Permit A ; . CITY O F T I G A R D MECHAN I CAL
4 m�r. , A DEVELOPMENT SERVICES PERMIT
°= 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 -4171 F E RM I T # • MEC98 - 0373
DATE ISSUED: 09/01/98
PARCEL: 25115BC -08500
SITE ADDRESS...: 16685 SW QUEEN ANNE AVE
SUBDIVISION • ZONING: ?
BLOCK - LOT JURISDICTION: KIN
CLASS OF WORK..:ACS FLOOR FURN : 0 F_VAP 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 • 1 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 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks : New residential furnace and A/C unit.
Owner: FEES
WILCOX, IVAN & CAROL type amount by date recpt
16685 SW QUEEN ANNE AVE PRMT $ 25.00 GEO 09/01/98 KING CITY
KING CITY OR 97224 5PCT $ 1.25 GEO 09/01/98 KING CITY
Phone #:
Contract or:
SUNSET FUEL CO
PO BOX 42287
$ 26.25 TOTAL
PORTLAND OR 97242
Phone #: 503 - 234 -0611
Reg #..: 000023
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Heating Unt Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Cooling Unt Insp
applicable laws. All work will be done in accordance with Misc. Inspection
approved plans. This permit will expire if work is not started Final Inspection
within 180 days of issuance, or if work is suspended for wore
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 lay
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
Issue By: Permittee Signature: ,....-->yz-e:.4.
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
SEP -01 -' 98 WED 08:00 I D : FX 'NO •: • . • . • U016 P02
y of Tigard MOC L�••
NICAP Plaii Rea : ',`:::
125 SW Hall Blvd. . • APPLICATION Permit # t9-3 3 . .
' Ab� • 2 a •
l ard, OR 97223 1 - q
)3) 639 -4171 • .
Sao. a o••q..;.■ . 6 gumption . 1
. . Table aq �a,anical Code • OTT PRICE • Mg
'1 JGb - 1p / - J• Aueeri . - ?An ), I) ifemtit Fes .$ r • a- 4 ?..10.01 ►
Address ••• I t
r ni 04 9 Q Z 2 2) Sup Permit 9.00
V C„ • Al, � t iro L 14:1 e 1 rode ducts & ven ' ' • / . ..
• 6.00 • • • •
b .M �... - w• Furnace 100.000 Bl U -'
Owner ._ n'i 412— • 2) Ind, duds a vents • 7.50
r- ... Hoer Fvmacwe • •
. :yy 7a 3) Ind. vent - T • . 6.00
T
r �6 .J 4 S4sperded heater, wall howler .
4) Q( eor mounted heater 6,00
runt rat.... 111 Vent not Intl in •
Oca'pam 6) :pr-Canoe permit 3,00
- . — 7W — sr heating, refrig-
. - - . 6) moling, absorpion unit 6.00
. a... :'•` er car comp, • pump. am Co • –
� -• Lk e_1 7) to 3 HP absent unit to 100K BTU i 6.00
4.......... �+••• WO(or comp. Peat pump, air pond.
Po eyox i-4 ? 33 - 1 ‘ 2344-01/4.11 8 ) 345 HP absorp unit to 500K BTU 11,00
Contractor c . s ,,,,, zo :'•' : or camp, at pump, ewr oo •
Ck3rbaCkAd oe- C I - lag . 9) 15-30 HP absotp unit .5-1 ma BTU 15-00
o... n-i...:.n u.. aw e.•.. T. 4. Baer or camp. heat pump. au cord.
c --1°•4 ` , 10 3050 HP =sop unit 1 -1.75 mil BTU 22.50 • .
hereby acknowi- • ge that I have read this application, that the or c heat pump. air cond. •
&totmation given is correct, that I em the owner a authorized agent 11) > 50 HP absrxp unit 1.75 mil BTU 31.50
t the Cwner, that plans submitted are in Comptianae with State Air handing unit to
•
iws, that I am registered with the Construction Contactors Board, 12) 10,000 CFM 4.50
at the number given Is Correct Of exempt from State registration, Air handing unit
Lase give reason below.) • 13) 10,000 CTM • 7.50
• Non portable
14) evaporate cooler 450
Vent Ian connected
15) to a single duct 3.00
. Vent4ati n system not
16) included in appliance permit 4.50
�, -•
• ka••• If 404064 , Dow Hood served by
17) mechanical( exhaust 4.50
jgspribe work new a• • ition. • alteration • repaid • Commerwl or ndust ial
o be done res• - '- oat 0 non - residential 0 18) type Inoneratr 30.00
r-tosting use of Other te_ woodstove. water
na'ldrg or propel 19) heater. solar. dothes dryers. etas, 4.50
?ropo$ed Use of 20) Gas piping one two (our outlets 200
aca'ldrtg or property
21) More Can 4-per outlet •
type of fuel - od 0 natural gas Q LPG 0 eteario 0
NOTICE '
Minimum Fee 525.00 SUBTOTAL '
PERMITS BECOME VOID (F WORK OR CONSTRUCTION
AUT IOFilZEO IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE �f 1 \
IF CONSTRUCTION OR WORK IS SUSPENDED OR i
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 257 OF SUBTOTAL
AFTER WORK IS COMMENCED. - " ! •
TOTAL -111.
pedal Comdifiors
a
Date Issued by .
waacorwr
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
C?-01 ' `/ BUP
2 14 . Date Requested f' 4II a AM PM BLD
Location / 68'5 (SW , / n ru- Suite / 009?-6373
c.23 Contact Person � Ph 3 q- J (0 II PLM
Contractor (J Ph SWR
BUILDING Tenant/Owner - itxQc,o6 ELC
Retaining Wall ELR
Footing Access:
Foundation atr FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation (
Drywall Nailing I Ike I� •• I` • r L�
Fire wall �. r ,
Fire Sprinkler V VA A C *`Z'
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING •
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains ` Mt* a / Nit
Final ,
P FAIL ��rAi 041 r• e \ V 1 ' • •
�MECH 4
Post & Beam
Rough In
Gas Line
.,• Dampers r _
PART FAIL
RICAL
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 C
Other Date ` Inspect r
d
Final
PASS PART FAIL DO NOT REMOVE this inspection rec from the job site.
l.-, 6tn ■.r Qcn 99 '01/\ Vs0 n 4r-vNj\e