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12280 SW KING RICHARD DRIVE
CITY OF TIGA D _ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2003-00449
13125 SW Hall Blvd., i igard, OR 97223 (503) 639-4171 DATE ISSUED: 7/31/03
PARCEL: 2S 115BC-13300
SITE ADDRESS: 1'1280 S`N KING ' —i ' RD DR
SUBDIVISION. ZONING:
BLOCK: LOT: JURISDICTION: KIN
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
' OCC'tJPANCY GRr: VENTS W/C 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: AIR HANDLI'JG UNITS
OTHER UNITS:
FURN >=100K BTU: <= 10000 cfrn:
GAS OUTLETS:
> 10000 cfrn:
Remarks: Itepkicinb e,:isting exterio,•.A/C ur't,puF1i/pull
Owner: FESS
NEIL BROWN Description Date Amount
12280 SW KING RICHARD DR "--
KING CITY, OR 97224 IML( 11] Permit Fee 7/31/03 $72.50
IT'AX] 9%Suitt,fax 7/31/03 $5.80
Phone: 503-670-9811 Total $.18.30
Contractor:
AA HEATING & COOLING
2915 NE MARTIN LUTHER KING. BLV
PORTLAND, OR 97212 REQUIRED INSPECTIONS
Phone: 284•t 17 3 Final Inspection
Reg#: LIC 222
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
.?nd all other applicable laws. All work will be done in acairdance with approved plans. This permit will expiip if wort[ is
not started within 180 days of issuance, or if work is suspended for more than 1 PO days. AT TENTION: Oragon law
requires you to follow rules adopted in the Oregon Utility N-'itication Center. 'hose rules are set forth in OAR 952-001-00
Issued By: - Permittee Signature:__.� �cZ �c�G ��•
Call ( 3) 639-4175 by 7:00 P.M. for inspections needed the next buses- day
07/30/2003 11:12 5036393771 CITY 01 KING CITY PAGE 02'
Mechanical Permit Application
ullty OI L Tigard ` ^anti 11(11.• p� -00Y
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nddi•e9s: 13125 SW"of Blvd,T; rroject/appl. nn.:
Expire dote:
riryoi rr�,,.d d gatd,OR 97223 E 1
Phone: (503) 0941'l l 1 Date r
issued
I Hy. Receim ,r.
_im i
ax. (5(1;) 59R-1961) Gift file no.: ��paymrnt type: t
Land use opproval: uiilfing permit no.:
dr 2 family dwelling or acce9srny U t ommerrial/industrial ❑
Multi-family m
U Tenant invimaveent
b Ncw cxmetruction U Addition/altetationlrepliieement ❑Othcr-
Job address
—_1__V C. _ ! _ 1jr' Indir,ate equipment quantities in boxes below.!hdicate the dollar
Bldg.no.; 3iO o. - - - vidtle of all mcchani+;ti rnaterialy, yuipmcnt,labor,ov�rhoad,
Tax tnapRax lot/accountno.: -------�- profit.Value fi _
Lot: _�_ lWod. Subdivision. `Sae checklist fix important appli,;ation information and
i'ro}ect name0AW -'"- jurisdiction's fer.9chedulu fur rrZfrfcmtial litmnit fee.
_C.ity/wunty: ZIP:
Detcription and to I' ,t)f work on pnendoes:A _14_ -
C1d.,t1�
FAL ditto ofrn
c. lp' apeotion. _ DErcrb6i _I�Jt�_ IRs Res x111
Tonant improvemet lignite of"Sc: - H,1tXC; _
Air handlin unit
is existing space{tested or rtmditirxred'1 LJ Yes G No -- —g-_ ��CPM
Air conditioning(site flan• of
la
existing apace insulatcd7 D Yrs 0 No p a.L ,,..,.,.,._..,.
Thnhan a irtingtin HVAC a iF
But er/cnmprcasorn -_. ___.
BUS=tress n6m0. Pt \�P o�. /�M Stale iroilnr ptmu'no.
Ae trss: G2_Y� l�l- _ wr r 7trna brunt - -
- -a Y �. _ Fire'lam ampern/duct ontoke d of bin"
C'ty Stato: Hrai limp faire pTa-n requTrc -
PI one. 'Z FAx: ^ E-maii: nate /rep are i`iirnacr►�Ii'Rmf --
C(T, no.: "ZZZ -- including ductworlUvent liner U Yes,:)No
- -- 1- a
_mesd -
Cmeet»iio,no.: Tanpace Ticte rie1`
Walt of fow mm,tied
None root t) ri
l Mace _
Natne; (}lillrrs tm unilr — -- `__ H lit/11 r__
Addm"* --` Com ressora Fh'f
anoaiwerr�'1�z�iraaii M se»' ai ren:
(;+y: _.._.Y__.___ State Zip: _ _ Appliance vein
pho e: Fax: E-mail: '_Urye�exTinuF_!
