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16500 SW KING CHARLES AVENUE-1 C 5N Z Y^I 6 J 2 D r m a m 16500 SW KING CHARLES A\/E. MASTER PERMIT CITYO F TI G A R D PERMIT#: MST1999-00403 DEVELOF'flIIENT SERVICES DATE ISSUED: 11!2311999 13125 SW fall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 16500 SW KING CHARLES AVE PARCEL: 2S115BC-04900 SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: K114 REMARKS: Remodel existing dwell'ng, (bath, kitchen, closets). BUILDING —_ REISSUE: STORIESFLOOR AREAS REQUIRED SFTBACKS - REQUIRED CLASS OF WOR . T HEIGHT: JIRST: at BASEMENT: at LEFT' SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: SECOND: at GARAGE: at FRONT: PARKING SPACES: IYPE OF CONST' hN OWELJNG UNITS: FINBSMENT. at RIGHT: VALUE: S 7 700 on 0,,..JPANCYGRP: R3 BORM: BATH. TOTAL: at REAR: PLUMBING ._ — TRAPS: SINKS: t WATER CLOSETS WASHING MACH: LAUNDRY TRAYS- I RAIN DRAW: LAVATORIES' DISHWASHERS' FLOOR DRAINS' SEWER LINES SF RAIN DRAINS: CATCH BASINS: TUBISHOWERS. _ GARBAGE DISP: WATER HEATERS: I WATER LINE 1; BCKFLW PREVNTR: GREASE TRAPS: 01 HER FIXTURES. MECHANICAL FUEL TYPES FURN<TOOK'. boll/CMP,3HP. VENT FANS: CLOTHES DRYER: HOODS OTHER UNITS. I r;n; FURN>=TOOK: + �INIr HEATERS: MAK INP: hlu FLOOR FURNANC ES VENTS: WOODSTOVES'. GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS _ MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS 0 200 amp' 0 - 200 amp' W!SVC OR FOR: PUMPIIRRIGAI,ON'. PER INSPECTION: EA ADD'L,OOSF' 201 400 amp' 201 400 amp: tat W/O SVCIFDR: SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 000 amu: 401 500 amp: EA ADDL RR CIR- SIGNALIPANFL IN PLANT: MANU HMISVCIF DR: 601 1000 amp: 60/4ampa-1000v: MINOR LABEL. 1000.amplvoll: PLAN REVIEW SECTION �— Reconnect only: > . CLS AREAISPC OCC: >=4 RES UNTi S: SVCIFDR>=225 A.'. 000 V NOMINAL ELECTRICAL•RESTRICTED ENERGY B.COMMERCIAL �— A.SF RESIDENTIAL --- C!IDIO&STEREO VACUUM SYSTEM: AUDIO&STEREO' FIRE ALARM INTERCOMIPACING'. OUTDOOR LNDSC L1: BURGL AS ALARM' OTH BOILER' HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNI.. GARAGE OPENER CLOCK: INSTRUMENTATION: MEDICAL- OTHR: HVAC- DATA/TELE COMM" NURSE CALLS. TOTAL M SYSTERIS: TOTAL FEES: $ 312.80 Owner: Contractor: This permit is sublet;to the regulations container',in t le IRENE GOLDSMITH SHADLE 8 OMUNDSON IN; Tigard Municipal Code.Stale of OR Specialty Codes and 15500 SW KING CHr.pLES 16b55 SVV 129TH AVE all othr,,applicable laws All work will be done it KING CITY,OR 97224 KING CITY,OR 97224 accordance with approved plans This permit w,'i expire if work is not started within 11`0 days of issuance,of -f the work is suspended for more Llan 180 days. Al TENTION Phone: Phone. Oregon law requires you to follow rules adopted by the Oregon Util ty Notification Conte Those rules are set Rey a' 11C e,rn, forth in OAR 952-001-0010 through 952-001-0080 You may obtain copies of these rules or direct questions to OILING by calling(503)246-1987 REQUIRED INSPECTIONS _ PLM/UnderilDor Mec'lanical Final ^� ORIGINAL Mechanical Insp plumb 1=1nal Plumb Top Out Final inspection Electrical Service Gas Line Insp `.