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12965 SW KING RICHARD DR.
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CITY OF TIGARD BUII-DING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — - —
BUP
--Date Requested > 00 AM— —PM — BLD _
Location .�` (C ' �1{��1 C •�1 -- Suite MEC 2C C i CL'C>�n 5
Contact Person _ i%'Q(1'�� _ Ph E_' - �/ Z C / PLM
Contractor Ph SWR
BUILDING Tenanti'7wner ELC
Retaining Wall ELR
Fooling Access: —�
Foundation FPS
Ftg Drain SGN — —
Crawl Drain Inspection Notes: --- ---- --
Slab ----------- --- SIT
Post& Beam -
Ext Sheath/Shear _
Int Sheath/Shear
r.awing -— - - - - - ------ ------ - -- ---- ------
Insulation
Drywall Nailing
Firewall
Fire Sprinl,ler
FireAla�in
Susr'd Ceiling
Roof
Final - -------
PA.3S PART FAIL - — ---------- --- ----
PLUMBING
lost 8 Beam --
I.Inder Slab
------ ----- -------
op Out
Water Service
Sanitary Sewer
Rain Drains .
Final
PQSS PART FAIL
ANICA �� ]FE
Post A Ream -- ------ ----
Rough n
(gas Line -- ---
Smoke Dampers
n -- ---- -— ----— -----
PART FAIL
EMCTRICAL
Servi-o
Rough In —
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL _._-_--
SITE
Backfill/Grading — - --"— —�—
Sanitary Gewer
Storm Drain ( I Reinspection fee of$—__ ._required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin ( ]Please c�ll for reinspection RE: _ ( ]Unable to .ispect-no access
Fire Supply Line
ADA �7
Approach/Sidewalk
Other Date _ -_- Inspector __—— Ext '
Final
!JABS PART FAIL DO NOi REMOVE this 1"sper..tion record from the job site.
CITYOF T I GA R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2000-00063
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/29/00
PARCEL: 2S116AD-20800
SITE ADDRESS: 12965 SW KING RICHARD DR
SUBDIVISION: KING CITY NO. 18 ZONING:
BLOCK: 25 LOT: 005 JURISDICTION: KIN
CLASS OF WO—K: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF !ISE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: _ BOILERS/COMPRESSORS _ HOODS:
Y FUEL TYPES 0 - 3 HP 1 — DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT. BTU 15 - 30 HP:
FIRE DAMPERS?: 30 -50 HP: REPAIR UNITS:
GAS PRESSURE: J0 + Hp. WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN >=100K BTU: <= 10000 cfm: 1 OTHER UNITS:
> 10000 cfrn: GAS OUTLET S:
Remarks: Install 1 electrical heal Dump <3hp; absorb unit to 100K BTU and 1 air handling unit to 10,000 CFM in single
family dwelling.
Owner: _ FEES
MARTIN, HARVEY C TRUSTEE Type By Date Amount RJceipt
12965 SW KING RICHARD DR F'RMT KJP 2/?_9/00 $50.00 KING CITYKING CITY, OR 97224 5PCT KJP 2/29/00 $4.00 KING CITY
Total $54.00
Phone: .— _ _____—�
Contractor:
D + R HEATING + AIR COND
PO BOX 1292
27251 S DAVE RD _ _ REQUIRED INSP_E_CTIONS
CANBY. OR 97013 Misc. Ins{rection 4Y`--
Phone: Final Inspection
Reg #: LIC 84489
ORIGINAL
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other appiicable laws All work will be done in accordance with approved
plans. This permit will expire if work is not Farted 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 co n of these rules or direct questions to OUNC by calling (503)241;-9189
Issue By: le� QA 1-�tQ-� Permittee Signature: ki—)
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
„ It y FAX;50j 639 3771 PAGE
Plan Check ff
CITY OF TIGARD Mechanical Permit Application Recd By
13125 5W HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 9722Datr to P.E.
