16820 SW MONTEREY LANE 3Ntfl Jl?R131NOMr MS OZ991
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16820 SW MONTEREY LN
CITY OF T I G A R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMITM MEC1999-00398
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 09/22/1999PARCEL:. 2S116AD-09000
SITE ADDRESS: 16820 SW MONTEREY LN
SUBDIVISION: KING CITY N0.13 ZONING:
BLOCK: 13 LOT: 118 JURISDICTION: KIN
CLASS OF WORK: AL'r FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS: 1
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES_ 0 - 3 HP: DOMES. INCIN:
3 - :5 HP: COMML. INCIN:
MAX INPUT: BTU 15-30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30-50 HP: WOODSTOVES:
GAS PRESSURE: 50+ HP: CLO DRYERS:
FURN <109K BTU: AIR HANDLING UNRS OTHER UNITS:
FURN >=100K BTU: <■10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Vent fan connected to a single duct.
Owner: _ _ FEES
ANDERSON, DOROTHY T TRUSTEE Type By Date Amount Receipt
16820 SW MONTEREY LN PRMT GEO 09/22/19E $50.00 KING CITY
KING CITY, OR 97224 5PCT GEO 09/22/19 $3.50 KING CITY
Phone:
Total $53.50
— ---
Contractor:
OWNER
REQUIRED INSPECTIONS
Final Inspection
Phone:
Reg M
11
ORIGINAL
m
WThis permit is issued subject to the regulations contained in the Tigard Municipal Code, 'tate of nre.
-J Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Not'`:�aiion Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain rppies, thles or direct questions to Ol1NC by calliP9 ( )246-9189.
Issue By: Pormittee Signature:
G Call(503)639-4175 by 7:00 P.M. for !n9pections needed the next bu Iness day
SEP-21-99 TUE 02;18 PM City of King City FAX;503 639 3771 PAGE 2
^ CITY OF TIGARD Mechanical Permit Application Plan Check#
13125 SW HALL BLVD. Commercial and Residential Recd 9e
_$,tg24—
TIGARD, OR 97223 Date
le Date to P.E.
(503) 639-4171, x304 1f' Data to DSTa
Print or Typs I�f p� Nmtat0,AFe_
(Off 3�
Incomplete c iil_ee ibie a plications will not be accepted Called -
NW"Of 00""m•nMaied Duerlptien -
Table I Mechanical Code 0
& Prim Amt
Job sect Asdna• svirrr Permit Fee 18.00
Address 1) Furnace to 100 WOFT
coat c two Zip incl na ducts A vents see footrx4a 1,2 9.65
II�� 2) Fumaa t00, BTU+ ��
Ircludin ducts 6 vents _see footnote 1,2 12.00
-- me!d name M tfueMw,�G — -
3) icor Furnace
Owner DO -/(f 0,0 1P-5 pN ineiudin -nt see footnote 1,2 9.65
Mall"Ad"o A) Suspended heater,wall heater
6 a t7 Ste, or floor mou heater ase footnote 1.2 9,66
5 Vsnt
not c .,d in a once nnK 4,75
a Suet o p6w Check all that apply: oiler most Air
(0,%P,3 qA. For Items 6-10,aw or Pump Coad Qty Pike And
N•n,a( runt• du•nae•) foetnotee
1,2 �+
6)<3HP;absorb unit to
rriy 100K BTU
Occupant Ma _ 0.65
7)318 HP;absob unit
_ 100k to SOOtt BTU 17,85
MN zap 8)15-30 HP:absorb
unit.6.1 trill BTU 24.15
Contractor Nan,. - - 9)3050 HP;absorb
�,s C unit 1-1.74 rnif BTU 36.00
10)rSOHF'absorb unit
Pnor to permit
Assns• _ a 1.75 mit BTU60.15
issuance,a appy �.. 11 Air handling unit to 1ra,oco CFM _
of a!I ficerwes csyrsrt• tp vruxvr
are required H 'AO
_ 12)ki handling unit 10,000 CFM+
.._ '
expired In COT Oman cm•r Con cwd l _ Dili 11.75
database �,� 13)Non-pe sysporata cooler -
Architect Nom' Too '
14)Vent tan connect toediingle duct
or MMnrroAddnas 4.75
15)Ventilation system not Included in
En sneer Matta rmh 7.00
I@)Hood served by mechanical exhouat 1
'*,oft work to to cone: _ 17)Domest ne)n
Ieraton W` 7.00 i
12.00
New sr O Replace with Hiw kind: Yes 0 No O 1 ) rdal or Industrial type Incinerator
Resklenft conMneaial0 _ ss26
_ _ iptif )Repalr unft
AddiC�onst irWomtRtbn a description of Work _ 6,40
20)Wood stove/gas P/other unKa/clothe dryorlete.
(L 7.M
NOT': For Commercial projects only;Unfls over 400 lbs.require 211)Gas pipirg one to four outlets
structural Das kaak s. _ ^ See footnote 1co —c 3,70
Type'of fuet, 6h0 natural gns O LPG O efedrk O 22 Mons than 4-per o_utl�rt .eac�h . 75
Minimum PsrmltFas 260.00 8T TA I
J I hereby acknowledge that I have read this apRkat ,that the iniom►ation -7%SURCHARGE
given Is correct,that I am the owner or authorized agent of PLAN RFVIFW 25%OF SU OT/ti
the owner,that plans sut mRted are In eonepllance with Oregon State taws. Reoulred for ALL comrMrelal pennlle only
W TOTAL {
W Signature-�_._ rlAgent _ —- ��-� SD 1,
.J
� h, Other Inspection•and foes:
K 1- Inapectlons outside of normal business hours(min(num charge-two f
Conte rso Nalh Phone hours) $30.00 per hour
,!' ��'"1 6 �- 2, Inspections for which no fee Is Specifically indicated (mfnfmk;tr.
k chsrge-half Noun 460.00 per hour
Foonntoa for c marc a proJscts o►.lys 3. Additional plan rsvlew required by ahanM additions or revlslons to f
1. Provide full s homotic of existing and proposed gas lino and pressure. plans(minimum chirge-0rte-half hour)$90.00 per hour +
2. Provide drawings to scab showing existing and proposed mechanical
unhr;. 'State Contractor Boiler COMI'lcation required
"Residential AIC requires s8e plan showing pracemead of un"
I Nmechpenn.doc rev 02/4/99
CITY OF TIGARD BUILDING INSPECTION DIVIS:ON QST
24-Flour Inspection Line: 6394175 Business Line: 639-4171
l SUP _
Date Requested-Q(/S 1 nl AM PAA BLD
Location ��'�� ,�U � P o _
-� _.� � Suite MEC rg4 ContactPerson 6u(e)4" 04_SCY1- Ph (off er PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain 3GN
Crawl Drain Inspection Notes: /3– —' —
Stab 8�
Post&Bearn —
Ext Sheath/Shear
Int Sheath/Shear
Framing _
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:_
Final
PASS PART FAIL
PLUMBING
Post&Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post&Beam - —RoughIn
Gas Line �' �-� ----- --- –
Srf Dampers
PART FAIL
ELECTRICAL
IL Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
,a Final
_m PASS PART FAIL
0 SITE
J Backfill/Grading
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basil
Fire Supply Line [ j Please call for reinspection RE: [ ]Unable to Inspect-no ar..cess
ADA �� ?
Approach/Sidewalk Gate Inspector Ext 'I
Other - �. �._.
LL
Final
PASS PART FAILj REPROVE this Inspection record from the job site.