Permit A (1 v
�° CITY OF TIGARD MECHANICAL PERMIT
lt DEVELOPMENT SERVICES PERMIT #: MEC2003 -00010
4. c � Il � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/14/03
PARCEL: 2S 115BC -12300
SITE ADDRESS: 12080 SW KING RICHARD DR
SUBDIVISION: ZONING:
BLOCK: LOT: JURISDICTION: KIN
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Install new AC. Cannot be placed in required setbacks.
Owner: FEES
WILLIAM SINAY Description Date Amount
12080 SW KING RICHARD DR.
KING CITY, OR 97223 [MECH] Permit Fee 1/14/03 $72.50
[TAX] 8% StateTax 1/14/03 $5.80
Phone: 503 639 - 1117 Total $78.30
Contractor:
GL HEINTZ HEATING & COOLING, INC.
20871 SW 216TH PL.
SHERWOOD, OR 97140 REQUIRED INSPECTIONS
Phone: 503 Cooling Unt Insp
Final Inspection
Reg #: LIC 102831
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- 01 -00: You- may - obtain- copies -of- these - rules- or - direct- questions- to- O UNC -by- calling
(503)246 -6699.
Issued By: ,'- „g G/ ,j', Permittee Signature: 07) p
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business
( ) Y p Y
01/09/2003 14:34 5036393771 CITY OF KING CITY
r PAGE 02/02
1;+QIZ OD 1CL'. IiSC ONLY Mechanical Permit iQfl Received _1,4 3 Mechanical
Date/8 : .. ` , Permit No„ /A _ 94o — Oad /O
Planning Approval Building
City of Tigard Datc/B ; Permit No.;
13125 SW Hall Blvd, 1JAN 0 9 2003 Plan Review Other
Tigard, Oregon 97223 Date /B : j Pemnit No.:
Post - Review Land Use
Phone: 503-639-4171 Fax, 8�f�6AtRD ;���, j el' n Date/B = Case No.:
Internet www,ei.tigard.or•sulLpl(�G QIVISI ilPi1�°I!I Contact 23 see Rage 2 for
24 -hour Inspection Request: 503-639-4175 ` "'"" M Name/Method: Su rtemental tnformsttto
aw
I
� i I . , 1 -�.�r O l .r. n.• ... i "i ('1-.; ARUM l.. liii� O ili?i, } � n} ��Mlir�.� M YMM.M: i
' ,�;;:I;ji ?:1 � "�I,�i�r•� (
. ���! l� ,w�li��,�77Y�,�d! ?:�•'''�u'r. ,..�
• - w cons ion UU Demolition Mechanical permit fees* are t:iiased on the total value of the work
IR Addition/alteration/r • lacement NE Other: performed, Indicate the value i (rounded to the nearest dollar) of all
w ..:, ,, mechanical materials, equipmll.nt, labor, overhead and profit.
�:: r;'' ?s;i ?'�� � '�����1.�'1hal.�.�'��;�`':��;e. lFi ��9� I (`, 1!:,.,,�;i<<.:f, . V $ Page rFee Schedule
d ustrial See Pa
• & 2-Family dwelling ■ mercies /� I °('I 1 NI 14 .�°:! Ptil� ' . . -� ' .
• Accesso Buildilx_ ■Multi Famil'' ' - "
Dscr;; li on r Qty Feecea.) Total
III Mast r Builder "l �f a in_ , b :
e wilder � ■ Other:
f :, ;,:.� „ °., -01. .• t� i +. : a"t'a� , , m � EMI 1.l ,Iksl:; e ' >” ' : Ol t Furnace - add -on air conditioning ** 14.00 -
Job site address: w_ 11 F/ ii RieelgeAgfeiE Gas heat pump _, 14.00
Suite i<#: B!. " . /A. t.##: Duct work 14.00 .
