16030 SW KING CHARLES AVENUE Mr• i a 'YTIT
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INSPECTION NOTICE
city of Tigard Building De-partoent
Tigard,
Orego n 97223
1' 13125 SK Ball Blvd.
y` pnction Line (Rec-O-Phone): 639-4175 Business Phones 53)-4771
I epection: — -------- �
Footing Plbg. Undere ab /hougT .n ,) Appr/Sdwlk
Pound. Plbg. Top Out Gas Line —i FINAL.:
Poet/Beam Struct. San. wer. Framing -Bldg.
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Poet/Beam Mech. Rain Drain Insulatius. -Plumb.
Plbg. Underfloor water Line Gyp. Bd. -Me.h:.
Date Requested: PM
Permit # _ �_
Address: �--
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Builder:
THE FOLLOWINS CORRECTIONS ARE REQUIRED:
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Inspectorsl,/1/w� _.._..�_._� Date:�_ �
APPROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVE �R
Call For Relnrp. +
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CITYOFTIFA RD CrIYOFTMIM PEPM i r
CONI MUNTTY DEVELOPMENT DEPARTMENT anoora
13125 SW FWI Blvd. p.0.Bac 23391,Tlp M,Orpon 97223(603)639-4176
'';i—E ADDRE'SS. . . : 16030 SW KING CHAFd1..ESi AVE PARCELS c'al1�CC -IZ►�it"h��
iUSPIVTSION. . . . : ZONING:
LALOCK. . . . . . . . . . . LOT . . . . . . . . ..
GLASS OF WORK—:ADD FLOOR TURN. . . . : EVAG COOLERS:
TYPE OF USC'.. . . . :SF UNIT T 1••1L.CITERS. . : VR1'I' i=rayl'::. . „
Uf::l:1 PANC;Y l krP. . :R3 VENTS W/O APDL: VENT SYSTEMS:
13TOF41 S. . . . . . . . BOILERS/1 )MI='FZ'F_.Scir' RS 110OD . . . . . ,. .
0-3 HF". . . . : 1 DOMES. INCIN: �
/M l_F/ / / 3._1''; HP., . . . : COMML. I NCI N',; '
MAX INPUT: 13-W 15—30 HP. . . . : REPA T R UNITS:
F'I RE DAMPERS?— ! :30—75 QA HP. . . . a WOODSTO VE:S. . :
■
GAS PRE:SSURE. . . .a0 - HP. . . , : l' t_O DRYERS. .
NO. OF l.)NTTS) _•...__......__._. ATTR HANDLING UNITS OTHER UNITS.
FURN ( 100K BTU: <= 10000 cfm : CCAS OUTLI:.:T�3- :
PURN ) =100K ETU:
Remar•kss:
FEES
ED 11UNNELE7, type LAmcol.rnt may dAte r^ecwp I
16030 SW KING CHARLES PRMT $ 25. 00 JH OS/04/92' --
5PCT $ 1. 25 JH 08/04/92 --
KING CITY OR T-7i--24
Phone #:
C not r^act or^.
POlal'31"'N f1ND SON; HEATING)
i300 SE YTH AVE.
P. n,. BOX 14867
PIORTLAND OR 9114
Phranp #: 2133•--581a 1 4 26. '25 TOTAL
Req #. . : 01884
REOU I REI) INSPECTIONS
This permit is issued gubiecr to the regulations contained in the 1i.nal. Ins'pecti.on
Tigard Municipal Code, State of bre. Soecialty Cudes and all other
applicable laws. All work will be done in accordenre with
approved plans. This permit will expire if work is not started _... .. _,__.
within 180 days of issuance, or if wcrk is suspended for more
,. than 180 days.
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Permittee
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C A11 for, insspectio,7 — 639--4175 �
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City of Tigard MECHANICAL
PERMIT Planck/Rec. # I a
13125 SW Hall Blvd. APPLICATION Permit #
PO Box 2.3397 (�
Tigard, OR 97223 V 1
(503) 639-4171 v 1
.,,,,, «� escnpuon
Table 3A Mechanical Code QTY PRICE AMT
...
