Permit CITY OF T I G A R D MECHANICAL PERMIT
,� DEVELOPMENT SERVICES PERMIT #: MEC2000 -00449
'` ,.� I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/16/2000
PARCEL: 2S115BC -10700
SITE ADDRESS: 16550 SW ROYALTY PKWY
SUBDIVISION: ZONING:
BLOCK: LOT: JURISDICTION: KIN
CLASS OF WORK: .ALT 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: 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:
FURN > =100K BTU: <= 10000 cfm:
>
GAS OUTLETS:
10000 cfm:
Remarks: Installation of furnace.
Owner: FEES
D'AGOSTINO, NANCY E Type By Date Amount Receipt
16550 SW ROYALTY PARKWAY PRMT DLH 11/14/20C $72.50 KING CITY
KING CITY, OR 97224 5PCT DLH 11/14/20C $5.80 KING CITY
Total $78.30
Phone:
Contractor:
TRI TECH HEATING
6603 NE 137TH AVE
VANCOUVER, WA 98682 REQUIRED INSPECTIONS
Mechanical lnsp
Phone: 360 - 891 -2002 Final Inspection
Reg #: LIC 101873
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 952-001-0080.
You may obtain co f these rules or direct questions to OUNC by calling (503)246-9189.
Issue By: /�� Permittee Signature: 1J71/ oG/ C' (}-- -7d-7i-f =A-}<
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
11/14/2000 11:41 5036393771 CITY OF KING CITY PAGE 02
CE -COUNTY Mechanical Permit Application OFFICE USE ONLY
(l ` 1 to received• t frIL1 /JECZ
‘.5,; (..±,?- ; r City of King City Permit no. oo -pa
d 13125 SW Hall Blvd. 1d no.: Expire dale:
Tigard, OR 97223 • Date issued: By: [Receipt no.:
Clackamas
Multnomah Phone: (503) 639 -4171. FAX: (503) 684 -7297
Case file no.: Payment type: •
Washington
c o u N T. E s Land use approval: Building permit no.:
TYPE OF PERMIT
Cl 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 Tenant improvement
0 New construction ❑ Addition /alteration/replacement 0 Other:
JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE
Job address: i65"5c, 4 4 a 1 1_ _ Q 10..„, t Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: Suite no.: '_T value of all mec at 0s, equipment, labor, overhead,
Tax map/tax lot/account no.: profit. Value $ .
Lot JBlock: 'Subdivision: *See checklist for important application information and
Project name: - jurisdiction's fee schedule for residential permit fee.
City /county: 1 ZIP: I & 2 FAMILY DWELLING PERMIT }EE SCIILDULE
Description and location of work on premises: AND COMMERICALffNDUSTRIAL TQUIPN9ENT SCHEDULE
- Fee (ea.) Total
Est_ date of completlonfiinspection: _ Description Qty. Res. oily Res. only
Tenant improvement or change of use: -1— HVAC:
Is existing space heated or conditioned? 0 Yes 0 No Air handling unit CPM
Is existing space insulated? Cl Yes q No Air conditioning (sit( plan required)
Alteration of existing HVAC system
MIF.CII ANICAL CONTRACTOR Bot er compressors
�� } State bo iler permit no.:
Business name:
Address: . e , 1. HP Tons�a l
Fire/smoke dampers/duct smoke detectors
City: ` Ytil ZIP: 4 7:12v, 7. Heat . ump (site plan required)
PhoneSSO- •8 - ' . ax: . /_ q/0 E -mail: testa fireplace furs - .umer :TiJ/H
CCB no.: 13 3 /� y Including ductwork/vent liner 0 Yes O No
4 v Install/replace/relocate hearers - suspended,
City /metro lie. no.: wall, or floor mounted
Name (please print): y S u i d Vent for appliance other than furnace 1 `
CONTACT PERSON Refrigeration:
Absorption units BTU/I-1
Name: '50L3.vt_ -e Gr Nbo J Chillers , HP •
Address: Compressors HP
City: State: , ZIP: Appliance exhaust and ventilation:
Appliance vent
Phone: Fax: E -mail: 'bryer exhaust
OWNER Hoods, ' ype I/ Ekes. kitchen/haanar
r hood fire suppression system
Name: /v ,A Al A
f g A- DS , o� 0 Exhaust fan with single duct (bath fans)
Mailing address: , -5„, �O •'? Exhaust system art from henna or AC
City: i � Z t•: a �, Fuel piping and distriba on (up ro 4 outlets) —
Phone: Fax: E -mail: Tom' LPG NG Oil
Fuel piping each additional over 4 outlets
ENGINEER Process piping (schematic required)
Name: Number of outlets
Address: Other listed appliance or equipment -
Decorative fireplace
_ity: i State: [ZIP: Insert - type
Phone: [ F ax: I E -mail: Woodstove /pellet stove
a
1pplicant's signature: f Date: Other.
Other.
Jame (print):
•
a all jurisdictions accept credit cards. please call jurisdiction for more information. Permit fee $ 72..E
Visa ❑MasterCard Notice: This permit application Minimum fee $
edit card number: / / expos (f a permit is not obtained Plan review (at %) $
Expires within 180 days after it has been �]
NUM of c dhoIdrr as ahaurq oe credit card sacs red State surcharge (8%) $ v
$ p as complete. TOTAL $ ----
Cardholder signature Amount
4404417 (6
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
�� -a� - DO BUP
/ ,,Date Requested AM PM BLD
/
Location < %'5 tli / L. Suite MEC p� --ao9V?
Contact Per /OW tt I y'b.4o Ph 6'2 O — 7/ " 7 PLM
Contractor ✓✓ Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
rno
Footing c esS:
Foundation FPS
Ftg Drain L d 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
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
./1111ECHAPEC
Post & Beam
Rough In
Gas Line
Smoke Dampers
l PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
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 �y
Approach /Sidewalk Date //1 /' 78/ 0) Inspector �'e/ Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.