16750 SW JORDAN WAY J
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CiT1( OF TIGA�'.D —_ MECHANi4QI- PERMIT
' DEVELOPMENT SERVICES EISSIITa•: MEC201 00430
13125 SW Hall Blvd., Tigard, OP, 97223 (503) 639-4171 DATE ISSUED: 11 1166
PARCEL: 2S 116AD-24000
SITE ADDRESS: 16750 SW IORDAN WY
SUBDIVI:"sON: BFDFORV GLEN ZONING:
BLOCK: LOT: 00() 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 U - 3 HP: D DME;;. INCIN:
LPG �— 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 1j - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP:
V1/OODSI S:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN >=100K BTU: <= 10n00 cfm: --
>
GAS OUTLETS:
10000 cfm:
Remarks: Replacement of gas if)gas furnace
Owner_ — — _ _ FEES _BET)5, JAMES G I; + Type By Date Amount Receipt
APPL'---BETTS, SHARI l_ PRM1 BP 11/29/01 $72.50 KING CITY
16750 SW JORDAN WAY 5PCT BB 11/29/01 $5.80 KING CITY
TIGARD, OR 97223 --------- -
Total $78.30
Phone: —
Contractor:
BELL HEATING
15550 SE PIAZZA AVE
GI-ACKAMAS, OR 97015 REQUIRED INSPECTIONS _—
Mechanical Insp
Phone:503-656-1184 Her. ng Unt Insp
Reg#:LIC 447 Final Inspection
PLM 3-286PB
This pennit is issued subject to thf! mgulations contained in the Tigard Municipa! 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
Uillity Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain cppi%s of these rules or direct questions to OUNC by calling (503)246-9189.
Issue By. Y('elf Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
11/27/2001 14:30 50363'{" 7?1 CITY OF KING CIT` PAGE 02/02
Un 11/20/2001 15:90 FAX 501598108(1 CITY y
F T1G.ARD 0002
T�2i'o
Mechanical PCrMt Appificatioa
Z..W a -____ - >Pt:rntltnc.:
(lt,r.,f7'i&and W Ball lf:vcl, Tigt[rd, (1R9.17.1 L�101 ProjeWappl,no.: ire date:
41"11 - Dateiesucd;
96 --•--�..._.__ tno'Case file no, Pa eat type;vstl. _ Building perm;t no
1 d 2 tnnidy dwt-llink ur accessory C'olnmenael/Industrial
CI N'nw'canatruchun O Multi-family J'Venr:,t lmpmvement
Add III olVaIIemtion/repin-;t:nwlit U Other.
Job address:
131dg,nu.: --"�'�''� � tea- ----- II'dir.�+fit equipment quantities in 11=ele below. Indicate elle d
otlttr
Suit;tit . ?•slue of all nieCliarueal ntatctitiis-t* ui I
Tax m1 /tvt lObaccount no,: -" 9 praent tabor,overhea7l,
Profit, Vaiuc� •- _
Loi $Io`k: SubdivieloD: �- *See checklist for Important eppli�ion inl'c.rmatlorl turd
Ptnject name: ��—•�--— — _ __ (
-� 77S urisdiction's fie schedule fnr residential pCt7nit fee,
Clq/cntut _Q. Z1P.
Dan iptli nandi6qauu of work on prernisca: off
I Ev. dile of completiptl .-c-tion, Ute} on Fee(M) 'y Udonl
- --- ,
Tenant irnprc7vemtn[or change of use.: —. -- -ff Ac: es,duty Rex
Is existing space heated or conditioned?O yes G No Alf handling unu _ Cpm
Is rusting space.tnstilatcd'? Yes l7 No roan uomng(s(iep a?-���' e�j'�- -
ternnon of existing H syz
o cricompreseors
ilusincss n sil:: � ! .i�/i ns Statehoilerperrn7tno':
Addre /:r J "`. liP Tons —BTU/P
lre/em0 a aam`peramuct Rmoke erectors
l
at m (site pinn qaFtone: ytt :�
r C/
CCB no. l V-/ "- - Inc.,.,l�u�din�g d rctwork/vent liner s O No
City/metro lie no.r lnstail/replace%locatehearare-suspended,
Name(plc:aC 1tTtt1�)t p' -- Wall,or floor fipunted
C '/ Vent r2-La once otnci aian hpco
• snrx p a .
