Permit MECHANICAL
PERMIT #(
T _CITY OF TIGLARD , PERMIT
° MEC95- -0255
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/03/95
13125 SW Hall Blvd. Tigard, OregoW 97223.8199 (504639 -4171 .
, PARCEL: 2S110CC -10500 ,
SITE ADDRESS...: 15765 SW, QUEEN VICTORIA PL .
SUBDIVISION ZONING: ' - ,
BLOCK • • LOT ° °. ° ° °. ° ° ° ° ° °.
CLASS OF WORK..' : NEW . 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 ° '
V
FUEL. TYPES 00 -3, HP° ° ° ° :1 DOMES„ INCIN:
315 HP ° COMML° INCIN: •
MAX INPUT: BTU 15 -30 HP° ° ° .. REPAIR UNITS: ,
FIRE', DAMPERS?..: 30 -50 HP WOODSTOVES° ° :
GAS PRESSURE...: 30+ HP° . ° ° : CLO DRYERS..:
NO. OF UNITS- _-- ._ - - -_.- AIR HANDLING UNITS OTHER UNITS.:
FURN < 100K BTU: (= 10000 cfm :. GAS OUTLETS.:
FURN > =100K BTU: ') 10000 cfmo .
Remarks: Addition of one 3 HP absorption unit; (100 BTU
Owner: --- •------- - -. - -- --- -__._.- ---• -- - FEES - -- '
'HAROLD BALL type amdunt by date recpt •
15765 SR QUEEN VICTORIA PL - - - - _ , F`I'' $- -2;J.- 00 JDA-I ', 8103/ 95- ri IN - OI 1'I; -
' . ' SPOT $ 1.25 "JDA 08/03/95 KING CITY
KING CITY OR ' •
Phone #: 503 -639 -1824 . - .
Contracor: ---- - -_ _._ ' _:
t -- ---- .
ROBBEN AND SONS HEATING, . .
2300 SE 7TH AVE - '
P. BOX , 14867
PORTLAND OR 97214 _ ----- ------- -. - •
Ph on e #2 233 -5841 $ '26 ° 25 TOTAL V .
Reg # ° °: 001884'
.-- _ - -. -_ REQU I RED INSPECTIONS
,, This peroit, is issued subject' to the regulations contained in the Mechanical • I n s p ___ -
Tigard Municipal Code, State of Ore. Specialty Codes and all other 'F,iria1 Inspect ion . .
applicable laws. All work will be done in accordance With " , .
approved plans. This peroit will expire if work is 'not started _ �
within 1'.F days of issuance, or if work is suspended for Dore . V . ,
than 180 days. . , ' ,
.Permittee Signature: /"l•4 —
Issued B y : _ al . . ' l d/ .? __. —, - ' _ , ._
' Call for inspection - 639 -;4175 - - .
. .,
JAN- 04 –'00 WED 00:39 ID: FAX NO: 14005 P02_
p ity of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit # AEC q&---0-
Tigard, OR 97223
(503) 639 -4171 0
I Table 3A Mechanical Code QTY PRICE AMT
Job 1571 5r' O„-•4,, V o lb ., a ! 1) Permit Fee
Address ` ) -0- o. 1o.oa
K 1 C f d rt . 5 72; 4) 2) Supplemental Permit
r131 o 100,000 Btu
I a 1) a Ind cats a vents 8.00
Owner SAW) 2) Md. �r &o, n t 7,50
°1 •aor Humane
e.r. ca nab r ewrw,., 3 ) Ind. ern 6.00
ZUspencied heater, wall heater
4) or floor mounted heater 6.00
Occupant MI* - m
wg ,,,sz, 5) app6ana s pennit 3.00
°0 Repair or heating, retng.
6 ) wing, absorption unit 5.00
@that) Roder or comp, heat pump, air' cond. YS✓ D4� A 7) to 3 HP; absorp unit to 1o0K BTU / 6.00 6, Oo
Contractor ?
, / 17 / .. :5E .
/ SE 8) 3-15 P absorp comp, punt pump, rr cond.
II umic to 500K BTU 11.00
AO U 6(4_ q-�o�) wailer or comp. heat pump, air cant .-
9) 1630 HP; absorp unit .5-1 mil BTU 15.00
wawa. nala.
alts
I
10) 30-50 HP; absorp unk 1 1_7 5 mil BM
hereby aoxnawle ge trial I nave rasa 22.50
information rY6rr � t that snit weer or camp, neat pump. err comp,
S corms. that I am the owner or authorized agent 11) > 50 HP; absorp unit 1.75 mil BTU 37.50
of the owner, that plans submitted are in compliance with Stain
laws, that I am registered with the Construction Contractors Board, Air handling g unit to
that die number given is correct (If exempt from State registration, 12) air ha CFM 4.50
please give reason below.) aandlrng unto' — "
13) 10,000 CTM + 7.50
—' " portable
-
1d) evaporate cooler 4.50
vent ran connected
15) t4 a single duct 3,00
ventilation system not -
,o,,,,�, D , 8} l't ocd ad In apparels* r 4.50 CLOP
"L'/(// 7/30 K edby
17 mechanical exhaust 4
The w ork new C7 addition C7 alteration U repair C) ' Commercial or tndustnal
to be done residential 0 non- residential C) 18) type incinerator
Existing use or 30.00
building or property Other Le.. woopstove, water
19) hearer, solar, clothes dryers. eta 4.50
Proposed use of 20) Gas piping one to four outlets
building or property 2.00
Type of fuel - 02 Q natural gas Q LPG Q electd& O 21) More than 4-per outlet
HOME
0
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Minimum Fee $25.00 SUBTOTAL & m
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR
IF CONSTRUCTION OR WORK IS SUSPENDED OR S% SURCHARGE 1 ��
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAWCIEVIEWittWOrttimaTitt
AFTER WORK IS COMMENCED. _
Special Corrdittont ....1,—„. TOTAL a6, ''
Date issued 7/ // S , by
*•Mr
20d SOO1:1
:ON )Odd 017.:00 (13M 00,-VO-Ntlf
-
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 ,4175 Business Line: 639 -4171
BUP
Date Requested \ 0' I Q - AM PM ' BLD
Location / 57 S (L ✓1 v< - d—oU. -v Suite MEC /L. A:5
Contact Person \"fir, -,r0 > R Ph (6 [ ' Z 4 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing
Foundation Access: 0\12., 3 lr��r a , ovi u. �� FPS
•
Ftg Drain
Crawl Drain NOT REQUESTED SGN
Slab FOUND DURING RESEARCH SIT
Post & Beam
Ext Sheath /Shear NO INSPECTION(s) IN FILE
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall Q
Fire Sprinkler 1/'� C�'� -� `
Fire Alarm , / C )
r
Susp'd Ceiling �Q
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab %
Top Out
Water Service a ,
Sanitary Sewer
Rain Drains
Final
PASS P FAIL 0 • O
CHANICA — O5 67 6 7 `s'
Pos Beam v
Rough In
Gas Line
Smoke Dampers
Ina
• ASS PART FAIL .
ICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA )
Le Approach /Sidewalk I �
Other Date 46( � Inspector Ext
Final l
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.