16050 SW QUEEN VICTORIA PLACE C'
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16050 SW Queen Victoria Place
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CITY OF TIGARD►
\ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2001-00412
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/15/2001
PARCEL: 2S 110CC-06800
SITE ADDRESS: 16050 SW QUEEN VICTORIA PL
SUBDIVISION: KING CITY NO 3 ZONING:
BLOCK: LOT: 042 JURISDICTION: KIN
CLASS OF WORK: ALT FLOOR FURN:+ [VAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS.
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS: 1
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES --�- 3- - DOMES. INCIN:
F7rF- - 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP:
REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP:
OD
GAS PRESS;;� CLO DRYERS:E: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CS:
OTHER UNITS:
FURN >=100K BTU: "—�i5�m:--�---^--
> 10000 cfm:
GAS OUTLETS:
Remarks: Install gas furnace and water heater vent
Owner: _ FEES
EINLAND, JOSEPH A AND WILLIAM 'type By Date Amount Receipt
6050 SW QUEEN VICTORIA PRMT JMT "1/15/20 $72.50 KING CITY
ING CITY, OR 97224 5PC1 JMT 05/20 $5.80 KING CITY
,_. Total $78.30
Phone:
Contractor:
IRST CALL HEATING & COOLING
650 NE LOMBARD
ORYLAND, OR 97211-4798 REQUIRED INSPECTIONS
Gas Line insp
Phone:231-3311 Mechanical Insp
Reg #:LIC 102030 Final inspection
This permit Is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
ant' all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by
calling (503)246-9189.
�� — - - -- —
Issue By: ,�j _ Permittee Signature:
Call (503 639-4175 by 7.00 P.M. for inspections needed the next business day
11/1 /2001 09:55 5036393771 CITY OF KING CITY PAGE 02/02
��,M o,fir• • now 1,J/ I LW11
i
Mechanical Perinit ApplicationMEMO ENNIS
— Date received: Permit no.:
City Of Tigard l'rojeet/appl.no.: Expire date:
City of Tigard Address: 13125 SW Hall ..,Tigard,OR 972 Date issued: By: Receipt no.:
Phone: (503) 639-4171 J�j
Pax: (503) 59$•1960 Q� G�j` Case file no.: Payment type:
Land use approval �` _.. , 'Jr� Building permit no.;
&2 family dwelling or accessory U Com 11) U Multi-farnily U Tenant improvement
/b-New construction �t ddi atlhtn/replacetnent U Other:
,hob address: o�S i,� �' ) F�' 1 !G it Indicate equipment quantities in boxes below,Indicgte the dollar
Bld .nn.: _ Suitc n, value of all mechanical materials,equipment,labor,overhead,
Tax malvtax lot/account no.: profit.Value$
Lot: 1Hlock! Subdivision: "See checklist for important application information and
Project nuntc: _ - ��� jurisdiction's fee schedule for residential permit fee.
City/count ZB':~ t-/
Is
Description d location of w rk on premises: ' 1
ti ✓ rven& Itvfca.l, frtal
t,date of concpletion/ins iectioic 11csa tt don 1)h. ltr,.unl Itr,.nal)
Tenant improvement or change of use: in V PM;
Is existing space heated or conditioned?❑Yes U No Air handling unit --CFM—
Air
r cpn itonin site plan required)
Is existing space insulated?U Yes U No A teration o emst ng HVAU system
ollerkotnpressorz
State boiler permit no.
Business Warne:F(r5L-Ca!( �t r2 ��YJ�t�1 HP
Tons 13TUA4 _
Address; t)-t z� Ire"�``7emoo_ke San ars/duct smo a detectors
Cit : i i _ State: p 7IP:�-yy/ / est pump(aIle—tan r vire
Phone: F/ _ Fax: (� 7q'/ B mail: nets t/rep ace urns urner. J! V
Including ductwork/vent liner U Yes U No
CCH no.: /Q n _ nett rep ac re ocateheaters-suspen ,
Cit /metro lie.no.: 40 d wall,or floor mounted
Nome( lease
print): < ti O S E�1 � vent oro ince oTer an furnace
Refrigeration:
lhsnrplionunits BILI/H _
Name: Chillers HP _
Adlin s,v. -
Compressors--_,W... HP _
— - n momenta)rxlwust uc trenatron:
State: ZIP: Appliancevent, -- - -- — _---•-
phone: I nx: H mail: Terex aunt
Hoods,Type I/Mrs. tc en ssmst -
hood fire suppression system
Name: lel // z,e t,-j `u,2 Exhaust fan with single duct(bath fens
Mailing address: •x suet�s stem n Ort from heating of A
city:1,6 (_r Stater�� ZIP:Vt7�ZY Tae piping INLK3 t riNOup - Oil
Phone; rax: I E-mail' me pipinp tech additional over 4 outlets
piping(scheniatic reclun c )
Number of outlets _
Nance. t er sta rep Oce or eqa pment!
Address: _�_ becorativ_C_tir lip ace _
City: _ State: ZIP: insert-type
Phone: - - -- Fax: 11 o stove/pe etitove- ---
t er:
Applicant's signature:
Name (print): 1-1,
Not W jud,dkdottt sccept crrdit cold+,plena Dail Itlri,6kdon roe mole to[ormnion. Petmit fee.....................$
U ws ❑Ms,terCrwi Notice:Thin permit application Minimum fee................$
expires if a permit is not obtnined plan review(at _ �) $
etedu card rtutntor; -- —/--L-- within 180 days ager it htu been
e>ptre, State s TOTAL ....rRe(A96) ....$ �
ante cttnlhot�wn on c u cad r a ,fir - accepted as complete.
,i
Cardholder nitrile Amamt 4404617(6/00/COM)
CITY OF TIGARD BUILDING INSPECTION DIVISION TMST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - – --
/ BUP
Date Requested—` / I AM _PM _— _ BLD
Location G e MEC
Contact Person .�k Ph c D s(t PLM
Contractor Ph SWR
BUILDING TenantlJ _ z
!L-�e EI-C
Retaining Wall 5 .3 ELR
Footing Access: - --- - --'
Foundation FPS
Ftg Drain 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
I'ost&Beam
Under Slab _
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS "frART_ FAIL i
------
Post& Beam - -- - - -- -- ------
Rough In
Gas Line --- - -- - — -----
Smoke Dampers
in
PART FAIL
ICAL
servir(-
Rough In r�+C(q
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE ��--------
Backfill/Grading
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin ]Please call for reinspection RE: i [ J Unable to inspect-no access
Fire Supply Line
ADA ., .
Approach/Sidewalk Date 2 �.' / Inspector 6 J� Ext
-7
Other --- -- ---._—
Final
PASS PART FAIL DO NOT IliEMOVE this inspection record from the job site,