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Permit CITY TIGARD MECHANICAL PERMIT 4 W DEVELOPMENT SERVICES PERMIT #: MEC2000 -00462 Ali 13125 SW Hall Blvd., Tigard, OR 9 (503) 639 -4171 DATE ISSUED: 11/27/2000 PARCEL: 2S115BC -14900 SITE ADDRESS: 16750 SW 124TH AVE 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 APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1 FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Installation of gas fireplace (using existing gas line). Owner: FEES SCHMIDT, GERALD L + NANCY L Type By Date Amount Receipt 16750 SW 124TH AVE PRMT DLH 11/27/20( $72.50 KING CITY TIGARD, OR 97223 5PCT DLH 11/27/20( $5.80 KING CITY Total $78.30 Phone: Contractor: G P + W SYSTEMS INC 732 MARBLE RD WASHOUGAL, WA 98671 -9601 REQUIRED INSPECTIONS Mechanical Insp Phone: 360 - 835 -3516 Final Inspection Reg #: LIC 00108176 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -91: • III Pat Issue By: (/ lliv 4 w — Permittee Signature: e7tj 47D,O4/ ('?9770&( — F4 n Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day 11 122/2000 1305 50 CITY OF KING CITY PAGE 02/02 • � ��I •v ,, v,.l t� l'Aa .11 V .l rlu I aril r, a 1.Y (111 e. 1•e)•. •,."rl' Lin PAGE ,1 14/200 09:55 5036393771 CITY OF KIN( CITY PAGE ©�/92 CEN R Mechanical Permit Application City of King Ci a,tereceived: t I- ?rt -t3� Purnitno,:/�r6C -g7yG \,,\`4 ` / 13125 SW kills Blvd, Qttlj�dappl. no.: Expire dare; '�`' Tigard, OR • Clackamas Aare issued: By: Receipt no.: Plume: hone: (503) 6394171, FAX: (503) 684 -7297 r Case file no.; P*)rtnent type: Wash Ington c o u H r I E s Land use approval: Building permit no,: fYPK:: OF PERMIT & 2 family dwelling or accessory 0 Commercial /}rrduatriai O Multi - family 0 Tenant improvement New construction O AdditionIaltetsition/replacement Q Otltmr: 2(111 Sll'$• 1NFORIAIAIIO:N COt1\IA•:14c1,1a- VALUATION SCIuFUU1-F, Job address; I( 7 0 4w / WEIL u 1ndioato equipment quantities in boxes below. Indicate the dollar Bldg, no,: I Suite no,: value of all mechanical materials. tquiprnent, labor, overhead, Tax tt apita4 lot/account no: profit. Value $ Lot: Block: 'Subdivision: "See checkll4 for important application information and Pro act name: f Nrladirtlaat'S fee schedule for rciidemial milt te, Cit /count y AV ZIP: a i ' I :A I1r1. }' D Description and I • . rSon of ork on pretttise9: E_,- 6.INI; PT..R_Ai l i' FF1: SCHFID�IL1_ AND COiln11_krCALrrNIRscll. FQl111'it1a.NTNC ;IFI)I-rLE •-itke..242,4E9- Zeiler JI I Ap ,� Est. date of com • lets( ins. _ qon: it . >F� lea.) Total r tied • ea. o Am. one V Tenant improvement or change of use: I Is existing space heated or conditioned? 0 Yea Q No its (Misting space insulated? O Yea 0 N "• Alteration of a istin: • • • C system MP( HANN ',11. CONTRACTOR so Business name: , P,t .4, State boiler permit so,: 732.. 1'V a.i.b/ - tons Address: ?3 sTtllii Cit Pire/smokp darts . -Nduct pmo o detectors S to _ ., ZIP: 9 7 ' at porn (s to plan require • -~ Pilo s ' 1 _ l Fax: E-mail; Ins . rtr�p ate ' rnaceiburner BTU ~ CCB no.: / Q -, 74 InoludinB duaturorkwant Liner O Yes Q No l _City /met file. .; �� t Irtstallhtiplac� a (mate heaters- suApended, I S welt, of floor ttmamma 1 Name • Loss a print): r►o eat iFF Bence other than titmice- Minalin. CO..N U C 1 Ph :RsoN a ration: Absorption nails aTT1/H Name: 4 le ! 1.4 Chills= HP Address; ' zlia'' "./.`" oatessors HP arb.ast an venHle r e; 11111 IMO ?hone „lb. vent NM d OWNER 'cods. nos l/ row in • • a t II Jattte; s Cdr e' .<",—_,A /?mod hood fire impression system "Sailing address: , BJtheust g S with Si : In duct (bash fans) Z IIIIMMLI 4erk ' Behaust s stem • aR torts heals . or illi 'ity; �_.,... Fuel piping sad - ' button (u to p 4 au ors) ��� 'hone: 1 -�� � Fax: E- mail.: T LPG NO Oil Fuel •r - tn= ca s• m l over out ,cis -` lame: ENGINEER Process plphig (scheamatj atic mg ) A Number o f outlets ,dd s: ra'I Other ' -• app •asst or toe meat; � j ity: State: Decorative fireplace �onc. / insert - - I _ , licane si _ � � Qo � me (.fit)_' <���A�_ � �Iit�ll /� pWar: • r all lariadiCt; •vOap1 a+dh cadr PIE =IA 1urNaldio• Aar nv■ In annation- Ira 0 MasterCard tye[irc: This sarlit Permit fee.,... 