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16505 SW KING CHARLES AVENUE i F•' of � to F. x z c� n x r R� r 165U5 SW KING CHARLES AVE: o » ) ) § ( { %\ u = a § / c \ k 4 � © � c \ � ¥ $ f $ � D � } \ } \ \ § CL Of rl k k k / � 2 E a L6 a u �\ / / L f j 7 jLLJ LU wi w LU C; CAL CITY OF ME TIGARD F'ERMIHANIT .COMAUNI'fY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MEC94-0091 1.1125 SW`cell Blvd.Tigard,Oregon 97223*8100 (503)09-4171 DATE ISSUED: 03/29/94 PARCEL: .2S!. 15BC-050170 SiTE ADDRESS. . . : 16505 F.W KING CHARLES AVE SUBDIVISION. . . . : ZUNINU: BL(3(',K. . . . . . . . . . LOT.. . . . . . . . . . . . . CLASS- OP WURK. . :ALT FLOOR FURN. . . . EVAP COOLERq: TYPE OF USE. . . . :SF UNIT BEATERS. : VENT FANS. . . : OCCUPONCY OPP. . - R3 VENTS W/O ADPL: VENT SYSTEMS: SIORIES. . . . . . . . . BOILERS/COMPREssnRS HOODS. . . . . . . : FUEL 0-3 HP. . . . I DOMES. INCIN: 3- 15 HP. . . . COMML. INCIN: MAX INPLJT-, BTU 15-210 HP. . . . REPAIR UNIT*3'. FIRE DAMPERS?. . : 30-50 HP. . . . WOODSTOW'S. . CAS PRESSURE. . . : 50+ HP. . . . . CLO DRYERS— : NO. OF UNITS----------- AIF HANDLING UNIT'S orHER UNITS. : f- URN ! 1001-1, BTU: 10000 C--fm - GAS CUTLETS. : 1 I-U H 1\1 ) =IL711 IK Bf+U: i 10000 cfm : Remarks : REPAIR GAS LINE Owner-. FEES 1.*'1: LA-I TEE R type amol-trit by dote I-ecpi 16505 SW KING rHARLES PRM1* $ 25. 00 JG 03/29/94 5PCT $ 1- 25 JG lZlZ/E9/94 KING CITY OR 972241 Phone #: r'Ontr-'-Actov-.' ----• ---------•---•----_------------ C,01-UMS I A ---- ----------------------------- C,01-UMSTA HEAT"ING 8400 UW BURNHAM ILL E-110 ,ARD OR 97ac:3 ;,ne- #v 624-2704 $ 26. 25 TOTAL 14 P q #. . : 7'�359 REJUIRED INSPECTIONS I hts permit is issued subject to the regulations contained in the Gas Li. e Insp 'igard Municipal Code, State of Ore. Specialty Codes and all othir Final Inspectinn applicable laws. All work will h., done in accordance with 33vroved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for mors plan 180 days. BV : ---- ---- (,all for, inspect icin 639-4175 City of Tigard MECHANICAL PERMIT Planck/Rec. # 13125 sw Han Bird. APPLICATION Permit # Tigard, OR 97223 (503) 639-4171 -- - - escnption - -- - Table 3A Mechanical Code CITY PRICE AMT )ob ✓�!� �-^- �r�r �, / �� 1) Permit Fee 0- 0. 10.00 Address - L '— /Z, ' 2) Supplemental,,=ermit 3.00 Furnace rnacH 1) incl. duds 3 vents -- 6.00 M.Av A&W- urnace W, + �j c 2) incl. duds R vents 7.50 � Owner = — -`- - or umance ---- 3) incl.vent 600 spen tiler,w- waife> ter -- 4) or floor mounted heater 6.00 ua.v A'S«. --- rrVent not R0.in Occupant 5) appliance permit 3.00 - --�-- -Reparr�o TiHaUng,re of g-- -` C) cooling,absorption unit 6-00 �7— Boller or can ea pump, air cora- - - 7) to 3 HP absorp unit to 100K BTU 6.00 ��7 1 uer or comp,het pump, air c^T- c�(� �. 7/--- 8) 3-15 HP absorp unit to 500K BTU 11.00 Contractor ---� --fir erF�comm- ��p, pump, air cn . 9) 15-30 HP absorp unit 5-1 mil BTU 15.00 o�comp,heat pump,aim-i coni- - : 10) 30.50 HP absorp unit 1-1.75 mil BTU 22.50 orfi-H-Tiy ac nk-ow , ge$-iaiTliav�r-H-ac�tfiis-app-Tcatron,that the I Hr Uf-D )eat`pump,air co information given is correct,thet I am the owner ur authorized agent 11) >50 HP absorp unit 1.75 mil BTU 37.50 of the owner,that plans submitted are in compliance with Statei an ing Linn to -- laws,that I am registered with the Construction Contractor's Board, 12; 10,000 CFM 4.50 that the number given is correct. (If exempt from Stnte registration, if handling urn ----� --- - please gi ason 010w.) 13) 10.000 CTM+ - --- 7.50 on� portable---- %,�( �� _ 14) evaporate cooler - 4.50 - en ,aniT connec e3 Gi --- 15) to a single dud _ 3.00 - 1 -Ve-n7ti 5-1system not 16) included in appliance permit 4.50 --Mod seryy - - 17) mecftanical exhaust 4.50 HTS -w new Q- e itwn -)alteration iepair�j mmerrra ur' inc7ustn-57 -- to be done residential O non-residential O 18) type incinerator 30.00 -xis ng use oT- - other i. ,wo&Tssfove,W5tof- '- -- building or property_. ) "� _ 19) heater,War.HothHs dryers,etc. _ I- 4.50 - Proposed use of 7 /J/ _0) Gas piping orxa to four outlets / 2.00 -II building or property 21) More than 4-per outlet Type of fuel oil O natural ga6�3 LPG O f.l cmc O -- Minimum Fee$25.00 SUBTOTAL PERMITS BECOME VOID IF WORK O t CONSTRUCTION - '-- - -- AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SJRCHARGE IF CONSTRUCTION OR WORK IS SUSPENDED OR ---`---'--'- -- - - ABANDONED FOR A PERIOD OF 180 DA S AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL AFTER ORK:S COMMEN - /� TOTAL Special Conditionsp, - - -___ ---__-.-�,-- -- _---- - _- _ _--- Da'e issued-- --_-- by— �- -- r.nnrcHn�r t1AP-29—'94 TUE 14:51. ID:CITY OF KING CITY FAX 110:503 639-3771 4372 P01 Post-It'°brand fax transmittal memo 7671 kol page.►� To Rro Co I � Y eceL 1 �,� Y��1is�r-L _ C t 15300"NY.11611.Averrie,Ring City,(Oregon 97LN Phnnf•: Depi. phone N �fC1��. COMMUNITY D APPLICATION FORax N Fax MM 0 (Instructions an DRTE .1. 17 1. NAMr' OF A PPL CANT: �� Phone No.k ADDRESS• 0 5 '1" ADDRESS OF PROPOS® OV HENT 2. TYPE OF CHANGE, IMPROVEKENT OR OONSTRUCrION FOR WHICH PERMIT IS REQUESTED. DESCRIBE BR?SLY ATIACH ?WO WPIFS Of PLANS pR DRen,WINGS OF PROPOSED PROJEX..'I':_ 3. NAME AND ADDRESS PHONE NO.".- ,, 77e LICENSE NO. a 4. NEIGHBORS WHO MAY BE AFFECTED BY THIS PROJECT WILL BE NOTIFIED BY THE CITY. S. APPLICANT OR lM/H1S REPRESENTATIVE MUST BE lrt SENT AT THE PLANNING CCWISSION MEETING NEXT HELD P"- RESENTATIVF.S NAME,_ PHONE NO. ("he Kiri City Planning Commission wil tonsrder only those applications received at least five (5) days prior t \me SIGNATURE APPLICATION RECEIVEDa FiX� 1. � _DATE-4 -,l APPLICABLE FEE RECEIVED $ -- TOTAI. PLANNING O17S:SION DECISIOiV PprovedDom-tried_ r ITTON._, Approved applications are valid for sis months only — Sicgnature-_ _- rl!veo Date— 1-3 .1.g If0?E: Ore a Hoaebuilders Law regurres that all persons who contract ,r work on their residence be registered vith the Builders Boarl wbich means the contractor is bonded and insured on the job site Por your protection, be certain your contractor is registered by calling City Hall Ph 639-4082. NOTE: A pPrmi-t must also be obtained f om the City of. Tigard Department of Carr ity Development Yes C 1,TX OF TIGARD INSPECTI014F&WRT The above listed project has best inspected and Approverdrd_-Denied Date Comments Signature (t3xa,i..td AG -in.epv_c tn+r p19a1W- AV,tuan. one (1) copy to Ki" City CD 2-87 L1 ELECTRICAL PERMIT CITY OF T I G A R PERMIT#: EI-C2001-00007 !DEVELOPMENT SERVICES DATE ISSUED: 1/8/01 13125 SW Hall Blvd.,Tictard, OR 97223 (503) 639-4171 PARCEL: 2S115BC-05000 SITE ADDRESS: 16505 SW KING CHARLES AVE SUBDIVISION: ZONING: BLOCK: LOT : JURISDICTION: KIN Proiect Description: Installation of one branch circuit. Job No, 66065. RESIDENTIAL UNIT _ TEMP SRVC/FEEDE_RS _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: Y Yi — PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUTLINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/ 3VCl FDR: 601+amps - 1000 volts: MINOR LABEL ('.0): SERVICEIFEEDER BRANCH CIRCUITS -- _.