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Permit ~ CITY OF TIGARD MECHANICAL PERMIT 4 rAc' DEVELOPMENT SERVICES PERMIT #: MEC2002 -00576 � ` j 11 � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: PAARR CELL : 2 2S S110C 110CC -09100 SITE ADDRESS: 15615 SW QUEEN VICTORIA PL SUBDIVISION: KING CITY NO. 3 ZONING: BLOCK: LOT: 004 JURISDICTION: KIN CLASS OF WORK: ALT 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: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: GAS OUTLETS: 2 > 10000 cfm: Remarks: Install gas furnace and water heater, 2 outlets. Owner: FEES ZANE MULHAUSEN Description Date Amount 15615 SW QUEEN VICTORIA PL KING CITY, OR 97224 [MECH] Permit Fee 12/16/02 $72.50 [TAX] 8% StateTax 12/16/02 $5.80 Phone: 503 626 - 2939 Total $78.30 Contractor: HEAT RELIEF CO 1704 NE HIGHLAND PORTLAND, OR 97211 REQUIRED INSPECTIONS Phone: 503 - 260 - 0077 Gas Line Insp Heating Unt Insp Reg #: LIC 0122424 Final Inspection 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 -0100. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -669•, Issued By: -_ - LGc - - _ Permittee Signature: 77 /� �� Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next busi es ay 12/11/2002 11:28 5036393771 CITY OF KING CITY PAGE 02/02 . '4111$1k Date received a - It 4-oZ lv ;;r Cityof Tigard RECEIVED < Rwite dear: . alY cinEard Address: 13125 SW Halt Blvd, Tigard, OR 97223 Date i BSr : Receipt no: Phone: (503) 639 -4171 Fax: (503) 598 -1960 DEC 11 2002 tar fin: type Land use approval: rITV PE TIOARD . Building permit no.: - - 1 \ 1'1 (II 1'1 . I011 1 18t 2 fannly dwelling or accceamy p Commucialfindustrial 0 Multi- family O Tenant improvement New construction 0 Ad alt lion f epiacemont 0 Other: I U ) l ) ' , I I I (NI () 1 2 • ■1 1 1 1 ()\ ( O M I \ 1 1 I 2 ( I U. \I.1 \ 11O\ Y 111 1)1 I.I Job t> / s / S Spo G1Kafo4 i. i C,ritiff?]. P I • Indicate equipment lea inboxes below. Itbcate the dollar Bldg. no.: 1 Sultan.: value of all mecbrnical mate riab, egtdpmaaat, labor, overhead, Tax =Sax lota000nnt no profit. Value $ ' - Lot: IBIS I Snbdivi�lon: *Son checklist for important s licatien information and Project tome: jurisdiction's floe schedule for residential permit fe. Q7 .1A. 1 .,,. .'.I 1 \III.1 1) \1I I (, 1'110111 I1 i:.ti( III MI 1.i Description and , I r s q g f • . • an p r e m i s e s : 1 ol .,54 5 c f i \ . \ 1 ) ( ( ) 1 I \ l i I : 1 ( \ i ! i \ l ) l I I I ( I \ I 1 () I f i' \ I I : \ I ( 111 I i . ' . EBt: date of .. ;le1io - 7 7 on: Drai do _, Qty. Res. tidy ,Res. Ten ant improvement or change of use Air handling unit aid is existing space heated or conditioned? 0 Yes 0 No s;ba r Is existing space inealated7 0 Yes Q No 4 , :,,, , . r,,.,. I system 1 1 1 , ( I I \ \ I ( . 1 1 . ( ()\Il2 S( I Oi' Hocompremars State boiler i r permit no:: Business fl - name: � x - } e ;e-k-- HP Tons ____ BTU/11 Address: IA /I N e 11145 .Au.e • i;ikis duet smoke dsteetots City. Pat4tr, (4 I State: OKI ZfP: cr 7 1caa ,, . 77,, , Photo .)4o -od7 Fax: - • E -mail: C."71 1 -^ I' MUM CCB,na.: 012 MIIIIIIIIMIEMMIIIIIMIIM " - • drhaat tin" 411(Y°813 N° 1 • i di] 17711 , ., . ,- :, - . -. suspended, City /metro lie. no.: S G walker Boor maotmtad Naive (please •, • t) vent ibr :.; 01.: , , - ether than Anna= . ( 1► : I \( I' 11 l t O Absorption units _ i31V/H Name: a ) • Frt.. Gat o mere — HP Address: i3 / 1 No 6 ' • " ' ' ` " III Cr i - , =MI zu►: g77.