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Permit ... A CITY OF TIGARD MECHANICAL PERMIT 1� DEVELOPMENT SERVICES PERMIT #: MEC2002 -00060 xmAifr. ��f II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/14/02 PARCEL: 2S115BC -10500 SITE ADDRESS: 16555 SW ROYALTY PKWY SUBDIVISION: ZONING: BLOCK: LOT: 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: 1 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: Install gas furnace and AC, piping and outlet. Owner: FEES HAKKINEN, ELISABETH S + FELIX Type By Date Amount Receipt 16555 SW ROYALTY PKWY PRMT BB 2/14/02 $72.50 KING CITY KING CITY, OR 97224 5PCT BB 2/14/02 $5.80 KING CITY Total $78.30 Phone: Contractor: SPECIALTY HEATING & COOLING 9528 SW TIGARD ST TIGARD, OR 97223 REQUIRED INSPECTIONS Gas Line Insp Phone: 620 -5643 Mechanical Insp Reg #: LIC 66578 Heating Unt Insp Cooling Unt Insp 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 -0080. You may obtai opips of these r les or direct questions to OUNC by calling (503)246 -9189. Issue By: 2 Permittee Signature: C ale Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day 02/13/2002 10:31 5036393771 CITY OF KING CITY PAGE 02 �1 TRI -COUNTY ��Cor -"�a'� �� SERVICE CENTER Mechanical Permit Application OFFICE USE ONLY City of King City Date received: Perini[ no.: ` 13125 SW Hall Blvd. Project/appl. no,: Expire date: Clackamas Tigard, OR 97223 Phone: (503) 639 -4171, FAX: (503) 684 -7297 Date issued: By: Receipt no.: Multnomah Case file no.: Payment type: Washington . • c o n * i e s Land use approval: Building permit no.: TYPE OF PERMIT n I & 2 family dwelling or accessory 0 Corrunercial/industrial 0 Multi-family O Tenant improvement O New construction Addition/alteration /replacement 0 Other. i JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE Job address: foe 5S ,54.) lQ. 44 ' 41 Indicate equipment quantities in boxes below. Indicate the dollar 1 Bldg. no.: Suite no.; value of all mechanical materials, equipment, labor, overhead i Tax map /tax lot/account no.: profit. Value $ Lot: Blau I Subdivision: *See checklist for important application information and i Project name: ti, 4 AK / N Cr 1.1 — jurisdiction's fee schedule for residential rmit fee. n I City/county: / C � f �/F ZIP: y.� 1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE I VA Description and location o work •n premises: (.40 AND COMlMERICAL/INDUSTRIAL EQUIPMENT SCHEDULE iiiAdine.P 4 4 G Fm (eq.) Total Est. date of completion/inspection: Description to . Res. o. • Res only Tenant improvement or change of use: HVAC: Is existing space heated or conditioned? 0 Yes 0 No Air handling unit CFM Is existing space insulated? 0 Ycs 0 No Air conditioning (site plan required) Ni Alteration of existing HVAC system MECHANICAL CONTRACTOR Boiler /compressors Business name: S ,..P c/ fi _ ,C;p State boiler permit no.: . Address; 9 5 fS. ,LC) Ct.r d S Tons mum Fire/smoke dam � • rs/duct smoke detectors �� ;•...2-•• City: / - - State: C ' ZIP: Heat pump (site p an required) Phone:(��O S(o �/3 Fax:Sgg'b7/ E -mail: Install/rep ace furnac• •urne • " B 1 II ccs no.: G 4s 75 Including ductwork/vent liner erYes 0 No City /metro lie. no.: / 4 fi 6 wall, o replacelrelocare heaters – suspended, � -- 0/741 wall, or floor mounted Name (please print): p f'- l'>`•le (S Vent for app tance other than ace CONTACT PERSON Refrigeration: IE c Absorption units BTU/H Name: . �- <Ss.r-- Chillers HP ME Address: a.4 rt.e pd • ,�� -42-- Compressors HP _ City: _ State: Zip; Environmental exhaust and ventilation: • . Phone: I Fax: I E -mail: Dr ry e r exhaust vent OWNER Hoo. . Type U fires. kitchewhaanat MINN • Name: me: Sb 2 �� Kt' hood fire suppression s A. N 1/ Exhaust fan with single duct (bath fans) Mailing address: /6,55..4" Sw . j OL/q . ' Exhaust syste part from heattn: or AC = J `• //11 '''2 C./ T . stater ZIP: qua() Fuel piping and dlstribu ' . a (up to 4 outlets) ?hone: (p � Fax: E -mail: T LPG NG Oil Fuel . i • in a each additional over 4 outlets IIMI ENGINEER Process piping (sc emetic required) MN NEM Jame: Number of outlets IIIE • address: Other listed appliance or equipment: Decorative fireplace State: ZIP: hoods type _ = 'hone: e: ax: E-mail: Woodsiove /pellet stove Pplicatrt's signature: : % *1.7, Date: m o er . _ 14 -- tmc (print); , , ./ -.e Oetter _ -- a all jwisdict)ons ICCCV Credit cads, please tall jurisdiction for more inrortnation. Permit fee IS v s 0 MasterCard Notice: This permit application Minimum fee $ r-:7 1625V tit card number, expires if a permit is not obtained � Wir within 180 days after it has been Ptah review (at %) $ Name of car lholder as shown oa credit cod accepted as complete. State surcharge (8%) $ (p ,�,[ S. S TOTAL $ cardholder si nature Amount � 40 617 (6AO/COM) "! — 02/13/2002 10:31 5036393771 CITY OF KING CITY PAGE 03 SITE PLAN PL 0 PL PL AL PL STREET Specialty Heating & Cooling, Inc 9528 g S SW Tigard Street Tigard, OR 97223 Phone 503:620.5643 Fax 503.598.0718 Hillsboro Phone 503.640.3607 Fax 503.681.0793 11/10/2004 Case Activity Listing 12:22:16PM TIDEMARK Case #: MEC2002 -00060 COMPUTER SYSTEMS. INC. Assigned Done Updated Activity Description Date 1 Date 2 Date 3 Hold Disp To By By Notes MECA007 Application received 2/13 /2002 None RECD FAX 2/14/2002 BB MECA705 Gas Line Insp None 2/14/2002 BB MECA008 Create Permit 2/14/2002 None DONE BB 2/14/2002 BB MECA715 Mechanical Insp None 2/14/2002 BB MECA725 Heating Unt Insp None 2/14/2002 BB MECA730 Cooling Unt Insp None 2/14/2002 BB MECA799 Final Inspection 2/21/2002 None PASS KBS 2/21/2002 KBS MECA060 (F) Issue permit 2/14/2002 None DONE BB 2/14/2002 BB MECA800 Case Finaled 2/21/2002 None PASS KBS 2/21/2002 KBS Page 1 of 1 CaseActivity..rpt - 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 -i AM PM BUP Location i.✓� a ite MEC ,aO C.);- —O 060 • Contact Person 1 < �1 ' ' ' Ph ( t ) 4 ZU St Y1 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner Footing ELC Foundation CC Se S. Ftg Drain go ELR Crawl Drain • Slab Inspe on Notes: SIT Post & Beam Shear Anchors /e / ' 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 Gas Line Smoke Dampers • • RT FAIL ECTRICAL S= ice Ro g n U ab Lo oltage _ • F I larm 41 0' PART FAIL El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE El Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Date Z - �/ _ O _ Inspector Ext Approach/Sidewalk p Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL