16880 SW MONTEREY LANE 3NVI A3L'31NOVI MS 08M
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16880 SW MONTEREY LN
CITY OF T I G A R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2003-00039
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 1/30/03PARCEL: 2S116AD-09300
SITE ADDRESS: 16880 SW MONTEREY LN
SUBDIVISION: KING CITY NO.13 ZONING:
BLOCK: 13 LOT: 122 JURISDICTION: KIN
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF "SE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERSICOMPRESSORS __ HOODS:
_ FUEL TYPES U - 3 HP: DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15-30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30-50 HP:
GAS PRESSURE: 50+ HP: WOODSTOVES:
C
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN >=100K BTU: <=10000 cfm: OTHER UNITS:
> GAS OUTLETS:
10000 cfm:
Remarks: I
Owner: _ _ FEES
JON LOEWER Description Date Amount
16880 SW MONTEREY LN [MECIi]Permit Fee 2/3/03 $72.50
KING CITY, OR 97224
[TAX] 8%StateTax 2/3/03 $5.80
Phone: 503-639-6447 Total $78.30 --
Contractor:
GAS CONCEPTS & CONSTRUCTION
P.O. BOY 86232
PORTLAND. OR 97286 REQUIRED INSPECTIONS
Phone: 503-696-4996 Gas Line InspMechanical lnsp
Reg#: LIC 133149 Final Inspection
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W This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all othar applicable laws. All work will be done in accordance with approved
plans. This pc'nk 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 foliow rules adopted in the Oregon
Utility Notification Center. Those rules ar,,� set forth in OAR 952-001-0010 through OAR
952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246-6699 • >
Issued By: 10(4 '6&z� Permittee S19,nature: �)1 Ct/1►Z�-�,( C��!� r�
Call(503)639-4175 by 7:00 P.M.for inspections needed the next business day
01/30/2003 13:55 5036393771 CIT'r OF KING CITY PAGE 02/02
Wvla.aNTER !Mechanical Permit Applicatign
City of King Project/a
CAkEVVED Date received: ?
� � a� Pertrrit��
13125 SW Hall Blvd. ppl.no.: re-date: �+�L
Clackamas Tigarri OR 97223 Date Issued:
Phone: (503)639-9171, FAX;r ) 3 9 ' Receipt no.:
Multnomah �'� case fila no., .
'Aashington J�� Payment type:
Land use approval: --,iylF TIGARU Building petrnit no.:
�T ,_
Aiii
X-1 2 fanuly dwelling or accessory
❑ New construction ❑CotttmercitWindusthal O Multi-family 0 Tenant improvement
❑ Addition/alteration/replacemem ❑Other-
1
1t 1
i
Bldg,
address: _ Indicate eqt —hent quaritide,in boxes below. (indicate the dollar
B!_M no.: Suite no.: value of all ..archutIca] materials,equipment,labor,overhead.
Tax ma /rax lotlaccount no.. profit. Value S
Lot: $lock Subdivision: _ 'See c/trckflrf for lntpo►tant application ltfvrntgtton and
erect name: jurlsdiction's fee schtciule fi tntldetulal prn►rtt/Ec.
;ty/county: t c/f ZIP: ?1 7ZZ _
)escription and location of work on premises:
:st. date of r-p�ledonfinspection: r Fee(at.) Total
i7ipdoa . Ree,asitlr Rea.oil
errant improvement or change of use:
Is existing space hated or conditioned?O Yes ❑No Air handling unit C
Is existing space Insulated?❑Yes O No tr con coning site i n r uU,�
Altcntion o existing 4sysram
o er/compressors
Lisiness name. p S' CvorC State boiler permit no.:
ddtcss: �t ` Z HP - Tons BTU/H .--
ity: Fudsmoke am rW uct sin-oTce t etecmrs
/4r tittte:fJ ZIP: ear um s td -Guam uucd
_ �? �q)�-
ij
ione:, _SovS Fax: ,S� E-mail. stB /space urnac urtxr_ _BTU
X$
no.: �3/tf --- Cncludin ductwork/vent liner Q'(cs O No
�� stall, aceh>•ocate heaters—suspended,
tv/metro lit. no.: � wall,or floor mounted
time(pleaseprint): p f,[ c /,ti/x•L„�t2 entora lance o tr than ace
CONTACT PERSONeo-lgeta is:
rme:
Absorption units ,BTt,I/1{
Chillers -HP
Idre s. Com Lessors iip
y
En oamen t '! asst aa�rentNla'� _--��_ State: ZIP: Appliance vent
one: Fax: E-mail: er ex roust
oo .�'ype UTITres TclicTicnTazmat
me; hood fere suppression sysa m
Exhaust fart with single_duct(bath tans)
LL ilutg addles : tt /L _ x lust system in rem ea r C
Hv: in�State: zip: 7zZ. uel P P ag ri udon(up to 4 outlets)
N ine: Fax: E-mail: T ix —. LPG NG_ Oil
ue iring_e,_a.._t, a d tlonai over 4 outlets
ncem ptplag(se cmatic required i _
J re: Number of outlets
m Iress: _ - - Othsr spp''lince or equ pmeat:
Decorative fire !tire
L't V State: Z1P: insert-type
-' lie: ax' I E-mail: oodstove/ps et stovTe` ---
licant's sfg►Latutt Date_ do
e (print): — Other N "
ianxJlaioRs&crept orcdit cards.Pl=rcall)urirlittiunfor more inrorrnalim, Permit fee`...... ..........a
r
❑MosterCird Notice:'Ali persalt application
Minimum ice ................$
and number: e-rpf'es rf a permit is not abrain ed Plan review(at %) S
explrty within 1440 says after It has been
Numc of cardnalde,est o-a oe credit car accepted ar complete. State surcharjge(S i)....,
$ TOTAL. ..S
Cudholder sltinaarre Amount ....•••••••••,..- '"'
CITY OF TIGARD 24-Hour
BUILDING i Inspection Line: (503)631"175
MST
INSPECTION DIVISION Business Llhe: (503)636-4171 _
BUP
L
Received _� Date Requested _ _L AMPM BUP
Location _ ____�� j--Suite—_ MEC
Contact Person Ph( —1 __cf fo !j —,5��Ci5 PLM _
Contractor._ — Ph( _ ) _--_ SWR
BUILDING Tenant/Owner —_� _ _ _--_ ELC
Footing �. ELC
Foundation Access:
Fig Drain ELIR _ _—
Crawl Drain _
Slab Inspection Notes: SIT —
Post&seam
Shear Anchors
Ext Sheath/Shear —
Int Sheath/Shear
Framing - --
Insulation
Drywall Nailing --
Firewall
Fire Sprinkler -----— --
Fire Alarm IN
Susp'd Ceiling
Roof
Other: - -
Final
PASS PART FAIL
PLUMBING —
Post&Beam
Under Slab
Rough-In
Water Service --- — —
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain
Shower Pan
Other-
Final ---_-v-��--
P T FAIL
ANI
s
4. Dampers —
cc PART FAIL
CTRICAL
Service
m Rough-In — - -
j UG/Slab
WLow Voltage
Fire Alarm
Final Reinspection fee of$__ — required before next inspection. Pay at City Hall. 13125 SW Hall Blvd.
PASS PART FML
SITE _ — G1 Please call for reinspection RE: Unable to Inspect-no access
Fire Supply Llne
ADA
Approach/Sidewal! Dtrb
Other:
Final DO NOT REMOVE thle In11111PeatlOn regio tffom the job elle.
PASS PART FAIL