--� _ _ ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: F'ER INSPECTION: 201 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PI AN REVIEW SECTION _ 1000+ arr.olvolt: >=4 RES UNITS: _ > 600 VOLT NOMINAL: L_ Reconnect only: SVCrFDR >=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: MRS HARMOh-J TUALATIN ELECTRIC 16505 SW KING CHARt E, AVE PO BOX 655 KING CITY, OR 9724 WILSONVILLE, OR 97070 Phone: Phone: 682-2955 Reg #: LIC 00065650 SUP 3483S ELE 3-268C FEES _ _ Required Insp, Type By Date Amount Receipt Elect'I Service PRMT CTR 1/8/01 $',46.85 2720010000( Elect'I Final 51PCT CTR 1/8/01 $3 75 2720010000( Total ; 50.60 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR 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 by 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 rule§'ttt direct questions to OUNC at(503) 246-1987 PERMITTEE'S SIGNATURE Z� � , ' ISSUED BY: _ OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: /nICONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. EL C'N: �.' , DATE LICENSE NO: -� Call 639-4175 by 7:00pm for an Inspection the next business day Electrical Permit Application — Dntereceived: / -6 0/ Permit no.:Fj-C'1ec;1. -,^� c City of Tigard Project/appl.no.: - Expire date: Cin of Fignrd Addre.as: 13125 SW Hall I►Ivd,Tigard,OR 97223 / Date issued: By: I Receipt no.: Phone: %503) 639-4171 J e no.: Payment type: Fax: (503) '98-1960fil Land use approval: U I vz 2 family dwelling or accessory U CommerciaUinduslrial U Multi-family LI Tenant imp.ovement U New construction U Addition/alteration/replacement U Other: U Partial fiiTilimin 1,11 K11 11,11 KIN I M= Job address: 3 L-AVIA '' Bldg.no.: Suite no.: ►Tax map/tax lot/account no,: Lot: BImk: Subdi ilion: _ --- -- Project name: Description and location of work on premises: _ F?;inlated Hate o1,coinpletionhw,p-clion: ree Mar Job no: Ikkscription Qtv. (ca.) Total n,).Ins Business flame: jA kj t, U Newr sidenlial-single or multi-family per Address: ; dwellingunll.Includesattaclreclgarage. City: I Q LVAU I I State: ZIP, G Servicctnclue": Fax: IWO sq.ft.or less Phone: E-mail: - - - -- r Each additional 500 sq.ft,or portion thereof _ CCB no.: G" Elec.bus.tic.no: Limited energy,residential 2 _ City/metro lic.no.: Limited energy,non-residential 2 Service and/or home or modular dwelling Service and/or feeder 2 Si nature of supervising electrician( uired) bate -- Services or leaden–Installation, Sup.elect.name(print): license no: dleratlon ur relocation: 200 amps or less 2 201 amps to 4400 amps _ _ 2 Name(print):, A Y 401 amps to 6(x)amps _ 2 Mailin address: kk� t 2 g GJ U�J 601 snips to RX",amps _ City: 1 S te: ZIP: A Over 1000 amps or volts _ 2 Phone: E-mail: Fax: _ Rt-onnect o ay I , Temporary vrvic:s or feeders,- Owner installation:The installation is being made on property 1 own Installation,altentlon,orrclocalloa: which is not intended for sale,lease,rent,or exchange according l0 200 amps or less ORS 447,455,479,670,701. 201 amps to 400 amps owner's si nature: Date: 4(,t n 6,X)amr s 2 Branch circuits-new,alteration, or extension per panel: Name: A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit City: —I Stale: ZIP` B. Fee for branch circuits without purchase ► (� — of service or feeder''i.e,first branch circuit 2 Phone: Fax: F.-mail: Each additional branch circuit: Misc.(Service or reeler not Included): Each pump or irrigation circle U Service over 225 amps-conunemial U Health-carer&:ility Each signor outline lighting 2 U Service over 320 amps-rating of I8c2 U Hazardous.oc ation -- familydwellings U Building over I 0.