Permit CITY OF TIGARD
MECHANICAL
,n�0 DEVELOPMENT SERVICES PERMIT
_'� � � 13125 SW Hall Blvd., Tigard, 0R 97223 (503) 639 -4171 PERMIT #. .....: MEC98 -05 7 0
- - DATE ISSUED: 12/23/98
PARCEL: 2S110CC -17400
' SITE ADDRESS...: 1 2471 SW KING GEORGE DR
SUBDIVISION, ° KING CITY NO. 5 ZONING:
BLOCK........... LOT, ............:026 JURISDICTION: KIN
CLASS OF WORK. °:ALT FLOOR FURN ° 0 EVAP COOLERS: 0
TYPE OF USE....:SF UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP...:R1 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 - 5 10000 cfm: 0
Remarks: Hefling - install gas furnace
Owner: FEES --
BOB HEFLING type amount by date .recpt
12471 SW KING GEORGE PRMT $ 25.00 JSD 12/23/98 KING CITY
KING CITY OR 97224 SPCT $ 1.25 JSD 12/23/98 KING CITY
Phone #: 639 -7910
Contractor: --
WESTERN HEATING & A/C
14314 SW ALLEN BLVD - --
.STE 220 $ 26.25 TOTAL
BEAVERTON OR 97005
Phone #:• 648 -5808
Reg #° .: 000769
REQUIRED INSPECTIONS ---
This. permit is issued subject to the regulations contained in the Heating lint I n s p
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- 001 -0010 through OAR 952 -001 -0080. You may __,_•_
obtain copies of these rules or direct questions to OUNC by calling
1503)246 -9187.
__4
Issue �W < �' .._...._ _
�i� , , F'er ^mittee Signature:
d or -
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00' p. m. for inspections 'needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
- • DEC- 22 -'98 TUE 15:08 ID: FAX NO: #012 P02
-CITY OF TIGARD Mechanical Permit Application • Plan Check #
pP
Redd By
' 13125 SW HALL BLVD. Commercial and Residential Date Redd /2. - L2 - q
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 ' Date to DST 2 � -
Print or Typ Pemtit M/n 6C it —0%
Incomplete or illegible applications will not be accepted Call I . r f i v
f
Name of DawpWpmenvProled Description •
Table 1A Mechanical Code ., Q Price Amt
Job street Address Suite# A) Permit Fee , 10.00
- 1) Furnace to 100,000 BTU
Address r • • t 6 / includin ducks A vents ‘ 6.00
Bid.' hy/ late Zip
2) Fum 100,D00 BTU
. N er-6 e / r) / 7I1-2- including ducts & vents 7.50
Name (or name of bualnesa) 3) Floor Furnace
Owner Fi.. / ;. Including vent 6,00
Manna Addreee 4) Suspended heater, wall heater
or floor mounted heater 6
;- 5 /...• fly F/214 5) Vent not Included in appliance permit
City/ tote Zip Phone 3.00
if j✓L c1 '7X 0(2, 7 `/ ‘.51-77/s) CHECK ALL 'Boller Heat Air
Name (or n or ousiness) r� THAT APPLY: or Pump Cond Qty Price Amt
Comp "
--- s7,!'lF 6) 43HP;absorb unit to
Occupant Mailing Address f 100K BTU
6.00
7) 3 -15 HP;absorb unit
City /State Zlp Phone 100k to 500k BTU 11.00
/- -- 8) 15-30 HP; absorb
Contractor Name 9) .5 -1 mil BTU 15.00
9) 30 -50 HP; absorb
W f 1 T.5 /r~.l✓ /1 4 Tb.• - o' unit 1 -1.75 mil BTU 22.50
Prior to permit Mailing moms 10) >50HP; absorb unit
Issuance, a copy 19 51/4 G,6/ >1.75 mil BTU 37.50
of all licenses City/a Zip ' Phone 11) Air handling unit to 10,000 CFM
are required If �3 /l 0 /2 . 9'79 0,5 ��7 .' g?,, 4.50
expired In COT Oregon Conat. Cont. Board Licit Exp. Oat. 12) Air handling unit 10.000 CFM+
database ? a 97,. I ! - 0 2 7,50
Architect Name 13) Non - portable evaporate cooler
4.5Q
or
Malang Aeareee 14) Vent fan connected to a single duct
3.00
15) Ventilation system not included in
Engineer City/State Zip Phalle appliance permit 4.50
18) Hood served by mechanical exhaust
Desalbe wonk to be done: 4.50
17) Domestic incinerators _
New 0 Repair 0 Replace with like kind: Yes 0 No 0 7.50
Residential I• Commercial O 18) Commercial or industrial type incinerator
30.00
Additional information or description of work: 18) Repair units
4,50
3 - )r,,+ a LOCI
uV ( 1- 20) Wood stove
4.50
21) Clothes dryer, etc. •
4.50
Type of fuel: oil 0 natural gas LPG 0 electric 0 22) Other units
4.50
I hereby acknowledge that I have read this application, thatthe information 23) Gas piping one to four outlets
given is coned, 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
Minimum Permit Fee $25.00 SUBTOTAL A5 r6 v
-' / /
!,z —,2_2_-9',.0.. 5% SURCHARGE /,01-.-
Co eraon�Name Phone PLAN REVIEW 25 ° k OF SUBTOTAL "
Required for ALL commercial permits only
7 -� / r.//_,E-.G / /
L/ �G� /_Co �✓ b� / j"' �t-'Q eS TOTAL y ... .......... ' .. 014 , A
- -- 'State- Contractor - Boiler - Certification- required -
"Residential A/C requires site plan showing placement of unit
Llmechperm.doc rev 07/20/98 -
•
•
CITY OF TIGARD BUILDING INSPECTION DIVISION C y eto-3
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
/ h BUP
Date Req ted k D( 4' AM PM / ',U BLD .
Location / y� (t 4 ' ' itg i 4T-- -- WS-10
Contact Person ( Ph PLM
Contractor Ph SWR
UILDIN; ,`b; - , Tenant/Owner ELC
iefaining Wall ELR
Footing
Foundation Access: N f ad4N fi� i r , � �} FPS
Ftg Drain (1� ' /
Crawl Drain Inspe� —=`_- SGN
Slab 'Requested e quested SIT
Post & Beam Pot Sheath/Shear Found During Research a'
Int Sheath /Shear / ��No -in. nec inn(shin � Fi % le
Framing • 1 l 6 e. l) L 7 .
Insulation
r ,r-� n �,
Drywall Nailing � q v \ 1 I I n
Fire wall 1\ _ v S'` �c --vt■ (y\J ;5 — 1 l 0 6 G�. 4,-1^
Fire Sprinkler J ( � � _p ��
Fire Alarm !�) T �� � 7` �'`-� ----e---/— Susp'd Ceiling (�
Roof - _ — ,-- ' - 1 P
Fina
C ' Icy PART FAIL
aim BING
Post & Beam n ,� f�
Under Slab OA QiC Zs --- () 0 S LJ
Top Out
Water Service 1) 0 S �j-e `rm,'\ 9-,' —J -
Sanitary Sewer // S (� (1 , (�
Rain Drains 1� i — 3—e 0--- , \ 0 4eL .
Final
PASS PART FAIL ('
� A
CHAN CA I N G `� -Uv"� ' - 0 - ._
& �- 3
Rough In , -�� `�� �ki
Gas Line
Smok Post Beam Dampers 5�-�� ��
in \.....
Service PART FAIL
TRICAL
Service
Rough b •
UG /Sla / � cc O - n ) ��� I
b 1/ NC �:.�J
Low Voltage
Fire Alarm 11111
Final
PASS PART FAIL ■ c-
SITE El, W Backfill /Grading Wv i
Sanitary Sewer
Storm Drain ] Reinspection fee $ 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 \ p)c/66 T Other Date Inspe Y V' Ext S
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.