'S Ali II era EMU?: _1 P / WteR Minimum fee $ l .1 wires V !permitismetabrd,ssd Pl an rGVle�v Name of s+ldAotdar M *hare oa ardll Gard - Eapber `ithht JBO daps 4R'+" I( Alts deer, (at %) $ aeeePped Cr cerl,plela State surcharge (R%)., : , S c. z-,.awra S TOTAL ,m�.a1 of d asn_ad o-.rr CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 171 BUP Date Requested /1- 1 AM PM BLD Location / & 7 St 5 w /2 ( et f}'ve eC Suite MEC 2 - 16 Z Contact Person Ph .57 57 %J -7G f 7 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing 7i / QA3 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 cla o Beam N , Rough In f;"-e/2-4t C• Gas Line Smoke Dampers I ART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Other oach /Sidewalk Date // 2 7 . Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. - BUP - Building Permit ELC - Electrical Permit 4 Inspection Description Date Passed By 4 Inspection Description Date Passed By Footing /Setback Underground cover Foundation walls Wall cover Footing drain Ceiling cover Waterproof bsmt walls Electrical rough -in Slab Electrical service Crawl drain Electrical final Underfloor insulation Post/beam structural Shear walls /anchors ELR - Restricted Energy Permit Roof nailing 4 Inspection Description Date Passed By Firewall Low voltage Tilt -up panel Electrical final Masonry/Reinforcement Framing MFG - Structure set -up MEC - Mechanical Permit Insulation Drywall nailing 4 Inspection Description Date Passed By Post/beam mechanical Suspended ceiling Gas line Engineered soils Mechanical rough -in Welding Lab Final Fire damper Concrete Lab Final Duct work Bolting Lab Final Smoke detector Fireproofing Lab Final Mechanical final J% _z — atp /y Structural observation Final inspection PL M - Plumbing Permit 4 Inspection Description Date Passed By BUP — Fire Protection System Permit Plumbing underslab 4 Inspection Description Date Passed By Crawl drain Sprinkler underfloor /slab Post/beam plumbing Sprinkler rough -in Plumbing top -out Sprinkler final RP /backflow preventer Fire alarm final Rain drain Storm drain Water service SIT - Site Permit Sanitary sewer I Inspection Description Date Passed By Culvert/catch basin Footings Pump /fill septic tank Foundation walls Plumbing final Sprinkler supply lines Sprinkler underfloor /slab Catch basin/Manhole SWR - Sewer Permit Engineered soils ' Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final inspection Final inspection INSPECTION RECORD - BUP, PLM, SWR, ELC ELR, MEC SIT PERMITS C ITY OF TIGARD MECHANICAL PERMIT ,12� DEVELOPMENT SERVICES PERMIT #: MEC2000 -00462 • f l + 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/27/2000 PARCEL: 2S115BC -14900 SITE ADDRESS: 16750 SW 124TH AVE 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 APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1 FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Installation of gas fireplace (using existing gas line). Owner: FEES SCHMIDT, GERALD L + NANCY L Type By Date Amount Receipt 16750 SW 124TH AVE PRMT DLH 11/27/20( $72.50 KING CITY TIGARD, OR 97223 5PCT DLH 11/27/20( $5.80 KING CITY Total $78.30 Phone: Contractor: G P + W SYSTEMS INC 732 MARBLE RD WASHOUGAL, WA 98671 -9601 REQUIRED INSPECTIONS Mechanical Insp Phone: 360- 835 -3516 Final Inspection Reg #: LIC 00108176 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 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 forth 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 -91: • Issue By: / r l , , Permittee Signature: ,f / L/ C'� /tea 7U l ,T>< e t. Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day