.5 _._
(503) 639-4171, x304 Date to osT�- 4rL_
Print or Type Permit#�_.,_____
Incomplete or illegible applications will not be accepted Called -
r _ Nam°of DevelopnnnMoird Description
- — - Table 1A Mechanical Codea v City
Pritx Amt
6tfe°t AAAreuSuIlek
A) Permit Fee 16.00
Job rv- 1) rumaoe to 100,000 BTU
Address P�r S{t� _ includliajucts&vents see footnote 1,2
elduk 15fate 1p 2.) Furnace 100,000 BTU+ --- - -
_ including gwcis 6 vents see footnote 1,2 1200
Name(nr nam”of bushels) --J -� 31 Floor Fumace
includin vent see footnote 1,2 9,a5
Owner _"! �., -- - -
-(ylA4LL5C--- 4) Suspended heater,well heater
qll ng AddtCSE
or floor mounted heater_ see footnote 1,2 9 65
9�5 1� eM not included In a pliance erke 4,75
cnyB,.m� zip rhone — Check all that apply 'Boiler Heat Air
For Items 6-10,see or Pump Cond Qty Price Amt
ry/1t footnotes 1,2
NA
9r Come
a a of busln.sh)
6)<3HP;absoib unit to
100K STU 9.6 5
Occupant Mailing AddrZcs 7)3.11 HP,absorb unit
100k to 500k BTU — 17.65
TRS ---- .. - --
enynslete Tip pi,one 8)t5-a0 HP;absorb
unit.5-1 r )BTU 24,15
9)3"0 HF;absorb _
Contractor N°'re unit 1.1,75 mil BTU _ 36.00
10)>701IP;absorb unit —�
Prior in permit ^ ddrr,ts X1.75 mil BTU 60.15
Issuance a rr,py � Y_1dk � 11 Air handling unit to 10,000 CFM D
of all liwnsrx C /,tate Tia -Phnnc 7.00 _
--
are required d ?6;
__y7G1�_ X21 12)
Air
handling unll 10,000 CFM+
e.gxred In COT Oraganont N and or 0 Esp Oat 11.05
database: c� !d 13)Non-portable evaporate 000ler
1_.._. _. .� �. _.. 7.00
Architect
44)Vent tan connected to a single duct
4.75 _
orM"Ilt"o�dfe" 1S1 Ventilatlon system not Included In
epplian emlit 7.000
Engineer CiylSbd° Tiprn°n° 16)Hood served by niechar,csal exhaust
- 700
-----_ --- t7)Domestic incinerators
t7esctibe work to be done: _ 12.00
1 A)Gommeraal orindustrlal type incinerator
New O Repair O Replace with like kind Yes O No O A8,26
Residential, _Commercial O '
19)Repair units 8.40
Addlttonal Inforrnatbn or desruiption of work _ 20)Wood stovelges FPlother uniWelothe dryedelo.
7,00
NOTE: For Commercial praiccds only,Units over 400 lbs.require 21)Gas piping one to four outlets
See footnote 1 3,75
structural as calms __ __ _ _ - -J
--�- 22 Mare than 4-per out
eaclr� 75
Type of fuetf oil O natural gas O LPG o electric. _ �
Minimum Permit Fee 50.00 _SU13TOTAL
__..__, 13%SU_RCHAR_G_E 3 ^luta
I hereby edcnowledge that I have reed this application,that the information — PtAN REVIEW 25%OF SUBTOTAL
given is cnrieet,that I BillIhc: owner qr authorized agent of _
Required for ALL commVrcielrtniCs onlX 'R
-- --
the owner.lh.al autamitted ire in�r ptplinncA wifer Oregon State laws. TOTAI �)
ti
Date -- -- - -- -_• .-_
S� �e of Own n Other Inspections and reps.
eho�n /
f) 1. Inspections outside of normal buslnwrs hours(mininum charn. •two
hours) 550.00 per hour
t Name. 2. Inspescliont. for which no fee Is specifically Indicated (minimum
� ) / chargn-hall hour) 550.00 per hour
111 _- 3. Additional plan review required by changes,additions or revisions to
r- rs.or commercial project%only' plans(minimu•n charge-onn half hour)$50.00 per hour
1 Provide tui'schemafic of existing and Proposed gas line and pressure.
2 pravldr,druvvingr+to scale shrming ext,tirg and proposed mechanical "State Contractor Boiler CortifirAUon n-quired
units � _ -- ----- - -Residenliol AIC requires Rite plan showing plac?rpnt of unit
1V"echperm doc rev 7/19199