klydronic hot water system 14.00
,., bet Name: Residential boiler'
Cross street/Directions to job site: (for radiator or hydronic systr tea) 14.00
Unit }seaters (fuel, not electric i)
(in wall, in -duct, suspended, 1!te - 14.00
Flue /vent (for any of above) 10,00
Lot #: Repair i
Subdivision: ,. .. ::;oilier ?:i'uelr 10:iXtes :. ;
12,15
..�I �n� 10.00
'
.. Water heater o0
S ,<�:- �: - ,W� • ?i:,c i `i:Y ",'I` ' ;s 10.00
�� ",1� ?;,.',�� 14``=Yl;; �' t �.,i,, ' "l'J..y Q7 '.T.? i' t �; Gas .fireplace
•
a . flue vent (water heater/gas fire ,laced 10.00
1'I'�t 4
Log li hter as 10.00
Wood/Pellet stove 10.00
Wood fireplace/insert )0.00
Chirnnliner /flue /vent 7 10.00
acM!!.I Aj t a , , , . I Other: 1.0.00
{' �;� i " i .,,1 ,'ir.��.l�f.�� l�ljll ��1 #�1�1N{�I�AYrYC,. %�Irh•4�V a ��;ili � I .i q! :( • tl1 , .
rtvlr"d ¢f zll ti it enti i ;c
______,PRI= , , }yam � Range hood /other kitchen eel aipment 10.00
r �:, r" ' it , Clothes dryer exhaust 10.00
Viet Single duet exhaust
Phone: A . — � ' = (bathrooms, toilet comparttnlints,
� �, : :
ii. � ji ,�j� : e, '. j 6'I'P,,,I, ,: , !! . J ::3, i :iE9'f� Hk'n."�q`llfilfil nbliMESE i•lr `' {:ii utility rooms) G • 80
Attic /crawl space fans 10.00
'� Other: 1
... , ..,: r . .:..
Address. �I,>"! 'l l# ilk 'i:;: ;. ;,:..�::;.,
City /State /Zip: **(55.40 for first 4, $1.40 each additional)
.,. C7 Furnace, eta **°
Phone: ... _ Fax: Gas'heat pump **
E -mail; , Wall /suspended /unit heater *"
KEW Ii h't „'r y + i{ } '�rli gel �{? � Water heater
.I�'. .i ;'' 1RII71H1€�a�a�.L1A l �a'iF;i . W ,
• Business Name: I �i l A e t7 OYMIII Fireplace � *4. Address: s 1. ` �jli at Range - **
,� ��1_.1 Clothes dryer (gas) *M
Phone: + (95- ,• a Fax: � Other: I' ** ._,
_ � To taL•
CCB Lic. #: ' / —O to , Ml idirjani T o t9 " J tti'r irs *: , . .
Authorized Subtotal: .. $
Signature: _ Date:
--0 I — j Minimum Permit Fee $72.50 $ 7 h _j
Plan Review Fee (25% of Permit Fc €) $
(Please print ztanael— State.Surcharge_(8 %- of-Permit Pee _ _$_ _ _ .Yr0
TO'I'L ICI, PERMIT FEE $ -,; r
Notice; This permit application expires if a permit is not obtained within *Fee methodology set by Tri- lbounty Building Industry Service Boa
180 days after it hal been accepted as complete. * *Site plan required for exterior A/C units.
i; \Dsts\PerrnitFonns \NtecpermitApp -doe 01/03 d — • •
CITY OF TIGARD 24 -Hour 1 • �.
•
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested AMC - PM BUP
Location f'S � ✓ �� gielLet-Aze Suite
MEC D43 �� °v /( �
Contact Person ( Ph ( ) 3 / 3 -5 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Ii ELC
Footing ? 3--///
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm / ZAP' - /
Susp'd Ceiling
O
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
= FAIL
Post & Beam
Rough -In
Gas Line
Smoke Dampers •
F
IIU PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 111 Please call for reinspection RE: Unable to inspect - no access
- Fire - Supply - Line
.) 6
ADA
Approach /Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL