15765 SW QUEEN VICTORIA PLACE ADDRESS:
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i:\records\microflmMargetstuilding.doc
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 siness Phone: 639-4171
Inspection: klInc, / B 2notce'
Footing Susp. Ceiling rink. Rough-in Appr/Sdwlk
Foundation Plbg, Underslab och. Rough-in Fireplace
Post/Beam Struct. Plb To Out �'
g. p motet--fivcg -n :1TA L:
Post/Beam Mech. San. Sewer Gas'L Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line InsulationMech.~�
Underflr. Insul. Shear Wall Gyp, Bd. ect.
Date Requested: & [—�S` 15 Time:/ AM PM
Address: 1,5-76.S' jr� (V.t '!,'.lel IDe
Builder: Permit #: �Q
THE FOLLOWING CORRECTIONS AOE REQUIR D:
Al
Inspector:_ Dater) ~_
APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
MECHAN ,
F
CITY OF TIGARD PERMIT #. . . . . .T'plyl 1.. MEC95
COWAUNITY DEVELOPMENT DEPARTMENT DATE ISSUED:
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171
PARCEL: 2`3 11 OCC- 10500
SITE ADDRESS. . . . 15765, 1314 OUEEN VICTORIA PL
SUBDIVISION. . . . : ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . .
CLASS OF WORN,. . :REP FLOOR FUPN. . . . i EVnP COOLER':.:
TYPE OF USE. . . . :SF UNIT 11EATERS. . : VENT FANS. . . :
OCCUPANCY GRP. . :R3 Vr:.I',ITC- W/0 APPL- VL11T 5YSTErf1r] '.'
STORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . .
FUEL 0 -3 11171. DOIAE5. INC,111:
: /GAS/ 3-15 HP. COMML. INCIN:
MAX INPUT- DTU 15-311, 11P. . . . : REPAIR UNITS:
FIRE DAMPERS?. . : 30-50 HP. . . . WOODISTO- VES.
GAS PRESSURE. . . 21+ HP. 171-0 DRYERS— -
NO. OF UNI,rs-.- - AIR HANDLING UNITS OTHER UNITS. :
TURN ( 100K BTU: 1 (.- 3.0000 GAS OUTLETS. :
FURN )=100K BTU. > 10000 cfm :
Remav-l-(s : REPLACE RES I.Dr-JI TICiL GAS rURNACE.
Owner; FEES
HAROLD BALL tyFa am'.3ulit lay �Jall-e rep
155765 SW OUCEN VICTORIA PLACE PRMT $ 25. 0121 SW 06/14/95
5PCT $ 1. "25 SW Q`16/14/95
KING CITY OR '37i!24
P'hL)Tle #:
13OBBEN AND SONS HEAT INC,
2300 SE 7TH AVE
P. O. PDX 14(367
PORTLAND OR 97214
PhoT)e 233- 5341 4 CG. 2r5 TOTAL
Rep #. OtO134
REOUI RED I NGPECT I ONE,
This permit is issued subject to the regulations contained in the Gas Line Jisp
Tigard Municipal Code, State of Ore. Specialty Codes and all other MerJicinical Irisp
applicable laws. All work will be done in accordance with Final IT'1',PVLti0r1
approved plans. This permit will expire if work is not started
mithir 180 days cf issuance, or if work is suipended for more
than 180 days.
Perm i t;t e e S i qrizAt u e
Call for ins pec-A i oTi -- 639--4175
+__JUN-05-100 TUE 05:49 I.D: FAX NO: 11238 P01 -
post-!t-brand fax transmittal memo 7671 "ot ve"s
Fpovn r
� 5 �1� �-y
Co C� r r Cn,/t +� h Nr�: , �1"
KING CITI Phone /�rl�1
Fai" ry C Fx:M /n 7V i- 1
Mwdmmww� 15300&W,116th Avenue,King City,Oftrn 97=4
M/ECHAN I CA LPERMIT APP1. I CAT I ON
DATE `� _ KING CITY BUSINESS LICENSE NO.
NAME OF APPLICANT
ADDRESS
SW lXVetr� `f iL rt Lt ^ -- — -
NPMF AND ADDRTSS OF PROPOSED JOS;
_ PHONE:
NAME OF CONTRACTOR: W64 Xn*�5orn ��<���w - PHONE.: ;133-V I/
11 u
ADr,RrSc ; l sE � �r�� �P. 7aIL4 _ CCB LIC1_NSE NO. C-0
DESCRTPTION OF WORK TO BE DONE:L;*1 U4 S
FOR INSTALLATION OF AIR CONnITTONERS PLEASE FILL OUT THE FOLLOWING
AND ATTACH TO THE APPLICATION P_ DIAGRAM OF KHE'P_E THE COMPRESSOR IS
SITUATED ON THE PROPERTY . -
BRAND OF AIR CONDITIONER.---------,--
BTL1'S: O. F IBELS (BELLS) -- -
SIGNATURF OF APPLICANT:_
**APPROVED APPLICATIONS ARE VALID. FOR SIN MONTHS ONLY"
NOTE,: Oregon Homebuilders Law requires that all persons who contract fjr work
on a residence be registered with the Builders Board which means the
contractor is bonded and insured on the job sit. For your protection,
be certain your contractor in registered by calling the Construction
Contractors Beard at 1-503-378-4621 Extension 5000.
– _-- _
FOR OFFICE USE ONLY
APPLICATION RECEIVED BY _ DATE_ ,_
APPLICABLE PEE RECEIVED SCONDITIONS/COMMENTS_,_,_,_.__._-
APPROVED BY----.. .,-- _ _ _ DATE
Note: A permit nrtst also b- nbtoino_d from the City o! Tigard Department of
Comrmsnity De•relopment Yes No
CITX OF TIGARD ^�SPEC _L F.EPORT
This project has been inspected and Approved—____- __Denied_
C ommen t s
--.� _-- --- . -_..-- Signature.__-..
--
Date.--
(City
ate --(C:ity of Ti,;ard please return one copy to King City)
_ JUN-05—'00 TUE 05:50 ID: FAX Plii: tt23e PO —`
City of Tigard MECHANICAL PERMIT Pianck/Rec. #
13125 sw Han Blvd. APPLICATION Permit # ,,\E.q5 on
Tigard, OR 97223
(503) 639-4171
-
Table 3A Mechanical Code CITY PRICE AMT
mob
Job 1) Permit Flee n- tn.00
Address --- --
2) Suppiomental Permit 3.00
---
0) �A t y-. incl.ducts 8 vents
urnece100.5w STUa
Owner "5WS-�� t-Yitlm Vic-�r7`t Q�.tc[ 2) ind.ducts&vents 7.50
-Fr
or umanoo
3) Ind. vent 6.00
5pii w:i� a} 8�-
4) or Roar mountwd heater
Occupant 5) appliance permit 3.00
6) cooling,absorpdon unit 8,00
1(w or comp, a pump,air cnn3. -
p 7) to 3 HP,absorp unit to 100K RTU 6_00
I er or 6omp, eat pump,air con .
Contractor ly SF V a53 SA`7'� 8) 3-15 HP;abaorp unit to 600K BT1J 11,00
" "� ter or comp,7=7 pump, air Com
FDI+kpj Orr h 71)1 9) 16.30 HP;abeorp unit .S 1 mil BTU 15.00
----mss. '13oTer or comp, a pump.air cond.
1o) 30.50 HP;absorp unit 1-1 Is mll BTU 22.50
,ere y acVi<—wT6dga that I have rend thilt ap A n, a w i eror comp, a pump a con ,
informatlon given is correct,that 1 am die owner or author120 npnnt 11) >50 HP;absorp unit 1 75 mil BTU 37.50
of the owner, that plans submitted era In compllanrvi with Slnrn v an Ing uni
Jews,that I Am registered with the Construction Contractors E�card, 12) 10,000 CFM 4.50 -
that d,e numbwr given Is on"tict (if w:ampt Isom State roqistradon, If sn ing uric
plense give reason below.) 13) 10,000 CTM r 7,50
- on portal a
la) evaporate collar 4.50
- an an connected
15) to a single duct 3.00
-
antl auT on sys's�m-not
16) Included in appliance permit 4.50
17) mochanlcal exhaust 4,50
oU 6onTie-worlt now Cr addition a twration repair U Commercialor IndustriAl —
io ba done residential O non-residantial C) 18) type incinomtor 30-00
ar 1.e.,wo bOva.WA A--_to f_----- --
building or prop" 19) heater, solar, clothes dryers,etc. 4.50
Proposed use of ?0) Gas piping one to four outlets 2.00
huildinq or property
A 21) More than A•pnr oudet
Typo of fuel -oil Q natural pas)9 LPG O efwctnc Q l -
- _ Minimum Fee:1;25.00 SUBTOTAL .(Z
PERMITS BECOME VOID Ir WORK OR CONSTRUCTION -�
AUTHORIZED IS NOT COMMENCED WITHIN 160 DAYS,OR 6%SURCHARGE I
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 190 DAYS AT ANY TIME PLAN REVIEW 2596 OF SUBTOTAL
AFTER WORK IS COMMENCED - -
TOTAL
Special CondidonR ,.
Dnip IeeuarJ �� �37 ----,by ` r '-'fc/L''fflj
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