12530 SW PRINCE ALBERT COURT I
u,
w
.9
n
CD
D
aT
n
v
c
12530 SW Prince Albert Court
CITYO F T I G A® � MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: M20/02 00362
13125 SW Hall Blvd.,Tigard. OR 97223 5031 639-4171 °TE ICSUED: 8/20/02
9� ( PARCEL: 2S109DD-04600
SITE ADDRESS: 12530 1SVV PRINCE ALBEI?1 CT
SUBDIVISION- ZONING:
BLOCK: LOT: JURISDICTION: KIN
CLASS OF WORT'.: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF U'JF_: SF UNIT HEATERS. VENT PANS:
OCCUPANCY GRP: R3 VENTS WIO APPL-: VENTSYSTEM:::
STORIES: BOILERSIC.OMPRESSORS _ HOODS.
_FUEL TYPES 0 i 3 HP: DOMES. INCIN:
i PG _ 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: _ AIR HANDLING UNITS OTHER UNITS
FURN >=100K BTU: <= i"100('• ;fm:Y -
> 1001; cfm: GAS OUTLETS:
Remarks: Replace furnace.
_Owner: -- ---- � FEES
CARNIG, JOSEPH C Type By Date Amount Receipt
12530 SIN PRINCE ALBERT CT PRMT BB 8/20/02 $72.50 KING CITY
KING CITY, OR 97224 5PCT BB 8/20/02 $5.80 KING CITY
Total $78.30
Phone:
Contractor:
COLUMBIA HEATING+ COOLING INC
8900 SIN BURNHAM
TIGARD, OR 97223 REQUIRED INSPECTIONS
Mechanical Insp
Phone:624-2704 Heating Unt Insp
Reg #:LIC 76359 Final Inspection
PLM 34-175
This permit is issued subject to the r,igulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicaLle laws. All work will be done in accordance with approved
plans. This permit will expire if ,Aork is not started within 180 days of issuance, o if work is suspended
for more titan 180 days. ATTEN TION: Oregon law requires you to follow rules aapted 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.
Issua By: �, �_ r_ Permittees Signature: f_
Cal.' (503)639-4175 by 7:00 P.M. for inspections needed the next.�.siness day
08/16/2002 09:12 5036393771 CITY OF KING CITY PAGE 02/02
10;2 C2C01 ir ; aF, 5036393771 CITY OF, KING CITY PAGE @1/02
I KI-cUuNTTYY 1
SERVIa(IN TER Mechanical Permit Application
City of King City Date receivodr ap /Js I permit no,:
213125 SW r{all Blvd. ProjecVappl.no.: _ Expire date.
clackamu Tigard, "'R 97223 Daus issued: 13y' P Receipt no.: -
MUltnomah Phone: ('503)6393171, FAX: (503)684-7297 case file no.; Payment type
Washington —
C o U N r I r I Lund use, approval: _ 4 - -- Euil(1r)q permit ne.; ----
I & 2 fatrtily dwelling or accessory ❑Commercial industrial 7 Multi-family ❑Tenant rmprovernenr
J New construction dditinri/altcrat lon/rep!acemenr -1 tither:
INFORMATION.1011 S1119 1VALUATION
Job address; /,'? S �, i.ndlcttte, _ ui ment qUWjrjTjeS In boxes b01,ru. Indicate the dollar
Bldg no.: Suite no.: value of all mechanical materiols,aquipment,labor,overhead.
Tax map/tax lot/aco0unt no.: profit. Value S
Lor I B lock: j Subdi'jisinr; *See checklist far important application lnfir mWian and
Pro)ect name: urisdicttort'r fi,r :,<_hedulejar r.stient/a/r4rm1:fire
City/vounty-� �ZfP
Nscript3on and location of work on premises: t
/a Total
_a'e � Fea(sa.)I Total
E t.dateIMCUM i escripdoo — 1(�,ty.J Ree.only Re&only
Tenant improvement or change of use: Airtig unit CFM
Is existing space heated or conditioned')O Yes 0 No --
AttConditioning fila tar r u1rt�>
is awring simce insulated?Q Yes �--
No Alteration"ef existing rVAC syxtsm_ -'
ofcr comms pressors �y
3ustnese tutrrre: Statebcflat perm.no'
H? Corti BTU/H
\ddrWe' pG��,2L._�_.,��.�' 47 uNF smoke d�,m�rs/4uct�emoke etectgrt
ity, - l Stale. G U': 1feat pum—i�Fta ppm -
'hone: Fax: Entail' stat/rep ace rnac umer �to
��U 7 .,S9,NOA�D� tncludin duatwork/vent liner ❑Yel U No l
'CB no. Install/replace/relocate heaters-suepende
'icy/metra lic. no . � z wall,or floor mounted
latae( lease print): ,G G�_ / �� Vint fora ptt�'—utce of er an ut�uce
1 e iger>,tiotls
Absorption uniu RTi,iM _
Chillers HP
d��s. Compesson FfP _
-- 'reviron`in 141 exhaust and vent adon:
Siete: TZIP: Ap fiance vent J
lone: 4,2 Faxig" E atoll: at ex aust �
nods,Type v ros, its stat i
hood fire suppression system
Exhaust fu,with Mile duct(bath fans"
ailing address: �,1 D� Exhaust t stem aii V Tam eat n or r AC
State: ZIF 4��� -- Tue piping and�dlatr tu"T n(op to a ov41tt)I !
ype, _ +
one: x:1� E snail- Fuel pip,n e.ch edrlruona over 4 out sit
,+ Phos"piping ischrinkc requLM7--
111e. Number of outlet`
----- ----- ter bGal applla`n'e or.equipment: -
dress: _
eorative freplaa
Y J�State; 7.1P: `- inanrt - -
me: prix; g. �I; oo hove/pe et stvva ���__
rlieant's Sign�titrre; Date; .Ute- the, _
ate(„arc). hermit fee. .... . ........... S ^
l,ur silellaM1f frcepi cred,i cxdF.Dr�<<a)r,ur,a,)n for n»rc Inromut,pn. Notice: This permu apptteadon
a ❑MasterCud Minimum fes. ........ ......S �
k*rd number-. v erptrta tf a pennir is toot obtained plan review(At _ %)
w4ftn 1 d0 dayr a AS ,^
after it ss been _
spits 1t c._.. ...__...,.., sero, r
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
NIST
INSPECTION DIVISION Business Line: (503)639-4171
C J/ BUN
-. 1 ----- - —
Received _—. —�Date Requested ` AM PMy BUP
Qrin U 4/4 Pr.-f Gf Suite MEC 2-z2 L
Location J 2 S 3o S��
Contact Person _-- _—.---- Ph( ) L-� - 2 7bT- PLM _
Contractor __ __ Ph( ) SWR _
BUILDING Tenant/Owner --- - ELC
Footing ELC -
Foundation Access:
Fig Drain ELR _
Crawl Drain _ SIT
Slab Inspection Notes: ---
Pos!&Beam �lTC A-"° --I� w
Shear Anchors
Ext Sheath/Shear ------- -- -- --
Int Sheath/Shear
Framing _._ _..-------- -- -- ---- ---.. ------ -
Ingulation
Drywall Nailing -
Firewall
Fire Sprinkler --- ---- - ---- -- --- ._-..--
Fire Alarmi--
Susp'd Ceiling --------- -
Roof
Other: - -------- __--- - -----------------
-------
Final
-------------------..-.__- 1 ---1----�--=--------- ---------------
PASS PART FAIL
PLUMBING _ -_ ----- --. ---- - .-._. --,------ --- — -- -
Post&Beam
Under Slab -- -- - - - -- ----- --- ---------
Rough•In
Water Service - -- ---- ---------��- ---- - -—---
Sanitary Sewer
Rain DrainF -- - ----- -"-' ------------
Catch Basin/Mant ole _
Storm Drain --- ----- ; - -
Shower Pan
Other: ------------ -------- _ _--------- -------
Final --- --- --. ---
P RT FAIL
m
Rough-In - - - ---- ----- - - ------
Gas Line
Smoke Dampers ------- - ----- - -
Fina
PART FAIL_
SS --- -------- - -� - -----
RICALAL
Service --- -- ------------------ ----
Rough-In --------- — - - _-
UG/Slab
Low Voltage ---_-_--- ---- -- - ------
Fire Alarm
Final LJ Reinspection fee of$_-_ — required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE F] Please call for reit specfion RE:__ �] Unable to inspect-no ac�C��
Fire Supply Line / j)�--L,_
ADA Date - Inspector ----EXt-- -
Approach/Sldewnik
Other:..-_-
Final DO NOT REMOVE this inspection rrec.ard from the JoL site.
PASS PART FAIL