Permit CITY OF TIGARD MECHANICAL PERMIT
PERMIT #: MEC2000 -00017
V DEVELOPMENT SERVICES D DATE ISSUED: 1/12/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 6
SITE ADDRESS: 12660 SW PRINCE ALBERT CT In PARCEL: 2S109DD -05500
SUBDIVISION: 44,4 ZONING:
BLOCK: LOT: JISDICTION: KIN
CLASS OF WORK: OTR 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: WOODSTOVES:
• GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: • <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS: 1
Remarks: Installation of gas fireplace and associated gas piping.
Owner: FEES
PROW, GEORGE R + CLAYTON A Type By Date Amount Receipt
12660 SW PRINCE ALBERT CT PRMT DEB 1/12/00 $50.00 KING CITY
KING CITY, OR 97224 5PCT DEB 1/12/00 $4.00 KING CITY
Total $54.00
Phone:
Contractor:
T + K MECHANICAL
TIMOTHY S WYNNE
11525 SW CANYON REQUIRED INSPECTIONS
BEAVERTON, OR 97005
Gas Line Insp
Phone: 626 -4652 Mechanical lnsp
Reg #: LIC 00121165 Final Inspection
•
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 -001 rough OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by
calling (5 246-9189
Issue / _, Permittee Signature: I y i 7
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the n t business day
•
JAN - 12 - 00 WED 10:57 AM City of King City FAX:503 639 3771 PAGE 2. •
CITY O F TIGA • • Mechanical Permit A l ication • Pl an check #
P p Re By
13125 SW HALL. BLVD. • Commercial' and. Residential . Date Recd t" 17r
•
TIGARD, OR 97223 . Date to P.E •
(503) 639.4171, x304 Date to DST I -( V
•
. • Pri or Type • • . . ' • Permit # Hembep- ootal
Incomplete or. illegible applications will not .be accepted c ane d
Name el Develb .Description. ' .
•
. • Table IA Mechanical Code . • . . ' Qty Price Amt
Job . • Sheet Address Suite# A) Permit Fee :':,: `;,,{ - ,7•: 16.00
• • Address / c 0 ?R i lc P A i r1 1 ) ",F'4maee to 100,000 BTU •
. including duets & vents senfootnote 1,2 . • 9.65
8idg# ChyrState tip . 2) Furnace 100,000 BTU+ '
KNI c, 06L . . . Including ducts & vents see footnote 1,2 12.00
Name (or name or business) 3) Floor Furnace
Owner G? e_v ( •i p • . . • Including vent see footnote 1,2 9.65 •
Melling Ad . 4) Suspended heater, wall heater
or floor mounted heater ' see footnote 1,2 . 9.65 '
I P. 6 co P (I h c < 0 II et . 5 Vent not included in appliance permit • . 4.75
City/State Zip • Phone. Check all that apply:' *Boiler • • Heat' ' Air •
..1, G;'ty 0l2 . G Li -,013,_ For items 6-10, see or . • Pump 'fond Qty Price Amt
• Name (or name or businesa) footnotes 1,2 ' • . Comp _ . '" .• •
6) <3HP;absorb unit to
- Se e .� . s o'�D' ' • .100K BTU 9 -65
Occupant Wring Address . . • ' . 7) 3-15 HP;absorb unit ^ • •
• • 100k to 500k BTU 17.65 • •
• C ltyrState ' . Zip Phone 8) 15-30 HP; absorb • . •
• . unit . 5 '. B T
1mitU. 24.15 - • .
. 9) 30- 50.HP; absorb ' • Contractor11e .. unit -1.75 mil'BTU 36.00 • 1.- i( 1'1 «. k . . 10) >50HP; absorb unit .
Prior to permit Meiling Address . >1.75 mil BTU. 60.15
issuance, a copy :1' O S (S• Sc- 'T X, ' In r; , • '3 ( '11 Air handling unit to 10,000 CFM. .
of all licenses City/Slare Zip •' Mono • 11 7.00
are required. if AC n N il O I� `i709 ( 357 - t/ f j4( . 12) Air handling unit 10,000 CFM+ - • expired in COT Oe9on Const Cont. Board Lic.a • Exp• Date . 11.85
database 1,2_ 6 • • 13) Non - portable evaporate cooler • -
Architect Name • • . ' • . 7.00 •
• 14) Vent fan connected to a single dud . • • •
or Mailing Address . 4.75
• • 15) Ventilation system not•included in • . • •
• • appliance permit . • . . 7.00.
