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Permit CITY TIGARD MECHANICAL PERMIT 40 i u + DEVELOPMENT SERVICES PERMIT #: MEC2003 -00449 � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/31/03 PARCEL: 2S115BC -13300 SITE ADDRESS: 12280 SW KING RICHARD DR 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: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1 > 10000 cfm: GAS OUTLETS: Remarks: Replacing existing exterior A/C unit, push /pull Owner: FEES NEIL BROWN Description Date Amount 12280 SW KING RICHARD DR KING CITY, OR 97224 [MECH] Permit Fee 7/31/03 $72.50 [TAX] 8% StateTax 7/31/03 $5.80 Phone: 503 670 - 9811 Total $78.30 Contractor: AAA HEATING & COOLING 2915 NE MARTIN LUTHER KING BLV PORTLAND, OR 97212 REQUIRED INSPECTIONS Phone: 284 - 2173 Final Inspection Reg #: LIC 222 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 -00 / � r Issued By: / �� , / Permittee Signature: Call (- 1 3) 639 -4175 by 7:00 P.M. for inspections needed the next • usiness day 07/30/2003 11:12 5036393771 CITY OF KING CITY PAGE 02 !' Mechanical Permit Application IIIIIIIIIEIIIIMIIOIIIIIIIIIIIIII t.riy OT lg,`8rd v Project/appl_ nn,: Expire data; City of Tigard Address: 13125 SW Hall B1vd,J:igardoCIR- -97 " „3 ((� • Phone: (503) 6393171 �� @ 9 Lt� ® Date issued: By: Receilrt n Fax: (503) 598 -1960 Case file no_: , I Payment type: Land use approval: It)L 3 0 2003 Building permit no,: 1 mull Pin}rN I v1..)t..•' & 2 family dwelling or accessory 0 Commermal rTadustrial • 0 Multi - family © Tenant improvement New construction 0A ddition /alteration/repiacement ❑ Other; l()!i tit l i. I \l (Dl211 1 tt ➢1 (Ml1ll 12(1 11, ■ 1P Job address: ZZ% 12 a 4.4116k IlifriMM slPal Indicate equipment uantities in boxes below, indicate the dollar Bldg. no.: _ Suite no.: value of all mechanical materials, , equipnient, labor, overhead, Tax map/ ax lot/account no.: profit. Value $ Lot: j Elock: I Subdivision: *See checklist for important application information and Project name: 'C l. k,6 . 1 _. jurisdiction's fee sdbeduld for residential tiennit fee. City /county :T\ IZIP: 0("17,V.4 I A. 21.0111 1 I'M t : 1. 1. 1 •t . ' i 10111 i l l .i in d.1 ! I. De riptionand loAworkonpxetn.ises: kw,--(--a. .LI _ a. \I➢ t'c➢ "1\IF I I'( tl.11 \lit �l•It 11. t'�t)l 1Ptil \i ,sr flint 11- W�[k °`l\C_I.T\¢1 \sAetVA4111 f AAA Fee (e .) Tot Est date of completion/inspection: Description Qty, Res. onty Res. only Tenant improvement or change of rise: Air handling Air handling wdt CI'Nl Is existing space heated or conditioned? 0 Yes O No Air conditioning (site plan requited) ___ 1 p .OG' Is existing apace insulated? 0 Yes O No Alteration of existin: HVAC system ; 111 ('lI 1 ('O\ III 1f WIZ Botler /compressors a1. p s A �� . - " . _ s, State boiler permit no.: Business name: � r � R HP , Ions ,. llll't1/I-t Address: ; o(\• trA. rz✓� F ire /sm, a damp tsfduct srttoke �eto,itors City: A►„X L� State: p t ZIP: ' - 12A1 - Heat ,ump site pan re, Tar Phone '7 }- Fats :7 1-1 t% E -mail: rata /rep ace rnac• `.inner !j CCB no.: --7.._2_ Including ductwork/vent liner L1 Yes? No sta rep . • re ocate alert -• sussp::nded, City /mettle lie. no.: g , wall, or floor mounted Name .lease ■riot): b >R " ' 0 ma • r :. , once of er t an ' mace,,, . I tt\ 11(.'I VI. lt` ON c Absorption units B' PM! , • Name: Chillers B'p ' Address: Compressors 14P Environmental mental exhaust and rentiliniont City: State: ZIP: Appliance vent Phone: Fax: E -mail: Dryer exhaust ` _ ( : \l: 1 14006, Type I/IT/res. kitchen/bazmat hood lire suppression system Name: \t e... e \D-7\ A Exhaust Ito with single duet (bath flirts) Maiilln± address: 1 'y Ar 5\,�7 \tl� , tz., f\aira Exhaust'. stein a. art from begin, or AC , City r c li p State: to t� ZIP: C(1 ping an ' ` Hen (up to Is outicfs) e:' r ,j.c: LPG NG _ ._ Oil Phone ' . ! l Fax : E -mail: Ate , . st_ care . a. otlona over • outlets 1•\l ;I \I•.Ilt. , ess I „:(: • matic requtred) Name: of outlets CI _r '`^” a e or eq. meek: Address: Decorative fireplace , City: State: ZIP: Insert - . Phone: Fax: s`'o'' Pe et stove . A .lieant's si nature: �� �_ Other: p g Yii� ]t3 . Date: ' hen , Name (print):Minialig, A Iii..._& C t . ' Not an jotiedicliona accept crolit Garda, plena' call juriadictinn Apr mnre tnft.rmptipn Permit fee �•p - t7. Q q Visa Q Nil aytas( :aM Noti " ce: Th permit application Mininunn fit, $ " �j e xpires If a permit is not obtained p cede card Humber: j Plan review. (at � /o) $ Expires within 180 days after it has been State surcharge (8%) ..,- $ .c 0 —'' t a'mc of cardholder ae shave OR credit card as complete. TOTAL.,..,... ffi _ Cntdhalder 5 ignaturc A 440-4 (6/ /C • • vi ,_ ,,,, . . ■n_-(7t, 07/30/2003 11:12 5036393771 CITY OF KING CITY PAGE 03 I _ AAA HEATING & COOLING, INC. 2915 NORTHEAST MLR J,R. BLVD. PORTLAND, OREGON 97212 (503) 284 -2113 FAX (503) 284 -1552 CCB # 000222 Air Conditioning Site Plan Customer °*- `6 -- i`C�7 rr V Add ress \ 2 rc‘D sW \ Ar\- � era 1ic City, State - In Zip ol"1 L E 1 4 4.14.fr-o5, Ark 4 ...__________, 4 F../24-et."„R-4....-- rt.-tie_ N - 3 '-- r a 90 I P____ 4 Ki FD •-a s y r _ ---_____? 151,0 Kit a ► c 4 omr43 i.n., K -,-. 1 a ...a.„ , (..-yz,... ,, CITY OF TIGARD 24 -Hour • • BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received D to Re9uested AM PM BUP Location / ,i ►¢ nA , Suite MEC 63 `00' Contact Person I Ci 0 Z.) -1 Ph ( ) . 1 - a,, 473 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Drywall Nailing Nailing cr 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 .—PA SS PA FAIL Post & Beam Rough -In Gas Line .,e Dampers ■ V, SS PART FAIL ELECTRICAL • 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 f•r reinspection RE: ❑ Unable to inspect - no access - Fire - Supply Line -- — — — ADA ® Approach/Sidewalk Inspect - Ext Ex# Other: Final 0 0 NOT REMOVE this inspection record f ' m the job si e. PASS PART FAIL