16605 SW QUEEN MARY AVENUE ADDRESS:
i:\records\microflm\targets\building.doc
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-417; Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab ech. Rough-1 Appr/Sdwlk
Found. Plbg. Top Out �Qaa Lines_ FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Reoueste/ds �D / Tunes �AM PM
PAA real: lei'Y ��•� L i�C Permit #:2
Builder: -�
THE FOLLOWING CORRECTIONS REQUIREDs
Inepec/to —.__.Uate:��t',�
1 APPROVL:D DISAPPROVr,U APPROVED SUBJECT TO ABOVE
.all For Reinsp.
� av
CITYOFTIFARD MECHANICAL
cnyOFTWARD PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT OREGON PIE Rlyl I T #. . . . . . . : MEC92-0211
13125 SW Hall BW. P.O.Box 23397,Tigard,Oregm 97223(503)631"175
639-4171 DAT'E ISSUED: 08/31/92
SITE ADDRESS. . . : 16605 SW QUEEN MARY AV PARCEL: 2S115BC-01800
SUBDIVISION. . . . : ZONING:
BLOCK. . . . . . . . . . . LOT.. . . . . . . . . . . . . .
GLASS OF' WORK. . :ADD FLOOR FURN. EVAP COOLERS:
TYPE OF USE. . . . :GF UNIT' HEATERS. VENT FANS. . . i
OCCUPANCY GRP. . : R3 VENTS W/O APDL: VENT SYSTEMSz
!STORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . .
FUEL 0-3 HP. . . . :2 DOMES. INGI14:
: /GAS/ELE/ 3-15 HP. . . . : CQMIVIL. INCIN-
MAX INPUT: BTU 15-30 HP. . . . : RE1,44IR UNITS:
F I FIE DAMPERS?. . : 30-50 HP. . . . : WOODSTOVES. . -
GAS PRESSURE. . . -. 50+ 11P. . . . : CLO DRYERS. . .
NO. OF AIR HANDLING UNITS OTHER UNITS. -
FURN ( 100K BTU: 10000 cfml GAS OUTLETS. s
TURN ) =100K BTU: > 10000 c-Fm :
Rem arks% GAS FURNACE AND 3T AIR GOND ITIONF.R. NOISE READING REUUIRED.
Owner: --•--_..__—____..._____________________ FEES
ROBERT ALBRICH type amount by date recpt
16605 SW QUEEN MARY AVE FIRMT $ 25. 00 JH 08/31/92 —
50 "
50— 1. 25 JH 08/31/92 —
KING CITY OR 97224 20. 00 JH 08/31/92 —
Phone #i
Contractor:
THE HEATING SPECIALIST
9300 NE HALSEY
PORTLAND OR 97220
Phone #: $ 46. 25 TOTAL
Req #. . - 56628
REQUIRED INSPECTIONS -------
This permit is issued subject to the regulations cintained in the Final Inspection
Tigard Municipal lade, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in acrordance with
offlillsRANFit
than 180 days.
f-lermittee SignatlAi-e .-
Issv-4ed By .-
S=
Call for inspection 639-..-4175
J� 4IC u LIQ.J J j V i l-, , , -'f ,�,,1- -, i i f 1, 1,-, -1-- -__ - , . - .-.�_ --
City of Tigard MECHANICAL PERMIT Planck/Rec. # _
7312E SVVfHall Blvd, APPLICATION Permit #
PO Box 23397
Tigard, OR 97223
(503) 639-4171
T"3A Machan"I Code QTY PRICE AMT'
Job Ila to rJ .��lr f � t/yl -r, 1) Permit Fue d- -0- 10.00
Andress —
7 2I–q 2) Supplemental Pormit 100
p
Furnace to 100, Tu--
Il CLL ion �1 (o's`) 11(jZ. 1) Incl.ducts 8 vants 6.00
Ownor i (c C-) co )u 2) incl ducts a vents 7.50
•" FlooruF mance
Kl.y1C�� °I ZZL3) incl,vant 6.00
Suspendod hQatQr,w0 huauv
4) or 5oor mounuid hwAtar 13.00
Occupant en1 not ind.m
5) appliance permit 3.00
vpair of haabng, rr ng.
