15850 SW QUEEN VICTORIA PLACE ADDRESS:
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INSPE(TION NOTICE ,
City c•` Tigard Building Department
13125 Sw hall Biwa. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): •139-4175 Buninese Phone: 539-4171
Inspection:-.-------�!
Footing Plbg. Underslab Mech. Rough-i:: AA�ppr/sdwlk
Pound. Plbg. Top Out Gas Line ( ti11ALi)
Poet/Beam Struct. San. Se—tr Framing `-Bldg.
Post./Ream Mech. Rain Frain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. Q�lech.
Date Requesteds 1 O -__Time. AM PM
_
Addrean: � �•ZPermit�i:
Builder:
THE
�FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors l'� --__ Dates 1 / 0 -
DISAPPROVED
O -DISAPPROVED y APPROVF.n SUBJECT TO ABOVE
t
For Reinnp.
INSPECTION NOTICE
city of Tigard Building Department
13125 SN Hall Blvd. Tigard, Orer_n 97223
Inspection Line (Ree-O-Phone): 639-4175 Bur.iness Phone: 639-4171
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Inspection:___ ---
Footing Plbg. Underslab Mech. Rough--in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Past/Ream Struct. San. Sewer Framing -81(ig.
Poet/Ream Mech. Rain Drain Insulation -Plumb.
PIbg. Underfloor Nat r Liinnne(� Gyp. Bd. -Hoch.
Date Requesteds
�% T Times 11H PH
Address: J �X�yQNi_ LLcii` lam+ PL it Is
Builder: l!/ �T t " C) 3 O-/
TM FOLLOWING CORRECTIONS AM REQUIRED:
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Inspector: �. Date-
-_APPROVED _DISAPPROVED T APPROVED SUBJECT TO ABOVE
_ ^Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-417 Business Phone: 639-4171
Inspection:_, -- --__--.—._
looting Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing --Bldg.
Past/Beam Mech. Rain Drain Inaulat:ion -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
UAte Requested: / � —Tkma: _ AM PM
Address:
s 9*-S-�D &Lte41 L)�e-ua Pr. Permlilt qq—G7-z Z. _
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Builder.: 0- 3 C� r/ - 6 3 ®(/po 014504J,
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:__ --,- ----—-- Date:_ --
APPROVED DISAPPROVED — APPROVED SUBJECT To ABOVE
--Call For Reinsp.
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CITY OF TIGARDI ��
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Flail Blvd.Tigard,Oregon 97223e8199 (503)639-4171
PEIRM), I
PERMIT #
639----4171 DATE ISSUED-. 08/08/94
PARCEL.: 2SIlOCC-08400
G I TE ADD RESS. . . 1.58.`0 SW QUEEN V I[,JU R I A F'L
SUBDIVISION....: ZONING:
BLOCK. . . . . .. . . . . . LOT.. . . . . . . . . . . . .
CLASS OF WORK. . :(.)I)D FLOOR FURN. . . . EVAP COOLERS:
OF USE. . . . SF UNIT HEATERS. . : VENT FANS. . . :
OCCUPANCY (SRP. . :R,.-, VENTIS W/O ADPL: VENT SYSTEMS:
STORIES. . . . . . . . : BOILER'S/COMPRESSORS HOODS. . . . . . . :
FIJEL. 0-3 HP. . . . DOMES. INCIN:
. /ELE/ 3-15 HF'. . . . : COMML. 1NCIN:
MAX INPU*T: ST12 15-30 HP. . . . REPO IR UNITS:
71 RE DAMPERS?. . : 30-50 HP. . . . WOODSTOVES. . :
GAS PRESSURE. . . : 50+ HP. . . . CLO DRYERS. . -
NO. OF AIR HANDLING UNI 'r's OTHER UNITS. :
TURN ( 100111 BTU: tr: 1011100 c f m : GAS OUTI—ETS.
FURN 1 =100K BTU: ) 10000 cfm :
Remav-ks . NOISE READING REU(.JIRF—'L)
OW-ev-: FEEs
T. OLS EN type amcil-int by date lr�ecpt
15850 SW QUEEN VICTORIA PRMT $ 25. 00 JG 08/08/94
5PCT $ 1. J5 JG 08/08/94
KING CITY OR 97224 MlIC31C $ 20. 00 JG 08/08/94
Phone #:
CC)T1tr'act0r:
GAROKEN ENERGY CO.
3975 SW t13TH
BEAVERTON OR 97005
Phone #: 641 -6410 $ 46. 25 TOTAL
Reg #. . : 43124
REQUIRED INSPECTIONS
This permit is issued subjrct to the regulations container' in ti-p Mechanical Insl-.)
Tigard Municipal Code, State of Ore. Specialty Codes and all other I incl Inspecti.cin
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. ............... ——-
-----------
Plet-mittep Si.gnati-ii-e -
ISSI-ted LAY :X Call for- in�pection 639-4175
City of'Tigard MECHANICAL PERMIT Planck/Rec. #
13125 sw Hall Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171
""° "«" Nscripbon
w, Table 3A Mechanical Code 01Y PRICE AMT
JOf �` r ���rr�G �` 1) Permit Fee -0- -0- 1000
Address
UA- Cl°)-Y--�r( 2) Supplemental F 3.00
"
n • Furnace to 100,000 BTLJ
0 `cJ e v � �J`6in�� 1) incl ducts &vents 6.00
Furnace 160,000 BTU +
Owner `�C� C ,IPFv���ic�t,V tom'- 2) incl ducts &vents 7.50
Floor Furnance --
3) incl vent 6.00
" ""•" ° "^"" �— uspen ad er—, wall Ineviter
`i 4) or floor mounted heater 6 00
•s; "" - _ Vent not inc. in —`-- --
Occupant 5) appliance permit 3.00
Repair of heating, re rig
6) cooling, absorption unit _ 6.00
— •�� ``)) /r _ —moi er or comp, ea air copump( n ._ -
! 7) to 3 HP, absorp unit to 100K BTU
"9 ^'
Boiler or comp, heat pump, air con
C �(
Contractor 8) 3-15 HP; absorp unit to 500K BTU 11 00
Boiler or comp, heat pump, air con
N UC 9) 15-30 HP, absorp unit .5-1 mil BTU 15.00
—e "°" "' " offer or com at pump, air con
\ - 10) 30-50 HP, absorp unit 1-1 75 mil BTU 22.50
ere y ac now edge t at I have re this d-' pplica iort that the Boiler or comp, heat pump, air con
information given is correct, that I am the owner or authorized 11) > 50 HP, absorp unit 1.75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with Air handling unit to
State laws, that I am registered with the Construction ^-ntractor's 12) 10,000 CFM 4.50
Board, that the nrmbei given is correct. (If exempt from Slate 7Tindling unit
registration, please give reason below.) 13) 10,000 CTM +
7.50
Non portable
14) evaporate cooler 4.50
Vent fan connec a --
15) to a single duct 3.00
_
Ventilation system not
16) included in appliance permit 450
Two-Tserve y
17) mechanical exhaust 4.50
escrr a
work new addi6on alteration repair Commercial or industrial
to be done residential 30' non-residential Q 18) type incinerator 30.00
Existing use of Other i.e, wo s ove, water
building or property 19) heater, solar, clothes dryers, e c 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property
Type of fuel -oil Q natural gas•(f LPG 0 electric21) More than 4-per outlet
Q --
--TUE
Minimi_im Fee $25 00 SUBTOTAL -
PERMITS BECOME VOID IF WORK OR CONSTRUCTION — --- —
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5%SURCHARGE r �S
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 �
Special Conditions
Date issued _ by
ANMEC"T
�— ^UG-08-194 MON 10:33 ID:C TY OF KING CITY FAX NO:503 639-3771 #596 P01
J
KING CITE'
mon SW.116th Avenue,King City,Oregon 97=4 Phune:639-408+'2
MEr%HANICAL PERMIT ADPLICATION
9 / 111 NG CITY RUSINESS LICENSE NO
DATE_
NAME OF APPLICANT :!__. n 1 N
/ Q U E —�.—
c � �> C
NA-MF AND ADDRESS OF PROPOSED JOB '
CONTRACTOR: PHONE:
G �10�(L= /�'
NAME OF
n SS: �+� CCB LICENSE
ADDRESS
_�- ��t�— — —
V �L poi
DESCRIPTION OF WORK TO BE DONE _
FOR INSTALLATION OF AIR CONDITIONERS PLEASE FILL OUT THE FOLLOWING
AND ATTACH TO THE APPLICATION A DIAGRAM OF WHERE THE COMPRESSOR IS
SITUATED ON THE PROPERTY . -
BRAND OF AIR CONDITIONER;_ �^ %vtiL+ }�
L� ..
BTU' S: -r6J NO. OF DECIBELS (BELLS) : _--
SIOIIATURE OF APPLICANT:
**APPROVED APPLICAq 'ONS ARE VALID FOR SIX MONTHS ONLY**
NOTF.: Oregon11nme.builders Law requires that all persons who contract for work
on a residence be registered with the Builders Board which means the
contractor is banded and insured on the job sit. For your protection,
be certain SYBverde»trlcsQ3'379r4621rered by Extensiona5000� the Construction
Contractor
FOR aFF?�ZQSE ONLY --
- — -- � � DATE�-:-�/"
APPLICATTON RECEIVED EY- mi�:a
� -LQM y.
APPLICABLE FEE RECEIVED t CONDITIONS/COMMFNTS
.� 7 ----
APPRO�E Y__:_._ — — C. of Tigard Department of
Note' A permit mus Iso be obtained from the ity
Cotcminit!, Development Yes
No
- CITY OF TIG RD INSPECTION REPORT
This project has been
inspected and A_Fproved Denied
Comments_ — Signature
Date_
(City of Tigard Please rAturn one copy to King City)
34�I D:CITY OV k I NG CITY FAX N0:503 539-3771 9596 P02
QLO
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