Permit �� MECHANICAL
- DEVELOPMENT SERVICES PERMIT •
��u~�m~u~��o "�"*~nn " ��~~no="~~m~~� PERMIT #. . . . . . . : MEC96-0357
~�m 11— 13125 SN/ Hall BAVd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/17/96
PARCEL: 2S110CC-20700
SITE ADDRESS...: 12380 SW KING GEORGE DR
SUBDEVISION�^. . .' : ZONING:
• BLOCK..........: LOT.............:
| � — ----- — -- --
CLASS OF WORK..:REP FLOOR FURN....: 0 EVAP COOLERS: 0
TYPE OF USE....:SF . UNIT HEATERS..: 0 VENT FANS ^ 0
'OCCUPANCY GRP. . :A1 VENTS W/O APPL: 0 VENT SYSTEMS: 0
0 • • BOILERS/COMPRESSORS HOODS.......: 0 .
FUEL TYPES------- 0-3 HP....: 0 DOMES. INCIN: 0
~ ' ` 3—.15 HP^" ..�:..0 `� ~ . COMM—. 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 < 100K BTU: 1 <= 10000 cfm: 1 GAS OUTLETS.: 1
FURN >=100K BTU: 0 '` 10000 cfm':, 0
Remarks: furnance & air handling wk
furnance work
Owner: — ------ — — ---- FEES ---------
PHYLLIS DOIG type amount by date recpt
12380 SW KING GEORGE „ PRMT $ 25.00 TAT 10/16/96 KING CITY
5PCT $ 1.25 TAT 10/16/96 KING CITY
KING CITY OR 97224
Phone #:
Contractor — •
COLUMBIA HEATING
PO BOX 230397
TIGARD OR 97281 ^ • -------- —
Phone #: 624-2704 $ 26.25 TOTAL
Reg #..: 76359
` ' „` REQUIRED INSPECTIONS -------
This permit is issued subject to the regulations containedinthe Gas. Line Jn sp
Tigard Municipal Code, State offlre. Specialty Codes and..ail other' ' Mechanical Insp
applicable laws. All/ work will be/done' in•accordauco with . ^ - • ' Misc^ Inspection •
approved plans. This permit will expire if'work is. not started. Final -Inspect ion
within 18Ndays .of 'issoance,. or` if work is suspended. for ore • .
than 180 days. �� ^� ' � � ` ' - '����••_ ,. -- -- ' • -----'
'
Permittee Sign ' �' _ _______
/y ' / .
Issued By: "^�� ^ ��~ ' . '��~� ,
for inspection — 639-4175
- • • OCT -16 -' 96 WED 21:22 ID: FAX NO: 14396 P02 -° ' ' • •
. Plan Check a
CITY OF TIGARD Mechanical Permit Application Recd By >"'-s
13, SW HALL BLVD. Commercial and Residential Date Recd / t3
d •- Ta - C
TI ARD, OR • 97223 Date to P.E.
(503) 6394171, x304 Date to DST l 0 , ( (o -`,/•
Print or Type tS�it # /h eCA0 -035
Incomplete or Illegible applications will not be accepted canoe
asi /occ- v o
I 1 (, ' Taiga la bAasalfartimhl Cade cYrr hear
Job LJ � � A) Pear* fee - a 10.00
Address 23 3 C 3 i�• j �„ , : , 9.. trtaot B) Sup P�etmit 3.00
k� r r 1 7 k' w /
roan (ar rarre d 1) Furnace to 103.000 ST U 6.00 �
Owner Wile . ind. ducts & vents i nt oc)
dra.s 2.) Furnace 100,000 I + / 50
1 ; • . " ./A .. • 1 Ind. duds a yenta
113""T 3,-, 3.) F oorFum9W 6.00
x.14; I #g .1. - i e j Ij f Ina vent
1 • rtrrrre ... 'r .. } 4.) Suspended heamar, wall heater 6.00
or floor mounted heater
Occupant " • ' _..' 5.) Vent not incl. in . 3.00
appliance Pena
irlble 2b I Promo 6.) Boiler or comp. Mat pump. air cond. 6.00
is 311P: absarp unk to 100K BTU
��� �� ,�,�,� j� ,; ; .� _ 7.) sow or camp, heat pump. air C KL 11.00
f 41r1/I J F( �1(,G(,�1 315 HP: ab5Orp unk to 500k BTU
Contractor PrITIQX / 9.) Boller
5-30 H haorp unpump, 4 coml.
