Permit •
t . CITY OF TIGARD MECHANICAL PERMIT
rr DEVELOPMENT SERVICES PERMIT #: MEC2001 -00461
R. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/17/01
PARCEL: 2S 110CC -03400
SITE ADDRESS: 15895 SW ROYALTY PKWY
SUBDIVISION: KING CITY NO. 3 ZONING:
BLOCK: LOT: 008 JURISDICTION: KIN
CLASS OF WORK: REP FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
• STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
> 10000 cfm: GAS OUTLETS:
Remarks: Replacement of gas furnace.
Owner: FEES
SAHLBERG, WILLIAM L /PAULINE M Type By Date Amount Receipt
15895 SW ROYALTY PARKWAY PRMT DEB 12/17/01 $72.50 KING CITY
KING CITY, OR 97224 5PCT DEB 12/17/01 $5.80 KING CITY
Total $78.30
Phone:
Contractor:
AAA HEATING + COOLING
2915 NE MARTIN LUTHER KING BLV
PORTLAND, OR 97212 REQUIRED INSPECTIONS
Heating Lint Insp
Phone: 284 -2173 Final Inspection
Reg #: LIC 222
EXPIRED
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other 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. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Not' cation Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR
952- 1 -0080. ou may obtain copies of these rules or direct questions to OUNC by calling
(.r,(1. \94R -Q1 RA ,
_ _ l i
Issu �' / i I Permittee Signature: �� J, p i , .t
Li 9 /17eG , COQ/ , , ✓j
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the nex business • ay
•
12/13/2001 11:48 5036393771 CITY OF KING CITY PAGE 02/02
11�/W 261/1 12:00 FAX 5055981980
CITY OF TIGARD �l OOs
4
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Mechanical Permit ApplicatLo 1 I
4464,
Datereoaived: I7_'4 'O1 ?omit no.: /tie ,0-1-00 ;
•
, ' ! .. . City of Tigard PrgjeGtlnpPl rw.: Expire date: 4/1v /
ary gar Addiess:13125 SW MD Blvd, Tigard, OR 91223 Date issued; MIN CVLellIllIll
Phone: (503) 639-4171
Pau: (503) 598 -1960 ' EMM11.11.111111 Payonea R "Pe:
Land use approval: _ H,dtdngpes,�,rno. -
t u'k' ul i'oniir
1 & 2 family dwelling or accessory 0 Commercial/ledilardal 0 Affulti -•may D Tcnaut improvement
Q New construction 0 AdditioNelbsteti*ohaplasament Q Other- , .
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. Job address: I S+ Q 5 ' • A LT 19.A42-1C-4-04 Indicate equipment amides in boxes below. Indicate the dollar
BI • I no.; Suite no.: value of all roechanical materials, equipment. labor., overhead.
T ax mep/tax lot/account co.: ' para. Value S _ - •
Lot: =MEM Subdivision: "See checklist for important application information and
Pro : name: ' a, G 1.,01i-Li Aim jurisdiction's flea schedule . . _ _ I[ r.a, 1 - . . _._ ... _
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Applicant's Slguatru$s Dates 11s
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O1Hse 0 MasterCard permit application Minimum nee ................ $
enr 11 coed rsomboe Loa! . expires if a pe nrit is not obtained Plan review (at %) $
within 1$a days after kiss bean Stale (8% ) .... S O
Name of eaaba►mr ra moan am coati ma accepted ea complete. �. ... S
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EXPIRED