Engineer ' Citr /State . Zip Phone • • 16) Hood served by mechanical exhaust
7.00
Describe work to be done: ' • • . 17) Domestic incinerators • •
. • • 12.00
• New 0 RAP Replace with like kind: Yes O No O ' 18) Commercial or industrial type Incinerator
Residential eV Commercial 0 . 48.25 • .
• • • • • • . . . 19) Repair units . • • .. • • .
Additional information or descriptiori of work; 8.40 ' .
20) Wood stove/ FP /other units/clothe dryer /etc. .
CUriF, 1 Q� 7.00
NOTE: For Commercial projects only; Units (400 lbs. require • . 21) Gas piping one to ur outlets . .. . . •
structural gas calm. . See footnote 1 . .. 3.75. • •
• Type of fuel: oil 0 natural gas. LPG 0 electric 0 . • • . 22) More than 4-per outlet (each) . . . .75 • •
Minimum Permit Fee $50.00 • SUBTOTAL a7;;i^ .n, y ,,: ; q +raj,
I hereby acknowledge that I have read this application, that the information. • . • • • . 8% SURCHARGE , r;``; ,a)
given is correct, that I am the owner or authorized agent of • PLAN REVIEW 25% OF SUBTOTAL q. commercial � • ?i- i'H'i'p`,r° s7; 4'
Required for ALL ial ts only iii'' " "" `i' '° I - � .,, " °'s
the owner, that plans subm are in compliance with Oregon State laws, ! rmi y
. . TOTAL �'R=,//4(( ('' 5`T r d
Signal , ty. of Oierr A e rit Date • - • •
• . Other Inspections and Fees:
, ! j---/.2....,-. Go ' 1. Inspections outside of normal business hours (mininum charge -two
Contact Person Name • Phone .hours) . $50.00 per hour • •
2 • Inspections for which no fee Is specifically indicated (minimum
• . charge -half hour)• 350.00 per hour .
Foonotes for commercial projects Doty.: . • 3. Additional plan review required by ch anges; additions or revisions to •
1. Provide full•schematic of existing and proposed gas line and pressure. plans (minimum charge -0n half hour) $50.00 per hour
• 2. Provide drawings to scale showing existing and proposed mechanical • • ' ' • .
unit. . "State Contractor Boiler Certification required •
. - "Residential NC. requires site plan showing placement o_f'unit • •
•
' I :Vnechperm -doc rev 7/19/99 • • •
1/20/00 Activities for Case #: MEC2000 -00017
1:40:19 PM -
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECA007 APPlication received 1/12/00 • DEB FAXD No Hold . DEB 1/12/00
MECA008 Create Permit 1/12/00 DEB DONE No Hold DEB 1/12/00
MECA705 Gas Line Insp 1/12/00 1/12/00 1/14/00 KS PASS No Hold AKJ 1/18/00
MECA715 Mechanical Insp 1/12/00 1/12/00 No Hold DEB 1/12/00
• MECA799 Final Inspection 1/12/00 1/12/00 1/14/00 KS PASS No Hold AKJ 1/18/00
MECA060 (F) Issue permit 1/12/00 DEB DONE No Hold DEB 1/12/00
MECA800 Case Finaled 1/18/00 AKJ DONE No Hold AKJ • 1/18/00
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Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested n V ) 1 AM PM BLD
Location 12 ((2(D O 1� In �-� 1141Y44 EC 2C - ODO 17
Contact Person I - )e— Ph2,S)- (O I (.I PLM
Contractor 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 _ ! . t T. `.s _ —v
Insulation
Drywall Nailing l S 1 1, ��� e
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
CH
Post & Beam /
a s• '�
as Lin (
Smoke Dampers
in
ASS PART FAIL
E ECTRICAL
Service
Rough In
•
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE 3
Backfill /Grading
Sanitary Sewer
Storm Drain [ I 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
Other / Date — / Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.