Permit '
CITY OF TIGARD MECHANICAL
DEVELOPMENT SERVICES PERMIT
' ~=u��m�m~~�. .�nn�n�" ~��~uu�"��"�~^ PERMIT #,._....: MEC97-0105 •
s���� t 3t�������,���C���� ����/�
Tigard, '' DATE ISSUED: 04/28/97
PARCEL: 25115BB-03100
SITE ADDRESS...: 16525 SW QUEEN MARY 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 AP¢�.: 0 VENT SYSTEMS: 0
STORIES........: 0 BOILERS/COMPRESSORS HOODS.......: 0
FUEL TYPES------------ 0-3 HP ^ 0 DOMES. INCIN: 0
: 3-15 HP.... : 0 ' C8MML. INCIN: 0 '.
MAX INPUT: 0 BTU 15-30 HP • 1 REPAIR UNITS: 0
FIRE DAMPERS 7..: 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 > 10000 cfm: 0
Remarks: iostl furnace duct/vents &comp heat pumpllair conditioning units
cannot be placed outside setbacks.
Owher: — — — FEES — —
EDITH 16525 SW QUEEN MARY type amount by date recpt
PRMT $ , 31.00 TAT 04/28/97 KING CITY
KING CITY OR 97224 5PCT $ 1.55 TAT 04/28/97 KING CITY
•
Phonth #: 624-0252 •
Contract or:
COLUMBIA HEATING•& COOLING INC
PO BOX 230397
TIGARD OR 97281 — ---
Phone #: 624-2704 $ 32.55 TOTAL
Reg #..: 000763
REQUIRED INSPECTIONS
This permit. is issued subject to the regulations contained in the Mechanicalr •nsp __
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 oxpire if work is •not started ____ ____ __ ____
within 180 days of issuance; or if work is suspended' for more ' ' ` -- • _ ______ --- __
than 180 days. � . � � � _ __ ________ ___—
- -- '
, _____ __
^
Permittee Si ure: n /_ / »� ' ___ ---' _ -------- ----- --
` / '
Issued By: _-___� --- �
� ,�� 4. �^�~
____�
/Call for inspection — 639-4175
•
APR- 25 -'97 FRI 14:30 ID: FAX NO: #053 P02
70, e gre iiii 444- ` � Plan Check # ,, --
CITY OF TIGARD Mechani Permit Application Recd By ir
- r.
1 "3125 SW HALL BLVD. Commercial and Residential Date Recd -
TIGARD, OR 97223 Date to P E.
(503) 639.4171, x304 Date to DST - .,
Permit # it ' b 0
• Print or Type celled
Incomplete or illegible applications will not be accepted
N , o •ev.lo.m•ntr- .lea Description
a i 0 A . Table 1A Mechanical Code ate' I PRICE AMT
Job Street Address Styled A) Permit Pee
o- -0- 10.00
Address /15.. .33t2 •1If t,r� .
I d . ge � /Slat 2I B) Supplemental Permit 3.00
Name (ornetne of business) 1.) Furnace to 100,000 BTU 6.00
•t
Owner Q in P.. C 5 ( }a� incl. ducts & vents / 6-
Mailing Address 2.) Furtace 190,000 BTU + 7.50
incl. ducts & vents
citylStafe •Zip 'inane 3.) Floor Furnace 6.00 �r
24 -12 incl. vent • •
Nemo for name or business) i 4.) Suspended heater, wall heater 6.00
_r3 me a 5 42-' or floor mounted heater
Occupant Meiling Address 5,) Vent not incl. in 3.00
appliance permit
Ciy(Stete Zip l Phone 6.) 'Boiler or comp, heat pump, air cond. 6.00
to 3 HP: absorp unit to 100K BTU
Name . n 7.) Sailer or comp, heat pump, air cond_ 11.00
L ittin6,L2_ k 11 E a� 3-15 HP; absorp unit to 500K BTU
Contractor -Milling Ad reaa 8.) Boiler or comp, heat pump lU d_ 15.00
4D P x ;230397 7 15 -30 HP; absorp unit .5 -1 mil BTU / /6e
(Prior to ‘ /State zip Phone 9,) Boiler or comp, heat pump, air cond. 22.50
issuance copy • 4 t'i
issuance � . _ , , ... . 30-50 HP; absorp unit 1 -1.75 mil BTU
of au licenses Are 0 -on Const. Cont. eoard Lie uP E .40* .r, . 10.) Boller or Comp, heat pump, air cond. 37.50
require I If t /b-„2-9/ ,, 50 HP: absorp unit 1.75 mil BTU
expired in C,O.T COT ausnesa *y� or Mebo # 5AF5, Date �} 11.) Air handling unit to 4.50