1500 nal
Meech copy of Te ' ,,,, J /� ,p /� 9.) Boiler or comp, hest pump, air cond. 22:50
f Current Liminess - 7 aria U l\ -f' e 30.50 HP; absorb unit 1 -1.75 trill 13TU
• L . • . Coot. CAre. twat race Ogre 10.) Hailer or comp, head pump. air sand" 37.50
50 HP; aboorp unit 1.75 Mil BTU
7 ` Twat Mere, Exp. Dere 11.) Air handling 11MID 4.50 4/.. .
`5'3001
10.000 CFA
Architect mar- 12.) Air handing unit 750
` , Zj 10,000 CTWI +
or Ararr9le lfatea 13_) Non portable
molar 4.50
. car .gy 1 �. . 14.) Vent fan connotf� 3
Engineer to a aster duct
Describe work New 0 Addition 0 ASartdlon 0 Repair 0 15.) Ventilation system not 4.50
to be dolts: Residanttal 0 Narmasidenaat 0 included to applied:a permit
Additional Darodiption of work 16.) Mood eerven try
mecredcaf eornsuat 4
17) Domestic Incinerators 7.50
4
Existing we id 18.) Convnereial or industrial 30.00
ktdreratrrr
building property 19.) Clothes dryers. etc. 4.50
Proposed use of 20) Other units 4.50
building or property
Type of fuel - oil 0 natural gas 0 LPG 0 electric 0 21) Gas piping one to four outlets , 2.00
I hereby admokuledge that I have read this appicati .u. that the 22) More than 4-per outlet (each) 150
lisformallon given Is coned. that I am the amen or authorized agent of
the amen that plans submitted ate in corTQIIenoe well Oregon State QTY SUBTOTAL ; .:^ 7 ` y`V
Sigee4rre d owriad gent Data SUBTOTAL :n-� 7� ,� ,�•° ,
V 'i'm ` ` tfrc: yP1 � F4+ `ei/? it �� stlf.�tr`t't�Rtrb�. ) ,. ,,,,. /
Coated Permits Nana Phone PLAN REVIEW 25% OF SUBTOTAL : S r ' 1
34 adY (0;4 Li ,,,,,;_,..4,4,,,....„.„.,4f4,
f idstktetiprtltdoc `MiMmran penflt fee Is S25'+ 5% surcharge :.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639-4171
ii BUP
Date Requested l q,9741 AM PM BLD
Location / -3,L) K,..ezr1 Suite k� ,, --� j c 76 ,5 7
Contact Person \ \ C ' O Ph �� - (� I PLM
Contractor Ph SWR
BUILDING. - , Tenant/Owner ELC
Retaining Wall ELR
Footing
Foundation Access: ..kurnev a( _ 1 [ r FPS
Ftg Drain 1( SGN
Crawl Drain
Slab Not equested SIT
Post & Beam Found= Duririg-Resear-ch Y
Ext Sheath /Shear _ [ , Inspection(s) In File _
Int Sheath /Shear
Framing Pej Insulation \ 1 c 1 / C Drywall Nailing .a --tJ' `'f / 7
Firewall
Fire Sprinkler G&
Fire Alarm I T Q 5 nr\ r
Susp'd Ceiling 1/ l '—
Roof �� i ` r S -
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab C- Top � � � �
Water Service �`--� / � T1d�SJ2 S , )
Sanitary Sewer
Rain Drains —C
Final
PASS PART FAIL . .
ECtHAC
Post & NI
dam
Rough In rI l\/1/" ' d b
Gas Line
Smo e Dampers 0
�inal'
SS' PART FAIL
EC ICAL
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 j /�
Other Date ( b I Inspector �+' Z Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.