Permit . C I TY OF T I GA R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC1999 -00161
fi-- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/15/99
PARCEL: 2S115BA -01100
SITE ADDRESS: 11965 SW KING JAMES PL
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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Replace an existing furnace and air condtioning unit.
Owner: FEES
EKLUND, CECIL S /DOLORES T Type By Date Amount Receipt
11965 SW KING JAMES PL PRMT GEO 4/15/99 $25.00 KING CITY
KING CITY, OR 97224 5PCT GEO 4/15/99 $1.25 KING CITY
Total $26.25
. Phone:
Contractor:
GEORGE MORLAN PLUMBING
5529 SE FOSTER
(CCB EXP 6/2002) REQUIRED INSPECTIONS
PORTLAND, OR 97206
Heating Unt Insp
Phone: 771 -1145 Cooling Unt Insp
Reg #: LIC 00002734 Final Inspection
PLM 26 -60p
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 -0080.
You may obtain cop- of - th=se rules or direct questions to OUNC by calling 03)246= 9189.
Issue By: � • - Permittee Signature:
Call 0 -39 -4175 by 7:00 P.M. for inspections needed the next business day
APR- 14 - '99 LED 11:26
D. FAX N0: 14128 P02
RECEIVED V I. 1 1 V.`?KU
�G' Y� U1' A
P lan Check
V Vr u � r :�J A'1'�� 1Jvy a`;t,.� .�V
-kn - � Mechanical Permit Application Recd By FL. Dew
13125 OF 5 R 14 pm rnerctal and Residential Hate Rene '.-1- 14 - q4
13123 SW HALL BLVD. Date to P fw_
TIGARD, OR 97223 D ate to UST Lt- l�1 -g
COMMUNITY . LUPMENT
(503) 639 -4171, X304 ' ` ... Date i D S T 4 /4�%'DO /(�/
/04 'OS Y'rint or Type Called
�� incomplete or illegible applications will not be acce • tea
Description Q Prim Amt
N , e it Oc.e�opmernlP uisd Table 1A Mechanical Code 3
n °;'; ;? i'1 10.00
L � A) Permit Fee
Ob Slice. Aaa 1 , �� 1) Fumd i G cis & 0 vents 6.00 .
Address 1 l • i(1 including ducts 0 vents —
G /State tip 2) Fumace 100,000 BTU' 7.50
Including Floor duds fi vent9
. IL � a A y '�' 3) Floor Furnace 6.00
N (or wee d Duiincasa inGIJdin vent Ell
4 ) Susp ended hea wall heater B 00
Owner �. -� ~- -T or floor mo unted heater IN
hlrilm� Mertes
5) Vent riot included In appliance permit 3.00
Phone CHECK ALL 'Boiler Heat Air Price Amt
THAT APPLY: or Pump Cond at7
Comp
6 <314P;absorb u nit to ��. 6.00
Ctacupant fAOdtap/+curras,
100K 13TU
7) 1.15 FiP:Absorb unit 11.00
100k to 500k BTU
c�tyrst■ie 8) 1530 HP; absorb 13,00 Milli unit .5 - mil STU
o me 9) 30-50 HP; absorb 22 50
Contractor
• • • 'unit 1.1 .75 mil BTU III • Ri ' 10) >50}{P; absorb unit
issuance, 37.50
Prior to
t om
copy • ` l ' d 5 - , >1.75 milBTU
c a coanses r .e
of all licenses � zip _ 11) Air handling unit to 10,000 CFM
• era required it •, r � °-_` •� . �•`, 12) Air handling unit 10.000 CFM
4.50
expired in COT o
'r Cent. ePare t toy 7.50
database 13) Nan - portable evaporate cooler 4.50
Arc,hit r>;nitect
14) Vent fan connected to a single dud
-
3.00
or 16) Ventilation system not i ncluded in
a.50
city/stele 23V Phone a • 9 • mat • Engineer 16) Hood od served by mechanical exhaust 4
. 1111 DebatDe went to be Cone- • 17) pomestia incinerators 7.50
Now 0
Repair 0 _ . Replace with like kind: Yes 0 No 0 18) Cgmmercial er Udusulal type lncineratec 30.00
Fiesidentlal 1�ommlMrtlal O
19) Repair units 4.50
Additional Information or description of work .
�•- l ,n , C U f t�l- �) 0--/e...- zo) Wood stove 4.50
UJ�i 21) Clothes dryer. etG d
22) Other units 4,50
Type at fuel; oil 0 natural gas LPG 0 oledric 0 - 11101
I here • acknowledge that I harm read U i s pp5eation. that the information
23) Gas piping one SO lour outlets 2.00
given is correct. that I am the (Amer or authorised agent of or Slate laws. 24) More than 4-per outlet (each) IIIII tans submitted are In compliance with Ores -- —
the owner, that p -
Pale SUB TOTAL - — '
Signature of Owner/Agent Minimum Per Fee 325.00 _
/ _ - 1...
P1 AN REVIEW 259 OFt SUBTOTAL c.'.
CoapCt Person Name phone Required for ALL commercial • rrnits o _ - _ • - TOTAL. ?. ; �/ '
:r/ �O°� l ° C7 � `State Contractor Boiler Certification required
- • Rtrsrdenllat NC requires site plats showing placement of unit
1_ re+ 07/2=8
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
t Date Requested -7_,S—qg AM X PM BLD
Location 1 i C i (0 S bl ' II �Q, (P� Suite MEC I 9- / 43 R.0
r
Contact Person ∎t/L Ph 624'"[dORO PLM •
Contractor Ge-O• 01 1011,6114 Ph SWR
BUILDING ,`, ; ` '' _` , ' 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 C:4 5(C: 4 _
Misc: 7
Final
PASS PART FAIL
PLUMBING, t
Post & Beam
Under Slab
Top Out •
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
( C9
Po : -am
.w fy
e
t ' • Dampers
. ` t..,* PART FAIL
ELECTRICALk ¢ w$: °`
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
Ter"
Approach /Sidewalk
Other Date Inspector E
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.