Permit CITY TIGARD MECHANICAL PERMIT
414 DEVELOPMENT SERVICES PERMIT #: MEC2000 -00316
` „ 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/3/00
PARCEL: 2S 115BB -06200
SITE ADDRESS: 16350 SW KING CHARLES AVE
SUBDIVISION: ZONING:
BLOCK: LOT: JURISDICTION: KIN
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: 1
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:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
•
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS: 1
Remarks: Installation of gas piping for two outlets and one ventilation system not included in appliance permit.
Owner: FEES
WARREN, ROSS W + SHIRLEY C Type By Date Amount Receipt
16350 SW KING CHARLES AVE PRMT DEB 8/3/00 $50.00 KING CITY
KING CITY, OR 97224 5PCT DEB 8/3/00 $4.00 KING CITY
Total $54.00
Phone:
Contractor:
T + K MECHANICAL /HOT SPOT FIRE
TIMOTHY S WYNNE
11525 SW CANYON REQUIRED INSPECTIONS
BEAVERTON, OR 97005
Gas Line Insp
Phone: 626 -4652 Mechanical Insp
Reg #: LIC 00121165 Final Inspection
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 ou to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -00 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by
calling; (503)246 -9189.
Issue = : � , L/ � ./ A . Permittee Signature: 7 - - - -•
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next busin - : • ay
AUG -03 - 00 THU 11:33 AM City of King City FAX:503 639 3771 PAGE 2
• Plan Check fi _
• CITY, OF TIGARD Me chanical Permit Application Redd By 1�
13125 SW HALL BLVD. Commercial'and Residential date Reed $ �rdlo. •
• TIGARD, OR 97223 • . Date to P.E. ,
(503) 639 -4171, x304 • Date to DST -?j -ev •
Print or Type Permit# ffl2 X33/(0
' in or. 'illegible applications will not be accepted ' .Called - ..... ... L '
- . Neme•of bevelopmentlProJect Description ' •
Table 1A Mechanical Code Qty Price Amt • •
Job Street Address Sated 'A Permit Fee ^4p ats'is:;rI i� i . ^a; 16.00 • .
Address ! e 360 r $ L pfd jfr ; 1) Furnace to 100 BTU
Bldg# CitylS a Zip includ ducts & vents 9 -65
2) Furnace 10•,000 BTU +, • ' •
K Cr' 4. r , L J?Z�. . including ducts & vents 12.00
' '
Name (or name of business) ' • 3) Floor Furnace •
Owner g 0(.5 ' ( (. -1e,- including vent • 9.65 •
Mailing Address 4) Su'spended'heater, wall heater •
{i��
r ) N or floor mounted healer' 9,65 1 b O l '` J ni �7�J - G XU ' r { 5) Vent not included in appliance permit 4.75
Cf zi �S ate . � p C heck all that apply: *Boiler Heat Air
�? i4 i! r , ! Y 0 f 47249 Vz 9 For items 6 -10, see or Pump Cond . Qty Price Amt
Name or name of business) footnotes 1,2 . Comp , • ' "
6) Repair units '
OCGU ant Mailing Address `.' 8.40
P 7 ) <3HP;absorb unit to .
100K BTU ' • 9.65
•
CityfSfate Zip Phone '
8) 3- 15•HP;absorb unit
• '100k to 500k BTU 17.65
• Contractor N ame 9) 15-30 HP; absorb
unit :5 -1 mil BTU . 24.15
/� e G--� ` .10) 30 -50 HP; absorb
' Prior to permit Mating Address , unit 1 -1.75 mil BTU • • 36.00
issuance, a copy Z05 `jL 1 lJ v'►mac� ' � i 1), >50HP; absorb unit >1,75 mil BTU •
of all licenses City /State • • Zip . P ne / "" 60.15
are required if a}�hg 4:,e" �'U 12) AIr handling unit to 10,000 CFM
expired in COT Oregon Const, Cont. Board Lie.; , • ' txp. Date ' • 7,00
databaso / ��
.1/-5. e.>/ 13) Air handling unit 10,000 CFM+
Architect Name 11.85
. • , 14) Non - portable evaporate cooler . •
or Mailing Address 7.00 .
. 15) Vent fan connected to a single duct • •
En ineer City /State Zip Phone .
4 7
9 16) Ventilation system not included In
appliance Permit I�CL<� ,....t 7.00
Describe work to be done: 17.) Hood served by mechanical exhaust
7.00
•
New O Repair. Replace with like kind:. Yes O No O 18) Domestic incinerators . • Residenti.Commercial ' 0 Modification 0 . • . 12.00 •
19) Commercial or Industrial type.inclnerator •
• Additional information or des lion cif work: �.� 48.25
J _
i i (� t'4
1 / e IA/e...r- , •-■ e.., ?. ; 'u! � r .. ' 20) Other units, Including wood s #oyes •
For �.�.- r .
NO E: For mErcral o ) e Only; ;Units over 400 lbs., loo . 7,00 ted on the 21) Gas piping one to four outlets
roof, require structural.calcs, prepared by licensed engineer. i' 3.75
Type of fuel: oil 0 natural ga.N LPG 0 electric 0 22) More than 4 -per ou (each) 75
I hereby acknowledge that I have read this application, that the Information , . Minimum Permit Fee $50,00 • SUBTOTAL. :iI . r! >ti'L. 'i1.,, ?• .fir'
given is correct, that I am the owner or authorized. agent of • 8% SURCHARGE ;g ;t:•1Bi'Il$ ) _,. i'1L`,,(' •
the owner, that plans submitted are in compliance with Oregon State laws. . PLAN REVIEW 25% OF SUBTOTAL „c >';vJ'F `,
Required for ALL commercial permits only . . ii ; :':, ' ^.'. , F "i ; {;
• Signafu nerrAgent Date . • TOTAL • "'' ' "i ` ,��F,I •
' ct Perso are Phone /// ' Other Inspections arid Fees: • •
���� r�y-� "'le /C/ • 1, Inspections outside'ot normal business hours (minimum charge -two hours) $50.00 per hour •
O / I 2. Inspections for which fee is specirically'indicated (minimum charge -half hour)
Foonotes for commercial projects only: ' .' • $50.00perhour
• 1_ Provide full schematic of existing and proposed gas line and pressure. 3. Additional plan review required by changes, additions or revisions to plans (minimum
2. Provide drawings to scale showing existing and proposed m echan i cal. ' charge•one• half hour) $50,00 p er hour •
. 'State Contractor Boiler Certification required
units. - . "Residentlal NC requires site plan showing placement-of-011 - - -
•
I: \mechperm,doc rev 11/1/99, • '
CITY OF TIGARD BUILDING INSPECTION DIVISION •
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM v PM • BLD
Location j &._ r° J62- / �rtr/17 Suite MEC d — 6O Jj�i
Contact Person Ph 351 / 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
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc
F'
PART FAIL
'' Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS,_PART FAIL
Pos 4 ea 1
Rough In
Gas Line
Sm• a tampers
'in=
P SS PART FAIL
LEC RICAL
Se e
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 —
Approach /Sidewalk L �
Other Date n Inspector r 1 J/ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.