15775 SW QUEEN VICTORIA PLACE ADDRESS:
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CITY OF TIGARD BUILL'NG INSPECTION NOTICEi
Inspection Line (Rec•O-Phone): 639-4175 Business Phone: 639 417
'
Inspection: r
Footing Z, Susp. Ceiling Sprink. Rough-in Appr/Sdw
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough in _ FINAL:1'?
Post/Beam Mech, San. Sewer Cas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation
Underflr. Insul. Shear W II Gyp. Bd. Elect.
Date Requested: �' Time: AM PM
Address: I __7 72
Permit#: �5
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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23V— 040//
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/2 lee 12/,Z 4"'1,ri:�.•--�.�iz.
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Inspector: � Date:
6 fiF"ROVED —DISAPPROVED —APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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MECHANICAL
CITE' OF TIGARD PER11IT Kr-
F.E P 1�1 I T #. . . . . . . . MEC95--
COMMUNITY DEVELOPMENT DEPARTMENT DA'.--. ISSUED: 06/26/95
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639-4171
PARCEL: 2S110CC-1121600
SITE ADDRES5. . . 15775 5W QUEEN V* CTDRIP PL
SUBDIVISION— — - ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . .
CLASS OF WOR11_ :ADD FLOOR T=URN. . . . : FVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS— : VENT FANG. . . :
OCCUPANCY GRP'. . :R3 VENTS W/O APPIL: VENT GYSTE1v19:
STORIE=S. . . . . . . . :w BOILERS/COMPRESSCPS HOOD5. . . . . . .
FUEL 03 HP. . . . D01YIES. INCIN.-
: /GAS/ 3-15 HP. COMML. INCIN:
11AX INPUT: BTU 1530 HP. RE[DAIR UNITS:
FIRE DAMPERS?— : 30 -50 HP. WOODSTOVE5. . :
GAS PRESSURE— : r rd+ Hr.. . . . : CLO DRYERI-3. . .
NO. OF UNITS------- 41I VIONDLING UNITS OTHER UNITS. :
FURN ( 1021K DTU: 1 "-T
10000 cFm : l G A 5 0 U Ti-E T'.).
FURN > =100K BTU: 1 1001710 r-fm:
Rerrai-iisi . INST'ALL CARRIER GAS �URNIAIACE (111,T) AT RCONDIT TONER
LEONARD K'YLE type -_kniol.tnt by gate r-ecpt
1'.775 E;W QUEEN VICTORIA PRMT $ 2151. 00 SW 06/28/95
75 PC'T $ 1. 1-11-1 SW 06/21B/075
RING CITY Of, '3172L4
AqSDET FULL CC)
i BOX 42,2,87
IRTLAND OR 9724E
one #: 2.34--0611 t uG. -'5 TOTPL
q 002374
REQUIRED INSPECTIONS
.s pet-oil is issued subject to the regulations contained in the Gat, Line Insp
.yard Municipal Code, State of Ore, -Specialty Codes and all W.er lylpchanicLal
applicable laws. All work will be done in accordance with Fin,:%l lnspec.rtion
approved plans. This permit will expire if work is not started
isithin 180 days of issuance, or if work is suspended %r more
tha-. !3^v urs.
N'Y\C, IL
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C'Etll fci- inp)c,ution E,39 4175'
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hail Blvd. APPLICATION Permit # ffltc 6r)
Tigard, OR 97223
(503) 639-4171
escflption
Table 3A Mechanical Cc,1e QTY PRICE AMT
Job 1) Permit Fee -0- -0- 10.00
Address zo
r v1 O6? �I 2) Supplemental Permit 3.00
urnace to 100,000 MU
1) incl. cucts S vents 6.00
ln.G i
.�...a�... Furnaca'10o,o00 BTU +
Owner S���� Q`�t� � 2) incl.ducts S vents 7.50
uM W. Floor -umanc e
3) incl. vent 6.00
Suspended heater,wall heater
4) or Hoar mounted heater 6.00
.. �� Vent not ind.in
Occupant 5) appliance permit 3.00
o Repair of heating, relrig.
6) cooling,absorption unit 6.00
er or comp,heat pump, air Gond.
7) to 3 HP absorp unit to 100K BTU 6.00
oiler or comp, heat pump, air c4nd.
8) 3-15 HP absorp unit to 500K BTU 11.00
Contractor ,Y oder or comp, heat pump, a r cond.
9) 15.30 HP abserp unit.5.1 mil BTU 15.00
T-N. Boiler c;comp,heat pump,air cond.
10) 30-50 HP absorp unit 1-1.75 mi'BTU 22.50
TRere y ac ow adge at ave read this application,that Ina filer or comp, heat pump, air con(F
information given is correct- that I am the owner or authorized agent 11) >W 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, Airhawji ing unit
please give reason helow.) 13) 10,000 CTM+ r 7.50
—' - - Non portable
14) evaporate cooler 4.50
ent tan connected
15) to a single duct 3.00
Ventilation system not
16) included in appliance permit 4.50
....,...a�«, �• Hood served by
17) mechanical exhaust 4.50
srnbee work r, a man ) alteration repair Commercial or industrial
to be done reside dal non-residential O 18) type incinerator 30.00
;sung use of ZLher i.e.,woodstove.water
btrikfing or property - 19) heater,solar, clothes dryer,, etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property —
21) Mores than 4-per outlet _ _ —
Type of fuel •of-P natural gas Q LPG O electric Q
--
NOTICE —��.— -- -
Minimum Fee$25.00 SUBTOTAL
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 SUSTOIrf L
AFTER WORK IS COMMENCED.
TOTAL b•o�`�
Special Conations
�� ��✓ (1G.� `'� (Q— Date issued j,•t r)1. by
y"CoMNT
rr�^erwW
L:W9120 �yG�
sense PpRlUE
i FUEL COMPANY
2944 S.E. POWELL BLVD •P.O. BOX 42287•PORTLAND. OR 97242-0287•(503)234-0611 • 1-800-878 1285•FAX(503)234-0380
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CTA Y OF ! I GARD '-• RECF I F'A'T (If' F ;'aYlYW.NI' NO. a 95-c:'673c'4
(HECK AMOL,1N'T
NAME z SUSNVT F UFL.. COMPf-)NY C(AcAi AM01!NT r 0. 00
ADDRESS F' 0 BOX 4 e.67 PAYME W m)TF 06,1,?6/951
PORTLAND OR SUBDIVISION r
97i-242--02b
PURPME. OF VlAYMENT AMOUNT 1:4111) F'UPPOSP' OF V.,AYME NT AMOUNT PATI)
__._.._____ _.._._._........_.__._...___....._.. __.__._................_..._.._... .._.........___.___._....._....._.... .__. __...._..._.....__......_...
MECHANICAL. FSE` ME=.t.95--0 ..'0A P5. 00 f3T. BUILD PF-.'.R 1. r`_''`r
MECHANICAL PE MEC95--0209 r_k-,. 00 £31'. BUILD PER
1057T5 ,W Ot.fE'F:N VICTORTO
16315 9W SYLVAN COURT
TOTAL AMF. UN7 POI f)