Permit '
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�m�r1 � �� OF � I�������� 0K���� MECHANICAL
DEVELOPMENT SERVICES PERMIT
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��'��] PERMIT # ^ MEC98-0448
=� /3/25 SN/ Hall 8hu1 �oaui�Rg7���O3 80Q�/7/
Blvd., Tigard, `— � DATE ISSUED: 10/06/98
PARCEL: 2S115BC-12900
SITE ADDRESS...: 12200 SW KING RICHARD DR
SUBDIVISION ^ ZONING:
BLOCK ^ LOT ^ JURISDICTION: KIN
_
CLASS OF WORK..:OTR 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
:GAS 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 < 100K BTU: 1 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN >=100K BTU: 0 • > 10000 cfm: 0
Remarks: Installation of gas furnace.
Owner: FEES -
LAURA PIPLOVICK type amount by date recpt
12200 SW KING RICHARD DR PRMT $ 25.00 DEB 10/06/98 KING CITY
KING CITY OR 97224 5PCT $ 1.25 DEB 10/06/98 KING CITY
.
Phone #: 670-9810
Contract 9 r:
FIRST CALL MCCALL HEATING &
COOLING ---
1650 NE LOMBARD $ 26.25 TOTAL
PORTLAND OR 97211-4798
Phone #: 231-3311
Reg #..: 102030
REQUIRED INSPECTIONS --
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This permit is issued subject to the regulations contained in the Misc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
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-w1-%10 through OAR 952-001-0000. You may .
obtain copies of these rules or direct questions to OUNC by calling _ ______
(503)246-9187. ____
. - ________� - __'
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Issue ��� ' /-0._i Pe rmittee Signature *~ '/ .4v� �u2�0
cl ' ~ `~~^ � - ---- �J
, ,
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
Call 639-4175 by 7:00 p.m. for inspections needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
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. - OCT-06-'98 TUE 11:03 ID: FAX NO: 14070 P02 --- .._._.-
Plan Check tF
CITY OF TIGARD Mechanical Permit Application Rec'0By (...,I
13125 SW HALL BLVD. Commercial and Residential Date Recd lb - cL$
TIGARD, OR 97223 Date to RE_
(503) 639.4171, x304 Date to DST
K
Print or Type Permititi - (i ii
Called •
Incomplete or ille • ible applications will not be accepted .
Name of Pevebpma ivPro)ed Description
Table 1A Mechanical Code QT PRICE AMT
Job Street Address Suited A) Permit Fea -0- 41- 10.00
Address / .*.e,-. A Ielz4. P ,
Bldva CINieta• ZIp 1.) Furnace to 100,00013TU 6.00
Including ducts & vents / ,co
Name (or name of Weems.) ., 2.) Furnace 100,000 BTU+ 7,50
L
Owner a ,p/ca ✓ t c. k. including duce & vents
Mailing Address 3.) Floor Fumaas 6.00
2 e" . L-t-- 4i' p ' (C 4 .- L I, including vent _
C (state Phone 4.) Suspended heater, wall heater 6.00
- f i1. Ce 91 . 4,---? / R. • . . or floor mounted heater
Name (- name of Due. ) 5.) Vent not included in appliance permit ' 3.00 '
Occupant M ellin g AdOfe a 6.) Boiler or comp, heat pump, air cond. 6.00
to 3 HP, absorb unit to 100K BUT"
ClryIStete Zip _ Phone 7.) Boiler or comp, heat pump, air cond. ' 11.00 ' -
3.15 HP; absorb unit to 500K BTU*'
Contractor mdome 5,) Boller or comp, heat pump, air cond. 15.00
Frr5b - ‘4 // /27 (/ 15-30 HP; absorb unit_5 -1 mil BTU" -
Pner to permit Melling Adareaa 9,) Boller or comp. heat Dump, air cond. ' 22.50
Issuance, a copy /457) it-/C L 0/ 4 0 " 30-50 HP: absorb unit 1- 1.75mil BTU"
of all licenses resat• Yip Phone .. 10.) Boller or camp, heat pump, air cond. 37.50
are required if fO / f7.2.-// 2-3 t :,a,3/ / > 50 HP,, absorb unit 1.75 miI.BTU
expired in COT Oregon Cones Cant Board t, Exp. Dale 11,) Air handling unit to 10,000 CFM 4.50
database / g , - -‹� 3c e_30-q1
Architect Nama 13.) Noel- Peetsale eu aperste aee ler 4_50""
Of M°il ` r'se 14,) Vent fan connected to a single dud 100
Engineer CitlJState ZID Phone 15.) Ventilation system not included in 4.50
appliance permit _
Describe work New 0 Addition 0 Alteration 0 Repair 0 16.) Mona served by mecnant ®1 exhaust 4.50
to be done Reeidentiel 0 Non - residential 0 ` ,
Mditionol Description of WOrK 17.) Domestic Incinerators 7,50
in 5 -Q (/ 1 4.•s 'Cc/ el froiC 18_) Commercial or industti*i type 30 -00
Incinerator
Existing use of 19,) Repair units 4,50 '
quitding Or property ..
• 20.) Wood store 4.50
Proposed use of 21.) Clothes dryer, etc 4.50
building or property •
22.) Other units • 4.5o
Type of Fuel - oil 0 natural gask LPG 0 electric 0 23,) Gas piping one to four outlets 2.00
I hereby adtnowledge that I have read this application, that the 24.) More than 4-per outlets (each) .50
Information given is confect, that I am the owner or euttlonzea agent of
the owner, the /an* submitte m oomphancs with Oregon bete QTY. SUBTOTAL 5 ��a
laws. ..,r--, -, . mss ., ed-. /, (O - i -97 .
Sig" wner/Agent Date *SUBTOTAL ■
•
5% SURCHARGE
ContactP oo -
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CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639 MST
BUP
S Date Requested / ql AM
BLD
Loca ion 22 OD S ._11! dift 4 . uit-
Contact Person ,e,/n da_.) > L iget ° _,.j.) Ph c; ) - e3—MV'7 PLM
Contractor A , e-ST - CAU- MC641..L. Ph > ¥ '
BUtILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access: (2
Foundation
trt.) 5o 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:
Final
PASS PART FAIL
PLUMBING Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS FAIL
1
Rough In
Gas Line •
I. • - D mr p
AS PART 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
[ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk
Other Date / —7V — 9:6 Inspector Ext -
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.