Job C} ) G•.` t I p ,� AOL; 1) Pormit Fee -0- -0- 10.00
Address chos.
KL til C (,r T 2) Supplemental Permit -3.00
a rte. «. Furnace to 100,000
r bl 1) incl. ducts&vents 6.00
.iap AAA.. - n— Furnace 100,000 BTU
Owner 2) incl.ducts&vents 7.50
�. z.P Floor Furnance
J 3) incl. vent 6.00 I
«. Suspended eater,wall eater
c'
4) or floor mounted heater 6.00
.o «. -went not mel.in
Occupant 5) appliance permit 3.00
�apsat' Repair of healing,re ng.
6) cooling,absorption unit 6.00
or er or comp,heat pump,air cono
-� 7 to 3 HP absorp unit to 100K BTU 6.00 r
«. r U76r or comp,heat pump,air cond.
^ ? 8) 3-15 HP absorp unit to 500K BTU 11.00
Contractor v,� ° Borer o1—r comp,heat Hump,air cond.
77 0 _ 9) 15-30 HP absorp unit.5-1 mil BTU 1b.(k,
S.T.Rv...Ooq/ .. o Boiler or comp, eat pump,air cond.
/ .
10) 30-50 HP absorp unit 1-1.75 mil BTU 22.50
e thathis application, Boiler or coere y arlaTt pump,air cona.
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 ran ling unt to
laws,that I am registered with the Cor;truction Contractur's Board, 12) 10,000 CFM 4.50
that the number given is correct. (If exempt from State registration, Air handling unit
p!'Aase give reason below.) 13) 10,000 CTM 4 7.50
Non ortab e
14) evaporate cooler 4.50
'Vent fan connected_
15) to a single duct 3.00
Venti ation system not
16) included in appliance permit 4.50 `
ood served by
• '� ,:,?; rj -� I 1 i 1 mechanical exhaust 4.50
! 1 r-air U
Describe vro(k new a Ilion, a teration repair 7 'omrnercial or Industria -�
to be done residential @ non-residential Q I 12) pe incinerator 30.00
Existing use of Other i.e.,woo zicve,water
building or property G S1 DCA)i z A L 19) heater, solar,clothes dryers,etc. 4.50 -
Proposed us,,of 20) Gas piping one to four outlets 2.00
building or property c,A k1[-
21) More than 4 per outlet
Type of fuel - oil Q natural gas Q LPr, v electric — -- i
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NOTICE
MinimunT Fee$25.00 SUBTOTAL ^ 0°
PERMITS BECOME VOID IF WORK OR CONSTRUCTION !!!
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE J
Ir 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. i---' --
TOTAL
Special Conditions '^
Date issued_ _.by
WAF.CNr`MT
waAmnM.v
UG-03-'92 MOIJ 14 23 1 D:C"I TY 'OF K I N` I 7Y AX N0:503 530-3771 4233 P03
ROBAdEN & SONS HEATING SOX2388849 P. 02
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CITY OF TIGARD — RECEAF'T CIF Pn.YMFNI' RECEIPT NO. a92--230206
;
CW{~CK AMU JNT
;I f'lAlh n RC�1�13k.N & SONS H .F1TINt� CASH AMC'JNT � . 00
f n �='y�A CE. TW PAYMENT HATE: n 08/04/9a?08/04/9aid1UURECS
I 23 BOX 17TH SUBCJJVISION t
PORTLAND, CSR 9'7214._
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I:URPCIV�E.._ OF PAYMENT AMOUNT PAID PLIRPOGE� OF PAYMENT AMOUNT PAID
1 _ . ST. BUILD PER ..,__... __ . __..1. 25
WCHAN I CAL FIE
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1.6(630 3W KING CWARI...I.1,3, la,I NG CI 1'�
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TOTAL AMOU'1J i PAID 6. c: l
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