Permit CITY OF TIGARD ME
% DEVELOPMENT SERVICES DATE ISSUED: 09/11/98 18 -0395
13125 SW PARCEL: 2511OCC -02900
SITE ADDRESS...: 16325 SW ROYALTY PKWY
SUBDIVISION : KING CITY NO. 3 ZONING:
BLOCK • LOT -004 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 : 1 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.: 0
FURN < 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =1O0K BTU: 0 ) 10000 cfm: 0
Remarks : Installation of A/C unit to residence.
Owner: FEES
NORMA SMITH type amount by date recpt
16325 SW ROYALTY PARKWAY PRMT $ 25.00 DLH 09/11/98 KING CITY
KING CITY OR 97224 5PCT $ 1.25 DLH 09/11/98 KING CITY
Phone #: 639 -0865
Contractor: -• - --
B & T GAS SERVICE INC
KEITH TEASDALE
8528 SW 190TH AVE $ 26.25 TOTAL
BEAVERTON OR 97007
Phone #: 642 -7243
Reg #..: 000911
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Cooling Lint Insp
applicable laws. All work will be done in accordance with Final I n s p e c t i o n
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 may -
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
` _
Issue By: i ' �' jr_ � Permittee Signature: y9XE� 07�
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + +• + + + + + + + + + + + + + + + + + + ++
SEP- 11 -'98 SAT 11:55 ID: "F145< N0:_ U4044 P02
? Plan Check e
CITY OF TIGARD Mechanical Permit Application Reed By _ g,tioyt
13125 SW HALL BLVD. Commercial and Residential Date Recd 4 -t i-4
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 4 -t.( -4 t K j Date to DST Permit # Neeq�3 95 -
Print or Type called
Incomplete or illegible applications will not be accepted
Name of oevetoprnan VPro)ec t Description •
Table 1A Mechanical Code art' PRICE AMT
Job sweet Add a - Sullen A) Permit Fee 4 10.00
Address 110325 voyat " �d/L/ w r7�
I 1.) Furnace to 100,000 BTU 5_nO
I / � pR Furnace Including duds & vents _ • •
Nam. (or name of busineed) 2.) Furnace 100,000 BTU+ 7.50
Owner I J Ql f SMV441 including ducts & vents
M • . 1 • Add -- 3.) Fleer Furnace 6.00
, . • SW yr , Iii ; i including vent
0,, /Slate , a n. . a 4.) Suspanded heater, wall heater 6.00
/_, ,N.. • ..- v ► 1.. (p5' b.t : or floor mounted heater •
6.) Vent not Induced In appliance permit • 3.00
Occupant µp °° 6.) Boiler or camp. neat pump, air cond. � 8.00
to 3 HP; absorb unit to 100K BUT"'
eny!Stat. Zia 1 Phone - 7.) Boller or comp, heat pump, air eland, 11,00
315 HP; absorb unit to 500K STU
Contractor Name 8.) Boller or camp, heat pump, air cond. 15,00
R*- T G n Q �'� / 3 f(i 1530 HP: absorb un5. -1 ma BTU"
Prior to perrnd i ►WIN midterm l_1 -f� n , L, L� 9.) Boller or comp, heat pump, air omit 22.50
issuance, a copy V 5' ' 9 0 I cl, v. r tV'2 � 30-50 HP; absorb unit 1- 1.76m11 BTU
.
of all licenses City /Stffie zip Rion. 10.) Boiler or comp, heat pump, air cond. 37.50
are required If !S01),).Qj1 f' . Ch02rl , - 12-Lf >50 HP: absorb unit 1.76 mil BTU"
expired in COT Miturdl-lra Exp. Pate .11.) Air handling unit to 10,000 CR4 4.50
database `7 r / _ 4$/
Architect N'nts 12) Air handling unit 7.50
10,000 C1'M
Or Mailing Address 13.) Non - portable evaporate cooler . 4.50
Engineer cni,s' • op l Phone 14.) Vent fan connected to a single dud 3.00
Describe work New!'" Addition 0 Alteration 0 Repair 0 15.) ventilation system not included 4,50
to be done Residential • Non - residential o to appliance permit
Additional ��^n of �� �`� 16.) Hood served by mechanical exhaust 4.50
STD+t_SC 17.) Domestic Incinerators 7,50
Exlating use of • 18.) Commercial or Industrial 30.00
building or property - type incinerator _
19.) Repair units 4.50
Proposed use of 20.) Wood stove 4.50
building or Property 21.) Clothes dryer. etc. 4.50
Type of fuel - oil 0 natural gas 0 LPG 0 electric O 22.) Other units 4
I hereby acknowledge that I 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
Me owner, that plans submitted are In compliance with Oregon State laws. 2d.) More than 4 -per outlet (each) .50
Slgnaba of Owner /Agent • . . . Data 'SUBTOTAL " `
• 3Q,Q��� • • • 07/61V /9 5% SURCHARGE /
• Contact Pe Name Phone PLAN REVIEW 25% OF SUBTOTAL
Required for all commercial • its only. %;
G A TOTAL L T , ... 0
•Minimum permit fee Is $25.5% surcharge
"Residential A/C requires site plan showing placement of unit.
l:lrnechprmt.doe rev 4/15/96
•
I
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Sejl__Date Requested IC Z /� �i A AM X PM BLD
Location 1‘ 52_5 5 ° '0 uite MEC crg' d
Contact Person — 63? - 0865 PLM
Contractor ? Ph ? SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing
Foundation Acce CG eve d wlie FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: 7
Post & Beam A) W s j'` „ Co 'j�y� / ? _ rns SIT
Ext Sheath /Shear
Int Sheath /Shear r � y ,�� Q
Framing el�� �'4 r i �-�f S n S
Insulation , J��� /' l I ,,L,
/ V
Drywall Nailing l �
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling ire I :Lat + _ 114 /4-17,5
Roof
Misc: � / Co —9r �/
Misc:
Final
PASS PART FAIL
PLUMBING )4/Z5
Post & Beam
Under Slab c, /P-S GC >rr
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final `�—
FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
ma
PASS —ART
(ELECTRICAL-
Service
Rough In
UG /Slab
Low Vol . • e
re • •
J ^tom PART FAIL
S TE
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 [ I Please call for reinspection RE: i [ ] Unable to inspect - no access
ADA G� p
Approach /Sidewalk Dat � �' /- / 0 Inspector / ∎� E x t
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.