� i%� �C�C Permittee Signature Issued By:.r,..L_ — Cal (503) 639-4175 by 7:00 p.m. for an inspection needed the next businmss day CITY OF TIGARD Residential Building Permit Application Plan Che /off T3125 SV'I HALL BLVD. Alteration - interior Only Recd By A / � Date Recd � — " TIGARD. OR 97223 Single Family Detached or Attached 'Duplex) Date to P E /5 V 503-639-4171 Date to DST 1 a Y 3 �T F 5n'1-684-7297 Permit# Print or Type Called -004,L u# Incomplete or illegible applications will not be accepted 4-a3 Name,,i Project i --�-- game Job Architect Mailing Address Address Site Addr ss ^— ----— Jv� �f, ret City/State Zip Phone yp rr L-0 - Owner Mailing Address -� Name Phone Mailing Address City State zip Phone , r City/State4onRepais- Phone Jame� A lAV�L" c� Contractor �� Describe work New O Addition O AlterO Maili Address to be done _ Prior to permit , 4y'�� m Additional Descriptio r1 of Work: issuance,a copy City/State of all license., f are required:f regon Const Cont.goarJ Exp.Date PROJECT / expired in GOT Lie.# O VALUATION I �-�fj database O .7 `,} O Mechanical Name NEW CONSTRUCTION ONLY: sLln- G-IIJ 61 �'I Ni r1. Sq Ft. House -- Sq. Ft. Garage Contractor Mallir�g ddr�efia ) _ � Prior to permit < � �2 IV VV Tj� ) Indicate the restricted energy installation;y the electrical issuance,a cor y �atyl5tate f Phone subcontractor in the following areas of all licenses Restricted Audio/Stereo are required if Oregon Const.Cont.Board ><p. Date Energy I System FTAlarms_ expired in COT Lie# I 4� ^/3 Installations \i^Z.uum Irrigation database_ System Plurrbing ( Name (check all that Other 0 ate) _ Contractor "ailing AddrPis Corner Lot YES NO Flag Lot YES NO p 1 I (check one) (check one) - �\ 'V Has the Subdivision Plat recorded? N/A YES NO 1'rir r to permit �11tete 4 �,r, Z!P Phone !�L issuance,a co 1511 L Solar Compliance 11 of all I enses are Oregon Const,Cont.Board Exp.Date (Calculation Attached) required if Lic# r / //,^ expired in COT /�'(T✓ I/ I hearby acknowledge that I have read this application, that the database Plumbing Lie.# Exa Date information given is correct,that I am the owner or authorized agent of the owner,and that plans submitted are in compliance with J Oregon State laws T NameO yj — i ture of n ylk DatElectrical C�-( ��;�� 11� ��� Sub Mailing Address --- Contact Prson Nam — P r -# Contractor POR OFFICE USE ONLY: City/State Zip Phone C�; Plat#: _ MaplTL.#: Prior to permit issuance,s copy Setbacks: -- —--- Zol re — Solar: of all licenses are Oregon Const.Cont Board E .Date requ!red If Lie.# JKt��({ expired in COT ,� I I _ �q I VU Engineering Appro-al Planning Approval: TIF: datebase Electrical Lie.# y,Iii 3 .SI Exp Dae c r D Electrical Spee,visor L'ie._# Exp. ate i formstafintalt doc(DST) 10/23/98 CITY OF TIGARD BUILDING INSPECTION DIVISIONsT—j 24-Hour Inspection Line: 639-4173 Business Line: 639-4171 ----° BUP Date Requested ?�(. .� _AM _PM CLD ` Location- ��� � � a4 C061 LZ,-.,7 _ Suite � � MEC Contact Person 1 Ph ',"6 PLM Contractor Ph SWR ---- BUILDING Tenant/Owner ELC — Retaining Wall do ELR _ Fooiing Access: Foundation Lk 16 C R.. FPS Ftg Drain SGN slat, SIT -;rain Inspection Notes: - SIT Pcst&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywal' ^fling _-- - --- --- --- - - Firew -1 Fire SI m .'�,-r - Fire Alarm Susp'd Ceiling ----- - --__—_-.- -- - Roof Mise Final PASS PART FA!r_ r os am —• ---- --- --- Under Slab Top Out _ Water Service Sanitary Sewer Rain Drains I ALi PART FAIL ECHANICAL Post & Bram - - - ------ - - --- --v�.