Permit CITY OF T I G A R D MECHANICAL PERMIT
40 P,10 DEVELOPMENT SERVICES PERMIT #: MEC2000 -00318
�`�'`III- 13125 SW Hall Blvd., Tigard, O R 97223 (503) 639 -4171 DATE ISSUED: 08/04/2000
PARCEL: 2S 110CA -01600
SITE ADDRESS: 15355 SW ROYALTY PKWY
SUBDIVISION: ZONING:
BLOCK: LOT: JURISDICTION: KIN
CLASS OF WORK: FLOOR FURN: EVAP COOLERS:
TYPE OF USE: UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: 1 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 OTHER UNITS:
FURN > =100K BTU: 0 < =10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Absorb unit 3 -15 HP, 100 -500 BTU
Owner: FEES
KING CITY CIVIC ASSOCIATION Type By Date Amount Receipt
15245 SW 116TH PRMT JMT 08/04/20C $50.00 KING CITY
KING CITY, OR 97223 5PCT JMT 08/04/20C $4.00 KING CITY
Total $54.00
Phone:
Contractor:
MILWAUKIE HEATING + COOLING
9961A HWY 212
CLACKAMAS, OR 97015 REQUIRED INSPECTIONS
Misc. Inspection
Phone: 557 -5562 Final Inspection
Reg #: LIC 104102
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: /� /I ; ;t Permittee Signature: _i- No If ._
Call (51 639 -4175 by 7:00 P.M. for inspections nee. d the next business day e ��
JUL -31 -00 M()`i 09:51 AM City of King City . FAX :503 639 3771 PAGE 2 . •
Plan Check # • • •
CITY O F TIGARD • • Mechan P ermit Application ' Rec'dBy Q.AZIr -'t
•
13125 SW HALL BLVD. Commercial and Residential • Date Redd 1 -3l-O0 •
TIGARD, OR 97223 . . Date to P. rA
'3 L
(603).639-4171, x304 - Date to DST Permit # flhi o 3( 8
.. Pr int or Type • Called • •
Incomplete or illegible applications •
wi no be accepted
• .Name of Devetopment/Projed Description ' • .
Table .1A Mechanical Code Oty Price . Amt
• ' A) Permit Fee • , i:": ; . ' 16.00
Job &veer Address ' 1) Furnace to 100,000 BTU
Address SS d ,/} L t ,_ • • including ducts & vents see footnote 1,2 9.6_ 55 __-•_
• wars CrtYlsr a Zi p 2) Furnace 100,000 BTU+ .
•
,y i l C 1& y )e 9 including ducts & vents .see footnote •1,2 - 12.00 ,
Name (or name of business) 3) Floor Furnace
nn including.vent • see footnote 1,2 '9 -65
Owner 4� dtG' �i)A 1 ��I 4) Suspended heater, wall heater'
• mail. or floor mounted he see footnote 1,2 9.65
/5.3 6 .(e f f • 4 . � •
5) Vent not included in appliance permit 4.75 .
City/State ' . Zip Pty) q • . • Check all that apply: 'Boiler Heat' Air
K l i S'1a 4 /� n/ &s .��✓ For items 6 -10, see • or Pump Conti Oty - Price Amt
�A me of bats
Name `t w . footnotes 1,2 • Comp
. . .• . ' .6) •<3HP;absorb to
• 100K BTU • • • • • • 8.65
Occupant. • Mainng Addiess 7) 3 -15 HP;abs.orb unit 17.65 • • . , 100k to 500k BTU • • f
8) 15 -30 HP.; absorb
City/State Zip.. Phone ) 24.15
unit ,5 -1 mil BTU •
9) 30 HP; absorb • .
Contractor . . • unit 1 -1.75 mil BTU • • • 36.00'
I! 1 1 I.1JA11�K 1e_ 1 4sea,/ -.I 10) >50HP; absorb unit
Prior to permit g Address . >1.75 Mil BTU • 60.15 •
Issuanar: a copy y aSm X 21 ( . • 11 Air handling unit to 10,000 CFM
of all licenses . C l5tate� Zip . • Phone 7 -00
are required if ] IL✓AciLete i ` . . . .12) Air handling unit 10,000 CFM+ . . .
. .
expired in GOT Oregon Const. Cent Board LIc.B Exp. Date ' . _ .11.85 •
• database • • ' /0 /Q 2' ' • 13) Non - portable evaporate cooler .
Architect Name . • 7.00 •
14) Vent fan connected to a single duct
4.75
Mailing Address
Or 15) Ventilation system not Included in . •
• appliance permit • • .. . • 7.00
Engineer • c h' / • . Zi p 1 PhO11e 1 6) Hood Served by mechanical exhaust • • 7.00
•
1 . Describe work to be done: 17) Dorriestic Incinerators
12.00 •
Newt) Repair 0 Replace with like kind: Yes. a No O • 18) Commercial or industrial type Incinerator .
•
d825
Residential o t,ommerdal O 19) Repaits •
• r uni . 8.40
Additional information or description of work: 20) Wood stove /gas FP /other units /clothe dryer /etc: • 7.00 •
NOTE: For Commercial projects only; Un its over 400 lbs. require 21) Gas piping one to four outlets
structural gas talcs.
. Sea footnote 1 3.75
,75
Type of fuel: , oil 0 natural gas 0 LPG 0 electric O 22) More than 4-per outlet (each) . .
Minimum Permit Fee $50.00 • SUBTOTAL ` .; -7 OgeralC51 00
I
8% SURCHARGE i' :;i,�t• : �,, ; �., , LT'. •
hereby acknowledge that I fiave read this•application, that•tha information ' W 25 OF SUBTOTAL - jH . •.' ��;; � -tgs •" 4 :, • given Is correct, that I am the owner or authorized agent of . PLAN REVIEW 25% �' • •
Required for ALL commercial permits 'only ::; ta s.
the owner, that plans submitted are in compliance with Oregon State laws.' TOTAL .F -e .4.N ,.1•.`.4.14' a"
Sign. %'re of • g nt Date . . pt her inspections and Fees:
�.�� >�. -- • , ��� /0� 1. Inspections outside of normal business hours (mininum charge-two
�� -- hours) $50.00 per hour
•ontactl'� on Name Phone 2. Inspections for which no fee is specifically indicated (minimum •
........01 4 / 0 � ' • 57 -3-76-4.2_, ' Charge -half hour) $50.00 -per hour •
eR2 .. . 3. Additional plan•revlew required by changes, additions or revisions to • Foonotes • r commercial projects only: • • plans {minimum charge -one -half hour) $50.00 per hour
1. Provide full schematic orexisting and gas line and pressure:
• 2. Provide drawings to scale showing existing and proposed mechanical . 'State Contractor Boiler Certification required
units. ' ''Residential A/C requires site plan showing placement of unit • • • •
1:4nechperm.doC rev
• 7!19199 • . . • • •
•
CITY OF TIGARD BUILDING INSPECTION DIVISION M T
r2 4 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
UP
Date Requested ?-11 AM PM BLD
Location /5 5 5 "' Aya y Patl( r Suite _ 2 i -c/&
Contact Person / r Ph $.i 7 5 S � PLM
Contractor J h Ph (,3f'/ &) SWR
BUILDING Tenant/Owner CAA)) (/ d L . ELC
Retaining Wall ELR t
Footing Access: �1
Foundation FPS .t /
Ftg Drain SGN MOW
Crawl Drain Inspection Note • y
Slab
Post & Beam 7
Ext Sheath/Shear IO
Int Sheath /Shear ,W �r
Framing
Insulation ( `
Drywall Nailing ° \ -"
Firewall
Fire Sprinkler •
Fire Alarm �� y c(_ S \ 4-cc Y 17
Susp'd Ceiling (. �¢
Roof
Misc:
Final _
PASS PART FAIL
PLUMBING
Post & Beam d vV
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS FAIL
CHA
Post & Beam
Rough In p A ! �
Gas Line r U
Smoke Dampers
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 Date ' 1 1- 7/O � Inspector \� Ext
Other L
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.