Permit A CITY OF T MECHANICAL
DEVELOPMENT SERVICES PERMIT
0 1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 1 71 PERMIT # : MEC97 -0316
EXPIRED DATE ISSUED: 08/20/97
PARCEL: 65110CC -13300
SITE ADDRESS...: 16075 SW QUEEN VICTORIA PL
SUBDIVISION • ZONING:
BLOCK • LOT • JURISDICTION: KIN
CLASS OF WORK..:OTR 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
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 < 100K BTU: 1 <= 10000 cfm: 0 GAS OUTLETS.: 1
FURN > =100K BTU: 0 > 10000 cfm: 0
Remarks : New furnace (to 100,008 BTUs) includes ducts & vents and gas piping.
Owner: FEES
DIANE CALLAHAN type amount by date recpt
16075 SW QUEEN VICTORIA PLACE PRMT $ 25.00 GEO 08/20/97 KING CITY
KING CITY OR 97224 5PCT $ 1.25 GEO 08/20/97 KING CITY
Phone #:
Contract or:
A —TEMP HEATING & COOLING
16000 SE EVELYN ST
$ 26.25 TOTAL
CLACKAMAS OR 97015
Phone #: 650 -5014
Reg #..: 000718
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line Insp
Tigard Nunicipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All work will be done in accordance with Heating Unt Insp
approved plans. This permit will expire if work is not started Duct Inspection
within 180 days of issuance, or if work is suspended for sore Misc. Inspection
than 180 days. ATTENTION: Oregon law requires you to follow rules Final Inspection
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952- 001-0010 through OAR M2-601-0080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
Issue By: a Permittee Signature:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 6:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + ++ + + + + + ++ ++ ++ + + + + + + + + + + ++
- --- AUG- 20 -'97 WED 10:29 ID: FAX NO: #340 P02
. Plan Check a
CITY OF TIGARD Mechanical Permit Application Recd By_ tit
13125 SW HALL BLVD. Commercial and Residential . Date Recd R'- LO--4
TIGARD, OR 97223 Date to P. E.
(503) 639-4171, x304 Date to OST g - 74° -41
Permit • fl.egq -O 3/t
Print or Type
Incomplete or illegible applications will not be accepted Called
r4T• a OerweemenvProwe Desorption -
- ,71Ln e ! .a !la h_ex Table to Mechanical Code OTY PRICE AUT
• Job sew Moms swim A) Permit Fee 4- -0- 10.00 '
Address 1607551)) &teen V dori ia-Reg- _
Skis. f B) Supperrernai Permit 3.00
manta (or named 1.) Furnace to 100.000 BTU - 6.00
Owner . �)i�nro ( //A hart rt Oa a vents i b .oil
Maial a 2.) Furnace 100.000 BTU t 7.50 -
a .1/450 twee.,, V . ' �. end. ducts.6 vents
coxes o ""' 3.) Floor Furnace 6.00
7 . QC q7dalf I9,5-4;)53 ins. vast
mower rt.t. a mn.s,) 4.) Stusperded heater. wail Neater 6.00
or floor rrsouroek neater
Occupant swarm Atldlteld 5.) Vent not end. in 1.00
' MOW= permil
crs rsura Zt0 1 Prams S.) Bailee or cm". Mat pang, air rend 6.00
lb 3 HP. abase the lo 102PG BTU
N*T - L) Boiler or term hest Ottrn0. al' card. 11.00
f I 7 e - / n P f I C f a 115 F4P: //Mop unit to 500K BTU
GonbaCtor Mali A M P ." 8.) Beier or tarp, heat prmp, air amid 15.00 '
/ . SE ??p- P I yri .c . 15-30 HP. atom unit .5-1 ntll BTU
Mach copy or !� �� Ztv P++o. • 9.) Boiler or comp. heat ptlfttp:'air cord • ?Z.50
Current Licenses /1LA[/ �' 4Q ' 71 '6 - 1) (4 30-50 HP: attsorp tacit 1 -1.75 mil BTU
• onyx
C. ra e� te�6..rrvv tars E Ores 1o_) Baler or comp. Mat pump. as cord. • 37.50
- 7 ! %7'6 a 50 HP: ahsorp unit 1.75 mil BTU
-
OCT t3+r�
.a Taut yr . Moro • Gaia e ro 11.) Air haloirq tntt to 4.50
10.000 CF1A
Architect "tnnr 12.) Air maim tmk 7.50
10.000 CTM •
or MINIM Afflellinel 13.) Non peemble 4.50
. C Gg
VapafBtQ OtOr
Engineer WS°a' Ze I Orme 144 Vent fan connacled 3.00
tO a single amt
Describe veldt New 0 Ats0iton 0 Attention 0 Repair 0 1 5.) Veen system not 4.50
to
be Cone Rc.eeneal 0 0 tr+ctu ad In appaancs pens*
Additional Desorption of Front 16.) Hook served try
mechanical exhaust 4.50
17) Damask ittarteratars 7.50
Ex fr use of 18.) Corn merOid orptctr*riat 30.00
building Or prcocilY type irit:aterator
191 Catlin dryers. etc 4.50
Propose: use of 20) Other antis - 4.50
euiteM a er property
•
Type of fuel - oil 0 natural gaslk LPG 0 essanc 0 • 21) Gas piping one to four outlets 2.00
I hereby acknen dodge that I have read this application. that Rile 22) More than 4-per outlet (each) .50
inforrnete t given a comm. that I am the wirier or authoitted agent of : . ,
the mister, that plans stetcr ew; are in mrnpIance with Oregon'State O7Y: SUBTOTAL
laws.
Signature of Owr tAgent Crate. SUBTOTAL ' •
5 00
5% SURCHARGE a �
Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL
, TOTAL g V , 5.
05/16/2000 Activities for Case #: MEC97 -00316
12:28:48 PM
•
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECA007 APPlication received 08/20/1997 GEO RECD • GEO 08/20/1997
MECA008 Create Permit 08/20/1997 GEO PASS GEO 08/20/1997
MECA705 Gas Line lnsp 08/20/1997 GEO 08/20/1997
MECA715 Mechanical Insp 08/20/1997 GEO 08/20/1997
MECA•25 Heating Unt lnsp 08/20/1997 GEO 08/20/1997 •
MECA735 Duct Inspection 08/20/1997 GEO 08/20/1997
MECA750 Misc. Inspection 08/20/1997 GEO 08/20/1997
MECA799 Final Inspection 08/20/1997 - ST 09/28/1999 Inspection request (research) to
Hap 9/28/99
MECA060 (F) Issue permit 08/20/1997 GEO PASS GEO 08/20/1997
MECA880 Expired by limitation 05/15/2000 HAP DONE No Hold AKJ 05/15/2000
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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 �� r"\ AM PM BLD
Location ! LO) S Q n ! � cc-' Suite MEC ?7_C 3/ (,
Contact Person Ph PLM
Contractor k telrY1 p Ph & So- so/ y SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
=on ,� n W� / ILQ�I���1' � FPS
IC-C J 9 SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing L
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
ASS PART FAIL
41g CHANICdl EXPIRED
Post & Beam
Rough In
Gas Line
Smoke Dampers
- S 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. 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.