2S11OCC- 15401Z'
SITE ADDRESS...: 12375 SW KING GEORGE DR
SUBDIVISION....: KING CITY NO. 5 ZONING:
BLOCK........... L.OT.. .......... :006 JURISDICTION: KIN
CLASS OF WORK..: ALT FLOOR Fl.1RN....: 0 EVAP COOLERS: 0
TYPE OF USE -SF UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..: R3 VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES........: 0 BOILERS /COMPRESSORS HOODS....... b 0
FUEL TYPES - -_ -_ - -_. 0 - -3 HP....: 0 DOMES. INCIN:
►Z'
:GAS 3 -15 HP....: 0 COMML. INCIN:
MAX INPUT: 0 BTU 15 -30 HP....: 0 REPAIR UNITS: 121
FIRE DAMPERS ?..: 30 -50 HP....: 0 WOODSTOVES..: 0
GAS PRESSURE...: 5020+ HP....: 0 CLO DRYERS..: 0
NO. OF UNITS - -- TS-- --- AIR HANDLING UNITS OTHER UNITS.: 0
FURN < 100K BTU: 0 <= 10000 cfm: +71 GAS OUTLETS.: 1
FURN )=100K BTU: 0 > 10000 cfm: 0
Remarks: Installation of lain extension for new service.
Owner ---------- -_ _ -- FEES
STEPHEN D ROOD type amount by date recpt
12375 SW KING GEORGE PRMT $ 25.00 DEB 06/11/98 KING CITY
KING CITY OR 97224 SPCT $ 1.25 DEB 06/11/98 KING, CITY
Phone #:
Contractor: --
OWNER
$ 26.25 TOTAL
Phone #:
Reg #..
REQUIRED INSPECTIONS
This per•sit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp ___
applicable laws. All work will be done in accordance with . Final Inspection
approved plans. This peroit 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 -" 1 -0080. You say
obtain copies of these rules or direct questions' to OUNC by calling •
(503)246 -9187.
•
Issue " v: P e r m i t t e e Signature : ,,y " ,� ��'"
+++++++++++++++•+++++++++++++•+-+++++++++++++++++++ + + + + + + + + + + + ++ + ++ + + + + + + + + + + + ++ ++
Call 63.5 -4175 by 7 :00 p.m, for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
----- - JUN- 11 -'98 THU 02:12 ID: FAX NO: '' ' #081 P02
Plan Check #
CITY , CF TIGARD Mechanical Permit Application Recd By
13 SW HALL BLVD. Commercial and Residential Date Recd (n- t 1 - r i
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST -i (-- ['/:
Print or Type Permit
Called
Incomplete or illegible applications will not be accepted -
Neroe of gwabpmant/Prvi Description
4 ,r-r) CA, Table 1A Mechanical Code CITY PRICE AMT
•
J•Ig street Address ' Sultc# A) Permit Fee A• .0- 10.00
Address l L., 1 C Si)) �Lt e...% f,- . ✓rt - &cr
91 GuyrState Zip 60`1--15-( 1.) Furnace to 100,000 BTU 8.00 ••
1L 0 toy (.t ti Da including ducts & vents •
N ame ( ornem eo 2.) Furnace 100,000 BTU? 7.50
Owr1Qr k) R� er including ducts i vents
Meiling Ada 3.) 3.) Floor FuMace 6.00
[T7 r Kf 6 6 O I- including vent
Oaylsune Zip Phones 4.) S uspended heater, wall heater 8.00
fLr"sc Ci Q j2 I (rig , 3 " Y or floor mounted heater
N or mama of business - -12 5,) vent not included in appliance permit 3,00 .
0.,>a`- 0 R.0 .e c><
Occupant: Matting °i°d+° 8.) Boiler or comp, heat pump, air cond. 6.00
o.-"p 7 C sp../ 9 r to 3 HP; absorb unit to 100K BUT
City/SI-MA p " Phone 7,) Boiler or wtnP, treat purnp, air cend. 11.00
(,..(4-,,,-112,- ( 4 f" - f4 3-15 HP; absorb unit to 500K BTU" _
Contractor Nam° 8.) Boiler or comp, heat pump, air nand. 15.00
1530 HP: absorb unit.5-1 mil BTU"
Prior to permit Mailing Address 9_) Boiler or camp, neat pump, air rand. 22.50
Issuance; a copy , 30.50 HP; absorb unit 1- 1.75mi1 BTU""
or ail licenses City/Sena Zip Phones 10_) Boller or comp, heat pump, air sand. 37.50
are required if > 50 HP; adSOR3 unit 1.75 mil I5TU'^ .
expired in COT Oregon Con Cont. Boars Uc.A Exp. Care 11.) Air handling unit to 10,000 CFM 4.50
database
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 A.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
Addtttonal Descri tion of work; 17.) Domestic incinerators 7.50
_1I T S .
/r1-" � 18.) Commercial or induatriet type • 30.00
Incinerator
Existing use of 19.) Repair units • 4.50
building or property 7zf
5 r n7 4414 el'14, f'!f/t f
l / 20.) Wood stove 4,50
• i
Proposed use of 1 / 4/`-e" 21.) Clothes dryer, etc. 4,50
building or property e-- ee � v "�
22.) Other units 4.50
Type of fuel - oil 0 natural gas ZK 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 (eact1) 4 .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.
a
Signature of Owner /Agent Date *SUBTOTAL oO IS'l ` f1( 5 %SURCHARGE l i_5-- i_5-- Contact P r _ on Name Phone PLAN REVIEW 2 OF SUBTOTAL
• n ti� D (lc-f.--((lc-f.--(2-3 2-3 q TOTAL
■
V
i•MEchpmt.doc rrev 9 `Minimum permit fee is $25 ' 5% surcharge
Residential NC requires site plan showing placement of unit.
- 1/10/2005
�_� Case Activity Listing 7:51:19AM
TIDEMARK Case #: MEC98 -00221
COMPUTER SYSTEMS, INC.
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L � �� , � <Assi ned on`e" dated = "� � �� �.
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cttVit- escrt t►on '�'.�� =3;,
Date 1 / D te2� .Hbld " D is � ��
D
MECA007 Application received 6/11/1998 None FAX DEB 6/11/1998
DRA
MECA008 Create Permit 6/11/1998 None DONE DEB 6/11/1998
DRA
MECA705 Gas Line Insp 6/11/1998 6/30/1998 None PASS RC 7/1/1998 Tag 323068, Test approved only.
J *H Approved as noted: 1. Gas line needs
to be secured. 2. Vent needs repair
where gas line passes through. 3.
Need drip leg where required. 4.
Please call for final as soon as
finished.
MECA060 (F) Issue permit 6/11/1998 None DONE DEB 6/11/1998
DRA
MECA715 Mechanical Insp 6/11/1998 8/21/1998 None FAIL RC 8/21/1998 1. NEED DRIP LEG
ROC DOWNSTREAM OF SHUT OFF
VALVE. 2ND NOTICE 2. DUCTS
IN UNCONDITIONED SPACE
NEED R -8 INSUL, INCLUDING
UNDERFLOOR. 3. GAS LINE
NEEDS TO BE SECURED. 2ND
NOTICE 4. CONDDENSATE LINE
NEEDS TRAP.
MECA755 «REINSPECTION> 8/21/1998 None PAID RCC 8/31/1998 2ND NOTICE ON TWO ITEMS
> JT 8/31/98 $15 reinspect fee paid
Page 1 of 2 CaseActivity..rpt
1/10/2005
Case Activity Listing 7:51:19AM
TIDEMARK Case #: MEC98 -00221
COMPUTER SYSTEMS, INC.
r a�, r z, ,... .; -„ ;+,v,'r -�� Wi g'
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;'t / . /•: icy •,
>I n Date .1 .D ate 2 bate 3 Ho DIS �T y�� B B ,
::• - :> -, ..... /, ,, h:
MECA799 Final Inspection 9/3/1998 None FAIL KS 9/3/1998 1. Support furnace plenum at crawl,
J *H maintain clearance. 2. Support heat
ducts at crawl at four feet OC also
insulate boots & wyes. 3. Need
electrical finaled by Washington
County. Prior correction list by RC
082198 corrected. NOTE: ROOF
BUP96 -0322 NEEDS FINAL
INSPECTION, MST96 -0139
NEEDS FINAL.
MECA799 Final Inspection 4/29/1999 4/29/1999 4/29/1999 None PASS RC 4/29/1999
AKJ
MECA800 Case Finaled 4/29/1999 None DONE AKJ 4/29/1999
AKJ
Page 2 of 2 CaseActivity..rpt
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 - 4171 MST / _ �1 DA
BUP (J3
Date Requested � T ( AM PM BLD 02(2-,-AtY0-6)
Location 12_375 l ]tr '-d/4 Suite q —o I
Contact Person Ph 0 .4. f - Q37 PLM
Contractor Ph dL �j SWR
BUILDING ; �� ,� ' ° Tenant/Owner C�- 1,�4{ZI S Al K-1 ADD / tJ ELC
Retaining Wall ELR
Footing
Foundation Access: FO -- P / � I U / J � /'f� (?) FPS
Ftg Drain ��k/ J v�q<�v6 SGN
Crawl Drain Inspection Notes: 61_6u-Ale_ _ Gl d Slab SIT
Post &Beam n q1 '1 4 1 /E t
Ext Sheath /Shear ��I (� j' / �' lJ
F
Int raming
p /� �� t / �� ��� q„ i
/T t�l / �' 1 1
Insulation
Drywall Nailing //�8 (leV qq < �32 �J l C.eJ
Firewall P
Fire Sprinkler
Fire Alarm
. Susp'd Ceiling
Roof
Misc:
Final �—„
PASS PART FAIL --�` -� n p
/y] ( C C�`7 b ' OZ/2
Post & Beam
Under Slab 44/.116
Top Out
Water Service
Sanitary Sewer
Rain Drains
-4. Final
FAIL
ECHANICA a. `
• & Beam
•.In"
as'""
e Dampers
'ASS PART FAIL
ELECTRICAL:
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 D a t e I nspec t or ; ci
Other Ext
•
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site. •