(Xx)square feet fnur or Signal circuit(s)oralimitedenergypanel, •System over 600 volts nominal more residential snits in(me s(mcture alteration,or extension* _ 2 U Building over three stories U Feeders.41x)amps or more "Description: — --- — U Occupant load over 99 persons U Manufactured structures or RV park Finch additional Inspection over the allowable In any or the d►ovr: U EgmssAightingplan U other: __ Perinspecoon CT�—�^ Submit sets of plans with any of the above. Investigation_fee _ _ 'Ilse above are not applicable to temporary cottratactlon senlce. Other Permit fee..................... - NM all)uitsdttian ca rap credit cauls,please call Jurisdiction fur more information Notice:'l has permit application Plan review(at _ %) - U Visa U MasterCard expires if a permit is not obtained aedh cant number: within 180 days after it has been State surcharge(8%)....$ _ ha!2 - -- - - r., U xplree accepted as complete. TOTAL. .......................S Name of—can�io�er uihown on c IIS S Cadhol r signature Amuum ) 440.4615(6AtWCOM) Electrical Permit Fees: Limited Enercoy Fees: TYPE OF WORK INVOLVED • RESID-NTIAL ONLY Complete Fee Schedule Below: --- Restricted —�- Energy Fee..................... ................................ 575.00 Number of Inspections per pt.-mit allowed) (FOR ALL SYSTEMS) Service included: Items Cosi Total y Check Type of Work Involved: Residentia'-per unit 1)00 sq,ft or less $145 15 _ 4 ❑ Audio and Stereo Systems Each additional 500 sq ft.or portion thereof _ $33.40 _ 1 Limited Energy $75.00 F1 Burglar Alarm Each Manuff Home or Modular (] GaiaH-r Door Opener* Dwelling Service or Feeder $90.90 2 p Services or Feeders F:] Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80,30 2 Varuum Systems' 201 amps to 400 amps $106.85 - 2 401 amps to 600 amps _ $160 G0 7. 601 amps to 1000 amps _ $24060 _ 2 ❑ Other Over 1000 amps or volts $454.65 _ 2 Reconnect only $6685 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system.......................................................... $75.00 2.00 amps or less $66.85 2 (SEE OAR 918-260-200) 201 amps to 400 amps _ $100.30 2 401 amps to 600 amps $133.75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, 'u _ see"b"above. ❑ Audio and Stereo Systems Branch Circuits rr New,alteration or extension per panel Boiler Controls a)1 he fee for branch circuits with purchase of service or ❑ Clock Systems feeder leo. Each branch cin.uil $6.65 _ 2 Data Telecommunication Installation b)The fee for branch circuits without purchase of-tprvlce or feeder fee. ❑ Fire Alarm Installation F irst branch circuit $4685 __ Each additional branch circuit $665 ❑ HVAC Miscellaneous ❑ Instrumentation (Semite or feeder not include('} Each pump or irrigation circle _ $53 0 Each sign or outline lighting $5340 ❑ Intercom and Paging Systems Signal circuit(s)or a limited eneryy panel,alteration or extension _ $75.00 — d Landscape Irrigation Control' Minor Labels(10) _ $125.00 Each additional Inspection over _ ❑ Medir'.al the allowable in any of the above Per Inspection $62.50 Nurse Calls Per hour _ $6:-.50 __ In Plant ____ $73 75 __ _ _ ❑ Outdoor Landscape Lighting' Fees: Protective Signaling Enter total of above fees $ l J Other 8°/.State Surcharge $ _Number of Systems 25%Plan Review Fee See"flan Review"section on $ No licenses are required Llrsnses are required for all other installations front of application Fees: Total Balance Due $ -" ----- Enter total of above fees S-- ❑ Trust Account# ------- 01/:State Surcharge S Total Balance Du-? i.ldstslformstetc-fees.doc 10709/00 CITY OF TIGARD Electrical Permit Application Recd Check 13125 SW HALL BLVD. - - Date Rec'd TIGAFtD °JR 97223 -�-- -- Print r f'Type e Date to P.E.