15835 SW QUEEN VICTORIA PLACE ADDRESS:
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i:\records\mic;roflm\targets\building.doc
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Pled. Ti:lard, Oregon 97223 -
Inspection ine (Rec-O-Phone)s 639-sl75 Bunines Pho -417
Inspection A ?/n Z a _ / --+-
Footing plbg. Underslab Mach Rough-in Appr/Bdwlk �-
Found. Plby. Top Out Gas Line FINAL:
Pont/Beam Strc,c-t. San. Bower Framing -Bldg.
Poet/Hoam Meth. Rain Drain Insulation -Plumb.
Plhg. underfloor hater Line Gyp. Bd. -Meeh.
\� t __AK ��
Date P<queetede Q T �,�jj,� PM
Address: �O � Q e � it tt�—q�_Q J [
Bui]dcr:
IVE FOLLOWING CORRECTIONS ARE REQUIREDt
Inspector
Dates_
APPROVED �- DISAPPROVED APPROVED SUBJR(T TO ABOVE
Call For Reinsp.
CITYOFTIFARD (cCOMMUNfTY DEVELOPMENT DEPARTMENT 1OR* �l6ARD MECHANICAL
Rlrowi PERMIT
13125 SWHWIBivi. P.O.Box 21397.Tigaid,aagon 97223(603)639-4176 FERMI T' #. . . . . . . : MEC92--0349
639-•4171 DATE ISSUED:
b l 1 E: ADDRESS. . . : 156:3'x; :,W UUE:E::Iu VICTORIA PL PARGF L: 2S i 10CC.-10900
SUBDIVISION. . . . ZONIi'&,:
OCK. . . . . . . . . . . LOI.. . . . . . .. . . . . . . ..
LASS OF WORK. . :APD FLOOR TURN. . . . : E EAP COOLERS:
fYF'E r :- USE. . . . :SF UNIT HEATERS. . : VENT" FANS* * * :
OCCUPANCY GRP. . -.R3 VENTS W/O APDL: VENT SYSTEMS:
STORIES. . . . . . . . . BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEt_ TYF-'ES---_.______._._.___ 0-3 HP. . . . : 1 DOMES. INCIN:
-/GAS/ / / 3--15 HP. . . . : COMML. INCIN:
MAX INPUT: BTU 15--30 HFA. . . . : REPAIR UNITS:
FIRE DAMPERS% . : 30•-50 HFA. . . . : WOODSTOVES. . :
GAS PRESSURE. . . : 50+ HP. . . . : CLU DRYERS. . :
NO. OF UNITS-•---------- AIR HAND1_I NG UNITS OTHER UNITS. :
FURN ( 100K 8TU: 1 (= 10000 cfm: GAS OUTLETS. : 1
FURN )=100K BTU: > 100V_io c f m;
Ftemf,rks: FURNACE & AIR CONDITIONER. NOISE READING REQUIRED -- $20 FEE:
Owner: - _____________________.__._____.__________.._____..___._ .___ -.- FEES
LEE WILSON type amount by date recpt
15635 SW QUEEN VICTORIA FAL RRMT $ 25. 00 JH 12/31/92 -
5FICT $ . 25 JH 12/31/92 -
KING CITY OR 97224 MISC $ 00 JH 12/31/92 -
Phone #:
Con-tractor:
UNIVERSAL HEATING & AIR COND.
44. 5 SE 25TH
PORTLAND OR 97202 .________.-_____-_--_..._._-----------------
Ptione #: 23i=.- 1944 $ 46. 25 TOTAL
flet' #f. . : 120:31
----- REOU I RED INSPECTIONS
This perrit is issued subject to the regulations contained in the Final Inspection _• _
Tigard Municipal Code, State of lire. Specialty Codes and all other
applicable laws. All work will be done in accordance with
approved olanc This persit will expire 1f work is not started
within r9N dayi of issuance, or if work is suspended for enre
than 189 days.
Permittee Signatures, .............
Is 5 ued By
Cal 1 for f nspe.:t ion - 639-4175
M,L
ML"HANICAL PERMIT Planck/Rec. #
NO Bt�d.
APPLICATION Permit #
escn Aon
;r Table 3A Mechanical Code OTY
JPermit Foe r.
; y
2) Supplernontal Porrmit
Ind
du to
100,000 BTU-
mc!
iii �u'`•. � 1) ducts 8 vants
urnace 100,000 W +
r � 2) incl duds d vents..r--LPw urt�iaance e!,
1 3) incl. ventnow 1
„�, Suspended heator,wall noato
7 4) or floor mounted heatar
W"
Vent rx,l inc.in
5) appliance permit
Repair of howing,refog
6) cowling,absorption unit
Railer or romp,heat pump,au cond.
J Sci { l 7) to 3 Hp absorp unit to 100K BTU
er or romp,hoat pump,au;05-t
3-15 HP-o—M unit p mp, BTU
,ar or comp,neat pump,air co
9) 1530 HP absorp unit.5-1 mil BTU
n.; } •'N. or comp, weal pump,alb.
�r 10) 30 50 HP absorp unit 1.1.75 mil BTU 2150
application,that Me Boiler or comp,heat pump,av cond.
fov4n M op7nsd,that I am the owner of authorizod agent 11) > 50 HP absop unit 1.75 mil BTU 51.50
~,#*pian»submigad are in o(xnplianos with State r handing unit to 4J0
�m 1r�ht11nd with Me Construction Contractors Board, 12) 10,000 CFM
*rfl 18 dw.9c. (It exempt from State registration, r uun Ing unit y
I rA�ripyr,Z 13) 10,000 CTM+ r YAO
pit
-- on porta e
14) evaporate cooler 4M
Vent fan connected
15) to a single duct
Ventilation system not
16) included in appliance permit
OWN o
od swvod by
1 7) mechanical exhaust
alteration r"ir mnte or inaustT@
rept-rasidentiel Q 18) type incinerator �1
so'
ng U"09 Other Le.,woodstove,Water
W( 19) heater,solar,dodws dryers,etc. 4.00
PVOPOSW use 0 ( 20) Gas piping one to four outlets j f�00
bddliv W plgparty S L LL IL1.t_ 1
21) More than 4-poo outlet
TVA of W-gA Q natural pas O LPG Q electric O
. ,
ERME
4
Minimum Foe$25.00 SUBTOTAL
ItERMrTsI BECc1ME 11010 IF WORK OR CONSTRUCTION
AUTTKIRIT.ED t9 NOT COMMENCED WITHIN 180 DAYS,OR SX SURCHARGE
IF 00NSTRUG"OR WORK IS SUSPENDED OR a
ABAN"ED KM A PERIOD OF 100 DAYS AT ANY TIME PLAN RFVIEW 25%OF SUBTOTAL
AMR VVM 19 OOMMENCED.
TOTAL
4!w W doom - 7z
Date issued by _ p
i
DEC -198 MON 09:23 ID:CITY OF KING CITY-F49 'RJ-15%3--M--3771 4438 P02
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NAMF UNIVERGAI.. !w.writio r4i.. CA1,314 AMOU114T I1'. W)Q1
ADDRESS s 443,5 GF. PAYMENT DA"IV 1x'/31 /92.
GUBD f 1.1 f SION
1 PORT(JANG, OR
1 PURPOsF. I.W PAYMENT 01,11'.11INI POW PUITTIN 0E- PIAYMFNI' OMOHNI VInID
FIEHAN I CAL G 25
14 1 qCr-L 1!7--fil V-, 10. Vill",
SW GIJE:F.N VIVI()PIP
MIC)UNT PAILY