Permit CITY OF TIGARD
MECHANICAL
, ,, DEVELOPMENT SERVICES PERMIT
11 I ' PERM I T #
J - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 01/272
1 / 23 / MEC9 98 8 -0022
PARCEL: 2S115BC -08700
SITE ADDRESS...: 16710 SW ROYALTY PKWY
SUBDIVISION • ZONING:
BLOCK • LOT • 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 : 1 DOMES. INCIN: 0
:GAS 3 -15 HP : 0 COMM. 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: Pixley
Owner: FEES
LAVELLE PIXLEY type amount by date recpt
16710 SW ROYALTY PARKWAY PRMT $ 25.00 JSD 01/23/98 KING CITY
KING CITY OR 97224 5PCT $ 1.25 JSD 01/23/98 KING CITY
Phone #:
Contract or:
COLUMBIA HEATING & COOLING INC
PO BOX 230397
$ 26.25 TOTAL
TIGARD OR 97223
Phone #: 624 -2704
Reg #..: 000763
REQUIRED INSPECTIONS
This permit 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 Cooling Unt Insp
within 180 days of issuance, or if work is suspended for more Final Inspection
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: idgkil/ Permittee Signati e:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + ++ + + + + + + + + + + + + + + + + + + + + + + + + ++
JAN- 22 -'98 THU 14:08 I D: FAX NO: #038 PO4
Plan Check C
CITY OF TIGARD Mechanical Permit Application Recd By A_
13125 SW HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to OST l 2
Print or Type Permit 0 ,-n e 9 ? 0
Called
Incomplete or illegible applications will not be accepted
Name of Dew:do me Description
Aao j L.Q_ 1 ie NI Time 1A Mecnanlcel Cote QTY PRICE AMT
Job Street Address Suaeir A) Permit Fee •0- -0- 10.00
Address i ll p 7a) c5 M) e , ALry ps�ll� z lr .
Mead /stet t 1 Furnace to 100,000 BTU 6.00
� ing y l�i� 97 including duds 8, vents i ( 0 0 6 )
Name for name or en) 2.) Furnace 100,000 BTU+ 7.50
Owner , Q()e 1 I-Q ()(f )(4 11 including ducts 8 vents
Mailing Address ._,., 3,) Floor Furnace 6.00
/n'7/ 0 66t) i o yA1_ry 'Ph} ,ru» y inciudinn vent -
, GI r5taie ZIP Pnone 4,) Suspended heater, wall neater 13.00
9 r/ Ce ll ) /V 9i o -/94 or floor mounted heater
Nome for name e(buamess) 5.) Vent not included in appliance permit 3.00
6a n' .
Occupant Matllne Addreaa 6.) Boiler or comp, heat Dump. air rand. 6.00
to.3 HP: absorb unit to 100K BUT"
CityIStale Zip I Phone 7.) Boiler Or comp, heat pump, air rand. 11.00
315 HP; absorb unit to 500K BTU^
Contractor a 8.) Boiler or comp, heat pump, air cond. 15.00
(Prior to Iu m0la- i460-1 /)g 15-30 HP; absorb unitSl mil BTU -
issuance ,.-- M r/ aillno 9.) Boiler or camp, heat pump, air cond. 22.50
applicant "] . . x 3 )379 30-50 HP; absorb unit 1 - 1.75mil 131
must provide all CI Mate i zip P 10.) Boiler or Comp, heat pump, air cond. 37.50
contractor ci rd Die 97 Friona
? 50 HP: absorb unit 1.75 mil BTU"
license C!+eL � Cont. ttoard Lice Exp. Date 11.) Air handling unit to 10,000 C FM 4 . 50
information � °
for COT C T eusnaao an gr Metro a E.o. Oats -7) Air handling unit 10,000 CFM 7.50
database). ,3&t? 1 o -3 / -3/
Architect Neer• 13.) Non - portable evaporate cooler 4,50
or Medina Address 14.) Vent fan connected a single dud - 3.00
En9lneer Ciy/State Zip I Phone . . 15.) Ventilation system not included in 4.50
appliance permit
Describe work New 0 Addition 0 Alteration 0 Repair 0 16.) Hood served by mechanical exhaust 4.50
to be cone Resldentla1,6' Non - residential 0
Additional Desaiption of work 17.) Domestic indnerators 7.50
18,) Commercial or industrial type 30.00
Incinerator
Existing use of 19.) Repair units 4.50
building or property _
20.) Wood stove 4.50
Proposed use of 21.) Clothes dryer, etc. 4.50
building or property • •
22.) Other units 4.50
Type of fuel - oil O natural gas 0 LPG 0 electric 0 23.) Gas piping one to four oudeta
/ 2.00
I hereby ac knowleoge 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 QTY. SUBTOTAL
laws.
Signet
Oil f Oernerr . � Date -SUBTOTAL OC
�-. 55% SURCHARGE
I / �' >.. taAl2.o -c'ei . bc95
C • r -- rson N 7 - Phone PLAN REVIEW 25% OF SUBTOTAL
[ 1(1(21,011 rbli 1 f �. ri CC / .� (/ `� 2 I n ;
TOTAL
l U Y O a
e:ldst4nechpmtdoc (rev 9 'Minimum + rmit fee is S25 5% surcharge
arge
"Residential A/C requires site plan showing placement of unit.
•
1 5o$
• CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: _ J I'U,iYL4 / 3 ?� 9 U P.M. MST:
Location: / 4 4 _ / / -Z� /
' . L BUP: 1
Tenant: ,, l / / Suite: Bldg: MEC: 1 7n p — 0Q01c) -- -
Contractor: — y f GV �� /
�J Phone: �� () PLM:
•
Owner: sr . 1 /1 l _ �. : r1 / 6, Phone: � — I 98/ ELC:
Ir
ELR:
SIT:
BUILDING BLDG (con't) PLUMBING CHANICAL� ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam 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 urna : Temp Service MISC.
Masonry Ceiling Rain Drain ,0 UG Slab
Shear /Sheath Fire Spk1r /Alm Crawl/Found Dr :!*•" ... Low Volt
Approved Approved _rsroved Approved Approved
Appr /Sdwlk Not Approved Not Approved cirApproved Not Approved Not Approved
FINAL FINAL rITIViL FINAL FINAL
O Call for rein . , 0 i O Reinspection fee of $ r uir before inspection 0 Unable to inspect
Inspector: ►�. Date: ) 7E Page of
•
0
6 15
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: L A.M. > P MST:
Location: /(p 7/ O a BUP:
Tenant: Suite: ^7 Bl : MEC: �j�—D0c� c)---) Contractor: _A',�,L _ i , ` /JL. 1 L' Phon %- c- l 0 PLM:
Owner: Phone: ELC:
-CL. L� ELR:
SIT:
BUILDING BLDG (con't) PLUMBING IECHANICAL) ELECTRICAL SITE
Site Post/Beam ' Post/Beam Post/Beam 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 Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved A • .. Approved Approved
Appr /Sdwlk ' Not Approved Not Approved Ai of A.'roved Not Approved Not Approved
FINAL FINAL I''• .1 FINAL FINAL
1
5r-Q - Os -6 1 "
x, 26
D .,c C T S ■<)
'Cl/ki 'k -/ 7
0 01j2j`fir �e
• .
2
C \/ e(c C2 > .
6) 52---- .
ap -
Call for reinspectio O Reinspection fee of $ required before next inspection 0 Unable to inspect
Inspector: ` I Date: 3/ 2./b1q Page of