Permit •
CITY OF T MECHANICAL
, �� DEVELOPMENT SERVICES PERMIT
q�x l'� PERMIT # MEC98 -0209
�!+ 1 1.. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 DATE ISSUED: 06/05/98
PARCEL: 2811OCC -09900
SITE ADDRESS...: 15695 SW QUEEN VICTORIA PL
SUBDIVISION • KING CITY NO. 3 ZONING:
BLOCK • LOT -012 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: 1 <= 10000 cfm: 0 GAS OUTLETS.: 1
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks : Installation of new gas furnace and gas piping for furnace & water
heater.
Owner: FEES
FRANKLIN CHAVE type amount by date recpt
15695 SW QUEEN VICTORIA PL PRMT $ `5.00 DEB 06/05/98 KING CITY
KING CITY OR 97224 SPCT $ 1.25 DEB 06/05/98 KING CITY
Phone #: 598 -6781
Contractor:
ENERGY MASTERS HEATING & A/C
6470 SW 76TH
26.25 TOTAL
PORTLAND OR 97224
Phone #: 244 -8880
Reg #..: 000585
REQUIRED INSPECTIONS
This per.it is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal 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 peruit will expire if work is not started Final Inspection
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 Nay
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
Issue , \`Jl_:dl /t / )yQ .A P e r m i t t e e Signature : Al
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 - 4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
_JUN- 05 -'98 FRI 01:19 ID: FAX NOi U074 P03
Plan Check #
'CITY OF TIGARD Mechanical Permit Application Reed By - 1'TU->e,s4 n./
13125 SW HALL BLVD. Commercial and Residential Date Recd <oJS "
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DS
Print or Type Permit It AWE- Dgo
• Called
Incomplete or illegible applications will not be accepted
Name of Otedeloprhornproject Description `
F. r &J Wl 0/Let. tie Table 1A Mechanical Code QTY PRICE wr
Job Street Adam' pit , i suite; A) Permit Fee 4)- 10.00
Address 15(95" ) QVeesoI /r Via,
Bldg* I C�trrstaOe 9p 1.) Furnace to 100,000 BTU 6.00
I fC, C_ Ott- e 77_2,1 Including duds &vents
Marne (or name of business) � _ 2.) Furnace 100,000 BTU* 7.50
Owner �(1 I'N CAA U t - including duds & vents
maims Address N 3.) Floor Furnace 6.00
15 i n/l) Q eii, U tc-VO vie. including vent '
Ry/Stste Tap Phone 4.) Suspended heater, wall heater 6.00
. t ( 17 2 7-4 _ 51$- (o I _ or floor mounted heater r
Name name euslneaa) 5.) Vent not Included in appliance permit 100
Occupant Mahn Address r - V' 6.) Boiler or comp, neat pump, air cond. 6.00
to 3 HP; absorb unit to 100K BUT' _
CttylState zip Pnono 7.) Boiler or comp, heat pump, air cond. 11.00
3-16 HP; absorb unit to 500K BTU"
Contractor Nam° B Bo iler or comp. heat pump, air sand. 15.00
et � i 9 li G 15-30 HP; absorb unitS-I mil BTU -
Prior to permit Mailing Address 9.) Boiler or camp, heat pump, air land 2250
issuance, a copy , - 74-7() '3 3 7 l7 30 HP: absorb unit 1- 1.75mi1 BTU"
ere all-licenses
required if C � nJ) () - 97 .3 Zip Phone " 244-V g 6 10.) Boiler , heat pump. air BTU" 37.50
> 50 HP; absorb absorb unit 1.75 mil BTU"
expired in COT �� Conn Card. Beard �' Exp�° 11.) Air handling unit to 10,000 CFM 4.50
database � '- o .. _ .
Architect N '"gg eF 13.) Non - portable evaporate cooler 4.50
PJ�_. ..
Or -7 wrig ,7 O 9 t \ 7 ` 0 14.) Vent fan connected to a single duct 3.00
Engineer c laten W 1 phone cry 15.) Ventilation system not included to 4.50 Mil
1 , D� - ?�Z3 l 2 �{� ob appliance permit
Describe work New 0 Addition 0 Alteration, Repair 0 16.) Hood served by mechanical exhaust 4,50
to be done Residential 0 Non - residential 0
Additional Description of work: 17.) Domestic incinerators 7.50
V po j4A 1 W}-t 16.) Commercial or Industrial type 30.00
Incinerator
Existing use of 19.) Repair units 4.50
building or property .
20.) Wood stove 4
•
Proposed use o f 21.) Clothes dryer. etc: 41.50
•
building or property .
22.) Other units 4
Type of fuel - oil 0 natural gas 0 LPG 0 electric 0 23.) Gas piping one to four outlets / 2.00
I hereby acknowledge that I have read this application, that the 24.) More than 4 -per outlets (each) ( .50
information given Is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with Oregon State O'f't'. SUBTOTAL
laws.
Signs L f 4iRJL f Owner /Agent Data "SUBTOTAL ^��
l T�"� r 5 , SURCHARGE o/1.
Contact Person Nam Phone PLAN REVIEW 25% OF SUBTOTAL
- '},, , 5 (10 e r r,/(. TOTAL 1
i:Vnechpmt.doc (rev 9 'Minimum permit fee is $25 + 5% surcharge
"Residential NC requires site plan showing placement of unit.
-
1 016-
(pr - f CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: , 0 — ° , ,, 1\M. . ;
�� i J Mk P.M. MST:
Location: • • A * / BUP:
Tenant: •�- Suite: � / B MEC: ° !
07
Contractor: �,f-1 Q A . �Z�ar� .
Phone: 0.--44 — S Q p 6 PLM: 4. a " • 4 —/
Owner: Phone: , ELC:
/ 111 • fl 6 4-� .A / ' ► � ' p ELR:
BUILDING BLDG (con't) PLUMBING ' CHANICAL ELECTRICAL TT
r SITE
Site Post/Beam Pos osvrseam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm 'urnace °') Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved • Troy • pp ov =•' Approved Approved
Appr /Sdwlk Not Approved `o • pproved `o • • 'roved Not Approved Not Approved
FINAL dijani. FINAL FINAL
/ 4l _ /// i ■ / /.I '
�' �— � 4iIrr
Of
•
O Call for reinspection O Reinspection fee of $ r uired before next inspection O Unable to inspect
Inspector: ii r ' L � 2 Date: (6 ti 2 Page L of
l