Permit CITY TIGARD MECHANICAL PERMIT
PERMIT #: MEC1999 -00333
DEVELOPMENT SERVICES DATE ISSUED: 8/5/99
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S109DD -02400
SITE ADDRESS: 12530 SW PRINCE EDWARD CT
SUBDIVISION: ZONING:
BLOCK: LOT: JURISDICTION: 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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: Installation of gas piping.
Owner: FEES
ALLISON WAID Type By Date Amount Receipt
12530 SW PRINCE EDWARD . 5PCT DEB 8/5/99 $3.50 KING CITY
KING CITY, OR 97224 PRMT DEB 8/5/99 $50.00 KING CITY
Phone: -5183 Total $53.50
Contractor:
COLUMBIA CONTRACTING SERVICES
PO BOX 2097
GRESHAM, OR 97050 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 225 -0774 Gas Line Insp
Reg #: 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 -0010 through OAR 952 - 001 -0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -9189.
Issue By: Permittee Signature: c •
C
V5°3) -4175 by 7:00 P.M. for inspections needed t - next business day
C ITY OF TIGAR MECHANICAL PERMIT
014, DEVELOPMENT SERVICE , PERMIT #: MEC1999 -00333
=-I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4'f DATE ISSUED: 8/5/99
PARCEL: 2S109DD -02400
SITE ADDRESS: 12530 SW PRINCE EDWARD CT
SUBDIVISION: ZONING:
• BLOCK: LOT: JURISDICTION: 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: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS
FURN > =100K BTU: <= 10000 cfm: - OTHER UNITS:
> ,10000 cfm: GAS OUTLETS: 1
Remarks: Installation of gas piping.
Owner: FEES
ALLISON WAID Type By Date Amount Receipt
12530 SW PRINCE EDWARD 5PCT DEB 8/5/99 $3.50 KING CITY
KING CITY, OR 97224 PRMT DEB 8/5/99 $50.00 KING CITY
Total $53.50
Phone: 620 -5183
Contractor:
COLUMBIA CONTRACTING SERVICES
PO BOX 2097
GRESHAM, OR 97050 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 225 -0774 Final Inspection
. Reg #:
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 copies of these rules or direct questions to OUNC by
calling (503 189.
Issue By. ieaLLAAAAj Permittee Signature: fr 4!Q-L e.Z.,%L !& 67 1 4 7 O -ice
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the nex business day
AUG -03 -99 TUE 01:40 PM City of King City FAX:503 639 3771 PAGE 2
RECE I V '^ ' • Plan check 0
•CITY bF TIGARD Mechanical Permit :Application Recd • By . '� Q0-....
13125 SW HALL BLVD C ommercial and Residential • Da te Reed S 3 -
TIGARD, OR 97223 AUG' 13 199 •
D ate to P.E.
(50 639 -4171, x3 MMUNITY DEVELUt'ml ., • Date to DST «'- 3 -4q •
Print •
or Type Permit #1Mf.etn9. 410 1 33 3
. Incomplete or Incomplete applications will not be accepted ' called
• Name n 1Prc e f Description •
•
• Table 1A Mechanical Code • ' " Oty . Price ' Amt .
Job Sweet Address " s S, . A) Permit Fee . . I', ' �� 18.00
Address 1 30 /Crtec,.""
C"'9 • 1) Fumaeetoloo,000BTU
61dgS Cny/state Including duds'& vents ' see footnote 1,2 9.65
,6J r 2) .Furnace 100,000 BTU+
•
"� co o . including ducts 8 vents see footnote 1,2 12.00
Name (or nam of bushes") 3) Floor Furnace
Owner q I , ( � l `5 O v including vent . ' " , see footnote 1,2 , • 9.65
•
• Mailing address . 4) Suspended heater, wall heater
I 1 2 C 2A �� _ c e C ✓ � or floor mounted heater see footnote 1,2 9.65
✓Jv LU 5) Vent not included In appliance permit '. 4.75 -
Cdy/Stele' • Zip • Phone .. Check all that a
pply: 'Boiler • Heat. Air '
. X-! R C L } - . 620- f a.3 • . For ftems;6-10, see ' or .. Pump Cond city ' • Price Arnt
name ( n ame of business) footnotes "1,2 . ' Comp "" •
• . 6) e3HP;absorb unit to . ' • 100K BTU • . ' 9.65
Occupant Mailing Address 7) 3 -15 HP;absorb unit '
100k to 500k BTU • • • . • 17.65 .
city/suite Zip - Phone • :8) 15-30 HP; abso . ..
unit ,5-1 mil BTU . 24.15
Contractor NV r
. 8)30.50 HP: absorb
(� ( C t'vgG }� ort+k unit 1 -1:75 mil BTU
36.00 .