6) cooGnh absorputxi unit 6.00
—� — I-7o,o i e(or comp, eat pump,a cot
J 4tC�,,- ,��c..L 7) to 3 HP absorp unit to 100K BTU I 6.00
^• "' ,Miler or comp. o0- pump,air
8)
1cL2aZa._t �I"J 1?ci 3.1E HP ebsorp uNt to 500K BTU 11.00
Contractor {1------gra- Boiler or comp,head pump,a
�Q� Q i.n L✓ I 9) 15.30 HP abcorp unit.5-1 mil BTU 15.00
Ev" Car 5.T.N.. Boler or comp,Fral pump,air .
cl to:tg 13'!v rn�T.a 1U) 30-50 HP abcorp unit 1.1.75 mill BTU 22.50
–TTwr y acm;;�Gd'�;Mat I have road this ap icanon, t t e Boiler or comp,heat pump,ax .
infowiation given is correct,that 1 ant the owner or Authorized spent 11) >I50 HP nbsorp uM 1.75 mil BTU 31
of the owner,that pians submitted are in oompliance with Stato – r handling unit to
laws,that i am ragictared w1h Vie Construction C:ontractor's Board, 12) 10,000 CFM 4.50
that the number given Is con'sot (If exempt from State registration, A7–r Far,c i3I�,>fj'unit
plea"giw roaton bolow.) 13) 10.000 CTM+
7.5U
Non portable
14) evaporate cooter A.50
ant an oonnVtod
15) to a single duct 3.00/
Ventilation system not
16) included In appliance permit 4.50
iiGod sen
try
17) mechanical exhaust 4.50
sari a work new a icon taratwn repak mmarua or inclust&F
to be done r9&1dontial non-residential 18—)^xtype IncinamlDr 30.00
Xis ng us0 of Cuw�:.o,�'d rttwe,wawr
buiVing or property _ _ 19) heater,solar,c 0*"dryers,etc 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
buikMg or propony -
21) Mora than 4 por outlet
Typo of futW •oll 0 natural gar 0 LPG d electric Q --
NOTICE
^� Minimum Foo$25.00 SUBTOTAL a. CX)
PERMITS BECOME VOID IF WORK OR CONSTRUC CION "
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONST'RUCTICN OR WORK 19 SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 2S%OF SUBTOTAL (o S C.
AFTER WORK t'3 COMMENCED.
TOTAL 3 Z.V/
Special Conditions
Data issued by
iretiCNhrt
wOtnndw
i
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i
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S CITY CFF' T T nRD RF(..F?,,:FI T or, POYMFNT FRE:C E 1111' 1%40. :W, ,3 1 153
iCHF:.CK f'IM()t IN•f s 72. 50
i ,IAMB. a T'I-IE:' HEATING SPEC I AL I f.3T CASH AMOUNT 0. 00
iaDDRESr a `)300 NF HALS17Y PAYMENT DATE s 09/01/9,5'
I 5UPDI11ISION e
PORTLAND, Of? 9 r;,20
PURPOSE: C)F= PAYMENT OMOUN T PAID PURPOSE OF PPYlvl NT Flhtf.)uri
MECHANICAL PE 25. 00 MUC:HAN I CAL P5. 00
31 . EU:II..D PFR 1. i:1.7 51'. BUILM PER 1. 25
M I G3 MI.I_ANE DUS L'o. lAQ1
16605 SW GlUE:I•"::N MAPY, KING [.I1'Y --- AI_EaRICH
1 1*)4! CSW BURI_CREST WALSH
TO ML (IMOHNIT P=A I q -D l z. 50