16750 SW KING CHARLES AVENUE .J
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16750 SW KING CHARLES AVENUE
CITY OFTIGARD BUILDING INSPECTION DIVISION
24-Hour In pection Line: 6394175 Business Phone: 639-4171
A
Date Requested: A.M. P.M. MST:
Location: J-7-
LW.4� IT,
Tenant. Suite: --131dg MEC:
Contractor _------ Phone
Owner: Phone. ELC:
L o-g-jilna4, 66!, ,R:
BUILDING 4BLZ,(Coq2J.:� PLUMBING MECHANICAL ELECTRICAL SITE-
Site o's, cm PostAlearn Post/i3cam Cover/Service Sewer/Storm
Footing I�oof tJndl,']/Slab Rough-In Ceiling Water Line
SIC'- Framing Top 0111 Gas Line Rough-In t ICY Sprinkler
Foundation Insulation Sewer
Sewer Hood/Duct Reconnect Vault
Bsmt Damp I)tyNva ri
Ston Furnace Temp Service misc.
Masonry Ceiling l� Rain Dram A/C UG Slab
Shen/Sheath ILLU� r/Aln. Crawl/Found Di I leat Pump Low Volt
Approved Approved Approved Approved Approved
ppr/Sdwlk roved Not Approved Not Approved Not Approved Not Approved
IN FINAL FINAL FINAL FINAL
0 Call for reinspection 0Reinspection fecol'S kequirqd More next inspection 0 Unable to inspect
Inspector: 0 \ Ai
76.1 VAA------- Page__or
CITYOF T I GA R D _ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2003-00454
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED? 08/04''2003
PARCEL: 2S115BC-03100
SITE ADDRESS: 16750 SW KING CHARLES AVE
SUBDIVISION: ZONING:
BLOCK: LOT: JURISDICTION: KIN
CLASS OF WORK: ALT FLOOR FURL": EVAP COOL.IFRS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES- BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 3 HP:� DOMES. INCIN:
3 15 HP. COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS-
FIRE- DAMPERS?: 30 - 50 HP:
OD
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: _AIR HANDLING _UNITS
OTHER UNITS: 1
FURN —100K BTU: <= 10000 cfm:
GAS OUTLETS:
1000) cfm:
Remarks: Install exterior A U unu 00 1101 lilacs the iryL' cd setbacks
Owner: - FEES
CLIFF
CLIFF MCLONALD Description Date Amount
16750 SW KING CHARLES — " ,--
KING C11 Y OR 97224 1 I AX] 8%StateTax 08/04/20( $5.80
IMt CH] Permit Fee 08/04/20( $72.50
Phone: 503-624-2704 –_ Total $78.30
Contractor:
COLUMBIA HEATING + COOLING INC
P O. BOX 230397
TIGARD, OR 97223 REQUIRED INSPECTIONS
Phone: 503-624.2704 Final Inspection
Reg #: LIC 76359
This permit is is: ued subject to the regulations contained in the Tigard Municipal Code, State of Ore
Specialty Codes and all other applicable laws All work. will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for mote than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
952-001-0100. N'ou may obtain copies of these rules or direct questions to RUNIC by calling
(503)246-6699.
