11670 SW KING GEORGE DRIVE J
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11670 SW King George Drive
CITY OF T I GA R D _ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002-00574
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/13/02
PARCEL: 2S1;0CA-0'10C
SITE ADDRESS: 11670 SW KING GEORGE DR
SUBD;VISION: 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:
,3TORIES: 301LERS/COMPRESSORS HOODS:
_ FULL TYPES — 0 - 3 Hr: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP:
FIRE DAMPERS'?: 30 - 50 HP: REPAIR UNITS:
OTHERR UNITS:
GAS PRESSURE: 50 + HP; CLO WOODSTOVES:S:
FURN - 100K BTU: 1 AIR HANDLING UNITS C—
FURN > 00K 1211 U: <= 10000 cfm: GAS OUTLET'S:
> 10000 cfm:
Remarks: Replace Wrnace, add vent for appliance other t ian furnace
Ownar: r"EE5
RUN^.H, RALPH E + ELEONORA Description Date! 'Amount
1'11370 SW KING GEORGE DR
KING CITY, OR 97224 1MECHJ Permit Fee 12/13!C2 ~—$72.50 rAX1 9%State'l'ax 12/13/02 $5.80
1: hone: --------Total
-- - —TTotal $78.30
Co;itrac',or.
HEAT I,G SPP IALIST INC, THE
93LO WJE: HALSEY
PORTLI%ND,OR 97220 REQUIRED INSPECTIONS
Pt ane 257-1000 Heating Unt Insp
Misc. Inspection
Reg#: LIC 56628 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of Ore. Specialty C(-d6s
and all other applicable All work will be done in accordance with approved plans. This permit will expire l[work is
not started within 180 days of issuance, or if work is suspended for more thar, 180 days, kTTENTION. Oregon law
requires-you-to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00
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Is ued 8y. L_ -� �1L'13r1k1 P..:rmittce Signat,ire:
-- Call (503),639-4175 by 7:00 P.M. for inspections needed the next business day
Mechanical Permit Applicatioll
—"---_—`- - Date received: //A7 p9. Permit nc.:mgt.0of75,
M ' City of 1 icgard Project/appl.no.: a date: __-
Cir�ofTigar.d Address: 13125 SW Hall Blvd,Tigard OR 97223 Y
B Date issued: Recei)r no.:
Phone: (503) 639-4171
Fax: (503) 598-1960 Case ale no.: Payment type. -
Lad use approval: Building permit no.:
e
"&2 y dwelling or accessory 0 Commercial/industrial ❑Multi-family 0 Tenant improvement
uction 0 Additiott/alteration/replaccnleru 0 Other:
JOB SUE1 1 OJI0
.lob address: )Ira -1 c 5� to .-�� L� • a° � �-� Indicate equipment quantities in h xes below,Inc:vete the dollar
Bldg, no. uite no.: Y vab.le of all tr.achanical materials,equipment,labor,overhead,
Tax map/tax lul.account no.: profit.Value S_ __ --�'
Subdivision: *See checklist fur Im,liortant application information and
jurisdiction', Fco whednle .-r residential permit fee
Project name: .
City/county: 1"4'K\ C r r — ZIP: Ci -1
Description and location of work to premises: _ __— 1 t t I U
Cee(ca.) Intal
Est,sate of completion/inspection: _ _-_� Description Qty, Res.mtly Res.only
Tenant improvement or change of use:
HVAC
Air handling snit— c'1110 v _
Is existing space hutted or conditioned'' _i Yes r]No Air conditiuning(site plan required)
is existing space insulated'.' J Yes 0 N, A tenliton of existing KVAU systemMEdIANICAL _
t Boiler'compressors
State be iler permit no.:
Business name:`-/u `` ` ' �-� s�t.e zt. sr,c_ HP Tons .BTU/H-
Address: li3u,) »4;, �.L•,-�-a.� �_ Fire/smoke dampers/duct smoke detectors
City_y4ith�Y rt,.r�G — _ States 71,64 >�.� J_ caf ppump i"e p un require ) i
- nstA rerlacC mace/ timer HC /
Phon,:.451 7vt,,,�Fax: -2-s 1• 1�dr. L' snail:
_ mail. ---- Includl.lg ductwork/vent liner @Q Yes 0 No
CCB no.: w w a S' _--_^ _ _.,_ nsta rep ace/re ovate eaters - suspendcc
Cityimetro lic.no.: 13 1 v wall,or 7oor mounted
----- -"- ----- Vent for A lienee other than furnace
Name(n!e;ac rJnnt): .lea.„ y
Refrigeration.