1fcwKTr;,� �%res.TriicheNharmm ----i_-_-_
hnod fire aupprnmaiou system
Name: Q L �( �LL�� E%hnuat fits with min le duct bath flull
MailinQaddrosa: Z Sri �f _ - �' Fithanst stern a Ire from heating AC - -- --
-City Sta6e: ZIP: 'G FIN
e Pious an tiles jnp to 4-6-1 t e")
� � x111 T c _1,P(; NG _ _ C)il
Phone:
�f Fstx: i✓-trail: l"urn�enc}afidrtiona�ir_v`eifiaial of is
'; :•r►ceslt pirjag(`ac�,e'rrtlitic t�,redl �--- - -- -..__-
Namr: Nrrnhrr of outlets
Address:-- - --�' - e,erli�itiip�iiscenegtllwc�ti --
-. Dvorative fireplace
City: State. ..--
Phone: �— Fax: E-mail: ontirtovelpel)fot stove ---- -- --
A_ttitlDate; - - --
Name nt �?-_ tUtban --
_ >� __.�_� _c-�c.•�a cue _ �.�_-___-__ ------ ---- — _._
Not all f irdkl,vM*Mf l tradil ands-p1mv..rail jorUdictinn mn mme Innrrmetinn Permit tCC .................. 'Q ,
/ N(1(e Iain permit a licnhnn ��—
Uvisa O Muarn:aM t pi' Minimum t,x ..........
c:nAit ettnl rnm6er:_-_ m�,piras if a pelmil is not ol>tuined
.,._„6i— vrithin IRO days alter it hu hers. clan review (at
— - — —--�
rceepled an complete State surrh urge(R%).,- f — - _i`me o c�ir�ieTddur a�shown on crc a ra
TOTAL. . . ............
`�_ tars a m.ipntarc'�_"".... �•-. M_�___- uoaen(eaxvrnMl
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07/'3012003 11: 12 5036393771 CITY OF KING CITY PAuE b3
AAA HEATING & COOLING, INC.
2911 NORTHEAST MLK JR.BLVD.
PORTLAND,OREGON 97212
(503)284-2173 FAX Mx)284-15;52
CCB 8 0(10222
Air Conditioning Site Plan
Ci stonier
Aldress
City, State "l�p�'�1.� _'Lip�_.:t ��►
1 _ - 31
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CITY OF TIOARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST --
INSPECY!ON DIVISION E usiness Line: (503)639-4171
BUP
J
Received _1_ Q to Re uesjed _ ._ — PM — BUP
_1 —_
Location �` � ) I�- -- Suite — MEC `�o�
�\\ L
Contact Person Ph PLM
Contractor -- - — -- ---- __-.._ - _— Ph ( ) -._-- --- — SWR _---
BUILDING Tenant/Owner --_—__.__ ELC
Footing ELC -___ _—_---
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam ----
Shear Anchors I ----- ---f�--
Ext Shear`i/Shear ---- -------... -- --
Int Sheath/Shear
Framing --- _ ._ ---- — --- -- ---- -- -- - -
Insulation
Drywall Nailing ---
Firewall
Fire Sprinkler -- _-------- --- --. -- ---- -- - ---
Fire Alarm \ _
Susp'd Ceiling ---- --- -----7--ir` r — _ - —
Roof
Other- ---__ _-- -- ----- _ _--__— ------------- --- -_ -- - -- -
Final
PASS PART FAIL
PLUMBING ------ ------- - ---�..
Post&Beam
Under Stab ------ -- —�_..- ---- - ----- - -
Rough-In
Water Service -- --- --- -__. ------ ---- ---
Sanitary Sewer
Rain Drains - - - ------- --- --------
Catch Basin/Manhole
Storm Drain -- -- - - -- - — - —.----
Shower Pan
Other: - --- ----.._ - ---
- --
Final
-PASS PAR FAII.
Post& Beam
Rough-In - - -
Gas Line
e Dampers - -
SS 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 _ Please call f9r reinspection RE: -__— _ ____.._ _ FlUnable to inspect-no access
Fire Supply Line— J
AD
<�+
Approach/Sidewalk Dots/ Inspect aua. _ -' ---_> - Ext _- --—
Other. _
Final DO NOT REMOVE this Inspection record fr6t i the job slue.
PASS PART FAIL