Permit CITY OF T MECHAN I CAL
i ,,,:y DEVELOPMENT SERVICES PERMIT
� °� I PERMIT # • MEC97 -0253
13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 DATE ISSUED: 07 / 18 / 97
PARCEL: 2S11OCC -13100
SITE ADDRESS...: 16055 SW QUEEN VICTORIA PL
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/0 APPL: 1 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 < 1O0K BTU: 1 <= 10000 cfm: 0 GAS OUTLETS.: 2
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks : install /change water heater to gas from electric / /converting fireplace
to gas also
Owner: FEES
PAUL MCFARLAND type amount by date recpt
16055 SW QUEEN VICTORIA PRMT $ 25.00 TAT 07/18/97 KING CITY
KING CITY OR 97224 5PCT $ 1.25 TAT 07/18/97 KING CITY
Phone #: 639 -2796
Contractor:
•
ABLE GABLE INC
4033 SE MILWAUKIE
$ 26.25 TOTAL
PORTLAND OR 97202
Phone #: 239 -5570
Reg #..: 000117
REQUIRED 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 Mechanical Insp
applicable laws. All work will be done in accordance with Heating Unt Insp
approved plans. This permit will expire if work is not started Duct Inspection
within 180 days of issuance, or if work is suspended for more Final Inspection
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
(503)246 -9187. Y . . . •
Issue By: L .1. /rAli Permittee Signature: Al?atlot.J
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 6:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
i
JUL- 17 -'97 THU 13:57 ID: FAX NO: 14246 P02 .
...1 ....... ,
Plan Check fit
CITY .OFTIGARD Post - It" brand fax transmittal memo 7671 tom pages o Recd By r -
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13f25 SW HALL BLVD. lb From From infZiI; Date Recd 7- l -S •
TIGARD, OR 97223 co. T►Gr,frei K(l1� t Date to P.E.
Date to DST 1: / 7 ' 7 I
(503) 639 -4171, x304 Dept. Phone #(0361 _ toga
Farr a „ () `S ..7,2„e3 7 f0 Fax # p a/3 _ �' 7 7 J Called �_ 3
Inco 7 r • `7 d
Name of Devaiopmentremiect Description
Table 1A Mechanical Code CITY PRICE AMT
Job Street AdOress Suites A) Permit Foe - 0 - - 10.00
Address l 11 Q 5 SW O(,ire„ Y t ya
'
Bo city/state Zip B) Supplemental Permit 3.0moo
Neme for name or Dueiness) 1.) Furnace to 100,000 BTU 6.00
I L• e
Owner , u L /9 C f7 r ln,ci incl. duds & vents
Me g Addrese 2.) Furnace 100,000 BTU + 7.50
I ('(, 5 -. L 5 Cku'e r ■ 1 1 4 -ve- I a incl. ducts & vents
Ci Tip phone 3.) Floor Furnace 6.00
1 11 e -1-i, 9 7 ,J34 �P '�7 incl. vent 6.00
Name ( or e of bu *1eas) 4.) Suspended heater, wall heater
6 1P or noon mounted heater
Occupant Mailing Aednaa 5.) Vent not incl. In 3.00
apliance permit 1 3' e� .
City/Stare Zip I Phone 6.) Boiler or comp, heat pump, air cond. 6
to 3 HP; absorp unit to 100K BTU
Name 7,) Boiler or comp, heat pump, air cond. 11.00
Pthle m= ho(1fCCCi .--The.- .. HP: absorp unit to 500K BTU .
Contractor Mailing Address 8.) Boiler or comp, heat pump, air cond. 15.00
(P, x
'7J f0 15-30 HP; absorp unit .5-1 mil BTU
Arch copy of City /Stetc Zip - Phons 9.) Boiler or comp. heat pump, air cond. 22.50
Current Licenses [ )Pa1/Jo tr'ttV rJ R'3 WO 30-50 HP; absorp unit 1.1.75 mil BTU ,
Oregon r cent. Board Licit Exp. Data 10.) Boiler or tamp, heat pump, air cone. 37.50
1 1 y / > 50 HP; absorp unit 1.75 mil BTU .
Coo' Business Tar or men o exp. 11.) Air handling unit to 4.50
I (o Ri _ a / /97 1 0.000 CFM ,
Architect Name 12.) Air handling unit 7.50
_ 10.000 CTM +
maim Addre 13.) Non portable 4.50
or evaporate cooler ,
engineer city•Stet. pia - Phone 14.) Vent fan connected 3.00
to a single duct
Describe work New 0 Addition 0 Alteration G Repair 0
15.) Ventilation system not 4.50
to be done Residential Non- reskiential 0 Included in appliance permit
Additional Description of work 16.) Hood served by
CarNJC/ 44 n5 10 ICC-RAra
t � L mechanical exhaust 4.50
He4k-er and
e, (e....0 q ce.. 17) Domestic incinerators 7
Existing use of 18.) Commercial or i ndustrial
1 30.00
building or propert type incinerator
property type
9.) Clothes dryers. etc. 4.50
Proposed use Of 20) Other units 4.50
building or property
Type of fuel - of 21 O natural gas 0 LPG O electric 0 21) Gas p iping one to tour outlets 2.00 a.
I hereby acknowledge that I have read this application, that the 22) More than 4-per outlet (each) .50
information given Is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with Oregon State CITY. SUBTOTAL .
laws.
Signature of Owner /Agent Date '.: `�
e 5% SURCHARGE �ZS
' Co ct Pereorf Name Phone PLAN REVIEW 25% OF SUBTOTAL
�r
r ; l�� t�C1gk�t, 0-10 -4 i�l l 5% T OTAL' r�
_ _ _ ' Minimum permit fee is 525 * 5 k surcharge
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8/16/99 Activities for Case #: MEC97 -00253
5:11:51 PM •
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECA007 APPlication received 7/18/97 7/18/97 TAT 7/18/97
MECA008 Create Permit 7/18/97 - • 7/18/97 TAT 7/18/97
MECA•05 Gas Line Insp 7/18/97 7/22/97 KS PASS J *H 7/22/97 gas piping p.t. test = 25 psi for .
20 mins.
MECA715 Mechanical Insp 7/18/97 • TAT 7/18/97 •
MECA725 Heating Unt Insp 7/18/97 TAT 7/18/97
MECA735 Duct Inspection 7/18/97 TAT 7/18/97
MECA799 Final Inspection 7/18/97 7/22/99 KS PASS • • AKJ 7/22/99
MECA060 (F) Issue permit 7/18/97 TAT PASS TAT 7/18/97
MECA800 Case Finaled 7/22/99 AKJ DONE No Hold AKJ 7/22/99
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested — 2. -- 7,2, - "q3 AM PM BLD
Location UP OSS qLLOifJ1 v t`6-0 Suite MEC I - / Q
qq 003/
Contact Person Ph - S --- ) -- Li(41 4 4 PLM
Contractor Ph SWR ����rr
BUILDING Tenant/Owner ELC 0if
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain ��,����2s�-
SGN
Crawl Drain Inspection Notes:
Slab SIT
Post 8 Beam
Ext Sheath /Shear i )1 2 2Z
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
VIECHARTOAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Fin
ART 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 `� n
Approach /Sidewalk
Other D / — � �7 � j Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.