- Phone(503)639-4171, x304 Date to DST inspection (503)639-4175 Incomplete cr illegible will not be accepted Permit# Fax(503) 598-1960 Called 1. Job Address: 4. Complete Fee Schedule Below: NumWr of Inspections per permit allowed Name of Development �rS ��..-►amu�-� Service included: Items Cost Total y Name(or name of business) - `�mr�[S �� _ 4a. Residential-per snit Address �to' �:a'� `�V�l � 1000 sq.fl.or less $147.15 4 City/State/Zip `_� Each additional 500 sq.ft.or portion thereof $33.40 _ _ 1 Commercial El Residential I_ImEnergy _ -_ $75.00 Eachh Manafd Home or Modular Dwelling Service or Feeder $90.90 2a. Contractor installation only: 4b.Eervlces or Feeders (Prior to permit issuance,applicants must provide contractor license Installation,alteration,or relocation Information for COT data base). 200 amps or less _ $80.30 2 Electrical Contractor.-T', .,,% �1 �.�G c L 201 amps to 400 amps $106.85 7 Address Q:)o kss 401 amps to 600 amps $160.60 2 City _Zip S-)b7 L 601 amps to 1000 amps $24U.60 2 Phone No. �Q�c�-o"l`�S S over 1000 amp!,or volts _ $454.65 Reconnect onl; $66.85 Job No. �,toC��`� Elec.Cont. Lice. No. 3-I�G Exp.Da \U G 1 4c.Temporary Services Feeders Installation,alteration,or relocation OR State CCB Reg. No. G.��`� ( _Eqtate b - c, _ 200 amps or less $66.85 2 COT Business Tax or Metro No. Exp.Date _ 201 amps to 400 amps $100.30 z / 401 amps to 600 amps _ $133.75 2 Signature of Supr. Elec'n Over 600 amps to 1000 volts, see"b"above. License No. - `{ Exp.Date 'Q-O 1 4d.Branch Circuits Phone No. yf � ;` New,alteration or extension per panel a)The fee for branch circuits with purchase of service or 2b. For owner Installations: feederfnc. Each branch circuit $6.65 2 Pont Owners Name b)The fee for branch circuits Address _ without purchase of service City State Zip or feeder fee.First branch circuit $46.85 Phone No. Each additional branch circuit $6.65 The Installation is being made on property I own which is not 4e.Miscellaneous (service or feeder not In intended for sale, lease or rent. circle Each pump or In gr.hon circle $53.40 Each sign or oulLne lighting $55.40 Owners Signature_ _ Signr,i clrcult(s)or a limited energy panel,alteration or extension $75.00 3. Plan Review section (if requir( oll:* Minor Labels(10) $125.00 4f.Each additional Inspection over Please check appropriate item and enter In section 5B. the allowable In any of the above 4 or more residential units in one stnocture Per Inspection $62.50 Service and feeder 225 amps or more Per hour $62.50 _System over 600 volts nominal In Plant Y_ $73 75 _ Classified area or structure containing special occupancy as 5. Fees: G ,_ described In N.E.C.Chapter 5 5a.Enter total of above lees $ 8%Surcharge(.08 X total fees) $ __3 1 1_ * Submit 2 sets of plans with application where any of the above apply. Subtotal Not required for temporary construction services. 5b.Enter 2.5%of line Sa for NOTICE. Plan Review if reuuirer(Sec.3) $ Subtotal $ PERMITcz BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED _ IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR U Trust Account WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS Total balance buy $ AT ANY TIME AFTER WORK IS COMMENCED. i.WsWilor nskleciric_rev.doc-9100 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Houi inspection Line: 639-4175 Business Line: 639-4171 --- – BLIP _--- -- Date Requested__ AM PM —_ BLD Location_1�S(>J J w �C '��, / <� �C Suite — - _ MEC Contac: Person __— r Ph G,Ye - J y Sy)r PLM Contractor / 1-4 LJ -C Ph X –/ SWR — FillILDING Tenant/Owner EI_C Retamirg Wall _ ELR Footing Access: --- --- - Foundation FPS Ftg Drain - SGN Crawl Drain Inspection Notes: / ---------- — Slab ---.