Permit 7 , l
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MECHANICAL ' &�
cny OF TIGARD PERMIT
-'---�� PERMIT#. . ^ . . . . : MEC95-0210
COMMUNITY DEVELOPMENT DEPARTMENT RTMENl[ DATE ISSUED: 06/28/95
1o1osSm Hall Blvd. Tigard. Oregon 97223°8199 (503) 839-4171
<C___JARCEL:
. 2S1�10CC-09000
. SITE ADDRESS. . . : 15730 SW QUEEN VICTORIA PL
SUBDIVISION....: ZONING: '�
P BLOCK..........: LOT.............� .
______________________ _ _________ ____________ _______
CLASS OF WORK..:ALT FLOOR FURN....: . EVAP COOLERS:
TYPE OF USE.,,, :SF UNIT HEATERE� . : VENT FANS....:
OCCUPANCY GRP. . : R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES. . ~ . . . . . :2 BOILERS/COMPRESSORS HOODS. . . ., . . : '
FUEL TYPES------------ 0-3 HP....: DOMES. INCIN:
:/GAS/ / / 3-15 HP : • COML. INCIN:
MAX INPUT: BTU 15-30 HP....: � REPAIR UNITS:
FIRE DAMPERS?..: 30-50 HP. . . . : WOODSTDVES. . :. '
GAS PRESSURE...: 50+ HP....: CLO DRYERS..:
NO. OF UNITS---------- AIR HANDLING UNITS OTHER UNITS.:
FURN < 100K BTU:1 <= 10000 cfm: GAS OUTLETS.:1
FURN >=100K BTU: } 10000 cfm: ' '
Remarks:
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Owner: • ----- ---- -- — FEES --------------
BETTY STRICKLER type amount by date recpt
15730 SW QUEEN VICTORIA PL. PRMT $ 25.00 B 06/28/95 —
- 5PCT $ 1.25 B 06/28/95 ' —
KING CITY OR 97224 .
Phone #: .
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Contractor: ---- ------------------
SUNSET FUEL CO
PO BOX 42287
PORTLAND OR 97242 ----- — -----
Phone #: 234-0611 . $ 26.25 TOTAL
Reg #..: 002374 •
------- REQUIRED INSPECTIONS -------
This permit is issued subject to the regulations Contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. Ali work will be done in accordenco with Final Inspection ________
approved plans. This peroit will expire if work is not started _ r _____ _____ •
within 182 days of issuance, or if work is suspended for sore . ___
than 180 days. ___
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Permittee Si t _____ __
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Issued By: _~�C/�L�/ _ --__� __— ' .
Call for inspection .— 639-4175
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City of 'Tigard MECHANICAL PERMIT PfancwRe #
13125 SW Hall Blvd. APPLICATION Permit # MEC 4c -t to
Tigard, OR 97223
(503) 639 -4171 • • .
Hama Cama _ Description
T Code QTY PRICE AMT
Job 1' 3 0 Q n 0;L.+134 - ; s �- T'i Fee -0- ' -0- 10.00
.• Address La
Zsk 't j 9 2) Supplemental Permit 3.00
•
Nam. t �, tim. yp�.m�� Furnace to 100,000 BTU
�_ V ( � 1) incl. ducts & vents 6.00 .10.QQ
"""° AaO �•a• Furnace 100,000 BTU +
Owner 1S S Q y\ v; 'N.,A T'2)- incl. ducts & vents 7.50 ' .
c t's'. O L Floor Fumance
CA* D G 11 ab? 3) incl. vent 6.00 •
Nam. (a• ,.n. • Suspended heater, wall heater ,
VV f , 4) or floor mounted heater 6.00
A.... Fes» Vent not incl. in •
Occupant / 5) 'appliance permit 3.00
c L Repair of heating, refrig.
6) cooling, absorption unit 6.00 .
Nam. Boiler or comp, heat pump, air cond.
Wi t,,, ` --- O 7) to 3 HP absorp unit to 100K BTU . 6.00
1aa� ...«a / Boiler or comp, heat pump, air cond.
{ � ESL _ 8) 3 -15 HP absorp unit to 500K BTU 11.00
. Contractor o,, /� Zip Boiler or comp, heat pump, air cond.
f l� !� �� 9) 15 -30 HP absorp unit .5 -1 mil BTU 15.00
Stu. .,,, urya,.. Na. Ta. Boiler or comp, heat pump, air cond.
A /�L - / j p .. 10) 30 -50 HP absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowledge that I have read this application, that the Boiler or comp, heat pump, air cond.
. information given is correct, that I am the owner or authorized agent 11) > 50 HP absorp unit 1.75 mil BTU 31.50
of the owner, that plans submitted are in compliance with State Air handling unit to .
laws, that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given is correct (If exempt from State registration, Air handling unit
please give reason below.) 13) 10,000 CTM + 7.50 .
Non portable -
14) evaporate cooler 4
Vent fan connected .
15) to a single duct 3.00
II Ventilation system not -
YL(1ik( tY'4.,/ Co M l� 16) included in appliance permit 4.50
„torn, ea agent) o ar Hood served by
17) mechanical exhaust 4.50
Describe work newA addition 0 alteration 0 repair 0 Commercial or industrial •
to be done residential non - residential 0 18) type incinerator 30.00
Existing use of .. Other i.e., woodstove, water
building or property 19) heater, solar, clothes dryers, etc. 4.50
Proposed use of • 20) Gas piping one to four outlets I. zoo o'Z ,00
. building or property
21) More than 4 -per outlet •
Type of fuel - of 0 natural gas 4_ LPG Q electric Q ,
NOTICE
Minimum Fee 525.00 SUBTOTAL oCC)
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE 1 •
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK IS COMMENCED. •
TOTAL 17
Special Conditions _ -A_n C_ct r r p'i/
(-)� ., ' "&'�nC Q Date issued �Q '24 "/ S by fiz —
• rs�vMr
t.4. I4
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection: V'f.
Footing Susp. Ceiling Sprink. Roush -in Appr /Sdwlk
Foundation Plbg. Underslab ech. Rou• • ' Fireplace
Post/Beam Struct. Plbg. Top Out Elec. 'ough -in
Post /Beam Mech. San. Sewer y -4:12.
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation
Underflr. Insul. - Shear Wall Gyp. Bd. -Elec .
Date Requested: (p - 7-1 a `C 1 I ,� T _ ime: K AM PM
Address: � 5 1 ?J0 Cx,o q ,, . i ,1 J K'7�Y l • .
Builder: Permit #: liA /15 -02.4 b
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i(/( rU,,tici e c. 0A, / Y
In tor: Date: l� /2 9/ P r �
_92 PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.