16065 SW QUEEN VICTORIA PLACE ADDRESS;
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i:',records\microfilm\targets\buildhq.doc
INSPECTION NOTIO "
city or Tiga.^d Building Deltartment j
13125 SO Ball Blvd. Tigard* Oregon 97 °
639
Inspection Lina (Rec-O-Phone)t 6/39/-4175 Business -.4171
Inspection:
Footing Plbg. Underelab Koch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line CPI ,
Pcat/Beam Struct. San, Sewer Framing -Bldg.
Post/Beam Hach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Nech.
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oa«Ft llequostedt Z 1 - // Timet AM PM
Address: I�7��,7 ,6_0_A1 1 A(ry-tLA(7r Permit rt � 'U7�( A?
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Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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'iPPROVED DISAPPROVED _^ APPROVED SUBJECT To ABOVE
Call For Rainep.
CITYT
MECHAN I CAL OF IGARD PIE R lyl IT
PERMIT #. . . . . . . : MEC93--0319
COMMUNITY DEVELOPMENT DJEFARTWNT DATE ISSU'.'w'D: 11/ 10/93
11125 SW Hall Blvd,Tigard,Oregon 1172239619g (503)639-4111
Pf]iRCEL.: 2SI1OCC.-.13200
SITE ADDRESS. . . . 16065 SW 0l.JF-CN VICTORIA PL.
SUBDIVISION. . . . : ZONING:
BLOCK. . . . . . . . . . : 1-01.. . . . . . . . . . . . . .I
CLASS OF WORK. . :ALT FLOOR FURN. . . . EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS. . : VENT FANS. . . :
OCCUPANCY GRF-,. . -R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES. . . . . . . . : 1 BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL 0-3 HP. . . . . DOMES. INCIN:
: /GAS/ 3-15 HP. . . . : COMML. INCIN:
MAX INPUT: BTU 15-30 HF'. . . . . REPAIR UNITS:
FIRE DAMPER51. . .- 30-50 HP. . . . : WOODSTOVES. . :
GAS PRESSURE. . . : 50+ HP. . . . : CLO DRYERS. . :
NO. OF UNITS------------ AIR HANDLING UNITS OTHER UNITS. :
F 7 URN ( 100K BTU: 1 10000 c f m : GAS OUTLETS. : 1
FURN ) =100K BTU: i 10000 cfm:
Remarks :
Own ey-: FEES
MICHAEL ILLIAS type am o".tnt by date
16065 SW QUEEN VICTORIA PL. PRMT $ 25. 00 JH 11/10/93
5PCT $ 1. 25 JH 11/10/93
KING CITY OR 97224
Phone #:
Contractor-:
A---T'EMF-' HEATING A. COOLING, INC
16000 SE EVELYN ST
CLACKAMAS OR 97015
Phone #: 65VI-5014 26. 25 TOTAL
Reg #. . : 71878
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the teas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical I n s p
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if work s not started
within 180 days of issuance, or if work is suspended for more
than iW days. ——--------
I m i t t e e S)i g n a t _Ire :
lssiied By:
Call for, inspection 639--4175
City of Tigard MECHANICAL PERMIT Planck/Rec. # w
13125 sw Hail Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171
—
_1 Table 3A Mechanical Code QTY PRICE AMr
Job "Ul-s fj1 (0'-10D11��1C 1�11�- 1) Permit Foe -0• -0- 10.00
Address 0"
N)I (� r 2) Supplemental Permit 3.00
MON O�WA Furnace to 100,000
1\ tCl �.'.` 1) incl.ducts a vents 6.00 c
^""' Furnace 100,000 STU a
Owner \ I 1 2) incl.ducts d vents
Flow urn
7
I Pj O I I 3) incl.vent anon 6.00
_ spe ator,wall hoato(
4) or floor mounted heater 5.00
ens rrot tnr f�
C?CCUpanI 5 6W Nit 5) appliance permit 3.00
Repair of heating,reng. -- '�-
6) cooling,absorption unit 6.00
Boiler or comp,heal pump,au con .
N 7) to 3 HP absorp unit w IOOK BTU_ 6.00
7533 S.E.LAKE ROAD Boiler or comp,heat pump,air Gond.
Contractor 8) 3.15 HF'absorp unit to 500K BTU 11.00
652-0345 r0710—for come,hoat pump,au cond.
9) 15-30 HP absorp unit.5-1 mil BTU 15.00
^'^ Nome^^ p ••"^ Boiler or comp, at pump,air cond. - -
�D
57? 10) 30-50 HP absorp unit 1-1.75 mil BTU 22.50
_Uwore y acknowledge that I have read his application. t e Boiler or comp,heal pump,air co .
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 it and1i g unit to
laws,that 1 am registered%ith the Construction ContractiVs 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 CT M 4 7.50
Non portable
14) evaporate cooler 4.50
Vent Ian connects—ed —
15) to a single dud 3.00
Ventilation system not_
16) included in appliance permit 4.50
Hood served y -
i I 17) mechanical exhaust 4.50
work new addition alteration repair Commorciai orsfin nal --
M be done residential non-residential p 18) type incinerator 30.00
xtsting use-oT Other t 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 Y�
building or property_
Type of fuel-oil 0 natural gas 0 LPG Q electric Q 21) More than d-per outlet --NOTICE
Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION -
AUTHORIZED IS NO i".OMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE ,
IF CONSTRUCTION OR WORK IS SUSPENDED OR —_
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIUW 25%Of SUBTOTAL
AFTER WORK IS COMMENCED.
TOTAL
Special Conditions -----� -- -` -
Date Issued by _ 4�
,,.uc�rMr
I-IN 50
NAME 14-4-41 1 Nh A 1111 W I Hf.� -Al 0. 00
5 1_r114r ld P(I Ylyfl NT DO I1 0
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m t I..w(11. 1 1.1. llp 11
'UPPOSE (.11- V,AYMFNT 01YRI(INI 14111) 1'I-1'r111 111 IIMIll111I1 Vr41i I'
Vivi 111 f41q 1 1 f 1 1, F I
(A.It-41A V1.1.11MI(A
AMOUNT POID