-_----- -- l /�- - -.-. SIT Post&Beam ------ ------- Ext Sheath/Shear Int Sheath/Shear - -- — Framing Insulation �- Drywall Nailing - ---- --- ----- -- -------- - Firewall Fir.:Sprinkler --�-J ►�_— /ZD _� _ __ _�--------.-__.----____-- Fire Alarm Susp'd Ceiling __- ---- _ --------__..._-_-. Roof - -------------------- Final PASS f ART FAIL --.- _.._'1� _ `-� --•-- -----� PLUMBING Post& Beam w Under Slab Top Out ----.�-_�— i Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL —_ MECHANICAL P(:-;t& Beam -- -------- — Rjugh In (-�as Line -- - --- - Smoke Dampers Final - - - PASS` PART FML Service _ Rough In UG/Slab Low Voltage -- ��- -- -- Fire Alarm Glr fl S ART FAIL Backfill/Grading - Sanitary Sewer Storm Drain [ ]Reinspection fee of$ _required before next,nspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Please call for reinspection RE: Fire Supply Line [ ] p _._-_-_--__._ ___ ( Unable to inspect-no access ADA 1 l L Approach/Sidewalk Other Date U �` v Inspector I `� Ext Final PASS PART FAIL DO IPIOT REMOVE this inspection record from the job site. CITY OF T_ IGARD - MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2000-00492 13125 SW Hail Blvd., Tigard, OR 97223 (503) 639-4171 DA FE ISSUED: 12/18/00 SITE ADDRESS: 16505 SW KING CHARLES AVE PARCEL: 2S 115BC-05000 SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: KIN CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF 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: COMML. INCIN: MAX ;NPUT: BTU 15 - 30 HP: FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + 1;P_ WOODSTOVES: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN >=100K BTU: <= 10000 cfm: OTHER UNITS- 1 > 10000 0m: GAS OUTLETS: Remarks: Replace Furnace, Install A/C Owner: FEES _ LILA HARMON Type By Dnte Amount Receipt 16505 SW KING CHARLES AVE PRMT JMT 12/18/00 $72.50 KING CITY KING CITY, OR 97224 5PCT JMT 12/18/00 $5.80 KING CITY Phone: Total $78.30 Contractor: JOHN P. GINTER MECHANICAL 2246 NE 2177-H AVE GRESHAM, OR 97030 _ _—REQUIRED INSPECTIONS Mechanical Irsp Phone:503-849-3647 Final Inspection Reg #:LIC 135277 This permit is issued subject to the rey-,ilat.ions 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 fcrU`; 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. )r Issue By: �_..�!'1ti .("_Q_" Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day 11 _�irtli l a: 11 5035393771 CITY OF KIH6 i=I7Y PAGE 02/02 TRI-COUNTY SIRVIaaNTfR Mechanical Permit Application ' p'^ rJsre rd City of King City -� 1312) 5W Hall Blvd. Projecdappl.no.: - Expire date: Tigard,OR 97223 ate issued: By. — Receipt no Clackamas Phone (503)639A 171, FAX: (503)6h4-7297 - Muilnornalt C ae file no.: _ Poyment type Washington Building permit no.; -- r 0 ,1 m TIES Land use, approval: OF r U I & :' family dwelling or accessory U Commercial/industrial D Multi-family U Tenant improvement U New construction U Additionlaltemi.ion/replacement U Other. Il SITE INFORMATION COMIMERCIAL Job address: Indicate equipment quantities in boxes below. Indicate the dollar Bldg. nov -- Suite-ono �_ value of all mechanical a�tetialliguipment,labor,overhead. I'ax rna ltax lot/aceount no.: profit.Value S _- . Lot: Block: _� -i bdivision_ `- �^ *.See rhecklist for importunr eppliratlon lnforrnrion and Project name: _ 'i ja�sd,rrron's fee schedule for residential permit fee. Citylcc,unty: _ ZIP —-_ - Description and location of work on premises: ___�— t _ Fee(ca.) Total Est date of compleriottfinspecd on: — — -— Description Res only [tea,only Tenant improvement or change of use: _ HVAC: Is a-isdng space heated or conditioned'?U Yes U No Air handling unit_ CFM, v - A con t aning(site pplan require It;ex.isdng spat: insulated?❑Yes U No A tertttion of existing fTVAC system CONTRACTOR nailer rompreseoM Business tlanie: r _ g-G o„� s C State hoiler permit no,:_ _ - HP Pons , w ATOM Address: j z0 �-f --- lJ e - Fire/amoTce�am_�_ uce smo cue deteewrs - T-- City: { q State;(] L-U q?O Heat ump(s tTe-Ten requvad) Phone:(rT Z?Q 1 'ax:oz SSS` E-mail: — cl ng du�rn/yetit iv Including ductwatirlvenr liner L]Yes Na CCB _ `- — _— � — instaWreplace/rslocate hearers--suspenr�ed, City/metro lic no.- : g_ _- - wall,or floor i ioun�d Name( lease print): in for_e��plifi utccee or r an mace � Rehigeratlne: Ahsc ,c onun is BTUM - Chillr'� HP Name, �c> t us -- Addnis: b - - ��, t — Com Compressors __ HF nrironrrtxntal e><l,ttust tto veotllndoo: City��✓+S �.as.� T-- Stste: pK LIP: O a A liiince vent -- --- - Pltrne: -,��'^� Fax: E. mail: I7r,ere a." -- o�,T'ypr II IUnrs. itchen sattat hcwwi Fire suprxession system -- --- Name: L ; I) Exhaust fan with single duct!bath(ans) Mallin adtiresa: nR Eihaosi ayslem art mm earn nr AC� City: ZIP: Fue p p ae rthudro on(up 4 orrrlerr) S(A[e; _ -. ---- ,r . _ LIA: NG oil Phone: Fax: E-mail: Fuel piping_eaaccchih iJdiuonal over 4 outlets PrmA--"piping(schematic(-quired) - Numher of outlets f) Name: - —_ .. tf�cr ITgied aDD 9 D - - - _ -Ylrltrrr ore u mesh Address: Dec'orativc fireplace. — ---- City State. ZIP: rnsert-type Phone: )~ag; E mal); _ - 00 slove/pellet stove Other Applicant's sigtaarrtre: !)ate: -. Other,. Name.(print); _ ��} Ver all)iulidledom eeceW cndh card,,piwe cs'I)urisdieUnn frx mor•inrnrmegne Permit fee.•.. � _......, _ x,�Y� Nntiec-71,ia pe. -mil nppficadan 3 vsa U Ma,rerCard Minimum ter. ................S rrpUvs if a permit 6 not obtained Plan review(at %) S redU acrd number - - — within /gn dayr alter L had beer! c -� a _.rate surchv'ge(8%), S accepted as cr late. -M. Name o(wrdhol or u ahawe ne credll urd p � cudhoi.(er,I`nerum "0.4617 160YMM I CITY OF TIGAFD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — XX BUP _ Date Requested O/ AM `\_PM BLD Location l (��I 5 `7 �c.� %�"�r�� -roe/iy�� Suite MEC,?X Contact Person _ _ ✓�'/L-v- Ph PLM Contractor V_ Ph _ SWR BUILDING Tenalit/Owner _ ELC -- Retaining Wall - ELR Footing - --- Foundation ACC@SS: FPS Ftg Drain _ Crawl Drain Inspection Notes: SGN Slab Post&Beam — --- --------------_-_.-� _.-_..—.--- SIT �— Ext Sheath/Shear Int Sheath/Shear — --- Framing Insulation -- Drywall Nailing Firewall Fire Sprinkler Fire Alarm -----. .----- ----__----- Susp'd Ceiling Roof - Misc: ---------- -- ------------ Final PASS PART FAIL_ ------ ----------_._____. -__ _ �----------__--_-- -__ -- ---__.- . PLUMBING - Post& Beam - ----- ------ -- -- - - Under Slab Top Out Water Service Sanitary Sewer - -------- _.__.___ Rain Drains Final — -- PASS PART FAIL_ Post& beam ---- - - - Rough In — ------------Gas Line Line Smoke Dampers -- PASS PART FAIL_ Et_ TRICAL -- -- Service Rougn In UG/Slab Loy, Voltage Fire Alarm Final _ � _-.0--------_ - PASS PART FAIL SITE --------__-_._�_ Backfill/Grading - - - ---- - ---- -- Sanitary Sewer Storm Drain ] Reinspection fee of$— regNred 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 I ) P ADA AppOthroa,h/SidewalkeDate - � Inspector , _ Ext Final — PASS PART FAIL DO NOT REMOVE this inspection record from the job site.