data base) g7-3. lo ) 7 3/` � ( 10,000 CFM
Architect Nom® 12.) Air handling unit 7.50
10.000 CTM 4.
or Meiling Address 13.) Non portable 4.50
• evaporate cooler
Engineer Citylsrate Zip - Phone 1 Vent fan connected 3.00
to a single duct .
Describe work New 0 Addition 0 Alteration 0 Repair 0 15.) Ventilation system not 4.50
to be done Residential 9 Non- resiriential 0 included in appliance permit
Additional Descstptlon of woI( 18.) Hood served by mecnanleal exhaust 4.50
17) Domestic inunerators _ 7.50
Existing use of 18 :) Commert'dal or industrlattype 30.00
building or property incinerator
19,) Repair units 4.50
Proposed use of 20) Woodstove 4.50
building or property -
21) Clothes dryer. etc. 4.50
Type of fuel - oil 0 natural gas 0 LPG 0 electric 0 22) Other units 4.50
I hereby acknowledge that I have read this application. that the 23) Gas piping one to four outlets 2.00
information given is correct, that I am the owner or authorized agent of
the o r at plans S - are in compliance with Oregon State 24) More man 4 -per outlet (each) ,S0 •
�1 . i_ La./...4 ` �J T .
4. of Owner - ge Date QTY.SUB O TAL
((�� (((( 'SUBTOTAL �� c
Contact Person Name Phone 5% SURCHARGE
PLAN REVIEW 25% OF SUBTOTAL
TOTAL
Ft�a4trnae•hnmt. dec /rev 71961 'Minimum permit fee is S25 + 5% surd arge
----- ' 97 FR I 14 : 30 ID: FAX NO: #053 P03
60,
HEATING & COOLING, INC.
P.O. Box 230397 Tigard, OR 97281-0397
(503) 624-2704
6,\AI UEEil MP-O.(
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45
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to
112!
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5/19/99 Activities for Case #: MEC97 -00105
2:14:11 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECA007 Application received 4/28/97 4/28/97 TAT 4/28/97
MECA715 Mechanical Insp 4/28/97 11/12/98 WDJ PASS WDJ 11/12/98
MECA725 Misc. Inspection 4/28/97 WDJ N/A WDJ 11/12/98
MECA799 Final Inspection 4/28/97 11/12/98 WDJ PASS WDJ 11/12/98 Inspection request for research
to Hap W. 9/18/98.
MECA060 (F) Issue permit 4/28/97 TAT PASS TAT 4/28/97 •
MECA800 Case Finaled 2/5/99 VLN 2/5/99
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Page 1 of 1
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CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 l �+ Business Line: 63 -4171
Date Requested 11 42/ AM _P BUD
BLD
Location kg-5, -5(.CJ Suite MEC 97 a(25
Contact Person
/ Ph PLM
Contractor 6/uikth /� /��' • 7rr. �/I // /7 Ph 6 2« - 0 ? 7D SWR
BUILDING' Tenant/Owner ELC AIM
Retaining Wall ELR
Footing Aci
Foundation NOT REQUESTED FPS
Ftg Drain
Crawl Drain ins, /�
FOUND DURING RESEARCH A - SGN
Slab I NO INSPECTION(S) IN FILE - SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL / V ETE b S E F -
MECHANICAL,'
P Beam
ou In •
Gas Line
fioke Dampers
S PART FAIL
E'LG`TRICAL. ; '
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
Approach /Sidewalk
Other Date ) 1 Inspector (Ext /
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.