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Permit CITY OF T MECHANICAL ''i� DEVELOPMENT SERVICES PERMIT , �� ����i l� d6ti'llI PERMIT #.......: MEC97 -0 .43 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 07/16/97 PARCEL: 25115BB - 06600 SITE ADDRESS...: 16400 SW KING CHARLES AVE SUBDIVISION - ZONING': • BLOCK..........: LOT JURISDICTION: KIN CLASS OF WORK..:ALT FLOOR FURN....: 0 EVAP COOLERS: 0 TYPE OF USE -SF UNIT HEATERS..: 0 VENT FANS...: 0 OCCUPANCY GRP..:R3 VENTS W/O APPL: 0 VENT SYSTEMS: 0 STORIES.........: 0 BOILERS /COMPRESSORS HOODS • 0 FUEL TYPES 0 -3 HP,...: 0 DOMES. INCIN: 0 3 -15 HP - 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15 - 30 HP : 0 REPAIR UNITS: 0 FIRE DAMPERS ?..: 30 -50 HP - 0 WOODSTOVES..: 0 GAS PRESSURE...: 50+ HP - 0 CLO DRYERS..: 0 NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 0 FURN < 1O0K BTU: 1 <= 10000 cfm: 0 GAS OUTLETS.: 1 FURN > =10OK BTU: 0 > 10000 cfm: 0 Remarks : Add gas furnace and gas piping. . Owner: FEES BEVERLY BARRETT type amount by date recpt 16400 SW KING CHARLES AVE. PRMT $ 25.00 GEO 07/15/97 KING CITY KING CITY OR 97224 5PCT $ 1.25 GEO 07/15/97 KING CITY Phone #: 968 -8293 Contract or: WESTERN HEATING & A /C. 14314 SW ALLEN BLVD STE 220 $ 26.25 TOTAL BEAVERTON OR 9005 Phone #: 648 -5808 Reg #..: 000769 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Gas Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical I n s p• applicable laws. All work will be done in accordance with Heating Lint . I n s p approved plans. This permit will expire if work is not started Duct Inspection within 180 days of issuance, or if work is suspended for more INSP Misc. I n s pe than 180 days. ATTENTION: Oregon law requires you to follow rules Final. Inspection adopted by the Oregon Utility Notification Center. Those rules are _* set forth in OAR 952 -Y4 -0010 through OAR 952- 001 - 0080. You may . , W • obtain copies of these rules or direct questions to OUNC by calling __ (503)246 -9187. Issue By: — Permittee Signature: — ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + ++ + + + + + + + ++ Call 639 -4175 by 6:00 p.m.. for inspections needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++, CITY OF T MECHANICAL MAO DEVELOPMENT SERVICES PERMIT �Ir�d6y'�I� PERMIT #.......: MEC97 -0243 . __.. 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 07/15/97 PARCEL: 2S.115BB -06600 SITE ADDRESS...: :16400 SW KING CHARLES AVE SUBDIVISION....: ZONING: BLOCK • LOT • JURISDICTION: KIN CLASS OF WORK., :ALT FLOOR FURN....: 0 EVAP COOLERS: 0 TYPE OF USE.... :SF UNIT HEATERS..: 0 VENT FANS...: 0 OCCUPANCY GRP.. :R3 VENTS W /O APPL: 0 VENT SYSTEMS: 0 STORIES • 0 BOILERS /COMPRESSORS HOODS........: 0 FUEL TYPES 0 -3 HP • 0 DOMES. INCIN: 0 3 -15 HP • 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15 -30 HP....: 0 REPAIR UNITS: 0 FIRE DAMPERS ?..: 30 -50 HP....: 0 WOODSTOVES..: 0 GAS PRESSURE...° 50+ HP • 0 CLO DRYERS..: 0 NO. OF UNITS - --- AIR HANDLING UNITS OTHER UNITS.: 0 FURN < 1O0K BTU: 1 (= 10000 cfm: 0 GAS OUTLETS.: 1 FURN > =1O0K BTU: 0 > 10000 cfm: 0 Remarks : Add gas furnace and gas piping. Owner: FEES BEVERLY BARRETT type amount by date recpt 16400 SW KING CHARLES AVE. PRMT $ 25.00 GEO 07/15/97 KING CITY KING CITY OR 97224 5PCT $' 1.25 GEO 07/15/97 KING CITY • Phone #: 968" - -8293 • Contract or: WESTERN HEATING & A/C 14314 14314 SW ALLEN BLVD - - -- STE 22O 46.5 TOTAL BEAVERTON OR 9005 Phone #: 648 --5808 Reg #..: 000769 REQUIRED INSPECTIONS --- - - -- -- This permit is issued subject to the regulations contained in the Gas Line Insp - Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp applicable laws. All work will be done in accordance with Heat i n g.. Unt Insp approved plans. This permit will expire if work is not started Duct Inspection within 180 days of issuance, or if work is suspended for more INSP Misc. I n s pe than 180 days. ATTENTION: Oregon law requires you to follow rules Final Inspection adopted by the Oregon Utility Notification Center. Those rules are _ set forth in OAR 952- 001 -.10 through OAR 952- .+'j17vi :0. You may obtain copies of these rules or direct questions to DUNG by calling (503)246 -9187. A Issue By: it Permittee Signature: ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + ++ ++ ++ + + + + + + + + ++ Call 639 -4175 by 6 :00 p.m. for inspections needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ - -- JUL - 15 - ' 97 TUE 14:55 ID: FAX NO: - • #242 P02 .. .4 Plan Check # CITY OF TIGARD Mechanical Permit Application Recd By 13125 SW HALL BLVD. Commercial and Residential Date Recd TIc ARD, OR 97223 Date to P.E. (563) 639 -4171, x304 Date to DST Print or Type Permit ##MEeg f3 Called Incomplete or illegible applications will not be accepted N ame of Development1Pro)ect Description ��,�y� Table 1A Mechanical Code Orr PRICE AMT • Job stroetmureaa / OT yt suiteM A) Permit Fee -0- -0- 10,00 Address ' Fin! Kj.v6 C� • �FSA�/. 2ldgx C' Zf� B) Supplemental Permit 3.00 Name (or name of Dullness / � 1.) Furnace to 100,000 BTU 5.00 Owner 3 l'JJZyy' PAil ,E TT incl. ducts & vents 1 Melling Add 2.) Furnace 100,000 BTU + 7,50 /6q00... ,S v l'51/ 1/111Le)-- incl. ducts & vents City /State Z Pttone 3.) Floor Furnace 6.00 17 G .1 >t 1 a 12, �6Z+` ,3zFi incl. vent Name for name of bualnvosl 4.) Suspended heater. wall heater 6.00 or floor mounted heater • _ Occupant Moiling A oe r 5.) Vent not incl. in 3.00 appliance permit Cityr5tate Le i none 6.1 Boiler or comp, heat pump, air cond, ` 6.00 1 1 to 3 HP; absorp unit to 100K BTU Name 7.) Boiler or comp, heat pump, air cond. 11,00 WF5T ED 47L -.-' • • 3 -15 HP; absorp unit td 500K BTU Contractor Mailing Addrexm � a.) Boiler or comp. heat pump, air cond. 15.00 i f 3/Y St,-, 4-L/ 1: ILL v . 15 -30 HP; sosorp unit .5 -1 mil BTU Attach copy of sty /State • Zip_ Phone 9.) Boiler or coma, hest pump, air Cond. 22,50 Current Licenses j' _ A . I f �r 7 ? 6. • - ! • 30 -50 HP: absorp unit 1 -1,75 mil BTU Oregon Corset. p ant, Board Llc,tr Exp. Oate 10.) Boiler or comp, heat pump, air cond. 37.50 74 ! 10-/7-r7 > 50 HP; absorp unit 1.75 mil BTU , COT Business Tax or Metro ii Exp. Date 11.) Air handling unit to 4,50 10,000 CFM Architect Name 12.) Air handling unit 7.50 10.000 CTM + or Mailing AOdress 13.) Non portable 4 cvaporete cooler Engineer cit Zip Phone 14.) Vent fan COnnected 3.00 to a stogie duct Describe work Now 0 Addition 0 Alteration Repair O 15.) Ventilation system not 4.50 to be done Residential " Non - residential 0 included In appliance permit 1 Additional Description of work 16.) Hood served by mechanical exhaust 4.50 17) Domestic incinerators 7.50 .64 X 1:07 - 3 44' ; 1.--/ Existing use of . 18.) Commercial or industrial 30.00 building or property Dom, - type incinerator 19.) Clothes dyers, etc. . 4.50 Proposed use of 20) Other units 4.50 building or property - Type of fuel - Oil 0 natural gas q3-- LPG 0 electric 0 21) Gas piping one to four outlets )) 2.00 1 `"i hereby acknowledge that I have read this application, that the 22) rviore than 4 - per outlet (each) .50 information given is correct, that I am the owner or authorized agent of the owner, that plans submitted are in compliance with Oregon State QTY. SUBTOTAL laws. . Signature of Owner /Agent Date 'SUBTOTAL - 5% SURCHARGE - • . /6 Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL . . • . 7 7) N'FL -5-40./. � ‘ i/7- S QS' TOTAL , ' ;4) 4 i:\dstlrnechpmt,doc 'Minimum permit fee is $25 + 5% surcharge Plan Check # CITY OF TIGARD Mechanical Permit Application Reed By 13125 SW HALL BLVD. Commercial and Residential Date Recd TIGARD', OR 97223 Date to P.E. (503) 639 -4171, x304 Date to DST Permit # Print or Type caned Incomplete or illegible applications will not be accepted Name of Development/Project - Description Table 1A Mechanical Code QTY PRICE AMT Job Street Address Suites A) Permit Fee -0- -0- 10.00 Address 16ef0o s w. : -f <t(a eVca • Bldg# City/State Zip 1.) Furnace to 100,000 BTU 6.00 Ar :A. c:Ty ? 