Permit CITY OF TIGARD
MECHANICAL
!o DEVELOPMENT SER SERVICES PERMIT # PER1+lIT e p MEC98 -552
- - Tigard, (503)639-4171
DATE ISSUED: 12/10/98
PARCEL: 2S l 16AD -20400
SITE ADDRESS...: 12905 SW KING RICHARD DR
SUBDIVISION PING CITY NO. 18 ZONING:
BLOCK........... 25 LOT.. ......... ..:001 JURISDICTION: KIN
CLASS OF WORE'...: ALT FLOOR FURN....: 0 EVAP COOLERS: 0
TYPE OF USE -SF UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:R3 VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES........: 0 BOILERS /COMPRESSORS HOODS : 0
FUEL TYPES - - - -- 0 -3 HP....: 0 DOMES. I NC I N: 0
3 -15 HP ° 0 COMML. I NC I N: 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.: 1
FURN < 100K BTU: 0 (= 10000 cfm: 0 GAS OUTLETS.: 1
FURN ) =100K BTU: 0 ) 10000 cfm: 0
Remarks: Install gas line to stove.
Owner: FEES
EDWARD WHELEN type amount by date recpt
374 NW 60TH PRMT $' 25.00 GEO 12/10/98 KING CITY
NEWPORT OR 97368 SPCT $ 1.25 GEO 12/10/98 KING CITY
Phone #:
Contractor: •
ADVANCED HEATING & AIR COND.
6918 SE 48TH
26.25 TOTAL
PORTLAND OR 97206
Phone #: 235 -0060 •
Reg #..: 000985
REQUI RED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line Insp
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 -r, -0080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187. •
Permi ee Si nature:
Issue B y: �� r� t t g
_ _
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + ++ + + + + + + + + ++
----- DEC -10-' 98 THU 11:35 ID: FAX N0: 14010 P03
Plan Check 4
CITY OF TIGARD Mechanical Perini Iication Recd By
-13125 SW HALL BLVD, Commercial a Residential -' Date Recd I L - to 1
TIGARD, OR 97223 Date to P.E,
(503) 639 -4171, x304 Date to DST 11- to -'r (6
Print or Type Permit csr_Q �5
Called
Incomplete or illegible applications will not be accepted
Name of DevetopmenUPruleci Description
Table 1A Mechanical Code QTY PRICE AMT
Job Street Addreaa _ Suiledt A) Permit Fee -0- -0- 10.00)
Address i le iii. _ . • . I. • _ .. i
Bldg# - • ,, 1 zip n 1.) Furnace to 100,000 BTU 6.00 '
A /, ; S Li ducts & vents
Name (or norms or Dusln - . 2.) Furnace 100,000 BTU+ 7,50
Owner II , . ,_ including d ucts & v ents j
Mailing Address 1 l p/ 3.) Floor Furnace 5.00 1 i
nLA) ( D* (1 7% including vent
City /Star D n one 4.) Suspended heater, wall heater 5,00 `
t tX M�(� 1 { - or floor mounted heater
Name (or n e or Dualnsii) / i t i c i 5.) vent not included In appliance permit 3,00
Occupant Mailiriq Addresa 6.) Boiler or camp, heat pump, air cond. 6.00 j
to 3 HP; absorb unit to 100K BUT' j l
City/State Zlp { Phone 7.) Boller or comp, heat pump, air cond. 11.00
l 3-15 HP; absorb unit to 500K BTU
Contractor Name 6.) Boiler or c _ comp, heat pump, air cond. - 15,00
• - e cJ - t l 15-30 HP; absorb unit.5`1 mil BTU" -
Prior to permit : tin, ' 4 - � ' 9.) Boiler or comp, heat pump, air cond. W 22.50 '
issuance. a copy / 1 30-50 HP; absorb unit 1- 1.75m11 BTU
of all licenses Viif . a : - - 1 _ Phoneme q_ 10,) Boiler or comp, heat pump, air cond. 37.50
are required if r r' • 4. Ali • ; r > 50 HP; absorb unit 1.75 mil BTU _
expired in COT °rag. nin one soars .S Cap. Pate 11.) Air handling unit to 10,000.CFM 4.50 -
database s.
Architect Name - 12.) Air handling unit 7.50
10,000 CTM+
Or Mailing Address 13.) Non - portable evaporate cooler 4.50
Engineer City/State Zip Phone 14.) Vent fan connected to a single dud 3.00
Describe work New' Addition 0 Alteration 0 Repair 0 15.) Ventilation system not Included 4,S0
to be done Resldentia Non-residential 0 in appliance permit
Additional Description of wo r- ,4_ J t r J � 16.) Hood served by mechanical exhaust ' 4,50
t 1 at�� . `"�1
17.) Domestic incinerators 7.50
Existing use of 18.) Commercial or industrial 30.00 i
building or property • type incinerator
19.) Repair units • 4.50
Proposed use of 20.) Wood stove 4,50 '
building or property , .
21.) Clothes dryer, etc. 4.50 -
Type of fuel - oil 0 natural gas )k LPO 0 electric 0 22.) Other units 4.50 0
(. 4
I hereby acknowledge that I have read this application, that the information 23.) Gas piping one to four outlets t 2,00
given is correct, that I am the owner or authorised agent of ca c o
the owner, that plans submitted are in compliance with Oregon State laws. 24.) More than 4 -per outlet (each) .SO
Signature of Owner /Agent Date 'SUBTOTAL `': - `'q ' "• ry y":` , ":
4- 4 J r i : ."'.2.1:2;: ?' 1
P - 5% SURCHARGE :2r" �'"
• . Name , l Phone PLAN REVIEW 25% OF SUBTOTAL M " : ,r "" "' ". _
J CS11 R wired for all commercial permits on ��'�� . . ` ""1r
- - - - -- 'Minimum permit fee is S25 + 5% suttitarge- --
'Residential A/C requires site plan showing placement of unit.
I:Vnechprmt.doc rev 4115/93
•
CITY OF TIGARD BUILDING INSPECTION DIVISION nnsT
24 -Hour Inspection Line: 639 -4175 Business Line: 63 -4171
//e/ /19/J Date Requested /5 19 AM / 6 PM BLD
y ws /,
Location //},� AK. Z .( ,a • Suite -
Contact Person J- enc/ Ph 77K 7 !, -e Ii .
Contractor Ph SWR •
BUILDING° . ° y Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain „ Inspection Notes: 2Z �
Slab SIT
Post & Beam ( U” /�
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing C--eAr\
Firewall
Fire Sprinkler i k
�p — – &i �� L./k/
Fire Alarm \ , +
Susp'd Ceiling '
� _ •
Roof
� isc,
i4 '� 4 jj�� PART FAIL k40-17
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
'ART FAIL
••st &' am
Rough In
Gas Line
Smoke Dampers
4
- • SS PART FAIL
ELECTRICAL °. g K:
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 Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA - 3 /' q
Other Date / Ins pector c)? Ext
�
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.