-. --------- Rough In _ -- ---- Gas Line --- --- Smoke Dampers Final --- - - - _. - ---- ---- - -- ---- —----------- --- PA SS PART FAIL ELECTRICAL �{ ----- Service - _- Rough In Ufa/Slab Low Voltage Fire Alarm -- - -- ---- -- - - -- Final PASS PART FAIL ---_.___--_____-.-----._ --- _-- ---_--- --_.__ --SITE Backfill/Grading �------ -------------__--- ---- ---------- Sanitary Sewer Storm Drcin I J Reinspection fee of$- _ _ _ required before next inspection. Pay at City Hall. 13125 SW Hall Blvd Catch Basin ( ] Please call for reinspection RE _ _ ( ]Unable to inspect- no access Fire Supply Line - - ADA ! Approach/Sidewalk ,// ! w Other Date -- _ -_-- _ D__..._—_Inspector / __-- —_Ext Final ---- /� PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION A S. 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _ Date Requested_ 7 Am. __PM BLD Location _6 r` t ! Cin ( /, Suite MBC _ --—1 --- Contact Person _ J�I t'Yl Ph `1 (� �� S(�j PLM — Contractor 6k - c" _ Ph `->�?Z-S 7�1� _ SWR _ BUILDING Tenant/Owner _ _ ELC Retaining Wall ELR Footing Access 1`�nunriation i i Drain 1L1.-P Vv\/ty �-VA FPS o I Dram inspection Notes: CI �; n�/J �� SGN �Idb ._ 1 l l / it _ SIT Post& Beam _ _ Ext Sheath/Shear / r Int Sheath/Shear Framing Insulation / Drywall Nailing � Firewall --� -----__.__-------_____-----------_--- Fire Sprinkler Fire Alarm _ .-__----_- -- Susp'd Ceiling -- ------ -----. ---- -- __ --------— -- Roof Misc:Final PASS -- -- .—�. PASS PART FAIL - ---- -- - - - -- - -�_ - — Pl-UMBING Post& Beam Under Slab Top Out _ Water Service Sanitary Sewer Rain Drains Final - - PASS PART FAIL MECHANICAL - -- _ ust& Bearn - - - - Rough In Gas Line - -- —-- Smoke Dampers Final -- - PASS PART FAIL Service y Rough In - - UG/Slab Low Voltage — - - Fire Alarm AS ART FAIL Backfill/Grading ---- Sanitary Sewer Storm Drain [ ) Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Please call for reins ection RE - ___ Fire Supply Line [ ] P ( ] Unable to Inspect-no access ADA Approach/Sidewalk Other Date 3 7 da _ —Inspector ,� .. Ext Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIGA,RD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested �51 ,ZW-) AM PM BLD Location f✓ . `7` 1r} lL'� �, Suite MEC' F COU ©�j Contact Person ,�I (Y1 PhG_ ��a -��.� / _�( PLM . Contractor Ph SWR ILDI Tenant/Owner _ ELC ete»n;ng Well ELR Footing Access _ `-- Foundation FPS Ftg Drain - ---- Crawl Drain Inspection Notes'. - SGN Slab - -�_ '! 1'! f� -—L I��dA SIT ---`-�.-- Post& Beam Ext Sheath/Shear Int Sheath/Shear -- - --- --- - Framing Insulation - ----- Drywall Nailing Firewall - — --- - Fire Sprinkler Fire Alarm -- Susp'd Ceiling - Roof - ----- Misc S) PART FAIL -WMEBING Post& Beam - - ----- -- Under Slab Top Out I --- - ---- - -- -- Water Service -- Sanitary Sewer ---- - Rain Drains Final -- --- PASS PAIT FAIL hough In ` - -- Gas Line Smol.e Dampers ASS PART FAIL R!SAL Service — Rough In - - - --- UG/Slab Low Voltage Fire Alarm Final — PASS PAR*r FAIL SITE _- _ --- --- Backfill/Grading Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SV/Hall Blvd Catch Basin Fire Supply Line [ 1 Please call for reinspection RE: ( ]Unable to inspeA-no access ADA Approach/Sidewalk Other Date ,_ _ Inspector" Ext Final -- PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITYOF TIGARDMECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT# MEG 000-00005 .3125 SW Hall Elvd., Tigard, OR 97223 (503) 639- DATE ISSUED: 01/05!2000 PARCEL: 2S 115BC-04900 SITE ADDRESS: 16500 SW KIN. CHARLES,AVE SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: KIN CLASS OF WORK: OTR FLOOR FUR V: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O ADPL. VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS _ HOODS: FUEL TYPES _ 0 - 3 HP: DOMES. INCIN: LPG 3 15 HF : COMML. INCIN. MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 5n HP: WOODSTOVES: GAS PRESSURE: 50 + HF CLO DRYERS: FURN < 100K BTU: _ AIR HANDING UNITS OTHER UNITS: FURL: >=100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Move gas meter, permit is for additional gas piping. Previous permit had already benn finaled so could not add to it. Owner: _ _ FEES IRENE GOLDSMITH Type By Date Amount Receipt 16500 SW KING CHARLES PRMT DST 01/05/20( $50.00 00-320926 KING CITY, OR 97224 5PCT DST 01/05!20( $4.00 00-320926 Phone:503-598-8558 -- --- 1 otal $54.00--- Contractor: JOHN P. GINTER MECHANICAL 2246 NE 217TH AVE GRESHAM, OR 97030 REQUIRED INSPECTIONS Gas Line Insp Phone:503-849-3647 Final Inspection Reg #: LIC 135277 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all ether applicable laws. All work will be done in accordance with approved plans. phis permit will expire if work is riot 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. Ycli shay obtain copes of th males or direct questions to OUNC b calling (ZO 246-9189. IS8L+A By: ' / �� r Permittee Signature --�______ -- Call (503)'639-•4175 by 7.00 P.M. for inspections nee4l the next busir ess day CITY OF TIGARD Mechanical Permit Application Plan B k PP Recd 3Y 3125'SW HALL BLVD. Commercial and Residential Date Rec'd_/ TIGARD, OR 97223 Date to P.E. (503) 639-4171, x304 Date to DST Print or Type Permit# 1 f �� �- Incomplete or illegible applications will not be accepted Called Name of Development/Project Description Table 1A Mechanical Code__-- _ City Price, Amt Job Street Addressuitep A) Permit Fee }a4:Y Gia'.; 16.00 1) Furnace to 100,000 BTU Address 1650 s.0. tKr Q�d `"� 1J including ducts&vents see footnote 1,2 -_ 9.63 Bldg# City/St a Zip 2) Furnace 100,000 BTU+ _ �r r �y 6 of 7,U 1 Including ducts&vents _ see footnote 1,2 1200 Name(or name of buslnesst r r 3) Floor Furnace Owner including vent see footnote 1,2 9.65 _ "`�" --- 4) Suspended heater,wall heater Mailing Address or floor mounted heater see footnote 1,2 965 _ 5) Vent not included in appliance ermil 475 City/state ZS Phone Check all that apply Boiler Hest Air For items 6-10,see )r Pump Cond Qty Price Amt Name(or name of business)^ footnotes 1,2 _ Comp 6)<3HP,absorb unit to 100K BTU _ _ 9.65 Occupant Mailing Address 7)3-15 HP;;ctsorb unit 100k to 500(ETU_ _ _ 17.65 _ cnyfState 7_ip Phone 8) 15-30 HP.ab.;orb unit.5-1 rill BTU_ _ 24.15 Name 9)30-50 HP,absorb Contractor t unit 1-1.75 mil BTU _ 36.00 r tAf e ✓ VV`�� Ino( I r 4 10)>50HP.absorb unit Prior to permit Mailing Address t� >1.75 mil BTU _ 60.15 issuance,a copy a A 6 /7 I Q V q 11 Air handling unit to 10,000 CFM of all licenses ny"Staw (-SGG�_. O� zip Pnune _ 7.00 are required if C 619-2701 12)Air handling unit 10,000 CFM+ expired in COT 40regoriilConst Cont Board t Ic a —93712--1 x - t _- _ — 11.85 database