7,2.24 including ducts & vents Name or name of business) 2.) Furnace 100,000 BTU+ 7.50 Owner includingducts & vents Mailing Address 1 3.) Floor Furnace 6.00 • .SR,MC A q/ , C• including vent City/State Zip Phone 4.) Suspended heater, wall heater /6.00 or floor mounted heater Name (or name of business) 5.) Vent not included in appliance permit 3.00 • Occupant ailin A ddre ss 6.) Boiler or comp,, heat pump, air cond. 6.00 to 3 HP; absorb unit to 100K BUT' City /State Zip Phone 7.) Boiler or comp, heat pump, air cond. 11.00 3-15 HP; absorb unit to 500K BTU" Contractor Name 8.) Boiler or comp, heat pump, air cond. 15.00 (Prior to wcSfe,-.... I/ca..T.%i -..'-' i4 /� 15-30 HP; absorb unit 5-1 mil BTU" issuance Mailing Address 9.) Boiler or comp, heat pump, air cond. 22.50 applicant /4(2/4' .s c.) '// {,,,,, Blv 23,0 30-50 HP; absorb unit 1- 1.75mi1 BTU" must provide all City/State 9. ip Phone 10.) Boiler or comp, heat pump, air cond. 37.50 contractor Qca.- �, ley nr, ‘' •Sres' > 50 HP; absorb unit 1.75 mil BTU" license Oregon Const Cont. Board Lic.# Exp. Date 11.) Air handling unit to 10,000 CFM 4.50 information 7,C, 7gl' /© -77 for COT COT Business Tax or Metro # Exp. Date 12.) Air handling unit 10,000 CFM 7.50 database). Architect Name 13.) Non - portable evaporate cooler 4.50 Or Mailing Address 14.) Vent fan connected to a single duct 3.00 • Engineer City/State Zip Phone 15.) Ventilation system not included in 4.50 / appliance permit Describe work New 0 Addition 0 Alteration 0 Repair 0 16.) Hood served by mechanical exhaust 4.50 to be done Residential 0 Non - residential 0 - Additional Description of work 17.) Domestic incinerators 7.50 18.) Commercial or industrial type 30.00 Incinerator Existing use of 19.) Repair units 4.50 building or property 20.) Wood stove / 4.50 Proposed use of 21.) Clothes dryer, etc. 1 4.50 building or property 22.) Other units 4.50 • Type of fuel - oil 0 natural gas LPG 0 electric 0 23.) Gas piping one to four outlets / 2.00 I hereby acknowledge that I have read this application, that the 24.) More than 4 -per outlets (each) .50 information given is correct, that I am the owner or authorized agent of the owner, that plans submitted are in compliance with Oregon State QTY. SUBTOTAL laws. Signature of Owner /Agent Date 'SUBTOTAL • 5% SURCHARGE ' 1e1 - n_ 7 -/G -9,2 ontact Person Name Phone PLAN REVIEW 25% OF. SUBTOTAL TOTAL Doze .1J‹b /'6 4 G tie 7.5 Ow V' ildstvnenipmt.doc (rev 9 'Minimum permit fee is S25 + 5% surcharge "Residential NC requires site plan showing placement of unit • • CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639-4175 Business Phone: 639 -4171 • Date Requested: `! 7f 13/ 7e A.M. P.M. MST: Location: C 69'Ja Ie /.cs6- C /e 2!F f 4vJ BUP: Tenant: Suite: Bldg: M Q EC: ` a z 47(3 Contractor: Phone: PLM: 9g ^ Q /S 7 Owner: 4 t/ A I'd r . Phone: ELC: ELR: SIT: BUILDING BLDG (con't) MECHANIC:. ELECTRICAL SITE Site Post/Beam Pos eam = _ .r Cover /Service Sewer /Storm Footing Roof UndFl/Slab Rough -In Ceiling Water Line • Slab Framing Top Out Gas Line Rough -In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Temp Service MISC. Masonry Ceiling Rain Drain A/C ) UG Slab Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt Approved Approve. - Approved Approved Appr /Sdwlk Not Approved Not A. 'roved • • ..roved Not Approved Not Approved FINAL - � ;r 1ffilik 4.4010 FINAL FINAL • • • • O Call_for r•'' spect .�r O_Reinspection.fee of $ . required before next. inspection_ _ O Unable .to_inspect Inspector: Date: 7 ) 8 Page of