Permit CITY OF T MECHANICAL
Atili IA, DEVELOPMENT SERVICES PERMIT
13125 SW PERMIT # : MEC98 -0490
DATE ISSUED: 10/30/98
PARCEL: 2S1O9DD -03800
SITE ADDRESS...: 12535 SW PRINCE EDWARD CT
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/0 APPL: 0 VENT SYSTEMS: 0
STORIES • 0 BOILERS /COMPRESSORS HOODS : 0
FUEL TYPES 0 -3 HP • 0 DOMES. INCIN: 0
:GAS 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: 0 <= 1 0000 cfm: 0 GAS OUTLETS.: 1
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks: Installation of gas piping.
Owner: FEES
RAY BOYER type amount by date recpt
12535 SW PRINCE EDWARD CT PRMT $ 25.00 DLH 10/30/98 KING CITY
KING CITY OR 97224 SPCT $ 1.25 DLH 10/30/98 KING CITY
Phone #: 639 -9332
Contractor:
COST PLUS HEATING & AIR
7132 N FESSENDEN ST
26.25 TOTAL
PORTLAND OR 97203
Phone #: 286 -2009
Reg #..: 000479
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
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 by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952- 001-0010 through OAR 952- 001-0080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
Issue By: „0,54- Permittee Signature: / /979 7-0V
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
OCT- 30 -' FRI 14:03 ID: FAX NO: 14099 PO2 •
CITY OF TIGARD Mechanical Permit Application Plan Check to
13125 SW HALL BLVD. Commercial and Residential Da . ;r
TIGARD, OR 97223 Date Re cd ., °' -
Date to P.E.
(503) 6394171, x304 Date to DST /0 - • -y
Print or Type Permit #/!K'e- y) q9
Incomplete or illegible applications will not be accepted Called
Name or Development/Prolog Description -
Table 1A Mechanical Code 0 Price Amt
Job Street Address Suites - A) Permit Fee '"'''',=!; ; 7; .:-_::'r. ^ +;; 10.00
Address tlJ SSw f; EohO,• r ek 1) Furnace to 100,000 BTU
Cib /State including ducts & vents 6.00
c.d./ 2) Furnace 100,000 BTU+
Kr ay 4 /Zig including ducts & vents 7.50
Name (or name of business) 3) Floor Furnace .. ' , . • -
Owner RAY 13ey4•,.-- including, vent -- 6.00
' Matling Address 4) Suspended heater, wall •heater •
r L)�31r "ram rkawav� CF • or floor mounted heater 6.00
G4y'S etc ' 5) Vent not Inc.iuded•in appliance permit
Zip Phone
12. 6 39--9332- CHECK ALL 'Boller Heat Alr 3
ff
' Nemo(or name at bualnes3) THAT APPLY: . • -or. -.Pump Cond . .Qty Price Amt
.. Comp •:
Occupant Mailing Aaaress 6) <3HP;absorb unit to
loot( BTU -- 6.00
7) 3 HP;absorb unit
City/Slate
570C zip Phone 100k to 500k BTU 11.00
8) 15-30 HP; absorb
Contractor '
unit .5 -1 mil BTU
/1 rl �� t ^ 9) 30 -50 HP; absorb - - • • 15.00
o -5 unit 1-1.75 mil BTU 22.50
Prior to �.
permit Meiling Address 10) >50HP; absorb unit
issuance, a copy_ 71;2 A) + c $Se,A b� n >1.75 mil BTU
• of all licensee CnylSta e 37:50
Zip Phone 11) Air handling unit !010,000 G�FMY• -- •
are required If lgz
r " 11 a
t�onZo�) an-Zab 4.50
expired in COT Oregon Const. COAL Bard Uo n 5cp a 12) Air handling unit 10 e , _. ;
ntti. .
database ►l'74 7 �SA /9 - ✓ .. 7.50
Architect N cune - 13) Non - portable evaporate cooler . .
4.50
or Polling Address 14) Vent fan connected to a single dud
3.00
15) Ventilation system not included In
Engineer, : Cayrstate zip Phone • appliance permit • 4
_ 16) Hood served by mechanical exhaust', -
Describe' work to be done: L _
(14-5 0(1 r-car 6 -d►c (,ag 3 M : 4.50
17) Domestic Incinerators
New 0 . Repair 0 Replace with like kind: Yea 0 No 0 7.50 •
• Residential 0 • Commercial 0 18) Commercial or industrial type Incinerator
30.00
Additional information or description of work: 19) Repair units - •
4.50
20)•Wood stove
4 -50
21) Clothes dryer, etc.
4.50
Type of fuel: oil 0 natural gas IQ LPG 0 electric 0 - ' 22) Other units . • ' ' '
4,50
I hereby acknowledge that I have read this application, that the Information 23) Gas piping one to four outlets -
given is correct, that lam the owner or authorized agent of I 2,00 1 —'
the owner, that plans submitted are in compliance with Oregon State laws. . 24) More than 4-per outlet'.(eact) •, _ • , _ •
tilgna of OwnerfAgent pare • • • • - °,, •
.50
j . .4"44,4 Minimum Permit Fee $25.00. , SUBTOTAL :.. : >`: '
M., /0-3(>47 :�35r , �;;,
l r w
5% SURCHARGE ' ,
Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL. „-
5 ,[ C / 1.� (� �. `� Required for ALL commercial eemdts only
41 r J tr�r c -. � 2S `v z o o 9 TOTAL ' f 6 ' •
'State Contractor Boiler Certification required
s n'Residential A/C requires site plan showing placement of unit
lA mechperm.doe rev 07/20/98
Page No. 1 CASE HISTORY FOR CASE NO MEC98 -0490
RAY BOYER
12535 SW PRINCE EDWARD CT
12/14/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MECA007 Application received / / / / 10/30/98 FAX DLH 10/30/98 DLH
MECA008 Create Permit / / / / 10/30/98 DONE DLH 10/30/98 DLH
MECA060 (F) Issue permit / / / / 10/30/98 DONE DLH 10/30/98 DLH
MECA705 Gas Line Insp 10/30/98 / / 11/04/98 PASS RC 11/05/98 J *H
MECA799 Final Inspection / / / / 11/04/98 PASS RC 11/05/98 J *H
MECA800 Case Finaled / / / / 11/05/98 PASS RC 11/05/98 J *H
•
•
•
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
,/ BUP
3 / 1 ZZ D ate Requested 11 4 A X PM B II
Location / Z5 35 5( �P c�) Pidu it 9 _a (1-1U
Contact Person / ' Ph 3 -73%/- PLM
Contractor C ',LW) ' - • p.- i 1 JP / ' a SWR
BUILDING Tenant/Owner
C
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
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
P9S IL
�'ZAECHANICAL
Pos
Rough In
Gas Line
Smoke Dam rs '
.
PART FAIL
TRICAL
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: [ I Unable to inspect - no access
ADA ?�
Approach /Sidewalk Date �, '' " ti u cis Inspector C % Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.