16845 SW RIVIERA LANE 1
ADDRESS:
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CITY OF TIGARD BUILDING INSPECTION NOTI
Inspection Line: 639.4175 Business Phone: 639.4171
Footing Rain Drain Cover/Service AP
Foundation Water Line Ceiling
Post/Bearn Mach. Shear/Sheath Framing -Mech
Plbg.Und!Flr/Slab Plbg.Top Out Insulation
Post/Beam Struct, Mach. Rough-in Gyp. Bd. -Bldg
San. F-,wer Gas Line Appr/Sdwik Reins
Other: -� -- - -
Date: t/t _ A M-1�P.M._ Entry:.-.�_
Address: ` ---
Tenant:. - _ Ste: MST: ---- —
Con/Own: BLIP
PLM:
ELC
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
In pector: t✓ Date: S
_.A,PPROVED DISAPPROVED/CALL FOR REINSP. CF CO
CITY O F T I G A R D 10FCHANICAL
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd., Tigard,OR 57223 (503)639.4171 PERMTT #. . . . . . . . MEC197--0 106
DATE ISSUED: 04/28/97
PARCEL: 213116,AD-18800
SITE ADDRESS. . . : 1.6845 SW RIVERA
SUBDIVISION. . . . : ZONING6,
BLOCK. . . . . . . . . : LOT. . . . . . . . . , . . . . JURISDICTION: KIN
CLASS OF WORK. . -AL-T FLOOR FURN. . . . : lb EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . -. 0
OCCUPANCY GRP. . : R7, VENTS W/O ADPL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 SOIL.ERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL. 0-3 HP. . . . : I DOMES. INCIN- 0
-ELC
3-15 HP. . . . -. 0 COMML. TNr.TN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . . .- 0 CLO DRYERS. . .- 0
NO. OF UNITS------------ AIR HANDLING UNITS OTHER UNITS. : 0
FURN ( 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS. : 0
FURN ) =1.00K BTU: 0 > 10000 cfm: 0
Remarks : Install heat pump and duct system
Owner: FEES ---------
SID STULLER type amol-Int by date reept
16845 SW RIVERA PRMT 4 25. 00 KC 04/24/97 KING CITY
KING CITY OR 97223 5PCT $ 1. 25 KC 04/ !4/97 KING CITY
Phone #:
Cniitractor:
AIR PRO HEATING & A/C
7405 SE POWELL
PORTLAND OR 97206
Phone #: 771-7671 26. 25 TOTAL
Reg #. . - 00072:0
REOUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Mechani.ral I n s p
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 190 days of issuance, or if work is suspended for more
tnelli
1--'ermittee
ISSI-ked Byr
Call for inspection 639-4175
APR-24-'97 THU 1'Li22 ID: FAX NO: 9043 P02Plan
CITY OF TIGARD Mechanical Permit Application Rec'd Beck#
13125 SW MALL BLVD. Commercial and Residents-il Date Rec'dQ �17
TIGARD, OR 97223 Date to P.E. �
(603) 639-4171, x304 Date to DST
Print or Type Permit* ;��
!ncomplete or illegible applications will not be accepted
- oma or avelppmantlPre)eet / Description
Taale 1A Mechanical CodeQTY PRICE AMT
Job tree Addroas cusw A) Perritt Fee ., 0- 0 10.00
Addrr ss /6y4f Ste_ fiver.�
9 ovimme Zip B) Supplemental Permit —` 3.00
Lr A
Z
Nnrtro(a name ca busrxts) 1.) Fumaee to 100,000 BTUa.00
Owner L. UAL, Ind.ducts 6 vents
-Palling Adrrnaa 2.) umace 100,000 BTU+ 7.50
incl ducts A vents
nyr;taU Zip vhono 3.) Floor Furnece i1 — -
------ int).vont
Nomt for nano or nusinn&sr �,) Suspended cleat//,well neater 6.00
��1. or floor mounted neater
Occupant Moiling Addma: b l Vont no+ind,in 300
c RVl3lato --�-
appliance permit
6) Boiler or comp heat pump,air Gond. 00
—__ to 3 HP,absorp unit to 100K BTU
Name ^ / 7) Boiler or comp,heat pump,air pond, 1100
o 4e litSNC 3-15 HP;absorpunit to 500K STU
Contractor Mailing Address 8) oiler or comp,host pump,air cone 1500
7y�S s C a-^p t'� '<•' 16.30 HP;absorp unit.5.1_mil BTU
Attach copy of /state Zi� rn,onc 9.) oiler or ramp,goat pump,air ca 12 60 -
Current Llr�nnes cy �1 r 7] p -7 I d a0-50 M1.1abso unit 1.1.76 mil STU
�xegnn c'n q �L"'.M `P a" 10) Boiler or comp,heat pump,air cond 37.50
O a >50 FSP;absoouunit1.75 mil BTU
c'r us^Roe RRwMMn,! Erre,t)ere 11 ) If hemaling un to o 4,90
Nam./ ---__ _` 10 000 CFM
Architect 12) Air handling unit 1-
10.000 CTM+
or Melling Address - 13) hien portable 4.50
evaporate molar
Engineer ciryrstata p vnant 14) Vent Pan connected ^-
_ to a single dud
Oeacrfbe work Now O Addition O Alteration O Repair O 1 S) Ventilation system not 4,r
to be dons Residential A Nan-residential O included In appliance permit
Additional Description o work / 16.) Hood served by
iq a,—J d 4 c f S y S lot mechanical exhaust4.50
170 Domestic lnoinerator3 -` 750
leting uaa— � 18.) Commerual or industrial 3F0-0
building or property .r� _ e incinerator
19.) Clulhee dryers,etc. 450
Proposed use of 20) Cher units — 4.50
building or property
Type of fuel-oil O nature'gas O LI G O elEctricJ3� 11) Gas piping one to Pour outlets 200
I Toby aoknow)edge that i have fes,this,application,that the 221 Mors than 4-per outlet (each) u
Intarmatlon given is correct,that i am the owner or authorized agent of
the owner,that plans submitted are it wmpl)nnce with Oregon State QTY.SUBTOTAL
laws.
Signature of OwnarlAgonr —Date----
3%
ab SURCHARGE -
_
Con et P /son Name �~ Phone PLAN REVIEW 25%Of SUBTOTAL
r�
TOTAL - l�
Raw,w,7/38 chPmt.doc 'Minimum permit foo is$25+5%surehilrga