Permit CITY TIGARD MECHANICAL PERMIT
PERMIT #: MEC1999 -00535
1i, DEVELOPMENT SERVICES DATE ISSUED: 12/6/99
NI
"" 13125 SW Hall Blvd., Tigard, OR 97223 (5O34 71
PARCEL: 2S115BC-12300
SITE ADDRESS: 12080 SW KING RICHARD DR
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:
STORIES: BOILERS /COMPRESSORS . HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
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FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS: 1
Remarks: Installation of gas stove and associated gas piping.
Owner: FEES
SWINT, HELEN H AND Type By Date Amount Receipt
SMITH, JEAN E PRMT DEB 12/6/99 $50.00 KING CITY
12080 SW KING RICHARD 5PCT DEB 12/6/99 $4.00 KING CITY
KING CITY, OR 97223
Total $54.00
Phone:
Contractor:
FIRESIDE DISTRIBTRS OF ORE INC,
18389 SW BOONES FERRY RD
PORTLAND, OR 97224 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 503 - 684 -8535 Mechanical lnsp
Reg #: LIC 00040979 Final Inspection
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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
Utilit 'oti ic- '•n Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
Yo may obtain spies of - -se rules or direct questions to OUNC by calling (- .3)246 -9189.
Issu. :y: .4j4 t- L !,.4, Permittee Signature: jL , , , I ,0 0 • J
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the nex business day
DEC -06 -99 MON 09:08 AM City of King City FAX:503 639 3771 PAGE 2
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RECEIVED -
CITY- OF TIGARD Mechanical Permit Application Plan c _ Read
. 13125 SW HALL BLVD. Nn1! 2 2199Sommercial and Residential Date Redd is ��
TIGARD, OR 97223 Date to P, E. •
(503) 639 -4171, X304 Date to DST ----'''• .
• P rint or Type Permit # • P�E-G997 a9.53s
• Incomplete •or illegible applications:will not be accepted called _
Name of Developm . . Description . - •
Table 1A Mechanical Code Qty • Price Amt •
Job StrBet Address . . _ Suueii A) Permit Fee "'r, • t' •%; ' 16.00 '
1) Furnace to 100,000 BTU • i2 ! +.t' � ti
Address • P MC) St. Ki n4Q-- ►c1n�.�
including ducts &vents see.footrtote 1,2 9,65
BIdg,d /State zip 2) • Furnace• 100,000 BTU+ • le..P1 Cs }• (5'fL 9-1 2. •including ducts & vents see footnote 1,2 12.00
Name (or name or business) a 3) Floor Furnac
Owner t"UPA D S) including vent. • • see footnote 1,2 9.65 •
. Mailing Addre ; 4) S uspended heater, wall heater
• � ` � 1 � n
` or floor mounted heater see footnote 1,2 9.65
1 aoa o sco Lie.w .,.6! • , 5 Vent not included in appliance permit 4.75 •
city/state zip • . Phone . Check all that apply: "Boiler Heat. • Air
0.-4 Ct c ell ;,,,)-9. ( For Items 6 -10, see or Pump Cond Qty Price Amt
• • Name nam usiness footnotes 1,2 Comp
6) 3HP;absorb unit to. •
• 104K BTU, ... 9.65
Occupant Mailing Address 7) 3 HP;absorb unit
. • logic to 500k BTU • 17.65
City /state , Zip Phone . . ' • 8) 15 -30 HP; absorb
unit .5 -1 mil BTU • 24.15
• 9) 30.50 HP; absorb
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Con actor - NamB unit 1- 1.75.mil BTU 36.00
y
- t f e.51 Q D i • 1.0) >5CHP; absorb unit • .
r to perrnit Mellln Ad >1,75 mu BTU , . • 60.15
ssuanoe, a co I6 p •
., , PY.. Z,�`i Sl.l � '� � ding unit to 10,000 CFM
,.. /Stale' .....::...:.. ••
of all.hcenses'• � a. � 11 Alr handling
i Phape .:' •
�;
re i ; :. :-. C13.2 . 4-4::
re' G 12 • Ai +
a r ha ' ` unita10000.
'� "" 0 .CFM ;ti >
=' On :Con.t 'CO ' t3e'a !l ...
expired onCOT•. KS7 t;ExR. Date , ;s :. ... . .. .. . . ... ...... ;. . .. f ,.. , , - ..: '11:$5':C: •
database L )CC. " • I t, 'Z9`Cb • ' j3) Non portable evaporate cooler
.... Architect .Name. : • 7.00.
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.14) Vent fan connected to a single duct . •
Mailing A ddress 4.75
or 15) Ventilation system not included in.'
appliance permit . 7.00
Engineer City /State: Zip Phone 16) Hood served by mechanical exhaust • •
7.00
•
Describe work to be done: 17) Domestic incinerators
. 12.00
New 0 Repair 0 . Replace with like kind: Yes 0 No 0 18) Commercial or industrial type. incinerator
Residential b Commercial 0 48.25
• • 19) Repair units • r • •
Additional inforrnation or description of work: " . . .. • . . . 8,40
1,-ky;i-Q �, _ 20) Wood stove /gas FP /other units /clothe' dryer /etc_ • i •
700
NOTE: For Commercial projects only; Units over 400 Ibs, require 21) Gas piping one four outlets
structural gas talcs. . • " See footnote 1 3 ,75 J 7S
Type of fuel: oil 0 . natural gas LPG O. electric 0 : '• 22) More than 4 -per outlet (each)' • .75'
. Minimum Permit Fee $50.00 r�
SUBTOTAL }'Ir�v SO
I hereby acknowledge that I have read this application, that the information • : b . .i11202211LUEIMERTSININ2 4. ' -
given is correct, that I am•the owner or authorized agent of , , . - • • PLAN REVIEW 25% OF SUBTOTAL r '' q �, • y , ' , ,r
that plans submitted are
.. Required.for ALL commercial `permits' onl . ''' . ;, Y ^,�'' q ' the owner, in compliance•with'Oregon State laws:' ". -: ' .;; ,
.. . .... _, %i)i
TOTAL p! •
. Si- - •ture of C►wneri gen • -,�,.: Dat ®. ... .. ... .. . .., ;f i (
her.lttspections a .Fee &. .
. :4 . •: ''... 1: -'Ins eetion5.outsideof normal business hours mintnum charge two ,•_', • •
• on : ct Per a e Phone . : • :. • • • hour8). $50.00 per .
, Inspectons for. h ch no.(eIs specific i;ndieated , (minimum
( Y - v , g ( '- charge -h alf hour) ;$50.00 per hour.
3. • Additional plan review required,by •changes, additions.'or•revisions to
- - - -1. Provide o for com ma fexi only: plans (minimum charge= one - half - hour) - $50 :00 -- - - - -
1. full schematic of existing ling and proposed gas line• and pressure. .
. 2. Provide drawings to scale showing existing and proposed mechanical *state Contractor Boiler Certification required •
units. .
"Residential A/C requires site plan showing placement of unit
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1:lmechperm,doc rev 7/19/99 J Y
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CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested -/2 .b AM / PM BLD
Location !c)-045 5t-l) t e Ne(-- Suite MEC /9 67)53
Contact Person G t FT r A Ph ( g / 5 3 S-- PLM
Contractor Ph SWR
SUILDING'fi ys 2 , Y = Tenant/Owner . ELC
Retaining Wall ELR
Footing Access: •
Foundation FPS
Ftg Drain
Crawl Drain Inspection �gtes: SGN
Slab f4/S Z� �G( l/K- sa S S - SIT
Post & Beam / U
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 i�FAIL
(ME_CHANIC'A `,
Post & Beam
Ro •• n
• e Dampers
( OO P '
P S PART FAIL
ELECTRICALS °; axt r "6 ; 'q
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA — /1
Approach /Sidewalk (.
Other Date I )`
( Inspector '70 - Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.