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Permit CITY T I G A R D MECHANICAL PERMIT kl DEVELOPMENT SERVICES . PERMIT #: MEC1999 -00236 ref I n 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/2/99 PARCEL: 2S1 10C C -06400 SITE ADDRESS: 16090 SW QUEEN VICTORIA PL SUBDIVISION: KING CITY NO. 3 ZONING: • BLOCK: LOT: 038 JURISDICTION: KIN CLASS OF WORK: ALT 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: 1 DOMES. INCIN: 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: > 10000 cfm: GAS OUTLETS: Remarks: Install an air conditioning unit. NC units cannot be placed within the required setback areas. Owner: FEES Type By Date Amount Receipt PRMT GEO 6/2/99 $50.00 KING CITY 5PCT GEO 6/2/99 $2.50 KING CITY Total $52.50 Phone: Contractor: JOHN C. LOOMIS HEATING & COOLING 15811 SE HAWTHORNE CT PORTLAND, OR 97233 REQUIRED INSPECTIONS Cooling Unt Insp Phone: Final Inspection Reg #: • • ORIGINAL • 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 th -se rules or direct questions to OUNC by calling (50 46 -9189. Issue By: _ rte/ 4 Permittee Signature: • Call ( - ) 639 -4175 by 7:00 P.M. for inspections needed the next business day • - -- JUN- 02 -'99 WED 08:52 ID: FAX N0: 11226 P02 RECEIVED Plan Check ar " CITY OF TIGARD Mechanical Permit Application Recd By 13125 SW HALL BLVDJUN 0 2 1999 Commercial and Residential Date Reed e -t - -i9 TIGARD, OR 97223 Date to P.E. (503) 639 -4171, x30 ilNl DENaii3PMfai Date to DST fQ- l - 9f Print or Type Permit a/jt{d ff %9'!tli?XG Incomplete or illegible applications will not be accepted Called None of 0evetopmenWro}eet Description Table 1A Mechanical Code Q Price Amt Permit Fee 10.00 Address SVeet Atttiraee • Sun . Job <, _:......... : , 1) Furnace to 100,000 BTU Skip city/mete • . 21p including ducts & vents 6.00 2) Furnace 100,000 BTU+ Including ducts & vents 7.50 Name (or name of business) 3) Floor Furnace S ?1 ,, Owner ("�A c r Including vent 6.00 Mane Address 4) Suspended heater, wall heater © p . or floor mounted heater 6.00 I G, n 9 ti SW 1 Lot - / l t \Y1 t.r nei, 5) Vent not included in appliance permit City/Stale Zip . Pone 3.00 • ki .. C. 3' 9 - I Z�{ Cl(,Q -11.0-1 CHECK ALL - Boiler Meat Air Name (or name of bu ess) THAT APPLY; or Pump Cond Qty Price Amt • .'�(a. C.k o� Comp « Occupant g g 6) K BTU unit to P Ma Address Occu 100K BTU X f 6.00 • 1 1-.0g a S t.3 Q t.dJa t VS (.l p-r n . p ( 7) 3.15 1{P;absorb unit city/state zip - Prone 100k to 500k BTU 11.00 C1 , o _ B) 15.30 HP; absorb • • - - -, unit .5-1 mil BTU 15.00 Contractor Name • �T 9) 30-50 HP; absorb I.13•p"" aLS r- w 71„1 )a 4 unit 1 -1.75 mil BTU 22.50 Prior to permit Ma Address 10) >50HP; absorb unit ii Issuance, a copy f •i 1 S �j�p)r ��f • >1.75 mil BTU • 37.50 of all Ilcanses City/Stale ZO Phone - . 11) Air handling unit to 10,000 CFM • . are required If Pbi j ta DP, an-03, 4.50 ms expired in COT Oregon st COnt, Board Uc,0 Exp. Dale 12) Air handling unit 10,000 CFM+ database t k>; 1 1 d ? / 116 . 7.50 Architect Name a / /� 13) Non - portable evaporate cooler / 4.50 or MaiHnp Aadreee 14) Vent fan connected to a single duct 3.00 • 15) Ventilation system not included in Engineer City /Stato • zp• Phono, appliance permit • 4.50 • 16) Hood served by mechanical exhaust • Describe work to be done: 4.50 17) Domestic incinerators New t, Repair 0 Replace with Ike kind: Yes 0 No O • 7.50 Residential Sik, Commercial 0 • 18) Commercial or industrial type Incinerator 30.00 Additional information or description of work: . • 1.9) Repair Units • ' =,-.7 3 /'g tit- ' i °LC.sepi t* rj V ' )f- 20) Wood stove 4.50 4.50 21) Clothes dryer, etc. • 4.50 . • Type of fuel: oil 0 natural gash 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 I am the owner or authorized agent of . 2.00 me owner, that plans submitted are In compliance with Oregon State laws, 24) More than 4-per outlet (each) .50 Signature of OwneNAgent Date , -/ ^ S . Minimum Permit Fee $25.00 SUBTOTAL 5• ', ' ' . t 5% SURCHARGE < 47.-S i / ontact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL ,, , . , . <m Required for ALL commercial permits only i'4 " °�' `- j -, D �-- i ? s C 9D TOTAL �$ ' FLYI i /. "A'';:': -- A '13,.0 - le 1 06 _ JD 1 r1 'State Boiler Certification required r.' '"Residential NC requires site plan showing placement of unit l:4nechperm,doc rev 07/20/98 7/25/99 Activities for Case #: MEC1999 -00236 6:30:21 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MECA007 Application received 6/2/99 GEO FAX No Hold GEO 6/2/99 MECA008 Create Permit 6/2/99 GEO DONE No Hold GEO 6/2/99 MECA730 Cooling Unt Insp 6/2/99 6/2/99 No Hold GEO 6/2/99 MECA799 Final Inspection 6/2/99 6/2/99 6/14/99 LN PASS No Hold AKJ 6/14/99 MECA060 (F) Issue permit 6/2/99 GEO DONE No Hold GEO 6/2/99 MECA800 Case Fineled • 6/14/99 • AKJ DONE No Hold AKJ 6/14/99 • • • • Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 CO') Q BUP Date Requested 10 4 - - 1 q AM PM k BLD Location I [0C)1 d i k.12 V (C3Itill &Suite MEC I q4'1 -.Z 3 Contact Person LOO Yn/ S Ph 7Z0 W06, 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 ath /Shear 13 i4Fo a 1 ( / ' Insulation Drywall Nailing '� V � IP. ;.- . l j k 6 I 110 .- - 1 C Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling _ �• Roof I VAli it ./ 4 A : Ar i , AF Final r � PASS PART FAIL la ` iA.Mi' t tli il I, PLUMBING / r `.` �•�4��'► % �� ` ' " % �1t �.�!� ' e Post & Beam ' V •V Under Slab AI Top Out lie ! ! I Water Service �� '�� Sanitary Sewer I Rain Drains ��, NS. It . ' • Final PASS PART FAIL A j _ { • r •111111 ' ' -v (- Post & Beam A.--/c Rough In Gas e D A 4_ Smoke Dampers ..,„,„,,.6.0,--e, RI AL FAIL, AW- Affi Service 1 /. , Rough In 14 T� �� - �Ala �lr� UG /Slab f�I i�!� .�''��; 1` ,:� 6 +, _ Low Voltage I l Fire Alarm Final PASS PART FAIL Illie 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: / e _ [ ] Unable to inspect - no access ADA Other oach /Sidewalk Date C\-,-- C � � � � Inspec = I / Ext J - Final PASS PART FAIL DO NOT REMOVE this inspe ' . reco • from the job site.