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Permit r � oITY OF TIGARD MECHANICAL PERMIT . I l DEVELOPMENT SERVICES PERMIT #: MEC2003 -00454 ' .� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 08/04/2003 PARCEL: 2S 115BC -03100 SITE ADDRESS: 16750 SW KING CHARLES AVE SUBDIVISION: ZONING: BLOCK: LOT: 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: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1 10000 cfm: GAS OUTLETS: Remarks: Install exterior A/C unit. Do not place within the required setbacks Owner: FEES CLIFF MCDONALD Description Date Amount 16750 SW KING CHARLES KING CITY, OR 97224 [TAX] 8% StateTax 08/04/20( $5.80 [MECH] Permit Fee 08/04/20C $72.50 Phone: 503- 624 -2704 Total $78.30 Contractor: COLUMBIA HEATING + COOLING INC P.O. BOX 230397 TIGARD, OR 97223 REQUIRED INSPECTIONS Phone: 503- 624 -2704 Final Inspection Reg #: LIC 76359 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 - 001- 0100 You may obtain_ copies_of_these_r_ules or direct questions to OUNC by calling__ (503)246 -6699. • Issued By: , Permittee Signature: _L Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next busi ess day 07/31/: _103 12:18 5036393771 CITY OF KING CITY PAGE 02 p . tit 1 //22rr2001 10 :46 5036393771 CITY OF KING CITY PAGE 01/ 2 SERvr( CENTER Mechanical Permit Application o � llCE USE ONLY v . co City of King City Datertxelved: Permit dp q / / 13125 SW Hall Blvd. � Pro ct/appi. no.; Expire date: '~ Tigard, OR 97223 e' 3 9 I j� •' ClaC1Carrias C 1 � 1�- V Date issued; $y: Receipt no.: Multnomah Phone; (503) 639417f, PAX: (503) 684 -7297 Cosa file no.: Payment type; Washington JUL 31 2003 -___ c a o N r t g s Land use approval: Suitding permit no.; • ' r TV OF TIGPtKU - fl(P1F, OW PERMIT Q 1 & 2 family dwelling or accessory 0 Commercial/industrial ❑ Multi - gamily 0 Tenant improvement Q New construction 'G , ddition/alteration/ce ilacerctetlt 0 Other: - - -,, • .1011 SITE INFORMATION COMMERCIAL. I VALUATION SCHEDULE Job address; — 50 c SJ,<) 4 l�t4 .a.4./ Indicate equipment quantities in boxes below, I.ndir;ato the dollar Bldg. no.: Suite p: value of all mechanical, rnal:erials, equipment, labor, overhead, Tax map /tax lot/account no.: profit. Value $ Lot: Block: Subdivision: � "See cheCklixi for importan ,rapplication Info'?natlo, and Project naive' Jurisdiction's fee schedule fibr residential permit fee, C ity /ca wttty: � ZIp _ I & 2 FAMILY DWEL INC. PFRNIIT FIL" SCHEDULE Description and location of work on premises: AND COMMMERICAL/IND i .1 TRIAL. RI AL. E f stw data of completion/inspection: - Fil Fee (ea.) Total Description - Reg, oil Res only ' Tenant improvement or change of use: Is existing space heated or conditioned'? U Yes Cl No Air handlln unit CAM Is existing space insulated? ©Xes ❑ No Atr condition g (site p_ i ;tred) �� Alteration of existing AL s"ptn 'Ste MECHANICAL, CONTRACTOR :01 ef compressors 3 useless name: A. State boiler permit no,. l �ddtess: % �. ' ��e Hp Tons . 1TU/H Fire/smoke dam . =rs /duct smo tit detectors " . , d State: 64 ZIP: , 7 - 7.--,- Heat pum (site . an re • wire. 'hone:6, „ ' Faxj 9# , o E-mail: instal rap ACt, MAC: . .urner , . " - BTU " RINI ;CB no.: y " ----'~ Ineludltt: ductwork/vent Liner I.1 Yes CI No ity /metro lie. no.: Int3tal /replace/relocate heaters — suspended; ___1 wall, or floor mounted _ fame (•lease print): / 4/54 e. / .-J ent or a• • hence other than 6 CONTACT PERSON Refriget'at • e: Absorption units _ ETI)/IHi 'AMC: � . , , . . Chillers HP ddrrss: COM P s ore 1"1P ity: State; EP: - Env onmental exhaust and �t:'ntilnklou: At:: � � Apt hence vent 10 ., Fax; . Do"t Dryer ex aunt OWNER t Type U reg. itc • .tsi nat - mile: �� /�� Q hood fire suppression system �d'_.e__..a2_, Exhaust fan with in , le duct bath fans) 11111111111 ' ailing address; /4, ho. ) Exhaust system apart from teattr • or AC .440 ty• $t� �. Fuel piping and distribution (k,ia to 4 outlets) 4_4 u2 ZIP �r.,a one: . /. '; Fax: Type: �.� LPG NG _ Gil Fuel .1a each additions over 4 outlets _ ENGINEER Process piping (sc emetic requ, red) me' Numher of outlets =MIN dress: ether its • *pp .'nce or equiprent: Decorative fireplace Yy:.� J State; ZIP: Insert -• type " me: 1 Fax: E Woodstove /pellet stove � - llicant's signrrire- a�,�c Date: '� �/ _ether . ne (print); /` 'Y •ulcer _ . it jurisdictions accapt credit cards, plcuna ct,,(I ju litd;ct;oo for Mitt 1¢(omtYMlbn� Permit 1 °.ea,.... $ .Y/ �`-' (J a A htdst€r� grd Notice: This permti appl Minimum fee $ 70.... (' C- M^ c.htd number: Y_ / ` empires if4permit is not obtained I� latt review (at %) $ . ; Expras 1vltfit 30 S J rtk a been c ,� .. has . ... .... -� -- inm T 07/31/003 12:18 5036393771 CITY OF KING CITY PAGE 03 edeunvi4 HEATING & COOLING, INC. 8900 S.W. BURNHAM ROAD, SUITE E110 TIGARD, OR 97223 (503) 624 -2704 FAX (503) 598 -0270 JOB ADDRESS:_ /G 1,50. , S' .e ° SITE PLAN FOR AC OUTDOOR UNIT LOCATION CITY OF TIGAID 24 -Hour ;.: BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 - 4171 MST G BUP Received Date Requested o — 7 AM PM BUP Location 1' ' Suite MEC 3 00 T _g Contact Person i Ph ( ) .,y' e;----/ d 7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain - ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors - Ext Sheath /Shear hit Sheath/Shear Framing ,/ EcY�t// -1L �,L�i.,nGV l�ll���, J - 2 L_17 , 9 Zl� Lcc ,4 T Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm 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 PASS PART FAIL . ;MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers AS - PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Anal ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ° - ❑ Please call for reinspection RE: / Unable to inspect – no access Fire Supply Line ADA Approach /Sidewalk Date 7 —� Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL