15835 SW ROYALTY PARKWAY 15835 SW Royalty Pkwv
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639.4175
MST
INSPECTION DIVISION BLISiness Line: (503) 639-4171
BUN -_
Received __ _Date Requested' " — AMFM BLIP
Location . 3 S Su) Vo /� kw Suite_ - MEC O. -DU-�7 9
Contact Person __-___ Ph(----) jgu'5_Te-// - _ PLM
Contractor . ----_-_ _ _-- — _ Ph( ) -.---- __ - SWR
BUILDING Tenant/Owner _ ELC
Footing
Foundation ELC
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post& Beam
Shear Anchors
Ext Sheath/Shear
Int Shea(n/Shear
Frarring
'nsulat;on
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
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
PASS PART FAIL
Post r
Rough-In
Gas Line
Smoke Dampers
Fina /
PART FAIT_
CT_R_IC_AL
Service
Rough-In _
UG/Slab
Low Voltage
Fire Alarm
Final u Reinspection fee of$--� required before next Inspection, Pay at City :-fall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE _ _ _-_ Please call for reinspection RE:—_ Unable to inspect--no access
Fire Supply LineADA 06
Approach/Sidewalk [?ate It -G _ _. Inspector ` W_ Ed _-
Other:
Final DO NOT REMOVE this Inspection record frog the job site.
PASS PART FAIL
CITY OF
T I GAR D _,MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002-00379
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 3/28/02
PARCEL: 2S1 10CD-03000
SITE ADDRESS: 15835 SW ROYALTY PKWY
SUBDIVISION: KING CITY NO. 2 ZONING:
BLOCK. LOT: 005 JURISDICTION: KIN
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UAIT HEATERS VENT FANS:
OCCUPANCY GRP: R3 VEN(5 WIO 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:
ODSTOVES:
GAS PRESSURE: 5CLO DR
0 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
CLO
GAS O
FURN >=100K BTU: <= 10000 cfm: ASOUTLETS
> 10000 cfm:
Remarks: Replace furnace.
Owner: � FEES
DANIELS, MARYON C TRUSTEE Type By Date _ Amount Receipt
15835 SW ROYALTY PKWY PRMT RCP 8128/02 $72.50 KING CITY
KING CITY, OR 97224 5PCT RCP 8/28/02 $5.80 KING CITY
Phone: Total $78.30 .r
Contractor:
BELL HEATING
15550 SE PIAZZA AVE
CLACKAMAS, OR 97015 — REQUIRED INSPECTIONS _
Mechanical Insp
Phone: 503-656-1184 Final Inspection
Reg #: LIC 447
PLM 3-286PB
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(c.Qp' f these rules or direct questions to OUNC by calling (503)246-9189.
Issue B '� k' j�l ._ Permittee Signature: �( `
By:
Call(503) 639-4175 by 7:00 P.M. for inspections needed the next business day
06/23/2002 13:39 5036393771 CITY OF KING CITY PAGE 01/01
T(U-COUNTY
SERVICE CiNTIR Mechanical Permit Application '
I
City of King Ci r Date received: '�Z
13125 SW Hall Blvd. Projeeh/appl.no.: Expire date;
ClaTigard,OR 97223 ''�+� Date issued: By eceipt no.:
Multnomah Phone: (503)639.4171,,F 3)684-7297 Case file no.: Payment type' ~
Washington —
c o V N T I e s Land use approval: Building permit no.:
1 '
l &.2 fantily dwelling or accessory U Commercial/burdustrial ❑ Multi-family 7 Tenant improvement
❑New construction O Addition/altemtion/replacement O Other
� ow ! 1 1 1 1
Job address: /3"�s 5� rlSt��L fndlcaa-ty.luiptncnt quantities in boxes below, Indicate the dollar
_ -
Bldg no.: _ Suite n. value of all mechanical materials,equipment, labor,overhead,
Tax map/tax lot/account no.: _ ~� profit. Value S
Lot: 113hoclL� bdivision: *See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee,
City/county: ,r t' ZIP : 111 1 Eaglwaz.-t t
'
De ripdon and Ioca on of o on p miser: p^A.e'V ' 1 r ' 1
live
_ _ eTsald? le".2 ®N Fee(ea.)
U>Sipton Res.oqREst date of core pledorrnspection:
l
Tenant improvement or change of use: IfVAC:
Is existing space heated of conditioned?0 Yes .:1 No Air handling unit CFM Is existing space insulated?O Yes O Na h'con nolo (site an r ys )
g�1�' Alteration of existing A systom
MECHANICAL Xof er/Ti compressors
3usieess panne: "� ^ State boiler permit no.
BTVM
HP Tons
kddKss: Jr" " $ Z tP -tre/smo a dampers! uct smoke detectors
;Ity: C�� State: ZIP /j Heat pump(sitep an�tquGed)
mall. Install/replace furnace urner PTTJ
- = --- ' Includin ductwotldvent liner O Yes O No
'CB no.: 7 _ - _. Installtreplacelrelocate heaters-suspende ,
:Ity/metro tic, no.: wall,or floor mounted
lame(pienl ent for app sneer er than
CONTACT1 Re ige dont
Absorption units BTU/H
fame: 011lers — ^HP _
ddress. �, Com rmssors HP
Q,
a oarma n atut as vent ation:
State: ZIP: Appliance vent -
tone: Fax: I E-mail: Dryer ex aunt
Hoods, ypt res.kttc =oat
hood Fire suppression system
ime: /�� y-y 'P A/ D 1'e Exhaust fan with single duct(bath fans)
ailing address: do -t, x uust system a)lttriiWlheating or AC
—
ty, r i State: _ 7.[P: p ue piping and dlst a en(u�uiletsl
1���a—y T pc: LPr NO Oil_
one: Fax Email: Fuc i (n enc add, one over 4 out ets
net's piplalt(schematic required) _
me. Number of outlets _—
dress ter s app fla i or equ
ipment:
_ Decorative fiteplace
y: — — State. ZIP:
)ne: I Fax: I E-mail; ostovelpe at atovc
pt er _
-Weant's signature: Date:
fie(print)-
_--
II juridlelioes accept etedll cards.Dlrve call Jurledlelloe rnr mora inrorrnatlon
Perm itfee......................5
U1 CI MasterCard Notice. This permit application Minimum fee ............ S
cud number
expires if permit is not obtained Plan review(at
Hxplrey within 180 day after it has bren
Name of caMer v Aoldchews oe cxat
dil e — accepted as eOnlpGrfe. State surcharge(8%).....S �
$ TOTAL ............. ..........S .:2 Y_
Cardhro der stanolutc �W Amaunt �_ tao..t61'r tdon+COM