15715 SW QUEEN VICTORIA PLACE 15715 SW (ween Wictol•i, Place
i
CITY ®F TIGARD
/` R D _ MECHANICAL PERMIT
C i
PERMIT#: MEC2001-00376
DEVELOPMENT SERVICES
DATE ISSUED: 10/2901
.y 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S110CC-10100
SITE ADDRESS: 15715 SW QUEEN VICTORIA PL
SUBDIVISION: KING CITY NO. 3 ZONING:
BLOCK: LOT: 014 JURISDICTION: K!N
CLASS OF WORK: ALT FLOOR FURN: _ EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS WIO APPL: VENT SYSTEMS:
STORIES: _BOILERS/COMPRESSORSHOODS:
_ FUEL TYPES _ _ �0 3 HP: DOMES. INCIN:
ELE 3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
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: !rrstall through the wall heal pump. No structural per Kathleen.
Cannot to placed in the required set backs.
Owner: FEES
REDSTON, REGINALD P + MAROUITA Type By _ Date Amount Receipt
15715 SW QUEEN VICTORIA PL PRMT BB 10/29/01 $72.50 KING CITY
KING CITY, OR 97224 5PCT BB 10/29/01 $5.80 KING CITY
Total $78.30
Phone:
Contractor:
SPECIALTY HEATING & (TOOLING
9528 SW TIGARD ST
TIGARD, OR 972.23 REQUIRED INSPECTIONS
Heating Unt Insp
Phone:620-5643 Final Inspection
Reg#:LIC 66578
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
`o. more than 180 days. ATTENTION: Oregon law requires you to follovv rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
ol_i may obtain copies of these rules or direct questions to OUNC by calling (503)246-9189.
issue By: f �, i i.� is Permittee Signature: v _ _
Call (503) 639-4175 by 7:00 P.M. for inF )ections needed the next bu, gess day
16/25/2001 15:03 rn35393771 CITY OF KING CITY PAGE 02
11edianical Permit Applicatio
/ Permit no. t�� �
ti
City � l ,ali'(� � I'r
ofoject/appl.no.: 13xpirodate:
Address: 13125 SW hall Blvd,Tigard,OR 9 722
Phone: (503) 639-4171 t0 ; '
uv. I7iga 4Dataissued: By Recciptno
Fax: (503) 598.1960 }i ' - Casa:ileno: Payment type,
Land use approval: _ Building perntit no.:
all W t
1 &2 family dwelling or accessory 0 Commercial/indusutal U Multifamily 0 Tenant improv.snent
0 New construction Addition/alteration/replacement 0 Other- - -- _ - --
tl
Job address: / r t.� ,. Indicate equipment quantities in boxes below.Indicate the dollar
Bldg.no.: Suite no.: value of all mechanical materials,equipment.labor,overhead.
Tax map/tax lot/account no.: profit.Value$
Lot: H=ock: Subdivision: •See checklist for important application information and
Project name: b " jurisdiction's fee schedule for residential permit fee.
City/countyS ZIP: �J 7
Desc ption and tion pf work on remises: In t s t ,
Est date of completion/ins ction: // 4 1Dest:tiptinn _ Ron.ont Res Ott]
AC:
Tenant improvement or change of use: A:r handling unit CFti1
Is existing space heated or conditioned'?*Yes 0140 p.-..,n tionin (site pan requtred)
is existing space insulated? es 0 No _on o exis ng VAC s stem
s co�nrs
S .e boiler pem It no.:
fiusinErss name /�L'f{ z� _ h h HP _ Tons BTU/H
Addres� U� ametsuctsmoarectors' 3
Cal 41 State:0 4 ZIP:q J 3 cat pump isite p an re uired)
Phone 3Ga�6J-a! Fax59 _'i_ F, mall: -
nsta rep ace htmac umer I t iH
In�rludin d��' uctwn,rk/vent liner J Yes G]No
CCH no.-
city/metmi1c.no'. ( wall,or floor mounted
Natne(please Ienc for a Iiance o er than furnace
s gertt on:
Absorption units _ BTU/H
Chillers HP
Name: �� N .a1C h��i>� - --
�-�� __ Com ressors_.__ HP
Address: .5.P- g" �t-V T! �T s�1
,n rotunental e. tat and ventilation:
City' f el 5trl a G' ZB': �� Appliance vent
Phone. ti.20 Fax: e-4ZJI9' E-mail: ryer�zhauat Hoods,Type res tcheNhazmat
hood fire suppression system
Name: -0AG i!J Exhaust fan with single duct bath fans)
AC
Mailin addres ; ,C i"L N .iiaunts stem a art rom hes n or
Fuel piping an diminution(up to Outlets hit State[) ._ 21P: C Type: LPG r4a -Oil
Phone- 111 •• l:ar E-mail: -Tuel piptii each a iuona over 4 outlets
tocoaapiping(schematic retfured)
Number of uutlets
Name: _ t.er llsit*d Lapp ranee or equipment:
Address: Deromfivefire lace
city. State: Z111till -type,,--
Phone:
-- oodstor pe etaatove
ax; E-rnail: er -- —
Applicant's sign ure: Date: � Z a, Gr/ _
Name(pnnt): +N eC N .SsE'I.V�C/'' _ —� —�—
N I I�Mtdl_tlaru aeapt cndil eorcb,ploaso call Inr,tAieucm Icx mae Mfmniador. _�� Permit fee.. ..,.............$
Notice.This permit application Minimum fee................$
Wnv qs U Mastercard 5 4 �+ expires if a permit Is not obtained _
Plan review(at — 96) $
cRalt rant numDrr. 'ila.�__l�i------- - pitti ` within I AU days after it has beennit State surcharge(8%)....5 �7�G
sora o c aha non .e 1 cue accepted of complete. TOTAL ....$ 31)
"0-4611 A03COMI
10/25/2001 15:03 5036393771 CITY OF KING CITY PAGE 03
SITE PLAN4
PL
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2 V I
STREET AL
Specialt}
1
952
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Phone 503.; I�°
Hillsboro Phone
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ---- —------
CC� I:iUP
Requested D _AM_ PM --_— BLD
Location S l ; S ?� � 'L.�-�1 Suite �` MEC
Contact Person c� '�v� _! Ph 62 U S(o , 3 _ PLM
Contractor Ph _ SWR
BUILDING Tenant/pGi:�or ELC
Retaining Wall U ELR
Fuoting Access:
Foundation FPS
Fig Drain
Crawl Drain Inspection Notes: SGIN
Slab
Post&Beam I — SIT
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation -1
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -- —_--__
Roof
Misc
Final
PASS PART FAIL ------ _ __
PLUMBING^
Not&Beam - -- --- --
Under Slab
Top Out -
Water Service
Sanitary Sewer -- —
Rain Drains
Final
PASS PART FAIL
MECHANICAL ------ --- - -
I'ost& Beam
Rough In �
Gas Line
A",
Smoke Dam s �.._�
- -- -- ----- -
PART FAIL
ffMTRICAL - -- -
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 Please call for reinspection RE.
Fire Supply Line I ] P _ �_-- [ ]Unable to inspect-no access
ADA
Approach/Sidewalk —
Other Date — l! _- �' Inspector �-' Ext
Final
PASS PART FAIL DO NOT REMOVE this in-%pi; Von record from the job site.