Permit •
CITY TIGARD MECHANICAL PERMIT
� 'I I g� DEVELOPMENT SERVICES PERMIT #: MEC1999 -00370
6 �" 13125 SW Blvd.,, Tigard,,, OR 97223 639 =4171 DATE ISSUED: 09/09/1999
PARCEL: 2S110CC -19300
SITE ADDRESS: 12416 SW KING GEORGE DR
SUBDIVISION: KING CITY NO. 5 ZONING:
BLOCK: LOT: 070 JURISDICTION: KIN
CLASS OF WORK: ALT 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: 1 DOMES. INCIN:
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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: Replace existing furnace and add air conditioning to an existing dwelling. A/C units cannot be placed within
the required set back areas.
Owner: FEES
TURNER, WILTON T + JEAN E Type By Date Amount Receipt
12416 SW KING GEORGE DR PRMT GEO 09/09/19c $50.00 99- 318196
KING CITY, OR 97224 5PCT GEO 09/09/19c $3.50 99- 318196
Total $53.50
Phone:
Contractor:
SKY HEATING + AIR CONDITIONING
1637 SE NEHALEM
PORTLAND, OR 97202 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 235 -9083 Heating Unt Insp
Reg #: LIC 00050244 Cooling Unt Insp
Final Inspection
•
C PY
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
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 (503)246 -9189.
Issue By: G� Permittee Signature: /
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
.:'s.... Redd By e
t OF TtoARD Mechanica Permit Application Dare Rend � e.. 2�
13126 sW HALL BLVD. Commercial and Residential Date to P.E.
T1GARD, OR 97223 �' - 62 - 3 - 1 I • gate to 057 f? -2 -4 - � f ` 1
(503) 638.4171, x304 + Peimktt /L1� =�3i
p%P.. Print 6r Type Called
Incomplete or illestble applications will not be accepted
- Name or Deveiopemownitect 17e8cslption
Table 1A Mechanical Code Q Nee Amt
A Permit Fee 16.00
Job Street A - k
V 2artuneo 1) Furnace to 100,000 BTU n
Address a_4 S"' 4•-t Including ducts & vents see footnote 1,2 9.65 J
8 S 2) Furnace 100.000 BTU+
Y.-1 • O. Including ducts S vents gee footnote 1,2 12.00 am
Noma (or name of business) 3) Floor Furnace
Owner iu u Tao � including vent see footnote 1,2 9.65
Malting Memos 4) Suspended heater, wall heater
1 yV J or floor mounted heater see footnote 1,2 4.65
c (, t Q G Dr • _ 5) Vent not included In appliance •ermit 4.75
hone • - ck all that apply: 'Boller Heat Air
1 9 f 3'.. 1 _ • or Items 6.10, see or Pump Cond Qty Price Amt
Name a of business footnotes 1,2 Comte ••
,Q 6) c3HP;absorb unit to
Occupant Mofi Morees 100K BTU t 9.65 ) .
7) 3-15 HP ;absorb unit
100k to 500k BTU 17.65
City/Slate ZIP 1 Phone 8) 1530 HP; absorb
I unit .5-1 mil BTU 24.15
Contractor Name 9) 30-60 HP: absorb
p� ), �� A �t unit 1 -1.75 mil BTU 36.00
Prior to permit Me s� Al 10) >50HP; absorb unit
Issuance, a copy 1 >1.75 mil 60.15
of al licenses t +l` u` ' r r n� 11 Alr handling unit to 10,000 CFM
we required If 15Ml.f ✓ td (DR. a7 MOO 12) Air handling unit 10.000 CFM+ 7.00
expired in COT or Canal Cont Board tk.st �
J
Arc ►� � 13) Non - portable evaporate cooler 11 76
14) Vent fan connected to a single duct -
7.00
or !+ $$ 4.75
15) Ventilation system not Included in
Engineer Chy�6tate Zip Phone appliance permit 7.00
18) Hood served by mechanical exhaust
Deserter work Work to be don 7.00
17) Domestic incinerators
New 0 Repair $ Replace with like kind: Yes 0 No O 18) Commercial or Industrial 12.00
) ndustrial
Resklenttali, Commercial O type Incinerator
48.25
Wdditlonal information or description of work: 19) Repair units
8.40
20) Wood stove/gas FP /other units/dothe dryer/etc.
VOTE: For Commercial projects only; Units over 400 lbs. 7.00
structural gas talcs, require 21) Gas piping one to four outlets
See ftn
type of fuel: oil 0 natural gas X LPG 0 electric O 22) More than 4 : outlet each 3 75
.75
�� acknowledge Minimum Permit Fee $50.00 SUBTOTAL • • ' -
Y owledge that I have read this application. that the Information
liven is correct, that I am the owner or authorized agent of tlY 7% SURCHARGE 3
PLAN REVIEW OF SUBTOTAL ��
he owner, that plans submitted are In compliance with Oregon State laws. Re • uired for ALL commercial . =milts on
ilgriaturs of Date TOTAL a
6 2-` 5tr �1q/ Other Inspections and Fees: 3
:ordeal Person Name 1. Inspections outside of normal business hours (mtnlnum charge -two
,t�� A � Phone hours) $50.00 per hour
'J lv
i� la)i/) i -cii 1 2. Inspections for which no fee is specifically indicated (minimum
oorwtes commercial projects on it charge -half hour) $50.00 per hour
. Provide foil s ommer i l roj and ro 3. Additional plan review required by changes, additions or revisions to
- Provide drawings to scale showin 9 existin and gas s e and pressure. plans (minimum charge-one-half hour) $50.00 per hour
units, existing proposed mechanical
"State Contractor Boller Certification required
'"Residential NC requires site plan showing placement of unit
I :rnechperm.doc rev 02/4/99
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 -
c�q BUP
Date Requested 9 -Z 7 - < / AM PM BLD /� 9%�J
Location I Z [ -! /cam Zvi 7 660 /e{a_ Suite MEd 1 `7 '();) g
Contact Person 191ct\Q , Ph Z 3 ' -90g‘ S`PLM
Contractor Ph SWR
BUILDING]: ��p 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 ;5" C
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 PART FAIL
I M HAN -
Post & Beam
Rough In
4: as Line
Smoke Dampers
01. - RT FAIL
ECTRICAL
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 ) `
Other Date /d I Inspector 6 Ext
Final -
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
' 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
t� C�c� BUP
Date Requested t i - I l I AM PM BLD
Location ! Z � � (o l � P�l/' Suite - MEC i ` C qq " 70
Contact Person 0/61,642-- Ph' S 7O g 3 PLM
Contractor Ph SWR
BUILDING h � " Tenant/Owner ELC / q?9 — C S ,3t)
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 ` 4 G
Drywall Nailing L a, C3 V /'
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 PART FAIL
1iC,HANICAL)
Post & Beam
Rough In
Gas Line
Smoke Dampers
PASS PART FAIL 1111rA1
Service
2 .11121117) L is is
Rough In — r
UG /Slab 6v1.
Low Voltage
Fire Alarm
IOW 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 r
Other Date f -/9- 9? Inspector C Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.