z z S r2 I 13)Non-portable evaporate cooler Architect Name _Y 7.00 14)Vent fan connected to a single duct -- _ Or Mailing Address --- -- 4.75-- --- 15)Ventilation system not included in appliance permit _ _ 7.00 Engineer Cry/State zip Phone 16)Hood served by merhanical exhaust 7_00 _ Describe work to be done. 17)Domestic incinerators 12_.00 New O Repair O Replace with like kind Yes O No O 18)Commemial or industrial type incinerator Residentialy C:ommercial0 — -- 48.25 /- 19)Repair units Additiatal information or description of worker 8.40 20)Wood stove/gas FP/other units/clothe dryer/etc NOTE: For Commercial projects only,Units over 400 lbs require 21)Gas piping one to four outlet- � _strurtural gas calcs See footnote 1 Type of fuel oil O natural gas'$ LPG O electric,O _22)More than 4-per outlet(each) (` Minimum Permit Fee$50.00__ SUBTOTAL _ +' Yk i O' I hereby acknowledge that I have read this application,that the information 8%SURCHARGE ► �G given is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF S JBTOTAL he ow that plans milted are in compliance with Or on talc ,aws ___- Required for ALL commercial only _ TOTAL �O , ignature of wnerl ent Other Inspections and Fees: 1. Inspections outside of normal business hours(mininum charge-two Contact Person Name Phone hours) $50.00 per hour 2. Inspections for which no tee is specifically Indicated (minimum charge-half hour) $50.00 per hour only:^ 3. Additioral plan review required by changes,additions or revisions to Foonotes for commercial projects 1 Provide full schematic of existing rind proposed gas line and pressure Plans(minimum charge-one-half hour)$50.00 per hour 2 Provide drawings to scale showing existing and proposec mechanical units, 'State ConUactor Boiler Certification required -Residential A/C requires site plan showing placement rf unit I\mechperm doc rev 7119199 CITY O F TI GA R D S R n PLUMBINP G PERMIT DEVELOPMENT SERVICESO/ I G� I�A± PEP,`muT#: LMi999-00418 13125 SW Hall Blvd., Tigard, OR 97223 (5n3) 839-4171 DATE IbSUED: 12/10/99 SITE ADDPESS: 16500 SW KING CHARLES AVE PARCEL: 2S115B(,-04900 SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: KIN CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FI,. 'IJRES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: 100 ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of 100 feet or less of water service. _ O% er: — —_— FEES — Type By Date Amount Receipt NDSON — -- ,00 SW KING CHARLES PRMT DEB 12/10/99 $50 00 KING CITY r„NG CITY OR 97224 5PCT DEB 12/10/99 $4.00 K':,iG CITY _ Total $54.00 Phone I: 598-8558 _ Contractor: CROWN PLUMBING 23172 SW STAFFORD RD TUALATIN, OR 97062 REQUIRED INSPECTIONS Phone 1: 771-9449 Wu:er Service Insp Reg #: LIC 000042 Final Inspection PLM 34-701,b This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other appli,.able laws. All work will be done in accordance vrith approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Cerfpr. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: Permittee Signature: �/ �/ A '� Call (503) 639175 by 7:00 P.M. for an inspection needed th6 next business day ) E(;-i;y-y9 THZ' :5: AM City ?