16430 SW KING CHARLES AVENUE I
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16430 SW King Charles
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CITY OF TIGARD BUILDING IN,9PECTION DIVISION MST
24.Hou,' Inspection Line: 639-4175 Business Lin,?: 639-4171 --
Date Requested I AMPM _ , l
Location—�..!'`^ L ��� :' � t uite _
Contact Person _ � Ph PLM _
t,untractor — — _ Ph SWR —
aUILDING 1enan,'Owner 1 L ELC —_
fie(-iining Wall —� ELR _
Foot ng `Access: ) t
Fou.idation �/f ,r��j FPS•;'/�
Fig Orain
Craw' Drain Inspection Notes: — --
�.r r r. SIT
Slab
I-.-- �,h, 1 -��
Post& Beam ! „
Ext Sheath/Shear ( �- :_
Int Sheakh/Shear ++yy Framing
losulatinn --
Drywail Nailing _
Firew•dl
Fire Sprinkler
Fire Alarm - --
Susp d Ceiling
Roof
M i sc: ----__-
Final
PASS PART FAIL
:PLUMBING -----�--- --
Post& Beam -- ---- --- -.- __— - ----
Under SIFb
Top Out
Wates Service
'oanitary Sewer --- - —
Rain Drair
Final -
-a RT FAIL
Post$ Bea ii A- _____---------
Rough In —
Gas line
Smo Dampen,
PASS , PART FAIL
EttPCTRICAL --- - ---- -
Service.
Bough In - - - - ---
UG/Slab
1.ow Voltage
Fire Alarm
------- --------
�Final --
PASS PART FAIL
SITE __ — _-------_---___.
Backfill/Grading ._. -------
Sanitary
--Sanitary Sewer
Storm Drain ( I P6nspechon fee of$ required before next inppection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( J Please call for roinspection P ------ _ ( Unable to inspect-no access
ADA
Approach/Sidewe'k 1
Other Date O Inspector (�.t,''1�L `�._� Ext
Final —
PASS PART -FAIL 00 N07' REMOVE th?s inspection record f��om the job site.
MECHANICAL
CITY OF TIGARD PERMIT
DEVELCMEN 'FRVICES
', PERMIT #. . . . . . . : MEC98-0483
(3125 SW Hall Blvd.. Tionru,OR,0?223(503,1639-41:1 DATE ISSUED: 10/2'9/98
PARCEL: 2S11JBLA--06900
.)ITE ADDRESS. . . : 16430 SW KING CHARLES AVE
SUBDIVISION. . . , : ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDIr'fION- KIN
------------------------------------------------------------------ ------------------------
CLASS OF WORK. . :ALT F'-OOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USF. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . 0
OCCUPANCY GRP. . - R3 VENTS W/O APDL: 0 VENT SY'!.TEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL 0-3 HP. . . . 0 DOMES. INCIN: 0
-1c HP, . . . 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS.- 0
FIRE DAMPERS". . .- 30-50 HP. . . . : 0 WOODdTOVES. . : t
GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS------------ AIR HANDLING UNITE OTHER UNITS. : 0
FURN ( 100K BT!J: 0 <= 10000 cfm: 0 GAS OUTLETS. . Q)
FURN ) =100K BTIJ: 0 > 10000 cfm: 0
Remarks : Installation of wood stove.
Jwner: FEES
STEVE SANDERS type amount by date recpt
16430 SW KING CHARLES AVE PRMT $ 25. 00 DEB 10/29/98 KING CITY
KING CITY OR 97224 5PCT $ 1. 25 DEB 10/29/98 KING CITY
Ph ine #:
Contractor:
THOMAS BISHOr,
12195 SW CANYON RD ---------------------------------------
GTE 30 $ 26. 25 TOTAL
1.1EAVERTON OIR
Phooe #: 626-4652
Reg 0. . . 000546
REQUIRt-D INSPECTIONS
This permit is issued subject to the regulations contained in the Woodstove Insp
ligard Municipal Code, State of Ore. Specialty Code! and all other Misc. Inspection
applicable laws. All work will be done in accordance with Final Inspection
apprML plans, This permit will expire if work is not started
within 186 days of issuance, or if work : ispended for more
than 180 days. ATTENTION: Oregon law requires you to follow rules
adeptpd by the Oregon Utility Notification Center. Those rules are
set forth in DAR 952-001-88W through OAR 952-MI-W You may
obtain copies of thess rules or direct questions to LIK by calling
1503)246--9187.