Absorption units PTU/H
Name: Chillets _ HP
-,- - — -- Com "E "'Or'
HP
"ldress: —�1cb` nv Monmenta ex aust and vent ventilation:
uityr / --�Sratr ZIP: J Appliance vent
�j Phone- FT, ---- JillUryer exhaust -_--
t Hrods,Type I/II/res. kitchen/hazras
hood fire,suppression system
Narue: rt 'Tb L-7-- - -_ Exhaust fan with single duct(bath fans) _
Mailing ng Address: I I t..1 i'e vii- t. �-/ Exhausts sten)apart from heatin or AC
--- a °� - Fuelpiping an str ut on(up to 4 outlets)
City: K_ r rum C, IState:D i- ZIP: ti 7 s,L W type LPG _ NG Oil
f'I Phone: Fax: I E-mail: r Ful-I iti oech a trona uver`4 outlets
t rocess piping(schematic,required)
Number of outlets
Name: _ ter IT app once nr equ prnent: I
Decorative fireplace`
Pity �---- ---- _ State: -- 1111: _ Insert--type.-.-
------- -- Woos'tove/pe et stove
_ Thune: Fax: E ma+l: Ot a— -—
Date: rt-jg_uv
1pplicants signuture:,,,,,� �-_^•�_-_� _- Other-
Name
t er:
NI ame(print): ��,,.,�.
_ Permit fee ..................... $
Nnt all junsdicnona accept credit cards,piea call jurisdiction ror inure m;ormntlon. Notice: This permit application •?-1 3•' _
0 visa 0 MasterCard mill; fee................ $ --�
_ expires if a permit is not obtained plan review(at , 90l $ -�
Credit card within 180 days after it has been n $ �y
Esp req y State surcharge($/o)..
Name of cir-d older as:nawn on credit card accepted as ecmplete. TONAL• ..• $ 7$
......... ..
c3idholder slgnetwc —Amount 440.4617(6/00/COM)
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639.4175
MST
INSPECTION DIVISION Business Line: (503)639-4171
BUP --
Received -_ -- Date Reauested __ 1 — _ AM_--- ______ PM ___—___ BUP
Location ____ lr 1( ✓ - ��'� _Suite—___— _______ MEC
Contact Person —_ Ph S :2 7O_00 PLM
Conlraotnr _ Ph SWR --
BUILDING_ Tenant/Owner ___- -____--___- ELC -
Footing -- ELC
Foundation FCC(,Drain � � ELL
Crawl Drain _ SIT
Slab Inspection Notes! - -------
Post& Beane
Shear Anchors / - - - -- -- -- - --
Ext Sheath/Shear
Int Sheath/Shear `-
Framing ---
Insulation i , IL, �r l ��� — n�10�
Dr,v., �'flailing �`'" `'�
F�
Firms s,)(Inkler --- -
Fire Alarm
Susp'd Ceiling
Roof
Other ---- - __
Final
PASS PART FAIL
PLUMBIN4 -- __
Post$Beam
Under Slaty - ---- ----- - - —
Rough-in
Water Service -
Sanitary Cower
Rain Drains
Catch Basin/Ma:chole
Storm Drain --
Shower Pan -
Other:
Final - -
P FAIL
MkCRANICAL
_- --
Post R Beam
Rough-In -
Gas Line
Smgke Dampers�sM --
F��
55 ART FAIL
LECT'RICAL
----------
Service
Rough-In -
UG/Slab
Low Voltage
Fire Alarm
Final F� Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE Cl Unable to inspect-no access
Fire Supply Line
ADA �'-
Approach/Sidewalk Date_ Inspector
Other: _
Final fDO NOT REMCiVE this inspection record from the Job site.
PASS PART FAIL.
s� in
CITY ®.TIGARD 24-Hour
LJUILDiNG Inspection Line: (503)539-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171 1, r _ _..
BUP --
Received __—_ -__ _____ Date Requested_ __ �'� `34 AM �'�'__ PM_- BUP _
t .
