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Permit • CITY OF TIGARD MECHANICAL PERMIT • PERMIT #: MEC1999 -00311 Dili DEVELOPMENT H O BMEN9 .SO R9 2 CES ) 639 -4171 DATE ISSUED: 7/21 /99 PARCEL: 2S 110CC -13100 SITE ADDRESS: 16055 SW QUEEN VICTORIA PL • SUBDIVISION: KING CITY NO. 3 ZONING: BLOCK: LOT: 044 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: DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: 1 GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Freestanding gas stove and gas line. Owner: FEES PAUL MCFARLAND Type By Date Amount Receipt 16055 SW QUEEN VICTORIA PL PRMT BON 7/21/99 $50.00 KING CITY KING CITY, OR 97224 5PCT BON 7/21/99 $3.50 KING CITY Total $53.50 Phone: Contractor: T + K MECHANICAL TIMOTHY S WYNNE 11525 SW CANYON REQUIRED INSPECTIONS • BEAVERTON, OR 97005 Gas Line Insp Phone: 626 -4652 Misc. Inspection • Reg #: LIC 00121165 Final Inspection ORIGINAL 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 obt 'n copies of these les or direct questions to OUNC by calling (503)246 -9189. c Issue By: € Z/L4/V I (-- Permittee Signature: a'IA (OSfilaitAd Call (503) 639 -4175 by 7:00 P.M. for inspections needed the nekt business day JUL -19 - 99 MON 02:53 PM City of King City FAX :503 639 3771 PAGE 2 • Plan Chedc d • CITY OF TIGARD Mechanical P Application Read By Ca - 7 ---- (3125 SW HALL BLVD. . Comm and Residential . . Date Recd / -4 1 - I TIGARD, OR 97223 . • . . . . Date to P.E. • (503) 639 -4171, x304 : • • • . • . Date to DST Print or Type Permit 0 �OQ3l I Incomplete or illegible applications will not be accepted . call Name et Development/Project • • Description : • n l Table 1A Mecl anical Code . Q Price Amt -tT�LtQ �a(lQV1C q) permit F - :,,,•-y,4, - ,:: <)iii: ` 18.00 Job Street Adare a suites . _ . ; Address • /(pp SS Glt.t eev1/4 �r c fOYicL 1) Furnace to 1 00,0 0o BTU • • ind udbcg ducts &vents see footnote 1,2 8.85 t ' e • • Zip 2) 'Furnace 100,000 BTU+ ' ; • 1 K & /' c ( : including ducts &'vents . =see footnote 1,2 12.00 Name (or name or business) 1 • .3) 'Floor Furnace • . .. • • Owner H r kind including vent see footnote 1,2 9.65 • M � 4) Suspended heater, wall: heater . . . • or floor mounted heater see footnote. 1.2 • 9.65 ' /(a0 SS (b u 4 P1 • 'ji c. or(c� l .5). Vent not included in a • •!lance • ermit • 4.75 C /state Zip Phone. • • Check all that apply: 'Boiler Heat . Air • ( ■ h G77 ' For Items 6-10, see or . Pump • Cond Qty Price Amt o K O n me . footnotes 1,2 Camp • " 6) <3HP;absorb unit to • • 100K BTU 9.65 Occupant Mailing address • 7) 3-15 HP;absorb unit - ' 100k to 500k BTU • • . . .17.65 env/sten • . . • Zip Phone 8) 1530 HP; absorb • unit .5-1 mil BTU ' . • • :■ 24.15 • Contractor DT I, / :unit 1-1. 5 mil BTU 36.00 - -, &chart, cc,1 / • ForncctO) >50HP; absorb unit • Prior to permit ' Melling Address >1.75 mil BTU ' • 60.15 • • issuance, a ropy /� ' ( 0 h Vii • 11 Air handling unit to 10,000 CFM • . • • of all licenses / 3tate '` - Zip Phone ' ' 7.00 are required if ) aV e. I A 4 . 4 r 1701:6 604 - e t 2; 12) Air handling unit 10,000 CFM+ • ' expired In COT dragon Cons ont•Board Lla.g • Dave • • 11.75 • database a f eas 1/7 13) Non - portable evaporate cooler . • Architect . Name 7.00 . 14) Vent fan connected to•a single.duct: • . . - or Mating Address . . .. . . • . 4:75 • 15) Ventilation system not included in • appliance permiC 7.00 Engineer CRY/Stile a P I Phalle . • . . mechanical 16) Hood served by meanical exhaust . 7.00 Desalbe work to be done: ' . 17) Domestic incinerators . • . • 12.00 . New 0 it 0 ' Replace with Ike kind: Yes O' No 0 . 18) Commercial or industrial type incinerator • Residential Commerc 48.25 .19) Repair units • . .. • • • Additional information or description of work ' . 8.40 • 20) Wood stove/gas FP /other units/clothe dryer /etc. ir■51- 0.12:1? , Yre.P .ac i cia 5 151O0e. claw; 1 m` •' 7:00 , / 0 . NOTE: For Commercial . projects only; Units over 400 lbs. requhe • 21) Gas piping one. to four outlets • structural gas talcs. . : . . , • Bee footnote 1. .. 3.75 l;. j Type of fuel: oil 0 natural gas K LPG 0 electric O . 22) More than 4 -per outlet (each) . • • • .75 Minimum Permit Fee $50,00 SUBTOTAL f4 ,:e L • t12) a rJ� I hereby a a :• • 7% SURCHARGE ' » un. 9 *�� . Y acknowled 9 that I have read this application, that the information . u ���h .7 ii gSg correct given is correct that tam the owner or authorized agent of • PLAN REVIEW 26 % OF SUBTOTAL '• ' ,; r ';- �,; ; ;J < :, •-; the owner, that plans submitted are in compliance with .Oregon State laws. Required for ALL commercial permits only ,,s�; _ „y; ' . . . TOTAL !� i. 'ii • Sig of r/Agent Data ^' ,:5 `) • Other Inspectlons•end Fees: ' • • 1'11.97 . 1 Inspections outside of normal business hours ( minimum charge-two • Contact Perso Name Phone hours) t� • hours $50.00 per . I ` c+D 2. Inspections for which no fee is specifically Indicated (minimum . • e` 1't € VI TZ t• �D ��� �+ • charge half tour) $50,00 per hour . ' . ' Foonotes fo commercial projects only: • 3.. Additional plan review required by, changes, dditions or revisions to 1. Provide full schematic'ofexisting and proposed gas line and pressure. plans (minimum chargeone -half hour) $50.00 per hour 2. Provide to scale showing existing and proposed mechanical . , , . . • units. . "State Contractor 'Boile Certification required • "Residential A/C requires site plan showing placement of unit I:\mechperm.doc rev 02/4/99 . . 8/16/99 Activities for C ase #: MEC1999 -00311 5:11:42 PM • Assigned Hold Updated Activity Description Date 1. Date 2 Date 3 To Done By Disp. Level By Updated Notes MECA007 Application received 7/19/99 GEO REC No Hold BON 7/21/99 MECA008 Create Permit 7/21/99 BON DONE No Hold BON • 7/21/99 MECA705 Gas Line lnsp 7/21/99 7/21/99 No Hold" BON 7/21/99 MECA750 Misc. Inspection 7/21/99 7/21/99 No Hold BON 7/21/99 MECA799 Final Inspection • 7/21/99 7/21/99 7/22/99 KS PASS No Hold AKJ 7/22/99 MECA060 (F) Issue permit 7/21/99 BON DONE No Hold BON 7/21/99 MECA800•Case Finaled 7/22/99 AKJ DONE No Hold AKJ 7/22/99 • • • • • • • • • • Page 1 "of 1 • • CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested "7-7,2.-- 1 l AM PM BLD Location 1 (JOSS Qi.t2.1 v (il � �v 1 Suite MEC i -/ Q (_I Qp 003/ Contact Person Ph ;S / PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain i Ot- SGN Crawl Drain Inspection Notes: Slab 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 PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL CH�PCAL Post & Beam Rough In Gas Line Smoke Dampers Fin -P ART FAIL ECECTRIC 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 7 — �� — Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.