Permit ,
CITY OF T MECHANICAL
� ,, D EVELOPMENT SERVICES PERMIT
y - 1 1 -1!! I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171
PERMIT # MEC97 -0364
DATE ISSUED: 09/29/97
PARCEL: 2S11OCC -04500
SITE ADDRESS...: 16085 SW ROYALTY PKWY
SUBDIVISION • KING CITY NO. 3 ZONING:
BLOCK • LOT -019 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: 0 VENT SYSTEMS: 0
STORIES • 0 BOILERS /COMPRESSORS HOODS • 0
FUEL TYPES 0 -3 HP • 0 DOMES. INCIN: 0
. 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 : Add gas fireplace insert and gas piping to existing single family
residence.
Owner: FEES
MRS. MARTINE type amount by date recpt
16085 SW ROYALTY PARKWAY PRMT $ 25.00 GEO 09/29/97 KING CITY
KING CITY OR 97224 -0000 SPCT $ 1.25 GEO 09/29/97 KING CITY
Phone #:
Contractor:
B & T GAS SERVICE INC
KEITH TEASDALE
8528 SW 190TH AVE $ 26.25 TOTAL
BEAVERTON OR 97007
Phone #: 642 -7243
Reg #..: 000911
REQUIRED INSPECT IONS
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 Misc. Inspection
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 wore
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 952-0014810 through OAR 952-001-0080. You lay
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
Issue By: .l Permittee Signature: �� %�,�f1�r
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 6:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
.-- »- •SEP- 26 -'97 FRI 11:19 ID: FAX NO: 14451 P02
• • Plan Check it
.CITY. OF TIGARD • Mechanical Permit Application Redd By A- ,
13125 SW HALL BLVD. Commercial and - Residential Date Reed a= 4,-tii
TIGARD, OR 97223 Dote to P.E.
(503) 639.4171, x304 Date to DST u° - 6
Print or Type Pettit $ I/o q9 y
Called
Incomplete or illegible applications will not be accepted
'
Mar al 0wni.pnerstOrajad
.. p, h
Teets IA Mechanical Coda cm' PRICE NAT
Job I Sweat Address SORB A) Permit Fee 4- -4 10.00
•
I
Address dayolteel • MO I aP B ) S upplert l Permit 3.00
•
• lore krreee ). 1.) Furnace to 100.000 STU 6.00
OWI18 f t f fv . y.kf. i ire.., M. !SUMS & vent;
ata nee adores 2) Furnace 100.000 BTU + 7.50
A i S 14) ko '] ei ri (d 3) Floor Fug 6.00
_ ( 1.1111(d Cif q? ?y b2st p 7 ? 3 1 incl. vent
. r r or 4. Si :Fernded hearer. wail heater 6.00
~
V)l'dt °floor mounted healer
Occupant s now 5.) Vent not Ind. in 3.00
to
CltyrStato Z p 1 6.) Bad a p� er or heat pump, air cond. 6.00
I to 3 MP; absorp unit to 100K BTU
. ' - - 7.) Boiler or cam heat pump, air curl. 11.00
41 (22 2 S .eYV ( 3-15 HR abaso p Wnr to 500K BTU
Contractor C (� S L a) Boiler or comp. feat pur p, air cord. 1 5.00
. 2 • N� I lo'' 15 HP: abeam unit S1 m0 8TU
Attach copy cf C a. 9.) Boiler or Comp, heat pump, alr cond. 2250
. Current tack Oi?.- h 4120. 313-5D HP; moo" mail moo 1-1.75 mil BTU
c tigcn MX Exp. r � � mo, 10.) Boller or oo neat pump. air pond. 37,50
> 50 HP. ebsorp unit 1.76 roll BTU
OC Q o - 1 9 7 11•) /4 handling to 4.50
Architect mail' 12.) Air handling trntt • 7.90
10.000CTM+ .
