The URL can be used to link to this page

Permit CITY TIGARD MECHANICAL PERMIT IN DEVELOPMENT SERVICES PERMIT #: MEC2000 -00492 ^`- c�lli DATE ISSUED: 12/18/00 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S1 15 B C -0 5000 SITE ADDRESS: 16505 SW KING CHARLES AVE SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: KIN CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: 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: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1 > 10000 cfm: GAS OUTLETS: Remarks: Replace Furnace, Install A/C Owner: FEES LILA HARMON Type By Date Amount Receipt 16505 SW KING CHARLES AVE PRMT JMT 12/18/00 $72.50 KING CITY KING CITY, OR 97224 5PCT JMT 12/18/00 $5.80 KING CITY Total $78.30 Phone: Contractor: JOHN P. GINTER MECHANICAL 2246 NE 217TH AVE GRESHAM, OR 97030 REQUIRED INSPECTIONS Mechanical Insp Phone: 503 - 849 -3647 Final Inspection Reg #: LIC 135277 This permit is issued 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 more 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 -0080. Yo u may obtain copies of these rules or direct questions to OUNC by calling (503)246 -9189. Issue By: ' Permittee Signature: Call ( 03) 639 -4175 by 7:00 P.M. for inspections needed the next business day 12/11/2000 14:49 5036393771 CITY OF KING CITY PAGE 02/02 TRI-COUt■tTY OFFICE USE ONLY SERVICE (INTER Mechanical Permit Application _ " OW Date received: I 1 -Lt -(O P" °.:071071V . -� (t.:47il C ity of D ing C ity t id ��, 13 125 SW Hall Blvd, ProJect/appl. no.: Expire date: p Tigard, OR 97223 NI' Date issued: 1 By: Receipt no.; Clackamas Phone: (503) 6394171, FAX: (503) 684-7297 "°" " Multnomah Case file no.: Payment type: Washington m C O U N T I E S Land use approval: Building permit no.: TYPE OF PERMIT O 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement Cl New construction 0 Addition/alteration/replacement 0 Other: JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE Job address: / 6 505 5. 63 _ I. � 0 CO' c 4 Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: Suite no.: value of all mechanical material,auipment, labor, overhead, Tax rnapftax lot/account no.: profit. Value $ 3 5o e' — . Lot: 'Block: 1 Subdivision: *See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City /county: _ 1 ZIP: 1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE Description and Location of work on premises: _ _ AND COMMERICAL /INDUSTRIAL. EQUIPMEN'f SCHEDULE Fee (ea.) Total Est_ date of completion/inspection: Desert . tion • • Res. Dill Res. on! Tenant improvement or change of use: 1IYAC: Is existing space heated or conditioned? U Yes O No Air handling unit CFM ndiing te plan d Is existing space insulated? ❑ Yes 0 No Alteration ti o HVAC require system ) MECHANICAL CONTRACTOR 'Hoiler /con pressots Business name: t State boiler permit no.: t„ ,•r (A� c ►v. % c HP Tons BTU/H Address: 23 2_c) (.r} , s z ( e t H--- A ti e _ Fire/smoke dam.- rs/duct smoke detectors — City: I. -C k 4 t State; t e ZIP: cf I Co t;) Heat . ump (sire p an ,required) MM. Phone: 6 vi - Z 7o I Fax: 6- , - ,f55' E -mail: sta replace furnaGe/burne 019E0 a Sr + CCB no.: �� ' r Including ductwork/vent liner t] Yes ! No City /metro lic. no.: wall, or floor mounted heaters - suspended, ■ -- - Install/replace/relocate Name (please print): Vent for appliance o • r an. mace CONTACT PERSON Refrigeradon: /' Absorption units BTU/H Name; A c> La L t ,,,,,t, .t. v- chalets Hp Address: 232_6 Ai. 0 , 2 ter f4. - • at, V "17.— C om. ressors HP - Environmental exhaust and venttlaboa: ( City: v- '5 4. a.• State: ODD ZIP: • O a A. •fiante ance vent Phone: . -3e w Fax: —QM. OWNER a oo. , Type I/ II/res. kitchen/hamiat . Name: �,1 1 :,�� / hood fire suppression system i�li��•;r�i�I. ri. AN�f� !AA Exhaust fan with single duct (bath fans) Mailing address: Exhaust system ap art tom eating or AC City: State: ZIP: Fuel piping and distribution (up to 4 outlets) LPG NO Oil Phone: E -mail: 1' : • Fuel . i • ing each additional over 4 outlets MMI K ENGINEER Process piping (sc emetic required) MI Name: Number of outlets I • Other listed appliance or equipment: Address: Decorative fireplace City: State: ZIP: Insert - type Phone: Fax: E -mail: Woodstove /pellet stove • Applicant's signature! I Date: Other. Other: Name (print): Not all Jurisdictions accept credit cads, please call jurisdiction for more information.' Permit fee $ ri.:/> t iD ] visa D MasterCard Notice: ThiS permit applicardon Minimum fee $ .. :redit card number: ' I I expires if a permit is not obtained Plan review (at %) $ _ S i E within 180 days after it has been State surcharge (8%) $ Nome of cardholder ns %hewn on credit card accepted as complete. $ � � I n s TOTAL _'fr ) Cardholder signature Amoral ,, 440-0ri17 (6i00/COM) • CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 �( BUP _5 Date Requested / ©t AM ' ` PM . BLD Location /6 1 ;D 4,-- /Ci 4 , €-P Suite MEC ?tX'O -OC) '7 Contact Person kb Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation 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 Post & Beam Rough In Gas Line Smoke Dampers at PART FAIL TRICAL 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA - - -- Approach /Sidewalk Date 6 p '�' ,C /� Other I ns • ecto r t i • Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.