Permit i
CITY OF TIGARD
iiti
MECHANICAL PERMIT
�;� DEVELOPMENT SERVICES PERMIT #: MEC2003 -00066
- '` ��� I" 13125 SW Hall Blvd., Tigard, OR 972 (503) 639 -4171 DATE ISSUED: 2/19/03
PARCEL: 2S116AD -19000
SITE ADDRESS: 16825 SW RIVERA LN
SUBDIVISION: KING CITY NO. 18 ZONING:
BLOCK: 26 LOT: 001 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:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: I
Owner: FEES
SID & ANN STULLER Description Date Amount
16825 SW RIVERA [MECH] Permit Fee 2/19/03 $72.50
KING CITY, OR 97224 [TAX] 8% StateTax 2/19/03 $5.80
Phone: Total $78.30
Contractor:
COMFORT MECHANICAL INC
17936 SE DIVISION STREET
PORTLAND, OR 97236 REQUIRED INSPECTIONS
Phone: 761 - 1500 Post/Beam lnsp
Heating Unt Insp
Reg #: LIC 79558 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 -6699 n
Issued By: /t ___ Ui/i �l ) Permittee Signature: atia
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next busi ss
02/13/2003 14:08 5036393771 CITY OF KING CITY PAGE 02
1' 2002 16:06 5036393771 1 i O CITY OF KINta to i Y r r~.,- .-
fRf.ca'iuNYY' apical Permit Application OFFICE USE [) \'1.,1'
CENTER Mechanical pp
1 II
''� Dote rcreived f -0 Permit no.: , I P -Pa,, ,
. City of K�inlg
PtvJectlappl. no.: expire dare:
-, 131'25 Ste► Hail Blvd. 1 0- tryilAA
Tigard. OR 97223 CCL�, Date issued: IrM Receipt no.:
Clackamas !'hone: (503) 639 -4171. FAX:I(.> ) 7 0 � 2'L"
MulttlOftUt Casa file no,; Payment type:
Washington Cld y Building permit no.;
o „ N Ti e s Land use approval: BUI OF GAIlD
D is
11 k"L•• OF PERMI
•
`A I & 2 family dwelling or accessory 0 Conunerelal/industtial 0 Multi - family 0 Tenant improvement
0 New construction 0 Addition/alteration/replacement 0 Other: _ •
JOB SUE INFORMATION COMMLRCIAL I, ' I.1.JATI1)N SCHt..DLI.E
lob address: IL , tillM=∎ , CL Indicate equipment quantities in boxes below. LMieate the dollar
3Id :. no.: Suite no.: value of all mechanical materials. equipment. labor. overhead.
fax rria tax lot/account nn.: protlt. Value S
oot: Block Subdivision: *See checklist for impartant agrpticdtloit information aid
'roJect name - - .. ... - J1.trisdklios's fee scheduls or Vesidelrtial permit flea
_iA, w ' ...t C PERMIT' t•i•: SCIlt:.t)riI.E•
;it /court : ZIP: L2 q 1 I.1
>esctiption and 1 • on of w. k on premises: • AND COMMLRlCAL/LSGUti ML F Il',MF 5T til:H6:T1Ut_
II
• t,.4,.�tiQ_ Pee (n.) Total
sst. date of completion/inspection: . • D 'ipdoo e Roo. • ■ Rea. o •
'cnant improvement or change of use: h Ct
space heated or conditioned? 0 Yes 0 No Air handling unit Clot
Is existing
P Air conditioning (site plan required)
Is existing space Insulated? ❑Yes ❑ No Alteration of existing FIVA� C sysiv:m -
MECHANICAL CON AC' OR Boiler /compvetiers -
w Suite boiler permit no.:
uaiateas rime; �
W h '� ��� ){p Torts ;teeters . •
.ddtrSS: — 4. 4 IJ 10 eat Fire/smoke da ii uet smoke eteeters
:Ity____LiAC S tste: col.. ZIP: L _ eat .um. a te . Ian -; u
ho ne: st: t 1 E -ma tall/rep ace � i
1 _ 1 �'� Fa - Induct; ductwod /vent Liner O ides 0 No
Ca ao.= '%-5 Ste& Instawrepiacehelecate heaters - suspended.
try/metro tic. no.: v 2.../ wall, or floor mounted .
ame (please print): ent for op islet o er that font +ace
Refrigeration: 81V/>a
Absorption units
Chillers ' TIP
ante: •-
ddress: - Compressors FR'
S ta te: r Zn,. Environmental eahau and ven
i ty: i Appliance vent
tone; Fax: E-mail; Dryer exhaust - ,
Moods, Type UWrea. kiteben/hazpnat
hood Are suppression system
. one: t C N ' ` t.l'.vf ICA Exhaust fan with single duct (bash fans)
ailing address: Erthaust tys:am a tt�tvm henna AC T
•
tv: Slate; ZIP: — Fuel piping and elate (up ra o err)
Typo: LPG NG _ Oil
are: Fax: ESmaii: Fuel piping each additional over { ou — t ra il
ENGINEER Proem piping (schematic required)
rate: Number of outfits
.•.^ Other listed appliaaa or ega�ictent:
!dress: _ Decorative ftte .--__
v: Smote: ZIP Wart - type • -- I
one: Fax: E -mail: - Woedsrovr /pellet stove - • ([
� Other:
plieant's sig• s .re: 1 Date! .. Other: _ J
me (print):
at;wtrtleae weal v a Permit fee S 124
cr am cants, ! cane rill uenAleUea !Or n,ow In Ibrnf�tipe, lvol ce. ,ThiI permit liedtion
ra Q MasterCard P °PP Minimum fee S .
, LAM •un,trar. / / expires permit is not obtained Plan review (at 9b) $ s "' �' Q
— o if napirea r ilriaa MO days after it het been State ouriMacge (896) $
rrid. erevdkat4er as Andre ee -"edit CAM accepte as eomp/ers.
; TOTAL OTAL r
cardhtll tlalittun AT,A•1 • 4.0- 46171bW1COM1
-- — r
p j . ,/...- 12/1)A2A-C —
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested 2 — 2. AM PM BUP
Location /1.04 Suite MEC 2C■3 c c C4
Contact Person ' Ph ( ) '7 6 / - / Sda PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Ftg Drain Access:
/.64-4Y- ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
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 PART FAIL
MECHANICAL
Post & Beam
Rough -In
#
Smoke Damper�J
Fina
A ir PART FAIL
CTRICAL
ervice
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
Approach/Sidewalk Date 03 Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL