16715 SW QUEEN MARY AVENUE ADDRESS:
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INSPECTION NOTICE
City of Tigard Building Department
1322.5 BW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone!: 66399-4171
Inepectlon:_ /(-
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Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Ou`: Gad Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain L :ulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mech.
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Date Requeelte'd✓t �-� C ` Tom= 7+ / 1
Address: �4 1 `J ���fL��\p �.���'� Permit #1
Builder: A.7 LL1.l� "moi" �- ` (�-C-A — 1 Z
THE FOi.LOWING CORRECTIONS ARE REQUIRED: r O ' ^ -2—V 9
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Inspector,! � �✓ �"'� Date:
,"PROVED _ DISAPPROVED "PROVED SOWNCT TO ABOVE
1 J t _Call For Reinsp.
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///f91Nv (kri��iGl INSPEMON NOTICE
Tigard Bundling Dap
all Blvd. Tigard, Ory i
-Phones)& 634-4175 Bu I (�
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/ looting Plby. Underslab Hach. Rough tin Appr/Sdalk
Found. Plbg. Top Out Cas Lina FINAL:
Post/Beam Stmat. Safi. Setter Framing -Bldg.
Post/Ream Hach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Cyp. Rd. -Hoch.
Date ReQuos//ted g� `-9 qTimes ( AH 1"26
Addreoai_1 l0 I S L D K 1-1-� P&— �— 8
Builderi ' /1
i TQM FOLLOWING CORAMCTIONS ARE RMQUIM
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Inspector: _ - -` - Dater
__11PPR0VRD - DISAPPROVED APPROVMD MUMJMCT TO ABOVE
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INSPECTION NOTICE
City of Tigard Building Departxent:
13125 BW Ball Blvd. Tigard, Oregon 97223
inspection Line (Rec-O-Phone): 639-4175 /Business Phone: 639-4171
Inspection: � �1 5�� 1�L CXAA � C
Footing Plbg. Underelab Mech. Rough-.In /Appr/Sdwlk
Pound. Plbg. Top Out Gas Line C TINAL.
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam !tach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd.
Date Requested: d1 I L� Timet A -PH
Address: 1f3� ' `� l �A 1.I AA ((��1 1 ,► 1 g,,�A Permitr%
Builder: A C Cl,VL0. CtY a +
TRE FOLLOWING CORRECTIONS ARE REQUIRED:
CAA � U
dAInspector: Date: -
APPROVED bI3APPROVED APPROVED SUBJECT TO ABOVE
// Call For Reinsp.
MECHAN I CAL
CI TY CSF T I GARD PERM I T
P 17-*R M I'T #. . . . . . . : MEC94--0185
COMMUNITY DEVELOPMENT DEP)�RTMENT DATE" ISSUED: 07/08/94
13125 SW Hall Blvd Tigard,Oregon 97223.8199 (503)09-4171
PARCEL: 2S113BC---l2.1,.'2'800
S1TL ADDRE-bS. . . -.' 5W Q.ULLN 1y4ANY AVE
SUBDIVISION. . . . : ZONING:
BLOCK,. . . . . . . . . . . LOT.. . . . . . . . . . . . . ..
CLASS OF WORK. . :ADD FLOOR PURN. . . . EVAP COOLERS:
TYPE OF USE. . . . :S)F* UNIT*T HEATERS. . VENT FANS. . . -
OCCUPANCY GRP. R3 VENT'S W/O PPFIL: VENT SYSTEMS:
S STO F?I ES. . . . . . . . DOILERS/COMPRESSORS HOODS. . . . . . .
.
FUEL 0 -3 HP. . . . : DOMES. INCIN:
: /GAS/ 3- 15 HP. . . . : COMML. INCIN:
MAX 11\117JUT: LA J"U 15-30 HID. . . . REP41IR UNITS:
FIRE" DAMPERS?. 30--517.1 HP. . . . WOODESTOVES. . :
GO-S F--,RESSURE. 50+ HP. . . . cLo Dr2YER5. . :
NO. OF AIR HANDLING UNIT'S OTHER UNITS. :
FURN , 10121K BTU: 1 10000 cf1fl : 1 GAS OUT'LE-TS.
TURN ) =100K BT`U: 100017.1 cf'm :
Romarl{s : GAS FURNACE AND AIR—CONDITIONING NOISE REODING7 REOUIRED.
Owner,, FEES
MARILYN SWAYZE type a M o'.in t by date t-ecpt
SW QUEEN MARY AVE P,Rm"r s 25. 00 SW 07/08/94
5PG1- $ 1. 25 SW 07/06/94
KING C-ITY OR 071.2124 t V 11 GU 1, 00 SW 07/08/914
Pli-)one #:
Contractor,:
A—ACCURATE OIL. CO
6732 NE 47-ri-1
PORTLAND OR 97218
FIFione #. 281-621.2 t 46. 25 TOTAL
Rpq #. . .- 53.391
RELDUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the MeeVianical I n s p
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final inal Inspection
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 18Q days of issuance, or if work is suspended for more
than 180 days,
Permittee 5iqnat1.n,e IMCL ,
Issi-ted By :
Call for inspection 639-4175
of Tic -'t(l MECHANK-l"AL PLI I- Planck/Rec. #
APP!_ ATIC)I"' Permit #
Ll 4
(50 3) 639-4-li
TablH 3A kl, C TY PRICE AMT
,)0i) 1) Permit 1 0- -0- 10.00
Address I
2) SUpplenl(WIL,; ,,it 3.00
I :,_rte--;---- --Tu—mace tot2,600 BTU
I) Incl.ducts& vents 6.00
Pt— rum 00.000 BTU
Owner 2) incl. ducts&vents 7.50
Floor urnancx
3) incl. vent 6.00
Susprind(k wall heater
or floor niount--,h4awr 6.00
('!,-cupant
pair
6.00
A/6- 7) absorp.unit to 1C ,u1U I;1 U 6.00
goiter or milp if-2 1 ff, - 15 HP
/7,tu G'-7 3.).- --J G Ll -N-f-, 16 dj.V _E) absorp,unit to U1 U 11.00
rac r =I . n7o-i1rirorcomp-E-17j*'.'30RP
Pb 12-•y LA-n/� 9) absorp.unit.5- 1 million BTU 15.00
Z-1.I--I.—M uy&A W No Boiler or r7i`pP30- 50 HP
-7 U10) absorp.unit 1 - 1.75 million BTU 22.50
-T hereby ack,ow ledgethat�have road this application that 910 Boiler or romp to 50 HP
informatiun given is correct,that I am the owner or authorized agent 11) absorp unit 1,750,000 BTU 31.60
of the owner,that plan!;submitted are In compliance will-,State - A—jr handlimg unit to 15
laws,that I am registered with the State Builders' Board,that the 12_) 10.000 CFM A-1t 4.50
number given is correct. (If Axempt from State registration,please it handling unit
give reason below.) 13) 10,000 CTM+ 7.50
Non portable
14) evaporate cooler 4.50
ent an connectc
15) to a single duct 3.00
enti alien stem not
16) included in appliance permit 4.50
Ho7-s-r—Ve3-Uy-
17) mechanical 0XI13USt 4,50
Describe wo iiow C) acidition alteration(E) repair C) Uo-1 I 113 s—U(-type
to
y[Teto be done residential() nonresidential 0 18) incinerator 7.50
Existing use o COMMel'631 Of InJUSUNIT
building or property 19) type incinerator 30.00
Other i.e.,woodstove,water
Proposed use of 20) heater,solar,clothes dryers,etc 4.50
building or property
21) Gas piping one to fou(oudoir, 2.00
Type of fuel-oil 0 natural gas - LPG C) electric('j
22) More than 4 per outset
NOTICE
Minimum Fee$25,00 SUBTOTAL
PERMITS BECOME NULL AND VOID IF WORK OR
CONSTRUCTION AUTHORIZED IS NOT COMMENCED
WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS .,c%SURCHARGE
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 PLAN REVIIEW 25%OF SUBTQ(AL
DAYS AT ANY TIME AFTER WORK IS COMMENCED.
TOTAL
Special Conditions
Date issued by
_�. JUL-08-194 FRI 12:45 ID:CITY OF KING CITY FAX NO:503 639-3771 0539 P02
KING CITY fes°
M 15 qU S.W.116th Avenue,King City,Oregon 97224 Phone:&394082
ME(-HAFT I CP_L P?~RM 'T' F_PP1- 1 CAT 3= (D r4
HATE -- '7' (�� King City Business License No . I-S70
NAME OF APPLICANT:
ADDRESS
HANE AND ADDRESS OF PROPOSED JOB ;
,Ci Cr NONE• --- -- - - _
NAME OF CONTRACTOR: 4,4e[- A&,tl-• PHONEZiL-
ADDRESS: _ �'7 -71 Z_-- '`JL, _ -17''_- /�.CaJ LICENSE NO. 51339/ P_>tF•
DESCRIPTION OF WORK TO BE DONE:FOR INSTALLATION OF AIR CONDITIONERS Pi_EASF FIt,L, OUT THF FFn[,LnWTNn
AND ATTACH TO THE APPLICATION A DIAGRAM OF WHERE THE COMPRESSOR IS
SITUATED ON THE PROPERTY .
BRAND OF AIR=. CQ-iD-ITIONER:_�
BTU'S: A / rpi NO. OF DECIBELS !BELLS)
STC-NATURE OF APPLICANT: �. ' •
"APPROVED APPLICATIONS ARE VALID FOR. SIX MONTHS ONLY"
NOTF: Oregon Homebuilders Law requires that all persons who contract for work
on a residence be registered with the Builders Board which means thu
contractor is bonded and insure] on the job sit. For your protection,
be certain your contractor is registered by calling the Construction
Contractors Board at 1-503-378-4621.
FOR OFFICE USE ONLY -
,�j
APPLTrATION RECEIVED BY 11d, -11' �L:�- DATE__�
APPLICABLE FEE P.ECEIVED $ CONDITIONS!CO ENTS -
C /i.)
APPRO/E BY/ z --�_ DATE �'� r�
Note: A permit must 11 obtained from the City of Tigard Department of —
Corrntm:nity DPVPIepmPnt Yesx— No
CITY OF TIGARD INSPECTION REPORT
This project has been inspected and Approved Denied
Comments
- --Si gnat ure
Date
(City of Tigard please return one copy to King City)
JUL-06-194 FRI 12:46 ID:CITY OF KING CITY �F�1X N�: 03 639-3771 053 P03
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