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Permit , CITY OF TIGAR D MECHAN - � DEVELOPMENT SERVICES DATE 10/2 8-0478 8/98 PARCEL: 25110CC -00900 SITE ADDRESS...: 16010 SW ROYALTY PKWY SUBDIVISION • KING CITY NO. 3 ZONING: . BLOCK • LOT •018 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 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.: 1 FURN < 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 1 FURN > =1O0K BTU: 0 ) 10000 cfm: 0 Remarks : Gas log fireplace and gas piping Owner: FEES BARTON SPRING type amount by date recpt 16010 SW ROYALTY PKWY PRMT $ 25.00 B 10 /28/98 KING CITY KING CITY OR 97224 5PCT $ 1.25 B 10 /28/98 KING CITY Phone #: Contract or: ADVANCED HEATING & AIR COND. 6918 SE 48TH $ 26.25 TOTAL PORTLAND OR 97206 Phone #: 235 -0060 Reg #..: 000985 REG!UIRED 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 Final Inspection 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 lay obtain copies of these rules or direct questions to OUNC by calling (503)246 -9187. Issue By: 6.. - Permittee Signature: dn I14� ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for inspections needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ OCT -28 -' 98 WED 12:37 • I D: FAX NO: 14097 P02 -. �__ . TIGARD Mechanical Permit Application Plan Checklr PP on Redd By 13125 SW HALL BLVD. Commercial and Residential Date Recd I0 --253 -y. jl TIGARD, OR 97223 Date to P.E. (503) 639-4171, X304 Date to DST t_0.1.7 - Print or Type Pem'its q Incomplete or illegible applications will not be accepted Called Narne of Develepr e*nUProied Description Table IA Mechanical Code QTY PRICE AMT Job Sweet egdreee suit A) Permit Fee -0- -0- 10.00 Address ,_• • Y a 0 1s iiiiimi /Slat• Zip 1.) Furnace to 100,000 BTU 6 .00 r Y _ Indudinjduc s 8 vents 2.) Fumace 100,000 BTU+ 7.50 Owner elwa_� curl r __„7 ` • including ducts & vents r ` _ �» 3.) Floor Furnace 6.00 Gay/State -- - - . • including vent , zip 4.) Suspended heater. wall heater 6.00 A ' a: - _ AL a. f • or floor mounted heater e or : or nusln •) 5.) vent not included In appliance permit 3.00 Occupant Melling Adana P 6.) Boiler or comp, heat pump, air cond. 6.00 to 3 HP; absorb unit to 100K BUT" narked Zip T mime 7.) Boiler or comp. heat pump, air cond. 11.00 Contractor Nernn I 3.15 HP abso unit to 500K BtIJ 8.) Boiler or comp, heat pump. air cond. 15.00 a• � ' . 4 h 0 % _ .__l ! 1530 HP; absorb wort s1 mil BTU" Prior to permit melting Address 9.) Boiler or comp, heat pump, air pond. 22.50 issuance. a Copy rA ` ■ 4 .,∎ 30.60 HP; absorb unit 1- 1,75mit BTU - of all tiiaanaes 4 ,4 1312 P , /Jib - . • , 10.) Boller or comp, heat pump, air pond. 37.50 are required If �e.�... t . . i 'Li I .� � 0 > 50 HP; absorb unit 1.75 mil BTU" expired in COT : 11.) Air handling unit to 10,000 CFM 4.50 database . - . � i Architect Name 12.) Air handling unit 7.50 - 10 ,000 CTM or r'r°"k'9 Adana*. 13.) Non-portable evaporate cooler _ 4.50 Engineer ckwsiliti DP I Phone 14.) Vent fan connected to a single duct 3.00 Describe work New 0 Addrllon V Alteration 0 Repair 0 15.) ventilation system not Included 4.50 to be done Residential 0 Non•feeidendal 0 in appliance permit Additional Description of work: 16.) F� served by meehenical exhaust 4.50 U / 17.) Domestic incinerators 7.50 Existing use of 18.) Commercial or industrial 30.00 building or property type incinerator le 19.) Repair unite 4 Proposed building or 20.) Wood stove (_OAS ' r �C 4.50 , 21.) Clothes dryer, etc. - c‘ VC I I 4.50 Type of fuel - oil 0 natural gee 0 LPG 0 electric 0 22.) Other units 4.50 I hereby acknowledge that (have read this application, that the information 23.) Gas piping one to four outlets 2.00 given Is correct, that I am the Owner or authorized agent of I r er, that plane su • ' • ' `- • mplance with 0 - • on State : F . 24.) More than 4..per outlet (each) .50 or' I L . • 1 1 .1.. - ins urn of Owner/Agent - Date ' • 'SUBTOTAL 2 '5% SURCHARGE r ' 4 ,.5' I. +e'e?w iri vfi Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL 7,:,..„,-:,; r ' R- • wired for all commercial • Its on . ' " '" - • TOTAL i ' • =,<< X6,2 • 'M1nimum permit fee is 525 + 5% surcharge ~ "Residential A/C requires site plan showing placement of unit_ I:lmechprrnt.doe rev 4/15/98 6/13/00 Activities for Case #: MEC98 -00478 2:15:50 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MECA007 Application received 10/28/98 B RECD BON 10/28/98 MECA008 Create Permit 10/28/98 B DONE BON 10/28/98 MECA799 Final Inspection 11 %17/98 KS PASS JT 11/20/98 MECA705 Gas Line Insp 10/28/98 11/17/98 KS PASS J'H 11/17/98 Tag 342861, 15 psi for 15 minutes. MECA715 Mechanical Insp 10/28/98 11/24/98 RC PASS J`H 11/24/98 • MECA060 (F) Issue permit 10/28/98 B PASS BON 10/28/98 MECA800 Case Finaled 11/24/98 RC PASS J•H 11/24/98 • • • • r Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP I 053 Date Requested f/ / 7 - AM PM )< BLD Location .sir i1 . . _4 ,[., � .L Suite MEC 7,?-01/74> Contact Person .5h,etAvrk,0")..Z2 r l / - D 7 PLM Contractor h 3 SWR BUILDING Tenan caner j, ,�� ciot �t ELC Retaining Wall ((ff ELR Footing Access: Foundation LA-7E A-S p ^ c C i sj 1 FPS Ftg Drain AS J C � D L SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath/Shear g 4i�S� �� Framing t nth 93 77 Insulation Drywall Nailing /cr l'l'4 7 $ C'-3 � v Z-00l 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 P F L MECHANICAL Post & Beam Rough In 'Gas L' r -Dampers - PART FAIL ELECTRICAL 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 -Fr Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP p ��// � `TO 5 Date Requested / i — c94 — 90 AM PM BLD Location i;� ,, S • 1,4 / . !A... 1 / Suite �+ i i d • Contact Person 3-h / i / S , ,h — PLM Contractor ■L • ..�'� Ph 77 1 ' 01 7/ SWR BUILDING Tenan 420, (p 0 / — �O 7- -nu, <S ICA ELC Retaining Wall ELR Footing Foundation Access: f� 0 �� FPS ` Ftg Drain 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 HANICAL • Post & Beam Rough In Gas Line - . - Dampers . PART FAIL RICAL 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 t I Date 4 ^ K) Inspector Other D Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.