N
10) >SOHP; absorb unit
Prior to permit ' Melling Address • >1.75 inn BTU 80.15
•
issuance, a copy 38147a SE kkago -. ter . 11 Air handling unit to 10,000 CFM
• of all licenses Ciy/Srele " • zip . Phone • 7:00
are required if SOi 4, 0'x- b I c r 7 05S 2 ?5 - t57 . 12) Air unit 10,000 CFM+ ' . •
expired In COT • Dragon const. Cont. Beard Llc.# Exp. Date
• • 11.85
database / 03 daft '13) Non - portable evaporate 000ler
Architect Name . 7,00
• . '14) Vent fan connected to a single. duct
or Mailing Address 4.75' •
15) Ventilation system not included in
•
• • Engineer �ws+aie zip Phone. • appliancepermit • 7.00. ,
En
9 . 16) Hood served by mechanical. exhaust
• 7.00' •
Describe work to be done: 17) Domestic incinerators .. •
12.00
NewIr Repair.O • Replace with like kind: Yss O No 0 • . • 18) Commercial or industrial type incinerator .
Residential 0 Commercial . 48.25 , ' . • •
• 19) Repair units
•
Additional information or description of work :. . • • . 8.40 •
•
'.20) Wood Stove/gas FP /other units/clothe dryer /etc.
' 7.00
NOTE: For Commercial projects only; Units over 4001bs. require 21) Gas piping one to four outlets • • . ' ., es i •
structural gas' calks, ee S footn 1 • 3 75 •
Type of fuel: oil 0 natural gasp( LPG 0 electric 0 22) More than 4-per outlet (each) ,75
Minimum Permit Fee $50.00 SUBTOTAL . , ,0
I hereby acknowledge that I have read this application, that the information . • ' . ' " . 7% SURCHARGE F' s ?�; '`'KN
give is correct, that I am the owner or authorized agent of `'
g : PLAN REVIEW 25 %.OF SUBTOTAL ;': •:�` zo; e.;
the owner, that plans submitted are in compliance with Oregon State laws. . • Required for ALL commercial permits only . •
�'
' '•TOTAL ri= .•f,.' i� ��, rd O
Sig re of er /Agent Date atte.= ,. • • i,r,'• *,'! ; y5 3
Other Inspections and Fees: • • .
f P- 1. Inspections outside of normal business hours.(minlnum charge -two .
c erson Name Phone hours) $50.00 per hour • ' •
-J ^ � 2. 'Inspections for which no fee Is specifically indicated (minimum.
ac.. 3/e1-24v • . . •charge -half hour) $50.00 per hour • • '. •
Foonotes for commercial projects only: . . . • • 3: Additional plan review required by changes, additions or revisions to
1. Provide full sehematic•of existing and proposed gas line and pressure.. • : plans (minimum charge-one-half hour) $50.00 per hour
2. Provide drawings to scale showing existing and proposed mechanical '
units. . • • • . • • 'State Contractor Boiler Certification required
• • - ' — Residential NC requires site plan showing placement of unit . •
•
Omechper m.doc rev 7/19/99
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
Q�j a 12 ICYD BUP
Date Requested 2 /� '^ 3-1 (,- / - 1 AM [qq PM X BLD 1/�'
Location j S?,D t' �► l� � istri4/L4 Suite MEC i 'CO 3-;3 Contact Person �/1�T� Ph 60 2'S /&3 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 Framing heath /Shear `1b.102'. ,
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: a S I
Final
0 PASS PART FAIL
PLUMBING
Post & Beam A
Under Slab f/ V ^ \ ed(
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
Post Beam , 1 \e- Rouh V\a In 1A t < V\
Smoke Dampers
CA
CI
PAR Or
ELECTRICAL
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 inspe . ay 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 Inspe o Li■ x
Final
PASS PART FAIL DO NOT REMOVE this insp tion rec 1!!! from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BLD
Location /2.530 / "�1y am/1^ Suite MEC /4 -933 53
Contact Person Ph PLM
Contractor / ,,, i i fah, i / 44 Ph $ -07/7t/ 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
Drywall on lff /y 7 7 �} / 7
Drywall Nailing /� [� 778 (�
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 P • - T FAIL
• ost & Bea
Rough In
as ' ine
)
Smoke Dampers
ar
PART FAIL
RICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
BackfilUGradin
9
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 / 1 4 Q � Date I I Inspector 0. Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST , ,t1/ / :!,
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested —/ 2 �.1 � I AM PM BLD
Location 12S ICJ f i �(1,i,v){/Ivl.Suite MEC 1ggq'Cn 33
Contact Person n4 QUA, Ph 3'7 Z- Co3ZS PLM
Contractor Toe. Ph Z ZS ---0) 7 `7 SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain I SGN
Crawl Drain Inspectio Notes: ^ �� KOK Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing •
Insulation
Drywall Nailing 1274
Fire wall
Fire Sprinkler
Fire Alarm //o
Susp'd Ceiling
Roof /
Misc:
Final A
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service / a ��
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
ECHANIM► 1 Or
Post & Beam
Rough In
as i
Smoke Dampers
Final
PASS PART FAIL
.,/
ELECTRICAL
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. Pa 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 V I l I Inspector Ext.
Final
l/ i �
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.