or r+i'e tee• 13.) Non portable 4.60
evaporate woks ,
Engineer C Mono 14,) Vend fan connected 3.00
to a single dud
Deaaiba week B ien 0 Addition 0 A lterdfon 0 Repair 0 15 Ventilation system the d
to be data Residential 0 Non- r e dantial 0 bduded in appliance pentvt
AddtDoner Description rework 10.) Head served by
1 n ee:flanlral ecchatnn 4
17) Domestic Indhnerators 7.50
• Existing use of 18.) Cor rr ectlal or Industrial 30.00
blinding Or p eperb► • - hype incinerator •
18.) Clothes drye m, etc. 4.50
i
' Proposed uee of 1= r 10-ee, 4.50
budding Cr firOPenY
• �°� Other f y 5_
Type of fuel - oa o natural gas o LPG 0 elecara O 21) Gas piping one to four outlets 2.00 Cx
a�
°'; f hereby adarawiedge that I have read drill application, that that 22) More than 4-per outlet (each) / .50
information given is coned. that I am die owner or aUthoab_ed agent of
the owner.•thad plans suborned are in compliance wtdh Oregon State OTT. SUBTOTAL ., j.. , •
RA
w
V Signature Owner/Agent Date `SUBTOTAL :', ! /2S
, n r /, � , 7-0-9,‘ 596 8URCHAR ri r
,, It
Contact Perak Phone ti � ; - i i <,, • s
y f - �.
i r �,-.N otiirltnitl . ��'
1 1. .5p / yep -72Q3 . e, : �jrr •
T OTAI. `' y 2 io
l rC Pnfdec `Minimum panne fee is 525 + 5% surcharge
nom. Vine
•
RECEIVED
SEP 2 6 1997
COMMUNITY DEVELOPMENT
&cfq
CITY OF TIGARD BUILDING INSPECTION DIVISION otu / 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 l
p p /
Date Requested: C r'� / / 7 x P.M. MST:
./ / i i&A,
Location: �
Tenant: I Bldg: MEC:
F
Contractor: hone: & ��-- 7e)- PLM:
Owner: Phone: . 1 ELC:
("f d'7?� 7 f ELR:
SIT:
BUILDING BLDG (con't) PLUMBING _ ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In L Ceiling Water Line
Slab Framing Top Out 4.112:10 p 7 7 Rough -In UG Sprinkler
Foundation Insulation Sewer Hwy, ct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spk1r /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Ap 'roved Approved Approved
Appr /Sdwlk Not Approved Not Approved ∎0, . , ...vie i Not Approved Not Approved
FINAL FINAL ■ I AL FINAL FINAL
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G) 3 - SCA ,, 5 r-2-� ( J Q-0-± C-4.7\."-- v"\--4.4.........1 t,.
C all for reinspection O Reinspection fee of $ requ' ed before next inspection O Unable to inspect
Inspector: � `U L Date: 9 9 2/ i 2 Page of
i
0 joy 4,ewectffaiteadrized-cdata,7,
CITY OF TIGARD BUILDING INSPECTION DIVISION eYL�
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: c! -30 ' - P.M. MST:
Location: III i If . / _ .I J - . `,� BUP:
Tenant: / / #te: Bldg: m.:97---036
Contractor: Phone: 6 � 2 .7Q. PLM:
Owner: Phone: r ELC:
ELR:
• SIT:
BUILDING BLDG (con't) PLUMBING MEC • A DO ELECTRICAL SITE
Site Post/Beam Post/Beam 'os+ : yi. Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough .. Ceiling Water Line
Slab Framing Top Out Gas me Rough -In UG Sprinkler
Foundation Insulation Sewer H.. ti ct Reconnect Vault
Bsmt Damp Drywall Storm umace Temp Service MISC. '
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pun Low Volt
Approved Approved proved Approved Approved
Appr /Sdwlk Not Approved Not Approved of A roved Not Approved Not Approved
FINAL FINAL FINAL FINAL
4 � �
L. o `/mss e �. ___, _ 3 — ce . - �- ° •
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AL. 14 Ailig
N IPEProilM71iTilt...___WA%ppow•■_ 01-
1 a. 4
J4
., 0 a
0 Call fo Tie , / 0 Reinspection fee of $ required before next inspection 0 Unable to inspect
Inspector: t i _ Date: 0 Page of )(