Permit 0 4 ) ,/
. , 'CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES ! f PERMIT #: MEC1999 -00575
111 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/30/99
PARCEL: 2S110CC -20500
SITE ADDRESS: 12384 SW KING GEORGE DR
SUBDIVISION: KING CITY NO. 5 ZONING:
BLOCK: LOT: 082 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:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS: 1
Remarks: Installation of 1 furnance, 1 gas fireplace, and associated gas piping.
Owner: FEES
CHRISTA LENZ Type By Date Amount Receipt
11724 SW BOONES BEND DR PRMT DEB 12/30/99 $50.00 KING CITY
BEAVERTON, OR 97008 5PCT DEB 12/30/99 $4.00 KING CITY
Total $54.00
Phone:
Contractor:
TRI COUNTY TEMP CONTROL
13150 S. CLACKAMAS RIVER DR
OREGON CITY, OR 97045 REQUIRED INSPECTIONS
Gas Line Insp .
Phone: 503 - 557 -2220 Mechanical Insp
Reg #: LIC 72623 Heating Unt Insp
Final Inspection
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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 i i'on Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
You ay obtain opies o . ese rules or direct questions to OUNC by calling ( 3)246 -918 ". ,
Iss y: 11 I , 10 ■ I I Permittee Signature: /� p�D, L .. , -/ � l ti
Call (503) .39 -4175 by 7:00 P.M. for inspections needed the next business day
DEC - 29 - 99 WED 03:03 PM City of King City FAX:503 639 3771 PAGE 2
cITi OF TIGARD R ECifterAanical Permit Application Plan Check i
13125 SW HALL. BLVD. Commercial and Residential Recd w
TIGARD, OR 97223 DEC 2 7 1999 Date Recd -
(503) 639-4171, x304 ._... / I Date to P,E
+ COMMUNITY • D FVF(.r;i�;,lF ;yt (� Date to DST i1 __
Print or Type Permit #d'2 c 2 � .005 -7,5
Incomplete or illegible applications will not be accepted Called
Name of Oevebpmcnvproj�l Description
Kr/J6- C T y Table IA Mechanical Code
ohr Pace Amt
Job Street Address A) Permit Fee , N . ;7,7.,,,7, .�....,
��`_ / � v,- , 3'� 16.00
Address /.238V Sc) 6C76c t o e ,�/Z 1) Furnace to 100,000 BTU
eidg# cl rstate including ducts & vents see footnote 1.2 / 9,65 U.S
p 2) Furnace 100,000 BTU+ •
eie q 7 2 2 including ducts & vents see footnote 1,2 12.00
Neme tar name of business) 3) Floor Furnace
Owner CH2r5%.4- L14/2- including vent see footnote 1,2 ' 9 - 65
Mailing Address 4) Suspended heater, wall heater
// ?. (5.4) or floor mounted heater see footnote 1,2 9.65
CJ� ^n Es h � , 5) Vent not included in appliance permit 4.75
city /State Zip Phone Check all that apply: 'Boiler Heat. - Air
C ofde24) 7dd S 5 O.3& o For items 5 -10, see or Pump Cond Oty Price • Amt
Name (or name of business) footnotes 1,2 Comp -^
eX��� 6) <3HP;absorb unit to
10018 8Th
Occupant Melling Address 7) 3 -15 HP; absorb unit 9.65
100jf, to 500k BTU � 17.65
city/State Zip 1 Phone , 8) 15 -30 HP; absorb .
unit .5 -1 mil BTU 24.15
I Contractor Name 9) 30 -50 HP; absorb
I COUN tY TEMP CONTROL unit 1-1.75 mil BTU 36.00
J '` CLACKAMAS RIVER DR . 10) >50HP; absorb unit
Prior to permit Malting A • >1.75 m111311.1
60,15
issuance, a copy OREGON CITY, OR 97045 11 Air handling unit to 10,000 CFM
of all licenses City/State PHONE: (503) 510- a 7.00
are required if FAX tC074) 5557 9 12) Air handling unit 10,000 CFM+
expired in COT Orego net. Cont. s rd Li .# Exp. 'ate 11,85
database f26 2 - j . .73-8 00 13) Non - portable evaporate cooler 1
Architect Name 7.00
14) Vent fan connected to a single duct
or Malang Address 4.75
15) Ventilation system not Included in
Engineer City/State Zip Phone appliance permit 7.00
9 1 e) Hood served by mechanical exhaust
7.00
• Describe work to be done: / it
_ i � c / 1 yr! 7 L _ 17) Domestic incinerators
12.00 •
New 0 Repair 0 Replace With like kind: Yes O No O 18) Commercial or industrial type Incinerator .
Resider tiai4 Commercial 0 _ 48.25
19) Repair units •
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Additional information or description of work: 8.40
20) Wood stow /gas FP then units /clothe dryer /etc.
/
7.00 7DO
NOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets
structural gas Talcs. Sea footnote 1 I 3.75 3.7
Type of fuel: oil O natural gas LPG 0 electric O 22) More than 4 -per outlet (each) .75
Minimum Permit Fee SS SUBTOTAL '''i ^ ^ "i .,'- ai"1, ';Nx, . ,/ e,
I hereby acknowledge that I have read this application, that the information ; ;' £4,0 •
given is correct, that I am the owner or authorized agent of PLAN REVI 25% OF SUBTOTAL
Required for ALL comrtfercial permits only ° __ 3 } fk G ''
the owner, that plans submitted are in compliance with Oregon State laws. . • TOTAL •.
Signature of Owner /;, -eat Date 1 V;;;! °. .A0:141 ' 54 0.1
`' G Other Inspections and Fees:
fir f / �'la' 3 7 1. Inspections outside of normal business hours ( mininum charge -two
ontact Pers7 Name Phone hours) $50.00 per hour
A / 2. Inspections for which no fee is specifically indicated (minimum
4 Y ' - G << _C S'dti -'t j - ,5 7 - 2 Z_ O charge -half hour) $50.00 per hour
Foonotes for commercial projects only: 3, Additional plan review required by changes, additions or revisions to
- 1 -- Provide full schematic'of-existing -- and - proposed -gas-line- and-pressure.- pIans.(minimum.chargeone half_hour)- 550.00 - per -hour
2. - Provide drawings to scale showing existing and proposed mechanical .
units. "State Contractor Boiler Certification required
""Residential A/C requires site plan showing placement of unit
•
I:lmechperrn,doc rev 7/19/99
CITY OF TIGARD BUILDING INSPECTION DIVISION - MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested
a co AM Y PM BLD
Location I �� "1 U� Suite MEC 1.q99-00.373
Contact Person <1,/A (Ai_ Ph S S7 -222 0 PLM
Contractor Ph SWR
BUILDING `'k'r:?' 4 °. 9 Tenant/Owner ELC •
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab •f.D �c��
�-' 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
PASS PART FAIL
MEHANIC - >
Post & Beam
Rough I r p ,A)4, 0-,)C(.6
Li -
mo - Dampers
PASS PART FAIL
ELECTRICAL
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 fin/
Approach /Sidewalk
Other Date tr " Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.