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Permit I . • ;' ' CITY OF TIGARD MECHANICAL PERMIT Ir DEVELOPMENT SERVICES PERMIT #: MEC2001 00371 - • DATE ISSUED: 10/25/01 - °` 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S 115BB -08000 SITE ADDRESS: 16385 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: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Replace gas furnace Owner: FEES 9 MCSHANE, STEPHEN J AND Type By Date Amount Receipt MARION H PRMT JMT 10/25/01 $72.50 KING CITY 16385 SW KING CHARLES AVE 5PCT JMT 10/25/01 $5.80 KING CITY KING CITY, OR 97224 Phone: 503-670-3222 Total $78.30 Contractor: COLUMBIA HEATING + COOLING INC PO BOX 230397 TIGARD, OR 97223 REQUIRED INSPECTIONS Gas Line Insp Phone: 624 -2704 Mechanical Insp Reg #: LIC 76359 Final Inspection PLM 34 -175 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. You may obtain copies of these rules - or direct questions torOUNC by calling ( fl \94s -Q 1 PQ may Issue By: � - Permittee Signature: M e_fQ j Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day 10/24/2001 08:54 5036393771 CITY OF KING CITY PAGE 02i'02 t - 1a/ /2001 10:45 503E393771 CITY OF KING CITY PAGE 81/02 t JO-COUNTY SERYfa Mechanical Permit • , 3 w 1 �1�Dn . OFFIC E USE ONLY � r • •.�_ �` City of King City /; 11!ate received; Pannitna.:/yjl{�� r. 13125 S W Hall Blvd. OCT 2 4 20Q1 1 II 1 1 _0.0 3 tt�ri.... __. , ,j@ct/appi. no,; Expire- date- �lairkamas Tigard, OR 97223 Phone; 503 631.4I 71, PAX: va0P1yEN7� :::: ( � Washington Payment type! C 0 u N r , f. a Land use approval: _ Building permit no.; ' TYPE OF PERMIT 1 & 2 family dwelling or accessory 0 cotnmeirelaUindustri.ai D Multi - family 0 Tenant improvement Q New construction 0 A dditionJ a.lteration/replace,metlt e,: JOB SITE INFORMATION '- • COMMERCIAL VALUATION SCHECfur,E Job address: 11. E, S(,,t) Ki Bldg. no,; k 5 indicate equipment quantities in saxes below, {ndlt:ate the dollar Suite no,; v;i]ua of all mechanical Materials, equipment, labor, overhead, Tax map /tax lot/account no,; ' profit. Value $ Lt• Bfo lc w Subdivision, 'See checklist for important application Information and Project nerve. Jurisdiction's fee schedule for residential permit pity /county I� f 1 -- 'LIP: (� l iee. f / 1 &.2 FAMILY DWELLING PERMIT FEE SCHEDULE Description and low ' n of w&it on p crttisos: , AND COMMERICAL/INDUSTRIAL EQUIPNII;NT ' ' S(,llle. r ; A C e ♦ - 1. or •� A 1 Est. date of completion / ins.' Cori: Fee (ea.) Total >7escri , don Iiii Res. oqI Rea. o¢l tenant improvement or change of use: y t Is existing space heated or conditioned? 0 Yes 0 Na Air handling unit CFM _ 111111 Is existing spare insulated? ©Yes 0 No NIIIIIIIIIIIIIIII Alteration of tt COnditian x (site plant r- . Lured) e xistin : HVAC s stem MECHANICAL CONTRACTOR :oiler compressors 3usiuess tie: CIS a e lutrrt lairs, kRa i ✓tc Coo 1■ y# State boiler permit no.! 11 address: �- - HP Tons BTU/H I a. rill et i^ er .um ( si .Lire. Fire/smoke dam. • rslduct smoke detectors _ �� ty: ri ° 7� � Heat .um C ZIP: P �;,..;� } �� 'hone: , 3, .- 270 Fax: E•tnai1; stair lR7'1Mf.T 6:47 U I num!! ; CB no.: Ca r `) izte 1udIn: ductwork/vent liner 0 Yes Ci No 7 Z..SD( 'iCy /tttecro Ile. no.: Install /replace/relocate heaters - suspen.e., / ' wall, or floor mounted II 1 7 lame ( least •riot): ,. 11° illill - Vent for appliance other than Dace CONTACT PERSON Re tgeration: lame: j� - 4 Absorption units 8"(•1,1/H J1A /0 DC),.." e (1 - Chillers ._ - — FiP C(t7tC�t5: J - -- CoM•mat1o41 ,E•iP sty: State: ZIP: • a onraental exhaust and ENE lone: r-2 L Fax: ppliance vent ., I E-mail; mall Ea erex oust �! 4 OWNER .. . "Dods, Type ra , .T n/ltaunat }Rte; �a� • ' hood tire suppression system MI _1 Exhaust fan with tingle duct (bath fans) m11111 ___I .tilin addr ess; C LA ) K Ex not s stem =.a front heating or AC: _ - t y ! State: (�/C ' ue p p rig an' dist . ui (up to 4 outlets) II one: Ce". "'i 2 2, Fax: T I PC3 NO Oil • ENGINEER u e •i•In �aa cilti.Ong1 over 4outlets ' ' MI ocean piping (schematic required) r' Number of outlets I . dress: _ then listed appli,�ueo or qa pmrcatt — Decorative fire •lace Y', State: f.'ert — . )ne; Fax: +' 'o4• stove pe et stove .—"" ^. - - - -= .iItcant's signature: 1 b ate; ithcr: ne (print) �.. f )c PQ Oth ME .. I tl jurtsdlc�1006 q .f apt oal! teals, ptcuc co,( )aristl for more inrormztion $ • 5 ..._ Q Iri x Not Th perm PeC mit fee t application $ 5 -$1) ,rd number: w _ / expires ifs permit is not obtained Expires 0.11412/41 /5 s after 11 lure been Plan review (s11 `'yp .--•--t•r~9P°- • -'s CITY OF TIGARD BUI' DING INSPECTION DIVISION MST 24 -Hour Inspection Line: 63. 175 Business Line: 639-4 . UP Date Requested /d — . 3 (° AM PM BLD Location ALA 'i - uite V) 3 7/ Contact Person / Ph 6 ,7w PLM Contractor Ph SWR BUILDING:.,;°:. ,, Tenant/Owner ELC Retaining Wall ELR Footing • Access: Foundation FPS Ftg Drain • SGN Crawl Drain Inspection Notes: Lec_c..c 6c_s Slab SIT Post& Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall ( Fire Sprinkler Fire Alarm Susp'd Ceiling Roof ir Misc: Final PASS PART FAIL PLUMBING, Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS FAIL ECHANI Post & Beam - Rough In Gas Line Smoke Dampers PART FAIL CTRICAL '` < " . `` 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 • Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk n Other Date 16 7-/(to Inspector E>e Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site