Permit A CITY OF T I G A R D MECHANICAL PERMIT
j 1 1 DEVELOPMENT SERVICES PERMIT #: MEC2000 -00063
2 f''.". 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/29/00
PARCEL: 2S116AD -20800
SITE ADDRESS: 12965 SW KING RICHARD DR
SUBDIVISION: KING CITY NO. 18 ZONING:
BLOCK: 25 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: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: 1 GAS OUTLETS:
> 10000 cfm:
Remarks: Install 1 electrical heat pump <3hp; absorb unit to 100K BTU and 1 air handling unit to 10,000 CFM in single
family dwelling.
Owner: FEES
MARTIN, HARVEY C TRUSTEE Type By Date Amount Receipt
12965 SW KING RICHARD DR PRMT KJP 2/29/00 $50.00 KING CITY
KING CITY, OR 97224 5PCT KJP 2/29/00 $4.00 KING CITY
Total $54.00
Phone:
Contractor:
D + R HEATING + AIR COND
PO BOX 1292
27251 S DAVE RD REQUIRED INSPECTIONS
CANBY, OR 97013 Misc. Inspection
Phone: Final Inspection
Reg #: LIC 84489
•
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 - 0080.__ __
- — "You may obtain cop' of rules or direct questions to OUNC by calling (503)246-9189.
Issue By: Permittee Signature: m adti
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
FEB -29 -00 TUE 11:09 AM City of King City FAX:503 639 3771 PAGE 2
r Plan Check #
CITY OF TIGARD Mech , Permit Application Recd By
13125 SW HALL BLVD. Commercial and Residential Date Recd 2,. -14-0)
Date to P.t=. ,
TIGARD, OR 97223 DST 9• - 0� •
(503) 6394171, X304. Permit Date to OS
Print or Type : Called
Incomplete or illeg a pplications will not be accepted
Name or Developrnent/Proicd Description
Table IA Mechanical Code • Price . Amt
A) Permit Fee Zarggigik . 16.00
Job Street Address ''�
3u# 1) Furnace to 100,000 BTU
Address /j29 :
r 5W A f includlntt ducts R vents • see footnote 1,2 9.65
Bldg # ' i /State Zip 2) Furnace 100,000 BTU+
including ducts & vents see footnote 1.2 _ 12.00
N ame (or name of business) 3) Floor Furnace
'4x �� including vent see footnote 1,2 8.6
Owner ✓P� /YI�e r !/t/ 4) Suspended heater, wall heater Address �// or floor mounted heater see footnote 1,2 9.65
/ 9 5".." , .ft✓ /t K` � QiC . . 5) Vent not included in appliance permit 4.75
City Zlp Phone • • Check all that apply: I *Boiler Heat Air • Z . . d For items 6 -10, see or Pump Cond Qty Price Amt
,
- • footnote31,2 .Comp ,
Na a or • a of business) 6) 3HP;absorb unit to
100K BTU . . I_ . 9.65 q & -
Occupant Maitin9 Address . 7) 3 -15 HP :absorb unit
' 100k to 500k BTU 17.65
City/State Zip _SAM _SAM 8) 15 -30 HP absorb
I P unit ,5 -1 mil BTU 24.15
9) 30.50 HP; absorb
Contractor . Name / , Z N/ l unit .1.79 mil BTU 36,00
1i �j7 idat 4B SOHP; . absorb Unit _ Prior to penult m dress /j' > 1 ..75 mil BTU 60,15 O$
Issuance, a copy ,A,,, 122 • 11 Air handling unit to. 1,0,000 CFM
c • + /St ate Zip Phone 1 . 7.00
are are rr licenses equired if at - 722 . ` 12) Air handling unit 10,000 CFM+
a 11.85
expired in COT Oregon • -nat. Cont. Board Lk. # v -
database p. cal . 13) Non- portable evaporate cooler
7,00 •
Architect Name ' 14) Ventfan connected to a single d uct • .
• 4.75
or Mailing Address 15) Ventilation system not included in
appliance _permit 7.00
Engineer City/state . ZIP I ?h 16) Hood d by mechanical exhaust
jl serve 7.00
•
17) domestic incinerators
Describe work to be done: 12.00
New 0 Repair 0 Replace with like kind: Yes O No O 18) Commercial or industrial type incinerator ^ 48.25 Resldential� Commercial 0 19),Repalr units
_ 8.40 .
Additional Information or description of work: 20) Wood stove/gas FP /other units /clothe dryer /etc.
7.00
21) Gas piping one to four outlets 3.75 NOTE: For Commercial projects only; Units over 400 lbs, require $ee:footnote 1
structural gas talcs. More than' 4 per outlet each
75
Type of fuel: oil 0 natural gas O' LPG O electric " ''
Mi More thar -p r outlet
tle e S �r 1�f 5
8 %SURCHARGE ��' � '�'td° - �1�
I hereby acknowledge that I have read this application, that the information" SUBTOTAL "r i i lI •
given is correct, that I am the owner or authorised agent of PLAN REVIEW 25 OF RCHARG only ' S' k' 9'
Required for ALL commercial permits on l +J �r' � ' �i •
. the owner, that • • r submitted are in pliance with Oregon State laws.. TOTAL g a ,�
a, CA A
Si • • of Own ,
f n Date Other Inspections and Fees:
d . Uv 1 . Inspections outside of normal business hours (mininum charge-two
/// / ' hours) $50.00 per hour ..
.� :� o Name Phon 2. Inspections• for which no fee is specifically Indicated (minimum
�// p2 0 /�,' `,2 charge-half hour) $50.00 per hour
/!/ J Additional 3. Additional plan review required by changes, additions or revisions to
n otes for commercial projects plans (minimum -one= half hour)• p -
1. Provide full schematic of existing and proposed gas line and pressure.
2. Provide drawings to scale showing existing and proposed mechanical
*State Contractor Boller Certification required
units. _. "Residential A/C requires site plan showing placement of unit
I:vnechperm.doc rev 7/19/99
v -
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
1 /� BUP
Date Requested .; l 7/0 AM PM BLD
Location 29 (0S 10/13 CC.1 tRA t Suite MEC 7.COO 000(0 3
Contact Person PdA Ae Ph 2(ge -) 22? PLM
Contractor Ph SWR
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 ; �� App.- s , ! 4 '
Roof '��
Misc: /
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
R ecr- NFc )
Post & Beam
Rough In
Gas Line
Smoke Dampers
j' PART FAIL
CTRICAL
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 1 I Inspector E> /
Other
Final
PASS PART FAIL DO NO REMOVE this inspection record from the job site.