Location -02L, _ Suite MEC __�._____
Contact PF,rson - ---- -- -----a-- Ph( -)2A_ -2 - %l>O�_ PLM ------- ---
Contractor._ Ph SWR -_--
BUILDING Tenant/Owner . — _— ELC
'=ooting
ELC
Foundation
/ 4'
� Ctg Drain ELR
' . Crawl Drain —�
SIT ------ - --
ost Ins action !cotes: ,� `` 'r ( .1 __ ------- ------
Post 8 Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Ir.3ulation �7LG�2.�
Drywall Nailing -- - -- - .LL- �� ------ --
Firewall
Fire Sprinkler �`
Fire Alarm �.� Itr`�yl.�'" `a` ,
Susp'd Ceiling yc /
Roof
iJther: -
Final
PASS PART FAIL
PMBING __ -- _
LUq t" P _ A,C
Post Beam
lJ
nder Slab � (� � � �,��., � u --- -----
Rough-In �'' "�CJ`,"�'� - -- c�✓v/� o-'C_ --
Water Service -- p I
Sanitary Sewer L
�(`J JC�c - Sc .-e Q •
Rain Drains -
Catch Basin/Manhole
Storm Drain
Shower Pan
Other: - - -
Final
PASS PART-- FAIL -
MECHANICAL _
Post R Beam
Rough-In --- __------
Gas Line
Smoke Dainrers CAI
ASS PANT -- -- -- - �'--
ELECTRICAL
Service --- --- --- ------ -- -
Rough-In
UG/Slab
Low Voltage
Fire Alarm
Final F] Reinspectlor,fee of$_ -_� required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
I PASS PART FAIL
SITE - �� Please call for reinspection RE:—____.- Unable to inspect-no access
Fire Supply line ++ ''
ADA Dates Inspector v _ �- ------__..-.Ext
Approach/Sidewalk -
Other: _
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
B'IIL DING Inspection Line: (50:3) 639-41,75
AAS.
INSPEC TION DIVISION Business Line: (50:3)639-4171
BUD --- -- --
Received ,_ _.__ ____- Date Requested - =� AM __ --_PM__.._.- _. BUP
Location
.--Suite_-- MEC
Contact Person Ph(—_—) __ PL..M
Contractor.------ Ph SWR
BUILDING Tenant/Owner - ____ _.�_ ELC
Footing
FLC —.- --
Foundation -- --
Access:
Ft Drain ! ELR
Crawl Drain
Slab Inspection Notes. � �J L/ SIT
Post&Beam -- -- --- ----_��
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulatic.,t
- -----------
--��- C1� Com/ �.1sL�/`- -./
Drywall Nailing __ _ _-.__ __
Firewall
Fire Sprinkler —
Fire Alarm
Susp'd Ceiling
Roo. 1(EJ2:�' /f Lam.e7lzA 'sf c. j4d_,,.4 d.c- t _- _:�1 so
Other:
FinF I --- f
_
PASS PART FAIL � `��`""��`� �'`"��`-`c� �1_�L,s� . • ` 's'"'z�,c-,tea 1?a v �
fPLU.WBING _ L _ ;.r, ci9 =I2 �f /►� in i.+DIC __ ,s�`? —
Post&ileam—
Under Saab
RoughSe
Water Service -
5anitary Sewer
gain Drains
Catch Basin i Manhole
Storm Drain
Shower Pan
Other:_ ---- - -
Final
PASS PART FAIL - - - ---- -- --
_MECHANICAL _
Post&Boam -
Rough-In -- ----
Gas Line
Smoke Dampers -- ----- - -
m
PASS PART FAIL -
ELECTRICA
Service I
Rough-In
UG/Slab
Low Voltage
-- -- ------ ------------
Fire Alarm
Final C] Reinspection fee of"o —_ _ required before next inspection. Pay at City Hall, +7125 SW Hall Blvd,
PASS PART FAIL
SITE _ [] Please call for reinspectior, RE._ __..-_ _ Unable to inspect-no access
Fire Supply Line
ADA
Approach Sidewalk Date- -- �-d- .r- InagafrtOr �c —___ -�- ExtZIL
--
Other
Find DQ NOT RE14OVE this Inspection record from the job site.
PASS PART FAIL
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