Permit CITY OF � � � ��w�
PERMIT
DEVELOPMENT � ������U�����
� ��m���~u~��n uwnm�n~n SERVICES PERMIT #.......: MEC98-1Z1483
�= /3125SN/ Hall GVvd., Tigard, OR97223(03)639-4/7/ DATE ISSUED: 10/29/98
PARCEL: 2S115BB-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 APPL1 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..: 1
GAS PRESSURE...: 50+ HP....: 0 CLO DRYERS. ^: 0
NO. OF UN ITS AIR HANDLING UNITS OTHER UNITS.: 0
FURN < 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN >=100K BTU: 0 > 10000 cfm: 0
Remarks: Installation of wood stove.
Owner: — — FEES
STEVE SANDERS type amount by date recpt
16430 SW KING CHARLES AVE PRMT $ 25.00 DEB 10/29/98 KING CITY
KING CITY OR 97224 5PCT $ 1.25 DEB 10/29/98 KING CITY
Phone #:
Contract or:
THOMAS BISHOP
12195 SW CANYON RD
STE 30 • $ 26.25 TOTAL
BEAVERTON OR 97005-2170
Phone #: 626-4652
Reg #..: 000546
REQUIRED INSPECTIONS
This permit' is issued subject to the regulations contained in the Woodstove 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"8regun Utility Notification Center. Those rules are __
set forth in OAR 952-cA1-^'»10 through OAR 952-001-0080. You may •
obtain copies of these rules or direct questions to OUNC by calling
(503)246-9187.
/ ------
Issue Oatir Permittee Signature: �
__ ./ � 95
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
Call 639-4175. by 7:00 p.m. for inspections needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
------- -, - OCT -29 —' 98 THU 10:48 ID: FAX NO: 14098 P02 - -
Plan Check rt
CITY OF TIGARD Mechanical Permit Application Recd By ^ P....Pa
13125 SW HALL BLVD. Commercial and Residential Data Reed ICI -4
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST - - c t
Print or Type Permit# 4 ' 98 ^0
Incomplete or illegible applications will not be accepted Called -
Name of Developmenveroied Description
Table 1A Mechanical Code Qt Price Ell
A) Permit Fee t:: . .. a 10.00
Job Street Address Buser; . • t, . - ...,....,
Address , v S(i (t ?eti . CGC9it�,L^' 1) Furnace to 100,000 BTU
// Y lhctudln. QUCtB & vents 6,00
Bldg# City /state Zip 2) Furnace 100,000 BTU+
including ducts & vents 7.50
-
Name (or name or business) 3) Floor Furnace
Including vent 6.00
Owner , 5 c 7r ll4til _s"<;9 /L/') (c- a 4) suspended heater, wail heater
Mailing Address
/ or floor mounted heater 6.00
/6- Y3 -2 S b_ 11/4 rod gl C1 ,43 fiCk 5) Vent not included in appliance permit
City /Stale Zip Phone 3.00
K(ti . CCTV c'A c/72Z61` q ?17 -4, CHECK ALL "Boller Heat Air
Name tor name of Aualneas) THAT APPLY: or Pump Cond Qty Price Amt
comp
CA kvi 6) <3HP :absorb unit to
Occupant Melling Address 1ooK BTU 6.00
7) 3 -15 HP;ebeorb unit
City /Slate Zip Phone 100k to 500k BTU 11.00
8) 15 -30 HP; absorb
_ unit .5 -1 mil B,T.U _ - _ .. 15 -00
Cgirr e a . '� ` Name! -rem ` ... 9) 30-50 HP: �trsott� , °1> ` '`:,.':' � _ _ . . - ... ,. �' • '� ' :
SAa P unit 1 -1.75 mil f3TU '' ' " 15.
Prior to permit Mailing Adams 10) >50HP; absorb unit
isaY617e6, a copy 444 70 LJ Eh fps. ifit• >1.75 mil BTU
• 37.50
of alt -11� sag,, ( - Qiblate'~e- .. _a- ..... - _...... _ , .._ 'Zlo _ Phone 11) Air handling unit to 10 CFfyJ
are rvequ[red,ff U Qg 5�� el/ eo`-,i/'7ga ': 4 ;60'
expired in COT Oregon Cone, Cont. BoerdLic..t Exp. Dale 12) Air handling unit 10.000 CFM+
database ' ,5- y6, re -N-51 7.50
Architect Name 13) Non - portable evaporate cooler
4,50
or Mailing Manses 14) Vent fan connected to a single duct
3.00
15) Ventilation system not included in
Engineer City/Slate Zip r Phone appliance permit 4.50
I 16) Hood served by mechanical exhaust
Describe work to be done; 4,50
1 "7) Domestic Incinerators
New 0 Repair 0 Replace with like Kind: Yes 0 No 0 7.50
Regldential 0 Commercial O 15) Commercial or industrial type incinerator
30.00
Additional information or description of wont; 19) Repair units
4.50
N S'LC LEI O 01) CJ 20) Wood stove .
r•---- 4.50
21) Clothes dryer, etc.
4.50
Type of fuel: oil 0 natural gas 0 LPG 0 electric 0 - 22) Other units
Lar -0 4,50
I hereby acknowledge that I have read this application, that the information 23) Gas piping one to four oulleta
given is correc, that I am the owner or authorized agent of . . 2.00
the owner, that plans submitted are in compliance with Oregon State laws. 24) More than 4 -per outlet (each) ,50
Signature of Owner /Agent Date .., , a
///1 '49-1-,-.22-1-- / 22 " , �7
)
(z S ( ;''. Minimum Permit Fee $25.00 SUBTOTAL 7 •.
5% SURCHARGE e..G V „ 1.
.._:_,.Co/tact 3 ' "
Co/tact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL T'1
Q Required for ALL commercial permits onl fg. ,'.. `=r -' ; ' ;x
= 04 SfJti0cn-f- 4 7 'o 6 ? 7? TOTAL ” ?k :t -
'State Boiler Certification required
" "Residential A/C requires site plan showing placement of unit
1:\rnechperm.doc rev 07/20/95
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
.2-I 11 BUP
Date Request -. AM PM F-- c it 7
�
Location I /
/ `t' 3 I._ 4‘ /z_ uite MEC c 09-(e
Contact Person Ph ?'&I 1 - PLM
Contractor P h SWR
Tenant/Owner ` L
A LL / A ' 1 iv ,j 'A i ELC
Retaining Wall ELR
Footing
Foundation cess, ` e � z � � , / F P S # , 921 �
Ftg Drain 1 `�
Crawl Drain Inspection Notes: ��
Slab PA / 'A e 10 SIT
Post & Beam r
Ext Sheath /Shear 42 Ad %"?
Ina Sheath /Shear
Framing -f 3
o61 �
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
RT FAIL
ECHANICAL'�9
Post & Beam
Rough In
Gas Line
Smok- Dampers
116 -
PART FAIL
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
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk C�
Other Date O - 1 Inspector 2 - Antl - Ct Ext
Final
PASS PART FAIL . DO NOT REMOVE this inspection record from the job site.