-zo . vet Phone:503r:2140 -GM Fax -a401- 2/ &mall: t)11 \.1 It Hoods, , I i7,::, . .. .. bond fire sappsystem am system Name: - 2.c4, � i h444Se _ P fan with �e duet ( atb ads Mailing addr+esa:1 / s ,p" _ , ` G . - g e r - r & 9/ - Reboot : • • ' ° ° r a : • _ f 0 ' ZIP: - ov to 4 enacts) Phone: ' • /AI Fax: B•tnail: , 1^7-, �4 stet 1. \(.I - •,I 1 I (•.....,,.•., PRO Ted) - Name Number ofoofiats Mier WtamelIomaaraIPIl1U Address: Doty fireplace City: _ I state: I ZIP: Insect - 1E-mail: •, pact ]'lama: Paul: •. - OtbGr Applicant's signature: i <, , . . ' Date: /� - 7" . - Name (print): I'hAfk _ , grgxnrl5c a , "Mot ao WOVE and ants. phase ads iormga Permit fee -_ -- $ ov►fo DMortacma Notlot) Ibis p app an Minimum fee...............- S 7 . -5v csdh card a J / X lh if ■ pt:mtit is not obaednod non i>:,vtefv (at .S5) S • ,ph;,a widdn 180 tips of er it Bea been `tom olau er es Mown ® edit ®d accepted as oomple�. State slut aqe (89b) .... $ K - R s TOi'P/i,L .............. -...- S 7A -30 !--V -- t dmhmo na++na (6610/COM)V • CITY OF TIGARD • 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received / Date Requested r / /� AM PM BUP Location /DDS 9.1) �tc a&r+ ��� e �- Suite MEC cq Contact Person AA' Ph (93 ) �rrPd 0477 PLM Contractor 1 j �R / ^# Ph ( ) SWR BUILDING Tenant/Owner _ � [.r -at- cce-A. ELC Footing Foundation ELC Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Ina Sheath /Shear OAS ',�i L i ri 4 F 'i 7 S� = Z7.5" r ' 5 F d / $ � Framing _ Insulation Drywall Nailing ' r--7-71-0 47 ,S_s_ 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 PART FAIL A L Post & Beam Rough -In .Y Smo e Dampers Final PASS 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 El Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA /� D �_ Ext Approach/Sidewalk Date f Inspector Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested t2 — 0 AM PM BUP Location ls6 /s" QuP�M MEC S 7 (P Contact Person rn (A 4_- Ph ( ) 0/6 4 -O D 7 7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: �J� SIT Post & Beam �D Sr Anchors Ext Ext Sheath/Shear �� � Y�ti .edi 14 Int Sheath/Shear /"�� Framing �*� ��1�[�L. / .rc� D,� l/i46E4.- 376) 7V Drywall ywal A _ Dywall Nailing �'T� 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 PART FAIL Post & seam Rough -In Gas Line Smoke Dampers 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 for reinspection RE: Unable to inspect — no access Fire Supply Line ADA _ _� Approach/Sidewalk Date y �_ Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business tine: (503) 639 -4171 MST / BUP Received Date Requested / a J 23 AM PM BUP Location /54 (5 a --YL L'--v+ -1,c- Suite pi-- MEC a - 0,0S 703. Contact Person lJ Ph ( ) 62&C) ' 00 7 - 7 PLM 42 d 4 195" Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: /, Ftg Drain 6V m O O ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear ffia PAA /'r // /• /p �l Int Sheath/Shear Framing Insulation Drywall Nailing / ii , /Pi �_ Firewall . 411I Fire Sprinkler Fire Alarm 1, / If , ■ Susp'd Ceiling r - Roof Other: Final ./% ■4010 I_ PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: PASS FAIL MECH • CAL Post & Beam Gas Line e110- Gas Line Smoke Dampers PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final J Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE D Please call for reinspection RE: Unable to inspect - no access Fire Supply Line ADA l Approach/Sidewalk Inspector Est Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL