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12240 SW KING RICHARD DRIVE i i r.+ N A � n U3 �l n Z d CL v 12240 SW King Richard Drive 1 CITY OF TIGARD MECHANICAL PERMIT — DEVELOPMENT SERVICES PERMIT#: MEC2003- 0016 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/16/03 PARCEL: 2S 115BC-131(j0 .,ITE ADDRESS: 12240 SW KING RICHAk7 DR :.f BDIVISION: 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: S1 ORIES: _ BOILERS/COMPRESSORS HOODS: _ FUEL TYPES 0 - 3 HP_ DOMES. INCIN: I-PG 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 30 HP- REPAIR UNITS: FIRE DAMPERS?: 30 50 HP: WOOUSTOVES: GAS PRESSURE: 50 + HP: CLU DRYERS: FURN < 100K BTU: 1 _ AIR HANDLING UNITS � OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: kc-place gas furnace. Owner: _ ` _ _FEES FERGUSON. JAMES D Description ^� Date Amount 12240 SW KING RICHA'2D DR --- KING CITY, OR 97224 I'vtE( III 11cunit Fee 1/16/03 $72.50 1 FAXI s,' —stateTax 1/16/03 ?3.80 Phone: 503-231-1405 Total $78.30_ _ Contractor: COLUMBIA HEATING + COOLING II`,C P U BOX 230397 TIGARD, OR 97223 REQUIRED INSPECTIONS Phone: 624-1704 Mechnnical Insp Final Inspection Reg #: LIC 76359 This permit is issued subject to the regulations contained in th(- Tigard Mr.rnl-inal Code, State of Ore. Specialty Codes and all other applicablF: laws. All work will be done in accordance with approved plans. This permit will expire if work 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 rales are set forth in OAR 952-001-GO 10 through OAR 952-001-0100. You may obtain copies of these rules or dir-ct questions to OUNC by calling (503)246-6699 Issued By: - r c 1 ! .YL7 �. � Permittee Signature: __ rte / l Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day L 01/15/20 • 09:27 5036393771 CITY OF KING CITY PAGE 02/02 f LUUNTY 001 10:46 5036353771 CITY OF KING CITY PANE 01/02 I KI SERVIaaSTER Nfechanical Permit Application City of King it? C J�. L I V L._�,..` -� oats rcccivM: / [� Permit l-i 125 SW Hail Blvd, PMjsct/*pl. no,: F_xprre date; Tigard. OR 97:13 ,AN I �p�? pate Issued;_ Ety� Receipt no.; Clackamas Phone: l St)3l 639-41 7 t, PAX: (503)684-1., Multttcmah CaaO file no,: Payment t Washington CITY OF TiGARD L_--Y� c t, N , t t • Land use approval: 3I III DING DIVISION Building permit no.. ? family dwelling or accessory 0 ConunercialAndu,wai 0 Multi-fArttffv U Tenary improvement ] Vrw Cottstructlon ddit,orl/alteration/replacemenr J Other JOB SITE INFORNIAT1110N Job address: 1,;;4 Ali Q ��1 Indicate.equipment qunndtles In Moxa below, Indicate the.dollar Bldg.no• I Swte value of all mechanical rn rwials,equipinent, labor,overhead, Tax map/ta- ,ot/account no, prvt'it, Value S L.ot: l�lO'-k: Suomi __ f.5ee t ndckli.rr for Impon4r,t appllcar on ln�-7-tatlnn and Project name.: J -' ,/uris(ictiom'f fee sche.'dule.,br restdPntu:l permit fee. City/county: /� 1ZIP: Description and loeabun of work on prernlws: Esq data of completion/ingpCCgon:�� Fra ­_ Iktst.'ri tion , Rmoul Res oalVI rerivrit improvement of change of use: tom', Is existing space heated or conditioned'? Y41; 0 Nv Air handling�iYn�t__► CFS Airt:onditionul (site I,tnr -'red) 19 Midug space insttdated?0 Yes ❑No —._� .L _ t aTtaradon of exJstir,q Au .7 stem s Heiler i�ss�7rs - I usiness name: Gf� �( t i Suite hailer permit no,. i �ddlnss: - F(P Toru 30 -7�* l^`tfrJsrrinke dam mid smokee detecaorf 'hone! 'Y 7 Z'j eat�'ump(site plan requi �,u7y a� Fax: p�2p E�ntafl: ,.�t4il/replace furnacr/'>urntr Nyi no.: 3� incl .dlndurtwotic/venr liner ❑Yes rJ No �(2"" Inst.Il/repiacelrelneate hetterj-suspended, �1 wol ,or f uo. mounted I eme I lease prinq: � � enc fore !torte other than��,trnace '�l CONTA4.�T PERSON Refrigemilien: Absnrptfon units ..._f3Tu(H I AMC. i �f;1f�l� r'hitlero ___ _ _HP -.. ddrws: ��"-- Cure rtssors pip --- En oomentnl eahalL,t app Mi-a oe: Ap linnce vent one: 02 ,� Fax�j 0,.�7 6•mail: 15ryer ' �-toodl,�"ype t�tc�-rv��usmar -� hood fire suprr,�gsio,'f system Exhaust fan with single duct(h ah fans)_ I _ ;fling address: IZ'Khally system;1^2.t from rreatln or A J uel t rn and dfstrtbudon .r rod our ers __ ZiP: _ P�pn f'p }� I - - Type, _• LPG Nt; Off _ 3 Fay• mall: Fue piping each ad tuonal 4 out ets Roca"piping lac emauc r-egri r ) M Number of outlet dee g: --- - rcr Ilsicd appl�nae er—equipmeatt 1 Ii �T�iT- �_.....,,—_ ': nsart me: Fax: E•mall: oa stove/pe eflTSi0V,e Ali-un Ns silrnattere; Date; ther. "— re(print): — / r.herr _ I -_� ^�tt —,1 J t urturicuou accept Crtdit erdll,olave eall)un�diauoa fol lure I�/�rrrytlan. Permit fee. . .................S a 0 Ntr+ttam`kti Notice:Thir permit applkaltfan Minimum fee ................S y,ra,�mb.r; erplres{/a p•rtntr(s net 76rtuned Platt rr.view(At .ter..: wUh/n 1ffl0 dare eller it Ant&.,.w CA% Y OF TIGAR© 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP Received Date Requested___-_____ AM —.PM — BUP Location Z- Z ��' r�/ j.-�) Suite — MEC, .r-- Contact Person __� _ _�� __ _ Ph(— ___) �� ���70� PLM Contractor__-_ -_._ Ph SWR BUILDING Tenant/Owner _- ELC _ Footing Foundation ELC Ftg Drain ess. ELR Crawl Drain --- Slab Inspection Notes: SIT Post& Beam Shear Anchors — Ext Sheath/Shear Int Sheath.Shear Framing -------- -- _ Insulation Drywall N.";ng - ------- Firewall Fi-e Sprinkler -- Fire Alarm Suspd Ceiling -- - _-- Roof Other:._-- Final PASS PART FAIL PLUMBING ---------- Post&Beam Under Slab --- Rough-I. 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 - -- -- --- - — - (-Filer ) VC—T R_PAP,T FAIL ICALL -----------------— Service Rough-In UG/Slab -- Low Voltage Fire Alarm Final [� Reinspection fee of$-__ required before next'nspection. 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 Inspector Ext Other:_ Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL .ai�l