�''. C:~.y FAX:S; � h.4 j PAGE ? CITY OF TIGARD Plumbing Permit Application Plan Check 13125 SW HALL BLVD. Commercial and Residential Rr,-dBy_ TIGARD, ''R 97223 Date Recd l Dale to P.E. (!031 939 X1171 Date to DST Print or 'Type Permit• F N►4q�-Gb�•J� Incomplete or illegible applications will not be accepted RelatR =;WFts_ Callao Name otDevelopment/Pi ole.ct — ---�— 151XTU, E$ '(Individual)� _ QTY rRICE AMT Job Sink 11,50 -- --- � 11.80 Addr:55 Street Address Suite Lavatory _ /v-0 0 SW h W3 CJ"' Tub or Tub/Shower Comb. 11.50 /ISA Bldg X Citymate ate Zip Shower Only — --- 11.50 --- -- Water Closet/Urinal (Specify) 11.80 Name }M C�W r''��a'J Oishwaaher -- 11,60 Owner Mailing Add-t c. Suite Urinal (0,f0 0 SuJ. Kong S Curb^ge Disposal 11,50 C,I�IState ri Phone PIw G aP. e-� ta__dryT- - 11,so Name Washing Machine/Laundry Tray (Specify) 11.50 Floor Drain/Floor Sink 2" re11.50 Occupant Mailing Addss Suite 3' _ q• 11.50 CltylSlale Zlp Phrinra - 11.6 Water Has O conversion O like kind Name Gas pipingrequires a separate mechanical permit, �fj rw� MFG Home New Water Service -- 28.00 T r w MF 3 Nome Now SaNStorm&awer ?8.00 C on i rae'ta r Mailing Address $trite _ - 3-w g r--- � y - Hose 81bs 11.50 Prior to pemrP /5'taSe p Phone Root Drains 11,50 ts5un,nce,a copy mol'J vYZ 772-610 771 9 N'1 9 Drinking Fountain of all lic ruses are Oregon Const Cont Board Llc.• Ilp.Date Other Fixtures(Specify) 15,00 required if r ta-4-2 ."0 O -- - — .- expired in COT lumbing Llc.! Exp bate _ - --- databaseP )d a ,- Name Architect 3awer-1st 100' —�— - 38.00 Or Mailing Address We Sewer•each additional 100' 3200 ----- Water Service-tat 100' 38.00 39<` Engineer CiIY/Statr! 21p Phone lyater Service-each additional 200' 32.00 torm 8 Rain Drain•1st 100' 38.00 Oescrtbe work to be done' NewRepair O Replare with like kind, Yes O No O Storm S Rein Drain-each additional 100' 32.00 Residl:ntlal 0 Commercial O —_ Commerclal Back Flow Prevention Device 32.01 Additional dascuiption of work, Residentizl Backflow Prevention Device" 19.00 �J W4JAA 5<V V1 Gatch Basin 11.50 Are you copping,moving or replacing any fixtures? Insp of Existing Plumbing or Spe�Ally Requested 50.00 Yes O Ne O Inspections if yes,see beck of form to indicate work performed by Rain Drain,single family dw-flling 45.00 fixture. FAILURE TO ACCURATELY REPORT FIXTURE naaeTraps 11.50 WORK COULD RESULT IN INCREASED SEWER FEES. _ QUANTITY TOTAL I hereby acknowledge that I have read this spplicatlon,that the Information leorn�tle or riaet dl ram b uired x Quanthy Tr0el ts >s given is r�rreH,that I am the owner nr authorized agent of the owner,aril •SUBTOTAL_ than plarinnubmitted are in complienae with Oregon Slate Lwwsr J Signature of arlAgent Data - 8%SURCHARGE tt r. r nntact Person filf m` �� Phone c1 9 .. v PLAN REVIEW 25/.OF SUBTOTAL 2 BATH HO E 7 �I,,yv �� lb4vP ., �'* ', —�- - TOTAL R uksd ail M PoAure tour 1>9 � y TF (This lap Incl r �x ,u' I t , Iltjt+le li u 'MrrK INM 13 f3AIII l"IMUM peW-o 614 Ma'thorge,except Reekterdial BadM"Prevandan ',c11a Device,st""Is$28-es.surdrargs -- -All Naw Commarelel Buildings fequlre aerie with Iso"P*k:of Mer 41epram and pian reviwv tVl.I�lfametDikv^aq+?'f:tNtq® CITYOF TIiGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC1999-00510 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/23/1999 SITE ADDRESS: 16500 SW KING CHARLES AVE PARCEL.: 2S 1158C•04900 SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: KIN CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APDL: VI:NT SYSTEMS: STORIES: _—BOILERS/COMPRESSORS HOODS: _ 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: 50 + lip: WOODSTOVES: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN >=100K BTU: <= 10000 cfm: — OTHER UNITS: > 10000 cfm: GAS CU i LETG: Remarks: Remove existing furnace and install a new furnace pair conditioning unit. A/C units cannot be placed within the required setback areas. Owners _-- FEES IRENE GOLDSMITH 'type By Date Amount _ Receipt 16500 SW KING CHARLES PRMT GEO� 11/23/19f $50.00 KING; CITY KING CITY, OR 97224 5PCT GEO 11/23/19 $4.00 KING CITY Phone:503-598-8558 Total $54.00�---- — _ Contractor: JOHN P GINTER MECHANICAL 2246 NE 217TH AVE GRESHAM, OR 97030 REQUIRED INSPECTIONS Heating Unt Ir,p Phcne:503-849-3647 Cooling Unt Insp Reg #: Final Inspection A L 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 d,)ne 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 tram 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notific f.ion Center. -Those rules are set forth in OAR 952-001-0010 through OAR 952.001-0080. You may obtain rrpies of these rules or direct questions to OUNC by calling (503)246-9189. Issue By: �� j�//�JT��-'1! Permittee Signature: / Call (50.3) 639-4175 by 7:00 P.M. for inspections needed the next busines-s day — 99 TUE 02:15 PM City of King City FAX:503 639 3771 PAGE Plan Check lF_ CITY OF TIGARD Mechanical Permit Application Recd By 13125 SW HALL BLVD. Commercial and Residential Date Rec.d.j1 -Z�"4 1 T IGARD. OR 97223 Oate to P.e. (5n3) 639-4171, x.',04 Date toDISTIL-23- Print or Type Permit Incomplete or_ille tblc lic_ations will not be accepted called -_— Nameni Dava(op,�wnVF'roif,�i Description Table 1A Mechanleal Code Ot "rice Amt Job A Permit Fee 18,00 �j11R.ii/l:td/e8a SUdc�lt �� —�--.--.'" 1) Furnace to 100,000 BTU Addrr ss 16,S-00 S.W _ k1�S. _f� Including du_da s vents see footnote 1,2 9.65 0bge c'RM1818 `'ro 2) Furnace 100,000 BTU+ �- Ei M C,4 QC 9722qincluding ducts&vents soe footnote 1,2 12 00 Name for name of ousinesst T 3) Floor Furnace including vent see footnote 1,7. 9.69 Owner a �__��r�I_� 4) Suspended heater,wall healer - Ma.11nil Address or floor mounted heater see footnote 1,2 _ 9,65 I _ (6 S 00k k v�es 5) Vent not included in a pliance permit_ 4.75 .___i=lam'._ � - - cnyl.Sta�e Yip Phone Checc all this!apply •Boller Heat Air eta_ y For items 8-10,see or Pump Cond Oty Prior: Amt Narae r name of slness) footnotes 1,2 Comp 6)<314P;abaorb unit to "�gb'.--.- __ _ 100K BTU _ 9.65 Occupant Mailing Address 7)' 15 HP;absorb unit 10Jk to 500k BTU - 17.65 - ciNrsiai. 8)15-30 HP;absorb unit.5-1 mil BTU _ 24.15 9)�c-50 HP;absorb - - Contractor N8"'v o / unit 1-1.75 roll BTU 36.00 64'N o e 10)>50HP;absorb unit Prior to permd Willing AAdress fk 51.75 mil BTU _ _ 60.15 issuence.a copy qG N.44� �`�F. � 11 Air handling unit to 10,000 CFM T of all lirnnses cftymale 7p- Phone 7.00 are required H vas &" O-Q 70_�D off-j pro 1 12)Air handling unit 10.000 CFM+ expired in COT cioa r Chnl Poard Ulr 0 - D 11.85 dntabaso 1 ? Non•ponahle evaporate cooler - -�— Arc.hitrlct Ne"1e _ 7.00 14)Vent fan connected to a single dud 4.75 Dr Mailing Address - — -- 15)Ventilation system not included in appliance permit _ 7.00 Engineer etyrstme zip Pnni,e 16)Hood served by mechanic,1 xhaust _ 7.00 Deavibe worts to be done' 17)Onmestle incinerators _ r __ 12,00 New O Repair O Replace with like kind Yesx No O 18)Commercial or Industrlal type incinerator Residential gy Commercial 0 48,25 /" 19)Repair units Addrtiunal info atlon or description of work.�/.t L-1.0 J C -S r w _ - -tl.4J ,(,A,,M u r�7; 4 n l� w!uJ C"v-4 e e a �C, 20)Wood stove/gas FP/olhar units/dothe dryer/etc. 1.00 NOTE: For Commradal proiect5 only;Units over 400 lbs require 21)Gas pipirg one to four outlets --^ structural gas cabs See footnote 1 3.7° Type of fue Clio natural gas LPG O electric U 22)More than 4-per outlet(each) __ X75 Minimum Permit Fee soo.co SUBTOTAL_ I hereby admnwledge that I have read thls applic.Ilon,that the Information - 8%SURCHARGF given is correct,that I aro the owner or authori2pd agent of PLAN REVIEW 25%Of SUBTOTAL Re ulred for ALL commercial permits onl the ownor,that plan^submitted are in compliance with Oregon State taws ---- ---- -- -` - TOTAL gnat tt<r of Owner gent Dow --- - - - �P") Other Inspections and Fees? 1. Inspections oufslde of normal buslneras hours(mininum charge-two _ hours) $50.00 per hour tact er-on N in Phone 1910- 1�1 2. Inspections for which no fes is specifically Indicated (minimum �� Y - 3 ( -�� -_ charge half hour) $50,00 per hour _L_1 D 3. Additional plan review requimd by chanil",as dditionor revisions to Fcwrrfor commercial projects only 1. Provkte full schematic of exu;ting and proposed gas line and pressure, Plans(minimum charge ono half hour)$60.00 per hour 2. Provide drawings to scab%liciwing existing and proMed mechanical *State Cnnirador Boiler Ce1lificatlOn requited units __ .._ "Residential AIC requires site plan showing placeTtnni of unci I Vrrrctiperrn doc rev 7/19199 CITY OF TIGARD BUILrING INSPECTION DIVISION 24-Hour Inspection line: 639-4175 Business Line: 635-4171 MST BUP --_ Date Requested //- _212 - ___ AM__—•_PM BLD Suite _ MEC !�)C) /G Contact Person �,� , �t Ph RM7- PLM _ Contractor Ph SWR BUILDING J — Tenant/OwnerELC _ Retaining Wall - ELR Footing Access. } _ Foundation � � / �, � FPS Ftg Drain Crawl Drain Inspection Notes'. — -- Slab _— --- - SI•r Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing ---- --- - --- - ---_ --- Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling _-- Roof Mise ------ Final71 PASS PART FAIL PLUMBING Post R Beam Under Slab Top Out Water Service " Sanitary Sewer Rain C rairs Final — - .- — — — PASS PART FA:L _ MECHANICAL Post&Beem - Rough In Gas Line — — Sn1QKe I)ampeis PART A�L-- : CTRIC — ---- _ Service Rough In --- -• -- _ _ _ _ UG/Slab —. ---- ---- ----- Low Voltage Fire Alarm Final PASS PART FAIL — ---_--_ __—• _ — ___ SITE Backfill/Grading --------- -_-- _�.__-._ �---------__--- -- __ �—. Sanitary Sewer Storm Drain I ]Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin I ]Please call for reinspection RE ( ]Unable to inspect no access Fire Supply Line ADAG, Approach/Sidewalk Inspector Ext - Other Date _ Final PASS PART PAIL DO NOT REMOVE this Inspection record from the job site. 0 U O a+ oo aq C6 a pq z oq LU D 0 0 on� d bn a w V vii u W O LL. I� � EG7 y a o � a a d O � N v r u L u'= 1^ O r 1^ y � � L U .+ o I- o F- i o 0 1A l g O r i un r i Vi r� :L r i :L r i c/� �i aL 0 as o �ppn p p 0 0 z z tj � d tg CL a� RI � �-•� � M M M U 0 1` � O ro v uu Dn 4t •� 1 1 V