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Permit CITY OF T I G A R D MECHANICAL PERMIT ,� DEVELOPMENT SERVICES PERMIT #: MEC2000 -00449 '` ,.� I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/16/2000 PARCEL: 2S115BC -10700 SITE ADDRESS: 16550 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: 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: CLO DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: > GAS OUTLETS: 10000 cfm: Remarks: Installation of furnace. Owner: FEES D'AGOSTINO, NANCY E Type By Date Amount Receipt 16550 SW ROYALTY PARKWAY PRMT DLH 11/14/20C $72.50 KING CITY KING CITY, OR 97224 5PCT DLH 11/14/20C $5.80 KING CITY Total $78.30 Phone: Contractor: TRI TECH HEATING 6603 NE 137TH AVE VANCOUVER, WA 98682 REQUIRED INSPECTIONS Mechanical lnsp Phone: 360 - 891 -2002 Final Inspection Reg #: LIC 101873 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 obtain co f these rules or direct questions to OUNC by calling (503)246-9189. Issue By: /�� Permittee Signature: 1J71/ oG/ C' (}-- -7d-7i-f =A-}< Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day 11/14/2000 11:41 5036393771 CITY OF KING CITY PAGE 02 CE -COUNTY Mechanical Permit Application OFFICE USE ONLY (l ` 1 to received• t frIL1 /JECZ ‘.5,; (..±,?- ; r City of King City Permit no. oo -pa d 13125 SW Hall Blvd. 1d no.: Expire dale: Tigard, OR 97223 • Date issued: By: [Receipt no.: Clackamas Multnomah Phone: (503) 639 -4171. FAX: (503) 684 -7297 Case file no.: Payment type: • Washington c o u N T. E s Land use approval: Building permit no.: TYPE OF PERMIT Cl 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 Tenant improvement 0 New construction ❑ Addition /alteration/replacement 0 Other: JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE Job address: i65"5c, 4 4 a 1 1_ _ Q 10..„, t Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: Suite no.: '_T value of all mec at 0s, equipment, labor, overhead, Tax map/tax lot/account no.: profit. Value $ . Lot JBlock: 'Subdivision: *See checklist for important application information and Project name: - jurisdiction's fee schedule for residential permit fee. City /county: 1 ZIP: I & 2 FAMILY DWELLING PERMIT }EE SCIILDULE Description and location of work on premises: AND COMMERICALffNDUSTRIAL TQUIPN9ENT SCHEDULE - Fee (ea.) Total Est_ date of completlonfiinspection: _ Description Qty. Res. oily Res. only Tenant improvement or change of use: -1— HVAC: Is existing space heated or conditioned? 0 Yes 0 No Air handling unit CPM Is existing space insulated? Cl Yes q No Air conditioning (sit( plan required) Alteration of existing HVAC system MIF.CII ANICAL CONTRACTOR Bot er compressors �� } State bo iler permit no.: Business name: Address: . e , 1. HP Tons�a l Fire/smoke dampers/duct smoke detectors City: ` Ytil ZIP: 4 7:12v, 7. Heat . ump (site plan required) PhoneSSO- •8 - ' . ax: . /_ q/0 E -mail: testa fireplace furs - .umer :TiJ/H CCB no.: 13 3 /� y Including ductwork/vent liner 0 Yes O No 4 v Install/replace/relocate hearers - suspended, City /metro lie. no.: wall, or floor mounted Name (please print): y S u i d Vent for appliance other than furnace 1 ` CONTACT PERSON Refrigeration: Absorption units BTU/I-1 Name: '50L3.vt_ -e Gr Nbo J Chillers , HP • Address: Compressors HP City: State: , ZIP: Appliance exhaust and ventilation: Appliance vent Phone: Fax: E -mail: 'bryer exhaust OWNER Hoods, ' ype I/ Ekes. kitchen/haanar r hood fire suppression system Name: /v ,A Al A f g A- DS , o� 0 Exhaust fan with single duct (bath fans) Mailing address: , -5„, �O •'? Exhaust system art from henna or AC City: i � Z t•: a �, Fuel piping and distriba on (up ro 4 outlets) — Phone: Fax: E -mail: Tom' LPG NG Oil Fuel piping each additional over 4 outlets ENGINEER Process piping (schematic required) Name: Number of outlets Address: Other listed appliance or equipment - Decorative fireplace _ity: i State: [ZIP: Insert - type Phone: [ F ax: I E -mail: Woodstove /pellet stove a 1pplicant's signature: f Date: Other. Other. Jame (print): • a all jurisdictions accept credit cards. please call jurisdiction for more information. Permit fee $ 72..E Visa ❑MasterCard Notice: This permit application Minimum fee $ edit card number: / / expos (f a permit is not obtained Plan review (at %) $ Expires within 180 days after it has been �] NUM of c dhoIdrr as ahaurq oe credit card sacs red State surcharge (8%) $ v $ p as complete. TOTAL $ ---- Cardholder signature Amount 4404417 (6 • CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST �� -a� - DO BUP / ,,Date Requested AM PM BLD / Location < %'5 tli / L. Suite MEC p� --ao9V? Contact Per /OW tt I y'b.4o Ph 6'2 O — 7/ " 7 PLM Contractor ✓✓ Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR rno Footing c esS: Foundation FPS Ftg Drain L d SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL ./1111ECHAPEC Post & Beam Rough In Gas Line Smoke Dampers l PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA �y Approach /Sidewalk Date //1 /' 78/ 0) Inspector �'e/ Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.