16240 SW KING CHARLES AVENUE 6
16240 SW KING CHARLES AVENUE
/`� CITY OF TIGARQ PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : PILM98-0281
13125 SW Hall Blvd. Ti9drd,OR 97223 (503)639.4171 DATE ISSUED: 08/12/9L
PAR(7EL.: 2SI15BB-05500
SITE ADDRESS. . . : 1 ,c-40 SW KING CHARLES AVE
SUB D I I I 131011. . . . : ZONING:
BLOCK. . . . . . , . . . : LOT. . . . . . . . . . . . . JURISDICTION: KIN
---- ------------------------------------------------------------------- ----
CLASS OF WOPK. . PALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF UFiE. . . . iSF WASHING MACH- - - 0 BACKFLOW PREVNTRc3. . : t
OCCUPANCY GRP. . sR3 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0
STORIES. . . . . . . . a 0 WATER HEATERS— — : 0 CATCH PASINS. — . — r 0
FIXTURES ------------ LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
S I N;,S. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAP'S. . . . . . . . 0
LAVOTORIES. . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHGWER'J. . . : 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0
DISHWkSHERS. . . . : 0 RAIi; DRAIN (ft ) . . . : 0
Remarks : installation of landscape irrigation sy,.tem to residence.
Owner i FEES
BETTY SIMMS type amount by date recpt
16240 SW KING CHARLES PRMT $ 25. 00 DLH 08/12/98 KING CITY
KING CITY OR 971224 EXPIRED 5PCT $ 1. 25 DLH 08/12/98 KING CITY
Phone #: 624-1152 6
Contractor--_..._—.__-----.-------------.___--
JONES SPRINKLER REPAIR & INSTA
4070 SW 192ND
ALOHA OR 97006 ----
Phnne #. 649-6093 $ 26. 25 TOTAL.
Reg #. . : 000069
REQUIRED I NSPI I CIONS
This remit is issued subject to the regulations contained in the PPI/Backflow Prev
Tigard 14qn4.ripal Code, Stat. of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance pith
appru%P0 plans. This permit will expire if work is not s'.,rtpd
within l80 days of issuance, or it work is suspended for more
than I(@ days. ATTENTION: Dr*von law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952-MI-MIO throuch !1PR %2-Ml -OW). You may
obtain copies of these rules o- direct questions to OtW, by calling
X903)246-1987.
Issued By : Permittee
e7V /SOP/_
.............4.......4++4-++,1....... ........................................ +4
Call 639-4175 by 7:00 p. m. for an inspection needed the next business day
...............................................................................
FO : TIGARD DST 14M12 -102
AUG-12-'98 WED 11:47 ID FAX N0:
i Y OF TIGARD Plumbing Permit Application Plan r,rock
,125 SW HALL BLVD. Co,nmerclal and Residential aee'd By
IGARD, OR 97223 Date Reo'd
SO-21) 639-4171 Dace to P.E.
Print or Type g�-�ted Permit 0Date to DST�L/`1 Incornplete or Illegible appllcatlons will not be ecceRelaled SWR
Called- - - -
- ---- Name of DevoinprnentlPruied
Salk - 4100
Joh _ �.____ �_ _.__. s.00 -
treat Ad -- Suite valor;
Address /` — - -
Ats ebAn/+t S Tub or Tub/5hew+4r Comp a•�
Bldg t ft-M-7
rt /State Zip712 y ' SA.war only _ 8 00
t-1 �� Water tines, 0.00
Name _
•S' �� ! Uithwacher
dlfc[tiff - - 8 00
Own51 MaNtng A ldr s Sullo -- orbaga lopoaal
Washing Machine 900
iy fate I Phone Fluor Drsin1Fluvr 3:142' 8,00
-� 9.00
- 9.00
NSI IN-'L a
Occupant Me Ilnp A d sa 5UI1e Wslur Neater O conversion O ;Ike kind 9.00p y Gat I in req_uime�a opp*Tte mechanical permit.
C ly State Zip Phone Laundry Room' r�ay J
c
C Udnal
�»o _F r,4(c- ?[ AI^
other Fi:furu( pedlrl goo
—�--�` r 9.00
Contractor Mailing Aeldrsw, Suit• 9.00-
J7.; r.cv1F.4
pnew to permit Cily/.tai Zip Phone 1 Sewer- 1 at 100' ''"rc✓ 30.00
08uanrf:,n copy I9/o 31 a sewer-enr�+aedlunnrl 100' 26
of all lirr_n:+ms mi.! Oregro roily Cont.Sntkrd Lick Exp Dote a er ery tie e 1 -_
required If e /:' to Water san+lee-sash iddlilanal 200' 26 00
bi
aspired In COT umnC IJc. xP. •f• 30 00
ustaDete Sbrm R Rain[Main-Q1 100'
24.00
Natorte aln CN
Raln-each additional 100'
me -^u
Architect ,
Mobile Home Spatz, 2F 00
_.__ __. _
or Mailing Address Suite Commercial Back Flow Prevention Davicrs or And- 25,00
Pollution Osulks - —
city/stale Zlp Phone Residential Backflow Prevention Device' t�•0^
Engineer Residential
liming devices require a separatu
--- ----- ' restricted erten2y parmll.)___ -
�escNbe wralc to he done Any rrup or Weare Nor Connected to a Futuro 9.00
NcwpLReroh O Roploct with like kind: Yrs O No O Catch Batln 9.00
Rns+ r:nha Curnmerual O J --
Aridilionsl dEscnrtion ni veort' Insp.of Existing Plumbinp 40.00
ef/ltf
Specially Requested Inspeetlens "^00
arlftr
■n Drain,itng a mlly dwelling 30.00
Are you CappYon
ale
g, moving or repllmg any fixtures? [ireese Traps 8.
Yon No O
if yes, see back of form to Indleate work peAor med by QUANTITY TOTAL
fixture. FAILURE TO ACCURATELY REPORT FIX I URE Isnmurlr,or Azar dlsgrom is r"tjftd d orenl!ly TOW is•9
_WORK COULD RESULT IN INCREASED SEWER FEES. ;
I hereby adknowledyn that I have read Ihin application,that the Information _ ._- __-__IA._RC!
_
given rs correct,that I am the owner Of 21,111101170d agent of the owner,and 5%Sul
that plans submitted are In compHance with Oregon Rate Laws.
Signatti-it 0 net/Agent Dees "PLAN REVICW 25%or- SUB TOTAL
�7 ( R Irw onn ff riAure qty total is e '. ►�
TOTAL
Contact Pars. Ne Phone --
gy9^60 9� •M1nitnum permit fes h f29+�X wrcharge,except RP�identiel l�eckflnw
Prcvenlior, Dev+a,which!,i15 676 surcharge
--All New Commercial Buildings raluire plans with isometric or riser diagram
and plan review
auWumapp oak tr2l"
ori
G;i ( OF TIGARD BUILDING INSPECTION DIVISION MST
Iry
24-Hour Inspection Line: 633-4175 Business Line: 639-4171 -
/ G Iry BUP c�
2 lZZ�� Date Requested 0 [. a M) PM PLD t�
Location
Contact Person _ _ _ Ph '� JZ Pl.tait _ __
Contractor_ Ph SWR --- --
BUILDING Tenant/Owner _ _ f-1-i'
Retaining Wall IELR _
Footing access: FPS
Foundation — --
Ftg Drain _ - ---- SGN
Crawl Drain Inspection Notes-
Slab
otes Slab __- ---____ -- �. - — SIT
Post&BeL u
Ext Sheath/b;._ar
Int Sheath/Shear
FFarning -- -- —_ ---- -;- - 1 -
IiaSulation
Drywall Nailing _
Fiiewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling --------------Roof f�-
Misc _ - ---- --
Fina!
PASS PART FAIL --
PLUMBING
Post&Beam
Under Slat)
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
.PA9'S- AIL
CHANICA
Post& Beam - - - - -
Rough In
Gas Line ✓ - - - - --- ---- - ----
amQ�e Dampers P,;���
ACPART FAIL
TRICAL
Service
Rough In
UG/Slab --- -_
L ow Voltage
Fire Alarm - -
Final
PASS PART FAIL ----- -- - - - ---- -—SITE
Backfill/Grading ------- -------------- _��--------_ _ - -
Sanitary Sewer
Storm Drain [ ]Reinsuection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( J Please call for reinspection RE:_ —_ __. [ J Unable to inspect no access
ADA
Approach/Sidewalkpate inspector_ Ext
Other
Final
PASS PART FAIL DO NOT REMOV0 this inspection record from the job site.
C i TY OF T i G A R D ME-CHAN I CAL
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : MEC98—ki
DATE
. . . . . . .DATE ISSUED: 08/06/98
i ,-E ADDRESS. . . : 16240 SW KiNG CHHRLLS AVE PARCEL: PS115BB-05500
DIVISION. . . . -. ZONING:
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . JURISDICTION: KIN
----------------------------- ---------------------- — ------------------------------
CLASS OF WOHK. . :OTR FLOOR FURN. . . . : 0 — -- EVAP COOLERS . 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY BRP. . :R3 VENTS W/O APDL: 0 VEN'r SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL 'TYPES--.---------.-- 0-3 HP. . . . : I 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 ( 100K BTU: 1 10000 cfm: 0 GAS OUTLETS. : I
FURN > =100K BTU: 0 > 1,0000 cfm: 0
Remarks : Installation of nne furnace, one a/c unit and associated gas piping.
Owner: FEES
BETTY SIMMS type amount by date recpt
16240 SW KING CHARLES PRMT $ 25. 00 DEB 08/06/98 KING CITY
TIGARD OR 97224 5PCT $ 1. 25 DEB 08/06/98 KING CITY
Phone #:
Contractor-.
JACOBS HEATING & A,'C
4474 SE MILWAUKIE AVE -----------------------.__---__----_
$ 26. 25 TOTAL
PORTLAND OR 97202
Phone #: 503-234-7331
Reg 000014
------- REQUIRED INSPECTIONS
Titis permit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty 'odes and all other Mechanical Insp
applicable laws. All work will be done in acco Aanre with Heating Unt Insp
approved plans. This permit will expire if wont is not started Cooling Unt Insp
within 188 days of issuance, or if work is suspended for more Final Inspection
than 180 days. ATTENTIONt Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in DAR 952-18I-8818 through OAR 952-01-M. You may
obtain copies of these rules or direct questions to OUNC by calling
1583)246-9187.
9 S - e CEBy-
y: Permittee Signature:
4 .............4...........................4+++++++++++++++-f•++++++++++++++++++++++
Call 639-4175 by 7r00 p. m. for inspections needed the next business clay
..............................................................4..............4 +
----AUG-06-'98 THU 11:16 ID: FAX NO: ui'l-'1 F�
Plarheck at
CITY OF TIGARD Mechanical Permit Appli ration Recd By ; ,
13125 SW HALL BLVD. Commercial and Re.,IdEntlal Oalp Reid r L21 e,
Date to P E
TIGARD, Oil 'd7223 Ki«� C t'* _r_
Ualp to DST - qY
(503) 639-4111, x304 Pto,rrnIt8
Print or Type called
Incomplu_tc_ or illeVlible applications will not be accepted �_ e
Nyp,Oeo( mewDrn%&Propd� Description �.. _ -
fAVs,I. C� Table 1A Mechanical Cede 'r'`f PRICE 1ART
JOD Si«e Adrtit�d IJ tom, sunai - A) Permit Fee 10.00
,r.ddrese �.. 40 V1I �T 04 IfS � -_-_ ___
ninga - r3tata Yip _ 15 Furnace to 100,000 I'm 6,00
1 y�p ( Inclu_aing Jurrs(i venf9- - _ (D,IX'r
-- Nemo(or nom"of ouvriem,, 2,) Fumaczr 100,000 QTU* >50
indudlnq duds d vent✓
MONnO n ltlrn u - ( 3.) Floor Fumnan 5.00
indudinQ vent
GifYrbtmc-- - - Zli� Pnnnn 4,} Suspendr-Arl heater,wall heater 6•�
or floor vl-n xl -67
6
5,1 Vent nut mrJvoed In a0'iar7L Pem it — ).00
Occupantrna!l!nq warese v_ (5.) p3ollar or mmp,nest pump,air tend. I e•00 f_ UO
to 3 HP,absr;c unit to 13M BU1- �U
rtye!erne T1v Ptw,� 1 1 Jolbr or ee,mp,heat pump,olr Gond. 11
Ac
- 315 HPI absorb unit to SOOK BTU""
GontraCtOr N^"" 8.) Ho113 nr ,,Di ip. hoqrb u it 5-1 d B1 Ul
�(�1l�I,•�r- tU� _ 15-30 1,IP,.-osortl unit 5.1 and 13111"
„r.to pu,mR µonto arMwne i.) l3aikr or comp,1ea1 pump,uir Gond, 72.50
issuance,a espy 4"1 _ 'ISE ( � I 30.50 HP,absorb and 1-1.75m11 Bl lJ-
ii W oris 1D.) 50 HP,absorb un
of all IiuwnsCS 1 / q t pump,elr Gond. 37.50
' S,¢I, r,� C,1�t- _�07 Fr i) 1 Ao'hrndl� unRtod178mi1l?TLl” r
MJ-
are re:Vuire.W If 11 ;L.ILS�-y -p4-' 10 i7W(;FM 4.50
ntipirvd In Got- Or m Con Curo 1lrren ic'N /Or,'
Archttuct N°"" 17) Air hsndling urnt 7.50
7 p,0001'11Nt —..!
OT
M•+ling Morn, 13) Nonynnlable evaporate oeolar
Engineer Ckrl'ftlA" ap vnw,v 14.j Venl fan cnnneded to e s nq duct 3.00
I Jr:rnbt,work NeW O qdd uon• Alterstbr O Repair O 1 rS.) Vent,r.,lion wystem not Includeri 4 SO
to be done Reaidentiai O Non•resldefltla)O in eppNanco permit
Addition�cripbon of worlk 19.) Hood gerved by mechanical exhaust
1.50 �
17.) Domestic incinerators
Lft IMS u!e _--- -- IS,) Commercial or IndusMYl� -11)00 lix —
�j
ryp^mr�narator _
bulldihf�td'W)Prty 19) Repalr Untrg x,40
Proposed use of
4.50 ---
hu,ld!nq Cr property- -_ _ _ 4.50 —
71 ) Clothes dyer,elle.
_ —
4.50
1 ype^f heel-uil O natural gas• LPO O electtIC O 2?) Other units
I hnmhy aled
chnuwg0 that I have,sad this application,thetins Infnrmvitlon ?.3.) asb plping one to four eutiOtS 1 I !7�
given ill carTW,11121 12m the ownwr nr authorbert agMit of — -
the owner that plans auomirtted are In eorrepllNni.e r.dh r]re}lun Slats Inwe .) More titan 4-per outlet(each)
.50
Signature of Owher/Apw►rt Datli — *SUBTOTAL
)LARGE I-'L
X11 AA v1D -
4
Co Pwr�on Name Nhenw PLAREVIEW 2591 OF SUBTOTAL
1 equlrsd far all wirnmerciit pennft ons)`
,l I 6772 RTOTAL
*Minimum pom+k fee is$25.-5'%,-turrharge
-Rentderkal A/C requires site plan nh, «tng plsoernent of unit.
I�mecl,prrnl.doc rwv 4/;5/9s