Permit •
r
CITY TIGARD MECHANICAL PERMIT
PERMIT #: MEC2003 -00237
DEVELOPMENT H B SERVICES 97223 Tigard, 3-4171 DATE ISSUED: 5/8/03
PARCEL: 2S115BB -01900
SITE ADDRESS: 16405 SW ROYALTY PKWY
SUBDIVISION: ZONING:
BLOCK: LOT: JURISDICTION: KIN
CLASS OF WORK: OTR 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: 1 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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: < =10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Installation of exterior AC unit. AC cannot be placed in required setbacks.
Owner: FEES
BILL WARNER Description Date Amount
16405 SW ROYALTY PKWY
KING CITY, OR 97224 [MECH] Permit Fee 5/8/03 $72.50
[TAX] 8% StateTax 5/8/03 $5.80
Phone: 503 636 - 3727 Total $78.30
Contractor:
SUNSET FUEL CO
PO BOX 42287
2944 SE POWELL BLVD REQUIRED INSPECTIONS
PORTLAND, OR 97242
Phone: 503 - 234 - 0611 Cooling Unt Insp
Final Inspection
Reg #: LIC 2374
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. /J �
Issued By: ; j�� ` ���j�j Permittee Signature: ��'„ `,
r
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next usiness day
05/08/2003 14:52 5036393771 CITY OF KING CITY PAGE 02
x :'5/08/2803 10:46 5036393771 CITY OF KING CITY PAGE 02/02
TRI-COUNT•Y 'mechani Permit Ap plication
SF CTNT @R OF i CE USE ONLY
_ � City O 11<l 1v 5
- Dag received; - _ � X03 : ' Pariah no,: M - ,y 6VAS 7
, y
v - ` ix, 13125 SW Hail —
o y Project/egg. no.: Expire :Intel
GiaClt8r{tas Tigard, OR 972 • QQ � pate 'sued: " = i i Reeelpr no.:
Multnomah Phone; (5(l3) 639-4171M: �S@ - Case file no,: Payment type: •
Washington Of 11 s ON , K� Building permit no.: .
c o „ N , , . s Land use approva1rl,ZY. O O
1, }1.in
X 1 & 2 family dwelling or accessory Cl Cotnntercial/mdustrial ' 0 Multi - family 0 Tenant improvement
Cl New construction 0 Addition/alteration /replacement 0 Other. •
.IOH SITE INFORMATION COMMFRCJAL E'A1..UATION SCHEDULE
Job address: 16 46 5" SW ' , 1 t y het/rtiw4, Indicate equipment quantities in boxes below. Indicate the dollar
Slug. no.: Suitt no.: // value of all mechanical materials, equipment, labor, overhead,
Tax map/tax lot/account no,: profit. Value $
Lot: b lock: _ Subdivision: ''See checklist for importrou. 6pplication irtfannation and
Project name: ; �1 NI Ot:YA/il'r. . . .. Jurisdiction's fee schedule pg. ren•Idenllal permit file. .. •
City /county: ZIP: 1 3: 2FAMILY DWGLI1NG PERMIT FEE SCIIEHLuLF!
' ^.yr ?don and locadon of work on premises: - Lo' .VC AND CONIMERICALJIND [ TRIAL EQUIPMENT SCIIEDUI. o
Pee (ea.) Total
•
Est. date of completion/inspection: Aescrtpttoa .. -._ Qty, Res, o'. • Res. only
Tenant improvement or change of use: K ' AC '
Is existing space heated or conditioned? O Yes 13 No Air co nd i d o unit ie
O Yes Q No A candid of thug - plan regaled) I [yy 0e
Is existing space insulated?
Alterau0tt Of e�edttg rt•VASIfAWn1
Ba ressats
' Iusiness name: 5G'►S [— e( no.: State boil per
Mrt C O •
address: ' name:
5 A • urea( 16 us" t ' Torte cto r s /H - . • -
F ire/srmvke dam • rs/duct smoke detectors
" dirt. Po l• A... Staten ' ZIP: 9 7 2,4Z pump (site p an requ', , •
r phone,: 2-3 t f t 6 (1 Fax: Z34 Ole/ E -mail: ` Instep/replace tunutee/bur er _..- ..- 13TD/H •
Including ductwork/vent liner 0 Yes ❑ No
^',. ;:a lo.: 74 utstaWreplace/rclovatra heaters suspended.
Llty/rnetro lie. no.: 1_45 wall, or floor mounted
Name ( . lease ■ c): Vent forappliance ntlter titan fl�litace
CONTACT PERSON Refrigeration:
, 'f' ; , Absorption units . 13TU/H
Name: Chillers _,_ HP
Compressors _ HP , .
_
Address: Environmental exhaust and sntlbttona
City: l State: I ZIP Appliance vent
Phone: Fax: . E-mail: Dryer exhaust
Hoods, Type I/ 11/ms. kitchen/hilariat •
ti
hood fire suppression system
:`,7e. te:_ : / A l wr4V Exhaust fan with single duct (bath fans) .
Mailing address: /6 QS tn/ . t, a. 4fi ,.;, aunt s stem < • an from heating or AC
City: d • Gr , Stater ZW: /7Z. e t'
PIP 'a' . button (l l to 4 otttt¢ts)
Type: - LPG NGi ; ,.� Oil
Phone:' • 4.. n iLe� Fax: E mall: Fuel • i • in: each additional over +i outlets '
VI i; , , e ENGINEER • ocess piptelg (schematic rmquu'cd)
Name: Number of outlets .-- Address: Other listed appliance or equljpinane
Decorative fireplace _ _
City: I State; I ZIP: Insert - type
-------
Phone: I Fax: E -mail: • Woodstove/pellet stove
Applicant's signature: Loate:
— Other
Other;
' +xre (pmt)
No: al( jurisdiction; aooepe credit cards, Dteovc toll jurlad:ct%on for more inrommtlov
Peril l: fee ................. •..,. S 8.
•
non CI MasterCard Nc tiee: MLR Permit application Minimum fee $
:...1.1..5i ngrs number. �LPr 4f a permit 1S not obtained Plan review (at _ %) $ — ..6. — g
— Expires within 180 days after L(Itac been state (l3 %) $ ,,�(
State sut'C
rvsmo of cardholder as shown oa credit card accepted as complete.
S TOTAL. $ s7 7 r t5- 30
Cardholder signature Amount
•
05/08/2003 14:52 5036393771 CITY OF KING CITY PAGE 03
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- 6094 -ino
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Aco cw,01 Ms sow') I. "142 (Ivo No‘A-"tr 7' }J
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CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested 3-- / AM PM BUP
Location L11 —(O W riai -J o Suite MEC 3 -te 3 7
Contact Person Ph ( ) a 3 4 ( -6a ! ( PLM
Contractor Ph ( ) SWR
BUILDING Tenant/O 4 • '' mac ELC
Footing ILVIN\ ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain / -► Q-
Slab Inspection Notes: r SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing SAO `S Z \ Z
Dry all Nailing ,- V �, O Ik i) LL
Drywall N W 1
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
FAIL
M ECHANIC
Post & Beam
Rough -In
Gas Line
S Dampers
PASS PART FAIL
ELECTRICAL)
Service
Rough -In
UG/Slab ,
Low Voltage tl `� \ (91 `M leC
Fire Alarm
PAS PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
S E Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date � ~ Insp Ext
Other:
Final DO NOT REMOVE this Inspection record fr m the J site.
PASS PART FAIL