Permit CITY OF T MECHANICAL
/t r DEVELOPMENT SERVICES PERMIT
.-• NI th 13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 DATE O6/O2/97 -01
PA RCEL: 2S11OCC -09000
SITE ADDRESS...: 15730 SW QUEEN VICTORIA PL
SUBDIVISION • ZONING: :
BLOCK • LOT • JURISDICTION: KIN
CLASS OF WORK..:ALT FLOOR FURN • 0 EVAP COOLERS: 0
TYPE OF USE -SF UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:R3 VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES ° 0 BOILERS /COMPRESSORS HOODS • 0
FUEL TYPES 0 -3 HP • 1 DOMES. INCIN: 0
. 3 -15 HP • 0 COMML. INCIN: 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 ) =1O0K BTU: 0 ) 10000 cfm: 0
Remarks : instl air conditioner // job 0 38671 // air conditioning units cannot
be placed outside setbacks
Owner: FEES
BETTY STICKLER type amount by date recpt
13730 SW QUEEN VICTORIA PL PRMT $ 25.00 TAT 06/02/97 97- 295348
KING CITY OR 97224 5PCT $ 1.25 TAT 06/02/97 97 -295348
Phone #:
Contractor:
SUNSET FUEL CO
PO BOX 42287
PORTLAND OR 97242
Phone #: 503 - 234 -0611 $ 26.25 TOTAL
Reg #..: 000023
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Cooling Unt Insp
applicable laws. All work will be done in accordance with Final Inspection
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.
Permittee Sign ure: /1 a J
Issued By: L1.. A "_ ,AtAL�i
i ll for inspection — 639 -4175
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City of Tigard MECHANICAL PERMIT Planck/Rec. # .
13125 SW Hall Blvd. APPLICATION Permit # � C - ,
Tigard, OR 97223
(503) 639 -4171
" Nano a DoWan.n■ o escnption •
Table 3A Mechanical Code • OTY PRICE AMT
gym 5-150 ... '
Job i w Q s 0 (Apr 1) Permit Fee -0- -0- 10.00
Address tea- 7..
. , -�, G
_ , �� 2) Supplemental Permit 3.00
N. m. (« name ) _ Furnace to 100,000 BTU
6-Q- 5 6- � . cic - i-e.. - 1) incl. ducts & vents 6.00
µ•+ "••• T � Pnaw Furnace 100,000 BTU +
Owner f�� v+'-�.SQ.Q-N 0 \ ( � incl. ducts & vents 7.50
cMS�•• n zo Floor Fumance •
K.% C o - q 3) incl. vent 6.00
Nam (ot Suspended heater, wall heater ,
4) or floor mounted heater 6.00
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,,C;._. Pr. Vent notnotiTin
Occupant -
5) appliance permit 3.00
casou• LP Repair of heating, refrig.
6) cooling, absorption unit 6.00
Nano Boiler or comp, heat pump, air cond. - r '
��r1 CA 7) to 3 HP absorp unit to 100K BTU I 6.00 lO -CO
Pb Pence. Boiler or comp, heat pump, air cond.
o,\--- At fl a3'i -0,oli 8) 3 -15 HP absorp unit to 500K BTU 11.00 •
Contractor o,. LP Boiler or comp, heat pump, air cond.
7 d Ok_ 9 7a 9) . 15 -30 HP absorp unit .5 -1 mil BTU 15.00
Sato A.Q...00n No. city Sm. Tau No. Boiler or comp, heat pump, air cond.
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c:73 c 10) 30 -50 HP absorp unit 1 -1.75 ml BTU 22.50
I hereby acknowledge that I have read this application, that the Boiler or comp, heat pump, air cond.
information given is correct, that I am the owner or authorized agent 11) > 50 HP absorp unit 1.75 mil BTU - 31.50
of the owner, that plans submitted are in compliance with State Air handling unit to
laws, that I am registered with the Construction Contractor's Board, 12) 10,000 CFM • 4.50
that the number given is correct (If exempt from State registration, Air handling unit
please give reason below.) 13) 10,000 CTM + 7.50
. Non ,portable
14) evaporate cooler 4.50
Vent fan connected
15) to a single duct 3.00. •
Ventilation system not
�/ / L(YI — (c �'./q 1 16) included in appliance permit 4.50
' - l � „ a „ y ^ '�'� A " 0 ov. Hood served by
17) mechanical exhaust 4:50
Dccc b.-a worrk new addition 0 alteration 0 repair 0 Commercial or industrial •
to be done resident % non - residential 0 18) type incinerator • 30.00
Existing use of Other i.e., woodstove, water • .
building or property 19) heater, solar, clothes dryers, etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property
21) More than 4 -per outlet
Type of fuel - oil 0 natural gas 0 LPG 0 electric'
NOTICE •
. Minimum Fee $25.00 SUBTOTAL ,5›.0k..)
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5 %SURCHARGE ) ?._
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. I k P .
� _ (..."\---"--.-- (k i� V�_.l� TOTAL olo- S
Special Conditions --I—
�/1 1 \ \ e--QA Date issued by
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sense
FUEL COMPANY
2944 S.E. POWELL BLVD. P.O. BOX 42287 PORTLAND, OR 97242 -0287 TELEPHONE 234-0611 FAX # 503 -234 -0380
4 � ' N
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/ Le, 730 sz-,/ ie.:7 -
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/zi-t2 67-7, ( 7722.y
CITY OF TIGARD BUILDING INSPECTION DIVISION
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24- Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: -/ - 97 A.M. P.M. MST:
Location: is - 73/) six) lazot C,[ib -i.(cu )( 41 BUP:
Tenant: / ' , Suite: Bldg: MEC: 9 7- 0i / 6 L/
Contractor: S • / l.(Jl �1��1 Phone: c2 5 °' 66 l PLM:
Owner: Phone: ELC:
ELR:
SIT: .
BUILDING • BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site - Post/Beam Post/Beam Post/Beam Cover /Service • Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out • Gas Line Rough -In UG Sprinkler
Foundation - Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved - Not Approved Not Approved Not Approved -
FINAL FINAL (FINAL) FINAL FINAL
- i c eiL,A,(27__ e:L- -C-
rL- ..c., C1�Cc G7 .-.G• ���
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O Call for reinspectio 0 Reinspection fee of $ required before next inspection 0 Unable to inspect
Inspector: _ - Date: - F— 4? -4 -- 7,7- Page of
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