T ssi-teAd
Per Signati.tre -
7
+++++++•++•+++++++++++++++++++f•++4 +++-4-++++4•..............4........4.........4......
Call 639-4175 by 7100 p. m, for inspections needed the next business day
...... 4-+++++++-,-4+4-+4...........I....................4--+-�+++4-+++++++4........... I
- - Oc -19-'9R THU >.O:4F ID: FAX NO: #09R 1`102
Plan Check0
CITY OF TIGARD (Mechanical Permit Application Rec'd By
13125 SW HALL BLVD. Commercial arid Residential DateRee'd_ iipa"1�-�
TIGARD, OR 97223 Date to P E-
(503) 639-41711, x304 Date to DST
Print or Type Permitsya-O`l
Incorr Mete or illegible a plications will not be accepted Called
r' —T Nente 7 0e,alopment/Prulec. Description
Table 1A Mechanical Code Qty Price Amt
Street Adams 8ue•- — A Permit Fee 10.00
Jot, // _ 1) Furnace to 100,000 BTU
Address J �, s�, Cale !(aA
Y_ _ �_. lncludlngputts 6 yenta 5,00
Idea
TRY/state Zipj Pomace 1001000 BTU+
Including ducts 6 vants 7.50
Noma for nixing or bustnessj 3) Fluor Furnace
Owner I, Including vent 6.00 `
'J •—_ -' (— ` -�-S�M��` 5—- d) Suspended heater,wall heater Y
Malang Aue'pe' / or floor mounted heeler _ 6 00 '
I(,1('3 ' 5'4-) e!r0, Cy 4R4C-. f3U_ 5) Vent not included in apallance permit w
! City151a1g Zip Phone _ 3.00
C'(T1 v/t- n��?Z `t87) CHECKALI.. •SeHear Air
_ ------- THAT APPLr. orller Pump Gond Ory Price Amt
tJaT�tOr nARlg of busMeee) �.
J✓I r.- �! li)<3HP,absnrb unit to
Occv,t M*RWV Addross 100K BTU 6.00
7)3-15 HP;ebsorb unit—
CNyr9lgrw Ph— 100k to 500k STLI 11.00 _-
8) 15-30 HP;abeorh
unit 5-1 mil BTU _. 15.00 —
rf)n t N•,•• 1t 9)10.50 HP;pbsort)
-rcpt fJlSiAQ� unit l•1,75md9TL
Pnrr in permit Maiiinp Addriss -�� 10)-50HP;absorb unit
! tonuiance,a copy / 'OISU T"t�/IR i"'� �� X1.75 mil STU 37.5
of allliov�paea 7G /@tale .�_ � __.3rZb Phone 1 i�Akir hi—ndh—mg unit to 10,000 CIF
��,�
a .requRed K OrwgnF or�tS9M�rd L Exp Date �12)Air handling unt 10,000 CFM 4.50C1 1
.SoI pired in COT ' —
d_atnbaso
Architect Neme 13)Non-portable evap9ratft coater
4.50
91. M�i1MgAddreee 14)Vent fan connected to a sing7e uct r _ 3.00__
_ 15)Ventilation system mol included in
Englneer ca�rsmm:--- Zip Phone appliance permit _ 4.50
e7
16)Hood served by mhanicai a waust
4 50
Doscrlbe work to be done. - - - - - --
17)Onmestic Incinerators
New O Repair O Replay;wttn like kind Yes O No d _ T So —
RyUldential O Commeirial O 1 R)CDmmerclal or Industrial type Inrineratof
30,00
Additional information or description or work' 19)ltepalr unlrs
1,4J .S ,?!l l( CiJ u v o,S7r v ver- 20)Wnod sh'v //
4.1-10
4.50
Type of fuel oil O natural gas O I_PG O electric O 22'Other unit
4.50
I hereby acknowledge,th�have read this epplicatinn,that the Information 21r)f_rao Piping one to four outlets
green is coned,that i am the owner ur authorized agent of w — 2.00
the awner,that plans submitted are in compliance with Oregon Slate laws 24)More then A-per mullet(each)
,50
Slnnahlre off OwnerlAgent Pate � �
/ Minimum Permit Fee$25.00 SUBTOTAL
AT
5%SURCHARGE
Cn tact Person Name -! F'honn — PUN REVIEW 2514 OF SUOTi�TAL
raj J Ra�ulred for ALL commeiclal petmiL onl 7
TIJTAI }/p
"-" ——�--- •State Bailer Certification req-'red
"Rmaidentiel A1C requires fits pier showing ptaremenl if unit
I Vnecbperrn doc raw 07/20195
CITY OF TIGARD MECHANICAL
DEVELOPMENT SERVICES PIERMIT
... 13'25 SW Hall Blvd., Tigard,OR 97223(503)639-4171 I=CE RMI'T #. . . . . . . : MEC98-0466
DATE ISSUED: 10/19/98
PARCEL.: 2S115BB-06900
SITE ADDRE=SS. . . : 16430 SW KING CHARLES AVE
SIJBD I V I61 ON. . . . : ZONING:
BLOCK. . . . . . . . . . .I I LOT. . . . . . . . . . . . . JIJRTSDICTION: KIN
CLASS' OF WORK. . .,AL-*T FLOOR FLJRN. . . . : 0 EVAF., 1,'OOLERC: 0
TYPE OF L)SE. . . . :SF UNIT HEATERS. . : 0 VENT* FANS. . . : 0
OF,CUP,AN(,'Y GRP,. . : R3 VENTS W/CJ APPIL: 0 VENT SYSTEMS: 0
if -E:3. . . . . . . . . 0 B0IL.ERS/COMF,RFqr,'0R5 HOODS. . . . . . . : 0
TYPES— 0-3 HP,. . . . : 1 DOMES. INCIN: 0
& 3-15 HP. . . . : 0 CO1MI_. INC:IN: 0
MAX INPUT: 0 BTLJ 1.5--:30 [471. 0 RE--- -,AIR I-Jl\,I:ITS- 0
FIRE DAMP,E RS'?. 30-50 HP,. 0 WO3DSTOVES. 0
GAS PRESSIJPE. . . 50+ HP. . . . 0 f,'I_9 DRYERS. . : 0
NO. OF UNITS------------ AIR HANDLING UNITS UTiiER LJNITS. : 0
F(JRN ( 10011, BTLJ: 1 10000 cVm : 0 GA'-� 0L.ITLETS. : 0
TORN ) =1210K STLJ? 0 10000 rf`m - 0
Reinar-ks . Installation of gas furnace 9 A/C (replacements).
Owner-: --------------- FEES
STEVE SA1\1I)ERS type a in 0 1.1 ill t by date I.-ecpt
16430 SW KING CHARLES AVE PIRMT $ - 5 111101 0 1,1,71/1.9/98 IJIJ\JG CITY
KING CITY OR 9722 5VICT $ 1 . 25 S 10/1.9/98 KING CITY
Phone #:
Contir-actor-:
SPIEClALTY HEATING & FPPRIC'ATIO
'4528 SW TIGARD ST --------------------------------------
$ 26. 25 TOTAL
'TIGARD OR 97223
Plhorip #: 620-56,'11",
Reg it. . : 006657
REDIAIRED INSPECTICNS
This permit is issued subject to the regulations cont,^inpd in the Mechanical Jnsp
Tigard Municipal Code, SttF of Ore. Specialty Codes and all otter Misr.. Inspect ion
app)icabl@ laws. All work will he done in accordance with Final Inspection
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than IPA days. ATTENTION: Oregon law requires you to follow rules
adopted by ',np Oregon Utility Notification Center. !hose rules are
set forth in DAR 952-01-NIO through OAR 952-AAI -0080. You may
olitair copies of these rules cr direct questions to OUNC by calling
1503)246-9187.
5 5 Lk e B y
4.++++++++++++++++++++++++++4++++++++4•+++i•++-F+.++4-++4.+++++.i-4-+++++++++++.++++i..+
CaIl 639-4175 by 7:00 p. m. for inspections needed the next bi-isiness day
++++-1-4•+4•++++4•+++++++•4 4•+4•++++++4 4 4.4•+++++4•+++++++++++-+++4-4....4.+++++++++++4•+++++4
- -OCT-19-'98 MON 10:9e ID: Fnx No: 4088 PLL'
Plan Check#
CITY OF TIGARD Mechanical Purnit Application Recd By
1312.5 SVI HALL BLVD. Commercial avid Residential nate Rec'd_1__A_1-_Tk
TIGARD, OR 97223 Date to P.E_
x,503) 63,3-4171, X304 Data to OST
Print or Type Permit --
incor lipletc, or illegible applications will not be acoeptcd Called -
- ---�— Name of DeveloprtaArftlPM act Description —r—
Tahle 1A Mechanical Code _ of Price Amt
1000
Job ajtreaa Ada,oas 9u8eA ---- ---
1) Fumacs!to 100.000 BTU
Addrass L 4, U _. ✓�° . _inch din ducts events - 6.00
1314" ciryr9wo � zip -2) Furna, 100,000 BTU+
�� C'L _ ducts vents_ 7.50
U04including---R--s —--___ --
- Name int nanW.or ouslness) 3) Floor Furnaum
Owner S t e.Ve S --_- --- includin vent �-
4) Suspended heater,Wal heater
Mailing or floor mounred heater _ 6.00
I
U' n �/(� I Vent not Ineludr�in appliance pamtt-lam -
Ce r.'lela Z�p�-- Phone 3.00 ----
1..a(,{, 97.Ij rr yL 77 C HL;_K/ALL 4oiler Heat T Air THAT APPLY' of Pump cond Qty Price Amt
Nenx( Horne of Misiness) Com
<3HP;ab»erb 1.10 to r
Occupant Milling AdJmss 100K BTU — - - 5.00
7,3-15 Hp:absorb unit
--- 100k to 500k BTI.I 1100
tatty/^u:d,e
"In Phan« _— --- ---_— - ---
e)15-30 HP.absorb
unit.5-1 mil BTU 15.Oq
Contracto__r NB^' 9)30-50 HP;absorbT
r- WlLt nA _unit 1-1.15 mil BTU L2,50
r ii,r kl permit M Ing Address J-/ -- -- 10)>50111";absorb unR --- -
c' J C >1 75 n ll BTU
fnruance,a copy ) � S ( (_ _
of all���nse, %AylDtelc zip [I '""'« -11)Alr handling unit to 10,000 GFM a �0
are ll IICAred If ! ` r - 1 -
ezpirs+e In GOT eonrl cpm ecaM ue- w e�. D 12)Air handllnp unit 10,000 CFM+
rtatshnna7 50
— T--
- Nerne /�� 13)Non portable evaporate aooer�
Arahltcact �� 450
or Malting Addre»o 3,00
15)ventilation system not included in
Engineer Clryrs+ate zIp _amrliance permit
10) ieorl served by meu-hanic al exhau.-,l
4.50 -
be-scribe work to be -
17)Domestic incirierefnrs
New O Rep91r O Replerrl with like kind: Yes No O 1a)Commercial or Industrial type inelnarster
RHalger111a1� CurnrtN-rcial O 30.00
- -_-- --- - 19)Repair units -
Nuditiorfal inf: rn
aration or dosrriptiorn of work _- 4.50
Tta,�W v Yl O t^ ��� �LC/'n.a Lt� 20)Wood alovr,
} q.50
I L R.P,.P1/U1y1v 21)Clothes dryer,etc 4.50
Type of rual. oil O nalufgl qes LPG O eNactnc O 22) �aar units — ��— - - _
4.50
I hereby eJtnowledge that I have 5aA this application,that the InfonnRliun eutlsE
23)Gas PIf�n9 nna to four
7.00
given ie caned,that I am the owner nr authntized agent of
the owner,that plans submitted are in complisn m with Oregon State law, 2q)More than 4-per P outlet(each)
---
Ripnature of UMmegAgont Date
� Minimum Perm it fee$7.5.00�- SUBTOTAL
1 V A LIAL,& f< d/ (` I 5%SURCHARGE
', - Phone PLAN REVIEW 25°,4,OF SIIRTOTAI
Contact Person Name
Required for ALL commercial pa►mllx nnllr
JTOTAL� - -I � t
'Brute Contractor Boiler Certification mquirbd
"Residential AIC mquires site plan showino.placement of unit
I"echpertn.doc rev 07/20/98