Issued By: rti�ry _ Permittee Signature: 7-2-_
Call (503) 6639-4175 by 7:00 P.M. for inspections needed the next bbuTsiiiess day
P7/31/:tu03 12: 18 5035353771 CITY OF KING CIT''.' PAGE 02
10/22 2001 10:46 5036393771 CITY OF KI11G CITY PAGIF 01/02
SERA d >R Mechanical Permit Application
j
� I .t
hCity of King City Date received: Permit no
tt•� r 13125 SW Hill Blvd. Pro)ectlappl. no.: _ Expire date; Z
Clackamas Tigard,OR 97223 G 9 `�� Date issued, By; Recc,pt no.:
Multnomah Phone: ($t13)s39.ii171,FAX:(503)684-7297 Casa nit no.: Payment typo;
Washington
c .__, H • , 0 a Land ust'. approval _`- Building permit no
TVPE OF PERMIT
J l & 2 family dwelling or accessory U Commerciallindusriial U Multi-farrdly U Tenant lrriprivrnnent
Q N,;w construction9�kddition/al terat ionirepIacomen t U Other
Jon sirli,iii! 1 1 1
Jobaddreaa; �Q suite 111dicate equipment quantities in boxes below. Indicate the dollar
Blc!g no.: rfo,: value of all mechanical malerials,equipment,ial•or,overhead,
Tax_map/tax lot/account no,: profit. Value S
Lot; Block Subdivision: � I *See checUxt far importan applicarlon Information and
Project naltte; jurisdiction's free .sOwduley)r resident'al ptrmir fee
City/Cr•ar. ' ZIP: -` ---_�..__�_ t �
11111hal ANG
Dew ,'ro , /y tion of work on premises: 14 10 1 pl,1 11 � J.'QUFMIEN'rsdiornumi
Fee(em) Total I
Eat4 date of completion/Insptaction: - Deerrlpdon t�. Rea.oaly its.only
1'enant improvement or change of use:
Is exisdng space heated or conditioned"U Yes C No Air hatAlur unit CFM-
at con7t icon n (s�upp�ain�c J
Is ecisdnQ space ins�elateci7 U Yes a,alp Alteration of exiftinU A Pit M
-
1 of er cnmpressory- _ —'
3usinesa name: d i State boiler permit no,:
�t�__.�.�..�To�naBT(1/H
r� Fireysmoke damper_Uduet smokedetectors
St:tte:aL ZIP' 'Ff•at um (sit-`e fan M U131
-� Tn.!A rep ace tmacr7tsumer 1
hone:(, LFacAjCI�a7O E-mall:
;CB no.: Enoludl durtworklvent lin^r 11 Yst 0 No '
.3.5 nsutff/replace/relocate heater, sutlpon a --
icy/metro lic. no.: / will,or floor mounted
fame f It asc print) _�- i Ventfora anco o ther than Rimace i
CONTACT PIERSON
eErigorq et
Absorption units -_IMN
Chillers HP
- -- - -- C _ _ i
ddrras: om tsseorl tiv a ^eta exhs►trstand =W_-1 P ilegdn:
[P—
ity: Sr,te;� zl}' _
_ Applim, ent
D 11 mai -- - --
Fax: Sr I; ��ryer exlratLsr '---_- -
F1_WW-_ ype V re&, tc tI anat
hood tire,suppmssion ryslem _
Z 4®.y-),a — Exhaust fAn with Ain le duct beth fans) j
Ail i=n g addr,& 1z 704L x Must system apart from cat it or AC
w Sia a;�� Zfp; - 'ucl piping andLstr1imon lux to A our ers)
— �1 � 'Cype: LPG NO 01!
Gne; Fax: E mallFue •?p--hiR e-tcTdaiuotoveroutet - - _--
Proceam piplbg{ac en atrc requ; )
ma. Numher of oudeta _ I
app-Iha�ce or requZ�rnont:
gest' Decorative fireplace
"—TState: ZIP: nsrrt-•type _
._.. —.1 ---:rte
0o svel/ "iiet stove
)t1e`�_ Fax:
�ficant's si rwturc '� tat" ,^ •,_J
8 - 17ate:��A���
ne(print):
uri.d ciloro�ceopt.redh cardio,plea. call lu,Rdlethm for rthro lei for"wilim, permit fee.. . .... ............S
a Cl hl alterCard Nnttee: Tho pennL appliedlian fv:atimu r fee $
eatd number:
f I aspires if permit it nor obretined Platt review(at ^ %) $ �
Expira,t - I wUh'n 110 dayt after If Mae been c.— ....-_L____ .n Ar, .. a.�'7f•��
F17/31/ 003 12: 18 5035393771 CITY OF KING CITY PAGE 03
?lelfl �
H��.. ""ING & yOOLING, INC.
