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Permit CITY OF T MECHANICAL °g DEVELOPMENT SERVICES PERMIT #PERMIT MEC97 -0198 -'� .. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 06/16/97 PARCEL: 2S115BC -14600 SITE ADDRESS...: 12495 SW KING RICHARD DR SUBDIVISION • ZONING: BLOCK..........: LOT JURISDICTION: KIN CLASS OF WORK.. :ALT FLOOR FURN. : 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 0 FUEL TYPES 0 -3 HP 0 DOMES. INCIN: 0 3 -15 HP 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15 -30 HP 0 REPAIR UNITS: 0 FIRE DAMPERS ?..: 30 -50 HP ° 0 WOODSTOVES..: 0 GAS PRESSURE...: 50+ HP....: 0 CLO DRYERS..: 0 NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 0 FURN < 1O0K BTU: 1 t= 10000 cfm: 1 GAS OUTLETS.: 0 FURN > =1O0K BTU: 0 > 10000 cfm: 0 Remarks : instl 1 furnance ducts /.vents & 1 air handling unit Owner: FEES AUDREY COULSON type amount by date recpt 12495 SW KING RICHARD DR PRMT $ 25.00 TAT 06/16/97 KING CITY TIGARD OR 97224 • 5PCT $ 1.25 TAT 06/16/97 KING CITY Phone #: 684 -6947 Contractor: ROSE HEATING CO 9945 NE 6TH DR 26.25 TOTAL PORTLAND OR 97211 Phone #: 503 -283 -5183 Reg #..: 000020 REQUIRED INSPECTIONS This pereit is issued subject to the regulations contained in the Mechanical Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Heating Lint Insp applicable laws. fill work will be done in accordance with . Cooling Lint. Insp. .__. approved plans. This permit will expire if work is not started Final Inspection within 188 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 -081 -0010 through OAR 952 - 001- w You may obtain copies of these rules or direct questions to OIJNC by calling (503)246 -9187. - c f Issue By: A.41,411r , , Permittee Signature:_ f,,� ; +++++-++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 6:00 p.m. for inspections needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ r---=• " JUN -16 -' 97 MON 11:34 I D: FAX NO: #142 P ®2 "Nu 1 _ Mechanical Permit Application Rhea Y� Commercial and Residential Date teed ' 1 ?cam .) 1 \L91-� [A.I•� Date to P.M. � � Data DST e � C- l �� Permit ii # II `t�Iai �G S V Print ± ype cause Incomplete or illegible applications will not be accepted _ Wynn of g euelopmenerbreteet 0056ription Ik • It .x.11 Table 1A Mechanical Code QTY Pala MIT Job ' i lets's - tttN� A) Permit Poo a --9- 1 tog Address 5 L ► eltla8 iL 1 tats Z1a a) SupplOrnentil Permit _ 3,00 roams (or name or business) 1.) Furnstcd to 100,000 BTU 6,00 Owner ' incl. duds & yenta • t1 2.) Furnace 100,000 BTU * 7,60 .re _ 1 r ► t<< 110 Incl. riuv<s t3 vents C', r3uur I • D. Floor Fume Q0 1 a A 1 Tom 't incl. want Name (or liia .a et Nome A.) Suspended heater, well heater MI 8.00 - or floor mounted heater occupant 'mina Agoras* 5.) Vent not Ind. In 3.00 a..liance petrrllt CttyrSiatd lap Phono 6.) puller or camp, neat puma, air con.. 6.00 to 311P; ao;orp unit to 100K BTU an,. I 7.) Bailor or rang, heat pump. air con.. 11.00 - a ' a II. IL 3.15 HP; absorp unit to 500K ®'1'U Contt ICtOr A 8,) Boiler or comp, - at pump, air cond. 15.00 tt;Ri 1 , 102.4 11-3 HP; absorb unit , mil BTU _ Ranh copy of Dare ZP �� Dollar ar Comp, haat pump, air con.. 22,50 Currant Uesnaea b .. N. 4S s! ;r 20 HP; absorb unit 1 -1.75 mil BTU Oregan coets1, Ca 1 & ar4 ties ► 10.) Boiler or oomp, heat pump, air cond. 37,60 © �j■ _ > 50 HP; abcorp unit 1.75 mil BTU COT 8t alneas Tax or ' dro 11.) Air handling unit t9 G - 4J0 10,000 CPM Architect rIBn 12.) Air handling unit 7.50 10,000 CT 1 or Moiling Address 13.) Nan portable 4,50 evaporate cooler • Engineer Cityltilars Zip Pricing 14,) Vent fan connected ,00 to a siNte duct besoribe work New 0 Addition 0 Alteration 0 Repair 0 15.) Ventilation system not 4.50 to be done Reslaential 0 Norvreeldentlol 0 included in appliance permit Additional Description of wont 16.) Hood Mrved by merhanioal exhaust 4.50 17) Domestic incinerators 7.50 Existing use of . _ 18.) Commercial cr Industrial 30.00 building or property type incinerator 19.) Clothes pryers, etc. 4.0 Prcppaact use of 20) Other units . 4.50 building or property Type of fuel - 0110 natural gat 7. LPG 0 electric 7 , 21) Gas piping ane to four outlets 4 2.00 VI I hereby athnowdd tea that I have read this application, that the 22) MOM than 4-per outlet (each) t .50 Information given is =cram that I am the owner or auttlor(sad agent of the owner, mat plans submitted are in compliance with Oregon State QTY. SUBTOTAL laws. - -- Monett/re - of awnedAg4M Date *SUBTOTAL - ' a., M /VVIa L0 \9 \9-1 5% SURCHARGE • 1. R Contact Person Name Phone -- V )■ - - , • \ - -ii" ■ .: I\ cp 4aN\v"\e_k ".E55-511 - TOTAL , - lk lb • CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection 7 639 -4175 Business Phone: 639 -4171 Date Requested: 7/ l f A.M. P.M. MST: Location: P-- ?'f SO Z , / , (iyL G ClC Z4 U` . )j BUP: /� j Tenant: i Suite: Bldg: MEC: q - 7- 0 q / 1 Contractor: q 0 Phone: � �,� '— ,� f � � PLM Owner: an p r Phone: ELC: ELR: . SIT: BUILDING BLDG (con't) PLUMBING MECHANI ELECTRICAL SITE Site Post/Beam- Post/Beam eam Cover /Service Sewer /Storm Footing Roof UndFl/Slab Rough -In Ceiling Water Line Slab Framing Top Out Gas Line Rough -In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain • A/C UG Slab Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt • Approved Approved A roved Approved Approved Appr /Sdwlk - Not Approved Not Approved of A roved Not Approved Not Approved FINAL FINAL FINAL FINAL FINAL • • • • _ - _ _ _O_Call_for_reinspec • _ O- Reinspection- fee requ• ed -befog -n inspection - -O- Unable-to- inspect Inspector: ` Date: Page Z of c,