Permit CITY OF TIGARD
MECHANICAL
erg,� ,M',° DEVELOPMENT SERVICES PERMIT
!+L 11 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PERMIT #.......: MEC98 -0466
DATE ISSUED: 10/19/98
PARCEL: ES115BB -06900
SITE ADDRESS...: 16430 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 : 1 DOMES. INCIN: 0
:GAS 3 -15 HP....: 0 COMM. 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 -- A I R HANDLING UNITS OTHER UNITS.: 0
FURN < 1O0K BTU: 1 <= 1 0000 cfm: 0. GAS OUTLETS.: 0
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks : Installation of gas furnace & A/C (replacements).
Owner: - ._ - - -- FEES -
'STEVE SANDERS type amount by date recpt
16430 SW KING CHARLES AVE PRMT $ 25.00 B 10/19/98 KING CITY
KING CITY OR 97224 5PCT $ 1.25 B 10/19/98 KING CITY
Phone #:
Contractor:
SPECIALTY HEATING & FABRICATIO
9528 SW TIGARD ST
26.25 TOTAL
TIGARD OR 97223
Phone #: 620 -5643
Reg #..: 006657
REQUIRED INSPECTIONS -••-
This pereit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection
applicable laws. All work will be done in accordance with Final Inspection
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- 001 -0010 through OAR 952-001- 0080. You may
obtain copies of these rules or direct questions to OUNC by calling
(5031246 -9187.
Issue By: ..J (. —� Permittee Signature: G - (//
(Cedf ' 1
+ +++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + ++ + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
+ +++++++++++++++++++++++++++++++++++++++++++++++++ + + + + ++ + + + + + + + + + + + + + + + + + + + +-1- ++
- -. -- OCT- 19 —'98 MON 10:58 ID: FAX NO :' 14088 P02
Plan Check #
CITY OF TIGARD Mechanical Permit Application Recd By
13125 SW HALL BLVD. Commercial and Residential Date Rec'd lb [ ct�� t
TIGARD, OR 97223 Date to P.E.
(503) 6394171, x304 Date to OST 1 D.' lctA
Print or Type Permit #,Ac -9 5'-e gaco
Called
Incomplete or illegible applications will not be accepted
Name or gevelopmant/Prolect Description
Table 1A Mechanical Code at Price Amt
A) Permit Fee ',<t, 's,,,. n- >'`: ,,,; :,,;a 10,00
Job • $ � st POI-lots $u8df 1) Furnace to 1Qp,000 BTU
Address (t � ^+ "' ""` ... ^ ✓e including ducts 8 vents 1 6,00
eraga ' City/state Zip 2) Furnace 100,000 BTU•*
K l{t n inclUding ducts & vents 7 -50
Name (or name or business) ""� 3) Floor Furnace
S jt e ^ ' -� � S including vent 6.00
Owner �' r r 4) Suspended heater, wall heater
Mailing 4ddress or floor mounted heater 6.00
1 LU 3D St) . t A 9 C /e.� • �ve 5) Vent not Included in appliance permit
City/State Zip Phone 3,00
`1k91} CGL ole 17 q .. '77 CHECK ALL 'Boiler Heat Air
THAT APPLY: or Pump Cond Qty Price Amt
Name (oTname of business)
Comp "' �
.J E� n 6) t3HP; absorb unit to v r
• Occupant Mailing Address 100K BTU 6.00
7) 3 -15 HP ;absorb unit
CItrlStata Zlp Phone
10ok to 500k BTU ' 11 -00
6) 15 -30 HP; absorb
unit .5 -,1 mil BTU. 15.00
Contractor N ame fi� 9 ) 30 -50 HP; absorb ._
,," unit
l 1 - 1 . 75 mil BTU
22,50 -
Prior to permit w r' tL.lLl --��ti/ r �?
rillnp Adddr, .s I ` ___r_ s �� . 10) >50HP; absorb Unit
Issuance a oo [ St) d tt w d_ 5 ?1.75 mil BTU 37.50
Py L- Zlp Ph one . 11) Alr h unit to 10,000 CFM
of ell Licenses Car /Stele a.50
are required r 0 f I •.. J -' . .
expired In COT 0 •.--n Cont. 0. BBeard IJOM ER . Det 12) Air handling unit 10,000 CFM+ 7,50
database 6 /,, IS C.7 � r ` j 1 /t r 9 -
Architect Name 13) Non - portable evaporate cooler
4.50
14) Venl tanmnnected to a single duct
Or Mailing A ddreee 3.00
15) Ventilation system not included in
Cit /State Zip ' Phone . ' appliance 16) Hood served by >t emtit' d "50
Engineer mechanical exhaust
_ 4.50
Describe work to be done: 17) Domestic incinerators
New O Rep Ir O Reply a with like kind: Yes N o O 7.50
. 1 g) Commercial or Industrial type incinerator
Residential V Commercial O 30.00
•
A d 19) Repair units nal information or description of work: 4,50
—1—ic.S-k.1 D r" Cj(ji cl�y ftL - 20 yCQ � Wood stove 4.50 • /6-L. ee-piQ T e%"` 21) Clothes dryer, etc _ .
4.50
Type of fuel: oil O natural gas QJ / 22 LPG O electric b ) Other units 4.50
I hereby acknowledge that 1 have tea0 23 this application, that the information ) Gas piping one to .four outlets 2.00
given is correct, that I am the owner or authorized agent of 24 More than 4- er outlet (each)
the owner, that plans submitted are in compliance with Oregon State laws. p 50
SiOnature of gwnerlAgent Date Permit Fee $25.00 S UBTOTAL ;; ;;,
Minimum .;:A ;
�� `, , , 1 b l J R. L _L 5% SURCHARGE sii
t � %�""" " PLAN REVIEW 25% OF SUBTOTAL ,y,:,
rso
N
erne
Phone
ntact Pe n
C I ra o
o nt � ``�
r{aquired for ALL commercial -rrn
1 h _ . TOTAL
'State Contractor Boiler Certification required
"Residential A/C requires site plan showing placement of unit
I:knechperm,doc rev 07/20/98
•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
,—( (9 BUP
Date Request-.. AM PM F---- Q ti-x 7-
Location ` °' 3 L A t i .2 /_ uite MEC W 0 9
Contact Person Ph �(D, 6T_ i 7 PLM
Contractor Ph V,; SWR
BUILDING ;'` : ; ;' _ '
, ' ,' Tenant/Owner / ' _d, / t4 . / , E LC
Retaining Wall ELR
Footin cess: r� r
Foundation �/ 40 , / FPS t� ����
Ftg Drain , / / 0 . a
Crawl Drain Ins ection Notes: �J,� T C.�i
Slab p - ) 1 / 416 1 - 6,e. SIT ,
Post & Beam / f ,
Ext Sheath /Shear -` 41 —fd 4,(, i .. `
Ina Sheath/Shear .
i 31Q 6 Z' /
Framing /'� -�
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING ,,=. ;y:
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
RT FAIL
ECHANICAL ,''',; •
Post & Beam
Rough In
Gas Line
Smok Dampers
( PASS PART FAIL
E
°RICAL:` a; -;`" ..r
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE 1 A . s , , '``a ;' .
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 0 Q
Other Date IJ — j _ I Insp ector �ti Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.