8900 Slk BURN'-IAM ROAD, SUITE EI 10
TIOAJ;b, OR 97223
(503) 624-2704
FAX (503) 598-0270
1
JOB ADDRESS:_���
7-
SITE PLAN FOR AC OUTDOOR 'UNIT LOCATION
CITY OF TIGAIND 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST —
GG BUP _
Pgceived -------Date Requested __.-._..__.. O. _— AM _ PM BUP —
Location .- __1, ---.Suite---.Suite— MEC 3—
Contact Gerson — !vvv�.� Ph - 7 PLM -
Contractor
__ _ ------ -- SWR
WR _------------
BUILD_IN_G_ Tenant/Owner _— ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: — SIT —_
Past& Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear / /—
Framing 1J_tJ A4 u L": L1At��L ✓ U �l�4 J X11 C �•lc' c s-
Insulation AJ
Dr�wall Nailing
Firewall
Fire Sprinkler -- -- -- —
Fire Alarm
Susp'd Ceilinc
Roof
Other: - ----
Final
PASS PART FAIL
PLUMBING_ _ --
Post& Beam --
Under Slab - - --
Rough-in —
Water Service ---- -- -
Sanitary Sewer
Rain Drains - - - —
Catch Bashi/Manhole
Storm Drain - - ---- — --
Shower Pan
Other -- ----- ----- -- _ _
Final
ASS PART _FAIL
MECHANICAL —
Post& Beam
Rouqh-In
Gas Line ---------
Srnoke Dampers --_-_ __.._---------- _-- - - -
PAS ART FAIL --- - __ -- - -- - - ------- ------- �_ - ------ ---- - -- --------
ELECTRICAL —
Service
Rough-In -- --- -- --- — --------- _�. ------ -
UG/Slab
Low Voltage - --- _ - ----... -- - - ----------- - —
Firc Alarm
Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE.-- _�. _ (� Unable to insrect- no access
FirQ Supply Line
ADA � �
Approach/Sidewalk Date_.__�. L I nepector . . - Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD MASTIER FIER�ITT
1 .
DEVELOPMENT SERVI i,.,rS PERMIT #. . . . . . . : MST97--0267,
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE 'ISSUED: CA6/27/97
r-1
*nRCEL-: 2S115BC --03100
SITE ADDRESS. . . : iC7',21 SW ['KING CHARLES AVE
SIJBD I V I S I ON. . . . : ZONING.,
BLOCK. . . . . . . . . . L.01.. . . . . . .. . . . . . . . JURISDICTION: KIN
ReearkF. Reroof, major repair.
----•-----------------•----------------------------------•-- BUILDING ------------------------------------------
PE1116UE.- 0 STORIES.......: 0 FLOOR AREAS---------- BASEMENT...: 0 if REQUIRED SETBA,'RS---- REQUIRED—
CLFSS OF WORK,. :9 HEIGHT........: 0 FIRST....: 0 st GARAGE.....: 0 if LEFT............ 0 SMOKE DETECTRE:
TYPE OF USE...:SF FLOOR LOAD....: 0 SECOND...: 0 Sf FRONT......... .. 0 PARKING SPACES: 0
TYPE OF .-ONST.:5N DUELLING UNITS: 0 FINBSMENT: 0 sf RIGHT.........: 0
OCZUPANCY GRP. :R3 BDRM: 0 BATH: 0 TOTAL—---: 0 sf VALUE.$: 0 REAR .........: 0
--------------------------------------------------------- ------ PLUMB,NG -- ------- ----- --- ---- -----------------------•--••---- --
SINNS
--------------------------
SINKS......... e WATER CLUSETS.: Q WASHING MACH..: 0 LAUNDRY TRAYS.: <1 RAN DRAIN ft; 0 TRAPS.........: 0
LAVATORIES...: 0 DISHWASHERS...: e FLOOR DRAINS.. : 0 SEWER LINO ft: 0 SF RAIN DRAIN;: 0 CATCH BASINS.. 0
TUB/SHOWERS...: e GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCFFLW PREVNTR: 0 GREASE TRAPS..: 9
OTHER FIXTURES: C
---------------------------------------------------------- MECHANICAL
FUEL TYPES------------ FURN ( 198K 0 BOIL/CMP ( 3HP: 0 VENT FANS.....; 0 CLOTHES DRYERS: 0
FURN )=180K 0 UNIT HEATERS..: 0 HOODS.........: 0 01HER UNITS...: 0
MAX INP. 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES.... 0 GAS OUTLETS...: 0
--------------------•_------------------------------------- ELECTR!,'PL ---- -----------------------------------------------------------
ONIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDE!rt-- -•--BRANCH CIRCUITS---- ----MISCELLANEOUS--- --ADDIL INSPECTIONS—
1000 SF OR LESS- 0 0 - 200 alp..: 0 0 - 200 alp..: 0 W/SV- OR FDP..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADDIL 508SF.: 0 261 - Q@ imp.. : 0 201 - 480 amp..- 0 1st WIG SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 600 asp..: @ 401 - 600 amp... 0 EA ADDL BR CIR: 0 SIGNAL./PANEL...: 0 IN PL41T......: 0
MANF HM/SVC/FDR: 0 601 -- 1000 alp.: 0 681+ampi-100 v: 0 MINOR LABEL 10: 0
1000+ alp/volt.: 0 ------------------------------------- PLAN REVIEW SECTION --------------------------------
Reconrect only.: 0 )=4 RES UNITS.,: SVC/FDR)=225 A.i ) 600 V NOMINAL: CLS AREA/SPC OM
--------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY ------------------------------------------------
A. SF RESIDENTIAL---- B. COMMERCIAL- ---------------- ------------------------------------------------------
AUDIO
-----------------------------------------
AUDIO 9 STEREO.: YAW SYSTEM..I AUDIO I STEREO.: FIRE PARM.....: !NTFPCOM/PAGING: OUTDOOR LNDSC LT.,
BURGLAR ALARM..: OTHt It BOILER.......... HVAC...........: LPNDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK..... .....: INSTRUMENTATION: MEDICAL........: OTHP:
HVAC...........-- DATA/TELE r'JMM.: NURSE CALLS....: TOTAL # SYSTEMS: 0
Owner; —--------—- --Contractor-- -------- TOTAL. FEEG:1 42.50
DORIS FORREST WECYS 14C This permit is subject to the regjlatinis contained in the
16730 SW KING CHARLES jr liN BLANDENA ST Tigard Municipal Code, State of Ore. Specialty Codes and dll
KING CITY OR 97223 PORTLAND OR 97217 other applicabi: laws. All work will be done in accordance
wifh approved plans. This permit will expire if work is
Phone 11: Phone #: 282-5743 not started within 180 days of issuance, or if the work is
Reg L.: W9328 susuended for more than lK days. ATTENTION: Oregon law
----------------------------------------•--------------- - requires yo,: to follow roles adopted by the Oregon Utility
Notification Center. Those rules are sit 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)246-1987.
----------------------------------- REQUIRED INSPECTTONS ---------------------------------------------------------
MisE. Inspection
Building Final
fs-lu,ee d yy Permittee Sj.gnai,i.tvle:
J_W ;,51- I I. - ,T
++................++
+++-f++4--+, + + I I I I 1 +++-4 ++f +AT
Cal. 1 6-39-41755 t)y (-,,:00 p. m. for, an 41.nspecti.on needed the nexL bitsiness day
CITY OF TIGARD Recd By:
13 125 SWIHALL BLVD, Date Recd:
TIGARD OR 97223 RE-ROOFING PERMIT APPLICATION Octe to PE: ��T
V- 503-639-4171 X304 Incomplete or illegible applications will not be accepted Crate to DST: ---
F-503-684-7297 Permit# ).1c.,TT7_C 1/_3
Called:
Name of 0evelopmentieusiness STEP 2 NEW ROOFING ASSEMBLY I , �.
Matefiall Doevtnentatlon JUBC Appendix 15
Street Address S-1-9-0 Please fill out applicable secdon and attach copy of roofing
Job Site specifications.
Bldg Is C ryrstate zip Listed Assentbiy (Circle t1 Complote A,B or C)
_ A. ,
Name . - v 1. Specification
Owner Marling Address J 2. Manufacturer _ f .•-
Crtyistat0� Zip —` I Phone 3a UL Classification: <% f"r Z2
Narf(e -� r Listed UL Building Materials Directory Page M
(OR)
Roofing Martine 3b Warnock Hersey:
Contractor
(Prior to issuance CtkY.St a Listed Warnock Hersey Directory Page#,
applicant must / (PROVIDE COPY OF ASSEMBL`O
e a F A
-------------------------------------
provide a Copy of o
all contractor r Jj � j B. ICBO Research#:
licenses if Stats Con r ', BoAgt Er .Date
expired in COT o � ' 1 - DATED
database', COT Bus.Tax.dt tro _ Exp.Date (PROVIDE COPY OF ASSEMBLY)
BUILDING INFORMATION >' ? C SPECIAL PURPOSE ROOFING: WOOD SHAKES` --
- -
i3i.nlding-Type Of Use: (circle one) (`review required by plans examiner)
SF SFA COM MF
3uil!-,ig- Types of Construction: VALUATION Of PROJECT $
-Existing Deck Type: V Permit fee based on va�ation`
Combustible ( ) Non-Combustible ( ) I "see Chart on back S
RESIDENTIAL ONLY )City use only: I WACO:
9f REPAIR (MAJOR) (BUILD) 3✓ (UBUILD) ,75
Permit required ONLY when spaced sheathing is covered by
solid sheathing. 5% State Surcharge S
City use only i WACO:
SUBMIT THREE t31 SET5_QF PLANS SPECIFYING.. (TAX) t _ (UTAX)
A. Roof area&nearest street. - ,
05% Plan Review 3 (,
B. Attic vents- Providet sq. ft, for each 150 sq, ft of attic City use only WACO:
space R vents shall be located in the upper 113 of the roof. (13UPPLN (UBUPLN)
Provide 1 sq ft. for each 300 sq. ft. when eaves&attir,
TOTAL
"TEP 1. COMMERCIAL ONLY I acknowledge that I have read this application and that the
)esctibe work to be done: (check appropriate box) information given is correct; that I am the owner or authorized
J RF-ROOF (circle A ,B or C) agent of the owner, and that the plans(if applicable) are in
A_ Existing built-tic)roof covering to be REMOVED and deck compliance with Or n State law.
repaired Signare of bwner e /_ Oats
B Existing built-up roof covering to REMAIN: note applicant 1
must submit an engineer's review of the roof structural
elements. Review shall bear the seal(or stamo)of the __ -2c `�`--�`
architect or engineer licensed in Oregon Co tact Pert n Ns a Te ephone
C Asphalt or wood shinglelshaKe -�J
(PROCEED TO STFP Z)
RCOFI DOC(dsts)
CITY OF TIGARD
BUILDING PERMIT FEES r
TOTAL.
PLAN STATE BUILDING
VALUATION OF PERMIT F.L.S. REVIEW TAX PERMIT
PROJECT FEES (40%) (65%) (5%) FEES
1-1500 25.00 10.00 16.25 1.25 52.50
1,501-1600 26.50 10.60 17.23 1.33 55.66
1,601-1,700 28.00 11.20 18.20 1.40 58.80
1,701-1,800 29.50 11.80 19.18 1.48 61.96
1,801-1,900 31.00 12.40 20.15 1.55 65.10
1,901-Z000 32.50 13.00 21.13 1.63 613.26
2,001-3,000 38.50 15.4C 25.03 1.93 80.86
3.001-4.000 44.50 17.80 28.93 2.23 93.46
4,001-5,000 50.50 20.20 32.83 2.53 106.06
5,001-6,000 56.50 22.60 36.73 2.82 118.66
6,001-7,000 62.50 25.00 40.63 3.13 131.25
7,001-8,000 68.50 27.40 44.53 3.43 ► 143.86
3,001-9,000 7450 29.80 48.43 3.73 156.46
,001-10,000 80.50 32.20 52.33 4.03 169.06
6.001-11,000 86.50 34.60 56.23 4.33 181.66
11,001-12,000 92.50 37.00 60.13 4.63 194.26
12,001-13,000 98.50 39.40 64.03 4.93 206.86
3,OC 1-14,000 104.50 41.80 67.93 5.23 219.46
14,OC1-15,000 110.50 44.20 71.83 5.53 232.06
15,001-16,000 116.50 46.60 75.73 5.83 244.66
16,001-17,000 122.50 49.00 79.63 6.13 257.26
17,001-18,000 128.50 51.40 83.53 6.43 269.86
18,001-19,000 134.50 53.80 87.43 673 282.46
19,001-20,000 140.50 56.20 91.33 7.03 295.06
20,001-21,000 146.50 58.60 95.23 7.33 3U7.66
21,001-22,000 152.50 61.00 99.13 7.63 320.26
22,001-23,000 158.50 63.40 103.03 7.93 332.86
23,001-24,000 164.50 65.80 106.93 8.23 345.46
24,001-25,000 170.50 68.20 110.83 8.53 358.06
25.001-26,000 175.00 70.00 113.75 8.75 367.50
26,CO1-27,000 179.50 71.80 116.68 8.98 376.96
27,001-28,000 184.00 73.60 11950 920 386.40
28,00,1-29,000 188.50 75.40 122.53 9.43 395.85
29,001-30,000 193.00 77.20 125.45 9.65 405.30
30,001-31,000 197.50 79.00 128.33 9.88 414.76
31,001-32,000 202.00 80.80 131.30 10.10 424.20
32.001-33,000 206.50 82.60 134.23 10.33 433.66
33,001-34,000 211.00 84.40 137.15 10.55 443.10
,4.001-35,000 215.50 86.20 140.08 10.78 452.56
35,001-36,0r9 220.00 88.00 143.00 11.00 462.00
36,001-37,000 224.50 89.80 145.93 11.23 471.46
37,001-38,000 229.00 91.60 148.85 11.45 480.90
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