Permit CITY TIGARD MECHANICAL PERMIT
Ij DEVELOPMENT SERVICES PERMIT #: MEC2000 -00501
� . - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/21 /00
PARCEL: 2S 110CC -05700
SITE ADDRESS: 16035 SW KING CHARLES AVE
SUBDIVISION: KING CITY NO. 3 ZONING:
BLOCK: LOT: 031 JURISDICTION: KIN
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
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: 1 AIR HANDLING UNITS OTHER UNITS: 1
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Replace Furnace, install A/C
Owner: FEES
JOHNSON, FRANCES DAY Type By Date Amount Receipt
GYLLENBERG, JANICE E PRMT JMT 12/21/00 $72.50 KING CITY
16035 S W KING CHARLES AVE 5PCT JMT 12/21/00 $5.80 KING CITY
KING CITY, OR 97224
Total $78.30
Phone:
Contractor:
SUNSET FUEL CO
PO BOX 42287
2944 SE POWELL BLVD REQUIRED INSPECTIONS
PORTLAND, OR 97242 Mechanical lnsp
Phone: 503 -234 -0611 Final Inspection
Reg #: LIC 00002374
ELE 26 -113C
This permit is issued subject to the regulations contained in the Tigard Municipal 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 Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 -0 -0080. You may obtain copies of these rules or direct questions to OUNC by
calling (503)246 -9189.
•
Issue By: Permittee Signature:. rn 124
Call (50 639 -4175 by 7:00 P.M. for inspections needed the next business day
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12/21/2000 09:08 5036393771 CITY OF KING CITY PAGE 02
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Mechanical Permit Applicat . . A r etio4nived: a ..,2 Pointe no,fi7lG zany
.: l 'I l ' City of and / V) /
,� 1 .,ject appl. no,: Expire dat
r9ttf7Ygard Address; 13125 SW Rail Blvd, Tiga bsR 97223 r! , . . . . .
Phone: (503) 639 -4171 `�. Wood: By
Receipt no.:
fax: (503) 598 -1960 Case Ss oo.: Pr<ynneettype!
• Land use approval: Building parnitno.:
111'1 tel I "1..ti11iii
CI 1 & 2 fchmil"y dwelling or accessory Ca Canmetcial/industria1 C: Multi - family 0 Tomtit improvement
C1 New crmstruction ' Addltioldalterarion /replacement C Other.
Joy sui t. INt °it s1 11 I0N ('4►;\1'11',I■1 1.\I \ All A110\ :•.r IiI u1:1 I
-Job address: 0 - �,lhil: talM Indicate e9uipment quantities in boxes below. Indicate the dollar
R1dg. DO,: %lire . • .- value of all mechanical marerlals. equipment, labor, overhead,
Tax mapItax lot/account na: profit. Value $ ,
Lot: Mock: SaN4i.'taion. *Sae Obecbllst for ha1po1Tartt gpplicatlol'1'irtfbr dot+ eta
Project name: r . a .. d • $C In Urlsdlcdob's fee schedule for residential • ermit fee.
Ci /courtly: r,, r � 4 Z1P: o Timm I .; .' 1.tall! 1 1►1ti 1.11.1N,. 19 i 1 1:1; :+r lit ill 1.1:
a dl. ,,,„ •ckon.r;. ear � �'F►:1\11(Y► \I) 111( 1i: ur ly l�l:'ll.1 %11.� +1 11"111.\INt. III :1011,1:
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Ear. dare of completion/i .: • ,. lion: Detlai l.':1J Fig RA, ,
Tenant improvefnont or change of use: , A
To oxiating space heated or • , , tioned'l t'ea (:1 No Alt baAdlin ,unit CPM
t:
Is existing 1l • ..•insulated . - • es (3 No Aroma . Dung, . roggaroeo r s'M E
t Wallin 0 existin : AVAC .. .1.M/ Min
X11(I1.\; \11.1I. (1) \ I1tA 4 '11t1t . 4•i:. •o mproasors
Business name: Stare boiler •eerroitno,: 1
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Phone: - . . 1 P• 1„.7 ; �. mall: I fag 1 - . am • s
CCI3 nti . Including de elwiaritivant Hu- ea O No ! •
Names lease .rink :
sta 7 > a- - -reentered
a eaters -sus. �
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(p ) ii rent ' er -.. , e o , .:. .en • mum �
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Abaorpdolremits EMS 11111111
Name: Chillers : gp
Address: •, •• . reeaam _________ - RP ��MU
City: State: ZIP: r _
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Name: aIR " . ♦ >! 8xhapst fan an Wide witfh : , . :. e duc duct .. th Palm) 111111111.111111111 .
Media ti address: 11 N i ► rreg i a oust nyslem .. art ` .m . eatrn : or M.
7 'r ' r �lulartai`gkla ' , . , , ' , ,n hip to ' 1. 1.11111111 PhD : , ► A . E-mail: j. _LPO .,..._...- N13 Oil
l;tfif' cacti :. ,, ova over • on =MIN
1 12 cans, pug s crap l
Number of outlets 111.111111111.111111 .•
Address: D 4, . I' tp.... , a II�_�
1)ecorativet: -lace
City E Er Iruert- J ..
• Phone: E-mail' °odor° . , et8tnye liallIMINIIIIIMIll
A..licanfa signature: Date: ,, , 11111111111111111 • N a m e . nt): ili — .
Net all}aufddtadom =apt ma* CAMS, please 4411 ltrrirdlctlao for 4hreta 1.161 tvellak, Pamir :fee �,k: •
0 Visa 0 MasterCard Notice: This permit application minim Pee $ .[:ik: •
1 Cromt card aster; expir'Cs if a permit is not )btalned plan review on %) $ --�"r
4104 within 130 days after It has been Staff Surcharge 1 " Nome Circardbeldet 4. Arm. an emit' Card accepted as complete ar�U" (g�) ....
$ TOTAL $ W i. .
COITUi ddIf algoauae ArstArnt -
410- 4811 (6/00lcOMt
•
Too i j OlIVOI L ilo A,xIO OMIT 888 S09 X',q i'$ :OT nu OO /pT /aT
CITY OF TIGARD BUILDING INSPECTION DIVISION _ MST
221-Hou? Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested ilegalf "— Z._ AM PM BLD
Location /60 35 Sw ,t'Hj C44 Suite MEC ae— -c ' 5
Contact Person Ph 2 -3 4 (- 6 /( PLM
Contractor Ph X It Z SWR
Tenant/Owner ELC
Retaining Wall 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
PLUMBING4 w?
Post & Beam
Under Slab
• Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
/ACHANI,C` ,3.,, _ - ,,.__. •
• Post & Beam
Rough In
Gas Line
Smoke Dampers
PART FAIL
Service
Rough In
UG /Slab •
Low Voltage
Fire.Alarm
Final
PASS PART FAIL
•
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall; 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA —
Approach /Sidewalk Date Q ( (0 `7/ DI Inspector 4q5 S/C ti Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.