Name.' - Ahr+arptlonunits— - .,� BTU/H
Chillers-. HP
/ _ -
Address: Cl.rit J2 1 — Cnmprca.vrt - _� HP - —
City,_ 6.evironments aX art and vcn-
�"-'�----
Stele: __11IP float:
Phare: " per• - Appliance vent
E mail. f)ryerrxhaust
Non s, }pe I/ tcs. schen ermat
Name: good f7re euppresfinn system
__ _ ! thaust tan with tiinglc duct 0, foal
b'Iailln ad rest -- 67th!Ut syftern a stt from uat,�g of
City; �Sw
zip: y` tie[ i to oat[ ut on fop W ou stal
r p ►' lsrr
F'fa0nt:: Ub ax: mail Type: ,Ll'c; *;Q .._..moll
Fue t r ca ch Mirver #ou its f
ocess piglet((t~ a 1'"�auc reyuvc r
Ntune: Number of nut:^rs ----
Addmsa: — - _.__ _ (Whirrte app;atecioraqupMIN['�
City. - - -�__ i.,ccoratli'rf„tplace
Sri—
JZTp. insert -
-tvp�
OnC: I:az: it; Woo stove/ ellet,Me
Applicant's signature: Uate: �-
IVartic (print); ors
riot W11unIdicdons 110ept crrAlt cath,r,luwa call Jwremnim for Moir INormatlen,
J Vtsn Q hfule Card Notice:This perntit application petmit f'e... ...... ....
creels em,7 p"a-e- empires if a permit is not obtained Minimum fee,................S -
—�' ' wfrhin 180 dad t after it has been plan review(at
vame of audbc(uer sa 7hown oa crod t - - aocepted as complete. State surcharge(8%) .. -_��
a holder IlsnstWa �' 3 TOTAL ,�,.,.......
--- An1t .a
45+761'1 ratttvcoan
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639.4175 Bus;ness Linc. 329-4171 — - ---
BLIP
_Date Requested.!_" AM PM _ BLD
Location '� L Suite _- MEC
Contact Person 'RPh PLM
Contractor Ph SWR
BUILDING -_- " TenanU �. r C.. lc 775:" 7 � ELC
h1h _
Retaining Wall ELR
Footing FIns,
cess: —
Foundation FPS
Fig Drair -- SGN
Crawl Drain pec on Notes. - ---
Slab — -------.--. SIT
Post&Beam -- —
Ext Sheath/Shear ' 'L
Int Sheath/Shear — —
1
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd CeC;-g
Roof
Misc: --
Final — ~�
PASS PART r'AIL --- ----- --
PLUMOING
Post 8 Beam - -_ . . ._..-------_-------------.�_
Under Slab
Top Out
Water Service
Sanitary Sewer —+ -- -- _-- -- --y—^— --_—.—
Rain Drains
Final
PASS PART FAIL
ECHANICAL'
Post& Ream --- --- -- -----—
Rough In
Gas Linc:
S—pr p14e Dampers
Final - - -_
S, PART FAIL
ELECTRICAL
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
sinal
PASS PART FAIL _SITE
Backfill/Grading
Sanitary Sewer
Storm Drain ( )Reinspection fee of E. required before next inspection. Pay at City Hall, 13125 SW Halt Blvd
Catch Basin ( )Please call for reinspection RE: _ _ ( )Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk , /e�Other Date � /C C�/ Inspector y -_ Ext _--
Final
PASS PART FAILJ DO NOT REMOVE this inspection record from the job site.