Permit ..
,..i.i CITY OF TIGAR MECHANICAL PERMIT
1 DEVELOPMENT SERVICES PERMIT #: MEC2002 -00009
� 13125 SW Hall Blvd., Ti gard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/7/02
PARCEL: 2S 115BA -02400
SITE ADDRESS: 12000 SW KING JAMES PL
SUBDIVISION: ZONING:
BLOCK: LOT: JURISDICTION: KIN
CLASS OF WORK: REP FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 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:
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 furnace in garage.
Owner: FEES
WILSON, PAUL A + BARBARA C Type By Date Amount Receipt
1200 SW KING JAMES PLACE PRMT DEB 1/7/02 $72.50 KING CITY
KING CITY, OR 97224 5PCT DEB 1/7/02 $5.80 KING CITY
Total $78.30
Phone:
Contractor:
CLIMATE CONTROL INC
16500 SW 72ND AVE
PORTLAND, OR 97224 REQUIRED INSPECTIONS
Heating Unt Insp
Phone: 453 -4822 Final Inspection
Reg #: LIC 62196
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 =0 - - 00 You may,,:btain copies of these - rules ordirect questions to - OUNC by calling
r AA -A1 AA r
Issu By: / , -:∎'� t ��, Ju 4 „.. Permittee Signature: ,,,/Q/( . ARV, —
Call (50 639 -4175 by 7:00 P.M. for inspections needed the next business day
X1 /07/2002 13:29 5036393771 CITY OF KING CITY PAGE 02/02
• Mechanical Permit Appl .cat
Date received: Permit no. ://4 f(�(Zp� —n
/.ae.arp ,F �,
t pl City ®f Tigard � ® Project/appl.no.: Expire •
Address: 13125 SW Hall Bl , •.' t;'i.: Date 13y: Receiptno.:
Ciry nfl"igard , _
Phone: (503) 639 -4171
Fax: (503) 598 -1960 0 7 2002 Case fileno.: Paymenttypc:
Land use approval: ' JAN Building permit no.:
A T , 'le I1V
A t' .
1 & 2 family dwelling or accessory CI Commercial /industrial Q Multi -family Q Tenant improvement
N ew construction ❑ Addition/alteration/replacement CI Other: ,_ •
Lt1M3 .:S17:'.la�''11V:hU1 {h1AT.ION (:OM'117I RC1A1, VAI IAT,I(lN hl:l ,l)111;F •
Job address: 12 '6 (' t— /N . _ /S ' ' C Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: Suite no.: • value of all mechanical materials, equipment, labor, overhead,
Tax map /tax lot/account na.: profit. Value $
Lot block: Subdivision: *See checklist for important application information and
• Project name: .jurisdiction's fee schedule for residential permit ,fee.
City /county: /<, 41 G & ZIP: _ I &:2:1�AMILY''•DWls.i DWELLING Fl RMIT`$!:1!'ri;:SCI.IE )IJ.1C •
Description and location of ark on premises: AND ( O MMI'RI(: ALI I NI) IJST IUAI.TQII;I)'!MFN1",CI.1TDULl
! - A_ '"t - r_r... ' a' ' - / 'r= ree(ea.). Total
I)�escri . on • 1 Res. old Res. and
Est. date of com.leti)n/inspecuon: ir 0
Tenant improvement or change of use: Airhandlin!. unit , ' CFM
Is existing space heated or conditioned? ❑ Yes ❑ No . Air conditioning (site p am uir- •
Is existing space insulated? Q Yes CI No Alteration of existin: HVAC s stem II
.. MIL;(1HAN1(';M, %RAGT{:1Nt • :oiler /compressors . ,
State boiler permit no.:
Business name: L C /7 - �Atl - HP Tons • BTU /H
Address: a U!J 2 4 ' ^, F'ire/smo dampers /duct smoke detectors MI
ttfir State: a - bikNi ,`.,� Heat pump (site Ian re. uircd)
3 mail
Instil /replace ornate •urrl•er r/ STUIH ri
Phone: . r 3 Fax: So �� .7 Including ductworldvent liner ❑ Yes ❑ No
CCB no.: Install/rep ac relocate eaters.. suspended,
City /metro lic. no.: /I/ i wall, or floor mounted
► b ..1 v ent fora . Hance other than furnace
Name (please print): � " I.IJ � e,: gemtion; •
(.. . .: °h''1 - Absorptionunits . - BTU /J:1
Name: • +r' y , ' - Chillers __ _ HP ME
Com pressors • HP
Address: , ro ex must and vent atlon:
City: State: ZIP: Ap•liancevent
Phone 03 - YS : Fax: E-mail: Dryer exhaust
Hoods, f fres. kite en hazmat
OIJVtNRR NMI
hood firesuppression system
Name: 'ANG - i ' i •r - 1 Gv /G .. Exhaust fan with sin ,t le duct (bath fans)
Mailing address: Z' • rrJ ! - r . xhaust s stem a' art r mm heatin or AC .1111.1.111 $ :� nel p p rig and d stn. n on (up to , outlets) 111111
IEMINEWINA State: ;4' , ZIP: ? 22 Ty .e: I,PG NG • Oil
Phone: 3 - - -YG j Fax: 011010111.11111. uel pion' • each additional over 4 out ets
• 'LNGINI�1LR t:oceam ng sc cotaticreq
Number of.outlets
Name: Other listed appliance or equipment;
Address: Decorativeflre.lace
City: • State: ZIP: insert type _, . • �; ail: Woodstove/pelletstove _
Phone:. F; Other'
Applicant's signet rrUs� /.�,,A1 Date: /A ;alter: MN
/� raI►
Not all jurisdictions accept credit cards, please call jurisdiction for mare information, Permit fee $ [TA Q
O Visa C] MasterCard Notice: This permit application Minimurn fee $
J. _ expires if a permit is not obtained Plan review (at %) $
credo card number: w ithin 1$0.da s after it has beers
puns y State-surcharge-%)----$-- =-- -
Name aP cardholder as shown on credit card accepted as complete. TOTAL -�e► ,*
_ CardhnldBa s[ taat. �— - -- nmaunt�� — 440 - (617 (6 /0
CITY OF TIGARD 24 -Hour lOr
BUtls'G Inspection Line: (503) 639 -4175 MST '
L'Gfi
INSPECTION DIVISION Business -Line: (503) 639 -4171
BUP
Received Date Requested / - AM PM BUP
Location / ®a v 1 [1Suit'e— v ; 666 d c
Contact Person — Ma Ph ( ) q6 3 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: , SIT
Post & Beam �-Y /V�
Shear Anchors
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation •
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS FAIL
4; ///'
CHANIC
• earn
Rough -In
Gas Line
Smoke Dampers
4,10.
4* PART FAIL
RICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire 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 inspect - no access
- Fire Supply Line
ADA Date v1' -�
Ext
/ 7:5/ 6 Inspector ` '
Approach /Sidewalk
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL