The URL can be used to link to this page

16720 SW QUEEN MARY AVENUE ADDRESS: 1�7 Z�mLr\ is\records\microfilm\targets\building.doc CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 rooting Rain Drain Cover/Service Foundatiun Water Line Ceiling -Plumb. Post/Beam Mach. Shear/Sheath Framing - ech i PIbg.Und/Fir/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line ,QQ Appr/Sdwlk Reins. Other: _� Qti '�` '! Date: /D 9- �� -- A.M. Entry: Address: 12 Q Tenant: _ _ _ Ste: MST: .-___ _.._. BLIP: _ Con/Own: __ _ ___ __ MEC: -' 6,�y - a7dY ESC: THE FOLLOWING CGRREJTICNS ARE REQUIRED: ELR: _ ctor: -. � -- ----------__-_�Date: InsAPPROVED _—DISAPPROVED/CALL FOR REINSP. CF CO PERMIT CITY OF TIGARD DATEIISSUED.. 09/16/966.0317 COMMUNITY DEVELOPMENT DEPARTMENT V 13126 SW Hall Blvd.Tigard,Oregon 97223•819A (503)539-4171 PARCEL: 2S 1 15BC-01600 ,ITE ADDRLbS. . . : 16 /,:� 7 ':-JW OLA-E�N 11(`110 I4VE SUBDIVISION. . . . : ZONING: BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . i —_---_._---_—_---------_____._--.—____--_—_—_----.---___.--.—._—_..___—___.....__________________ CLASS OF WORE;. . :NEW FLOOR TURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :SF' UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . -R3 VENTS W/O APPI._: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPES----.._—___.--.—_ 0--3 HP. . . . : 0 DOMES. I NC I N: 0 /GAS/ / i 3-15 HF.. . . . . 0 COMML. INCIN: 0 MAX INPUT: V,1 BTU 15-30 HP. . . . : 43 REPAIR UNITS: 0 FIRE DAMPERS?. . : 30--50 HP. . . . : 0 WOODSTOVES. . s 0 GAS PRF_`SSUF?E. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0 NO. OF UNITS------.------- AIR HANDLING LIN I I'S OTHER UNITS. : 171 FURN ( 100K BTU. 1 (- 10000 r.f m : 1 6AS OUTLETS. : 2 FURN )=100K BTU: 0 > 10000 cfm: 0 Remarks : Owner: ___ ___--_______._____...__________._-..._._________.____.______ FEES ALICE ALICE BI3HOFF type amount by date recpt 16720 SW QUEEN M , .Y PRMT $ 25. 00 JDA 09/13/96 KING CITY ;PCT $ 1. 25 JDA 09/13/96 KING CITY KING CITY OR 972,. + Phone #s Contractor: ------------------.---__—___-- COLUMBIA HEATING PO PDX 2:30397 TIGARD OR 97281 —___-_-.-_--__--__--_--..-________________ 1-1h on e #: 624--2704 26. 25 TOTAL Reg #. . : 76359 - ---- - - REQUIRED INSPECTIONS ------- This permit is issued subject to the regulations contained in the Gas Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp applicable laws. All work will be done in accordance with Final Inspection approved plans. This permit will expire if work is not started . _ within 188 days of issuance, or if work is suspended for more than 168 days. 1,ermittee Sign 1-t Y'! d 11 ;all For inspection — 639-4175 PLUMBING PERMIT -CITY ®F TIGARD Df-)fEIISSUED:Y 09/16/966.0:'_70 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 07223.9199 (503)639-4171 PARCEL- 2S 1 15BC--01600 SITE. ADDRESS. . . : 16720 SW UUE:'-1J MARY (.-LVE i SUBDIVISION. . . . : ZONING: BLOC.. . . . . . . . . .. . LOT. . . . . . . . . . . . . . 1 —...__—___.__.__.____________________________._-------_--- __—.___—_----_---_---_._--._ CLASS OF WORK. . :NEW GARBAGE DISPOSALS. : 1 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . : R3 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 111 STORIES. . . . . . . . : 0 WATER HEALERS. . . . . : 1 CATCH BASINS. . . . . . . : 0 FIXTURES--------•--• LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . . 0 URINALS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . . 0 LAVATORIES. . . . . : IZi OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. . : 0 WATER LINE (ft) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft) . . . : 0 Remar^I<s: L_)Wner: __—..______________..__.._...__...._ ...__..__._.____—__.....__..__.._____.____.___._ FEES ALICE: BISHOFF type amol.lnt by date recpt 16720 SW QUEEN MARY PRMT $ 25. 00 JDA 09/13/96 KING CITY 5PCT f 1. 25 JDA 09/13/96 KING CITY V�IIVC3 CITY OR 972'4 Phone #: Contractor: CONTRACTOR NOT ON FILE ---------------------------------------- PI•ione #: $ 26. 25 TOTAL Fleg #. . _ ---- - REQUIRED INSPECTIONS This oereit is issued subject to the regulations contained in the Final Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with ..__...... approved clans. This permit will expire if work is not started __._...... within 190 days of issuance, or if work is suspended for more ___• —_.,_._ ___._W—____ ___ —.._�._.. �._.__.......... than 180 days. P r m i.t t e e S i g n a/ _I 'all for inspection — 639-4175 ____..... . — -SEP-12-'96 THU 20:43 ID: FAX NO: 0 298 P03 .City of Tigard PLUMBING PERMIT APPLICA ION Planck/Rec. # 13125 SW Hall Blvd. Permit # ►)�rh�11� C "%U Tigard, OR 97223 (503) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE ro..r.,. New Single FarnilyMOM Residences Ottt D ❑ 1 BATH HOUSE$140.00 O 2 BATH HOUSE$195.00 Job O 3 BATH HOUSE$225.00 Addrese .f Fee Includes all DWmbing ketures In the dwelling and the fust too Met of water service, sanitary sewer and storm sewer. Sete tees Delow. - ,., n�b�-1 f FIXTURES QTY PRICE AW /� _ Sink _•_ 9p,0�00 NV'1�mow. h~• I.1�V story A.I70 Owner - l�7 Tub or TuorShower Comb. 9,00 ry,sre. Shower Only T 9.00 Water Clo+et 9W Dishwasher 9.00 Garbage Disposal 9.00 Or-eupant ,,Mir a.., --- - --- ,... Washing Mwhina 9.00 Floor Drain9.00 fer Heater nNeM. Wa -- 900-__ Laundry Room Tray _ 9 00 Urinal 900 Other Fi:turas (Specify) 9.0M0 Mii'C M11W J M..n. 9.00 Contractor 0 `/ �,/� 7 — - 9.00 K 4.00 1 �, Sewer 1st 100' - _ 30.00 s,,,. I,"~-w G� Td N^ Sower -eq. Addlt. 100' 25.00 'te)-5' 110l Water Service tet 100' 3000 A I hereby scknewledpe that I have read this ituoicatlon. trial the water Service ca, Addlt. 200' 25.00 infnnitallan given i6 correct, that I am the owner or authorized agent of ,torn 8 Rain Drain 1st 100' 30.00 the owner, that plans Aubmined are in compliance with State Inwq, that I am reglstemd with the Construction Contracto/e Poard, that the Storm & Rain Drain Addd. 100' 25.00 number given Is correct (If exempt from State registration, please ------ give lesson below) _ — Mobile flame Specs 2500 BACk Flnw Prevention �- -� Devlca or Anti-Pollution Device 9.00 Any Trap or Waste Not Connected to a Fixture 9.00 Describe work nave L1 addition C� alteration �) repair O Catch Basin 9.00 to be done residential t7 non-resldantlal Q Insp. of Exist. Plumbing 40,00/hr Spee.:ally Requested Inspections 40,00thr Existing use of Rain Drain, single fem!Iv dwelling 30.00 building or propeM Residential backflow prevention devices 15,00 Proposed use of building or property .-_"_._-_.... -. . -- -(Prcapr nssidendal backflow prcvenffon device!) NOTI(M `Minimum Fee $26.00 SUBTOTAL 60 PERMITS BFCOMF VOID IF WORK OR CONSTRUCTION ,y SURCHARGE AUTHORIZED IS NOT COMMENCED WITHIN 190 DAYS, OR IF "__ CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED -FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PLAN REVIEW 26% OF SUBTOTAL COMMENCED TOTAL Special Conditions Date issued by _.SEP-12-'96 THU 20:z2 ID: FAX NO: #298 P02 City of Tigard MECHANICAL PERMIT Planck/Rec. # 13125 sw Han Blvd. APPLICATION Permit # Tigard, OR 97223 (533) 639-4171 . _,�- - ��._ -- esutpaon Table 3A Mar}►an"Cada OTY PRICE AMT •p- I o.00 Job 1) Permit Fee Adrjre3s _ O 2) Supplemental Permit 3.00 umace - 1) incl, ducts b vena 6.00 F 97u- 00 1 umw �' 2) Incl. ductb&venis 7.50 Owner — -- —=`'s—/� or urn- - �-� 7) incl, vent 6.00 Su- er.WaT ea or I D 4) or floor mounted heater permit 3.00 5) appliance p Occupant - -— - epair oT beating,re ng.' 6.00 6) coolinq,e,bsorpdon unit i er or comp, afar pump,air-con -- Y 1 7) to 3 lip;absorp unit to 100K BTU 8.00 w ,nsailer or comp,h0at pump,au eonUL 8) 3-15 HP;absorp unit 500K BTU 111,00 C`i0ritraCtOr >�v �Q !7�39 7 �•21`�7d t or or camp, a mp, w o0 9) 15.30 HP;absorp unit.5-1 mil BTU 15.00 I 4Jr` ter or comp, at pump,aK co �30 I10) 30-50 HP;absorp unit 1.1.75 mil BTU 22.5ter or camp, ea pump,air no ere iy fte.kn y go 9 ave re is ep ica ron. 37.50 infomtation given is conoct,that I am the owner w authorized agent 11) , 50 HP;absorp unit 1.75 mil:TU nt the owner,that plans submitted are in compliance with State irfian mg urnt ro 4.50 laws,,hat I am registered with the Construction Contrartot's Board, 12) to,ouo CFM that the numbor given Is correct. (If 0"Impt from Stato rogistrotion, it an ing uni 7.50 please give reason bolo-.) 13) 1o,0oo CTM, par 14) evaporate tooter 4'60 -� _ - an an connec 13) to a single duct 3.00 en[I3aon tlyntem 16) Includk�In applittttw Permit Hood seryd 50 17) mechaniral exhaust - -�--n;'"U" i ion ration mpair J��nercia or in s na eso i v+ 18) type incineralnr 30.00 to be done resldendal r7 non-residential Cl — - tar i.e.,wa s love,water ns�nq use`oT� 4.50 yullding or property _ 19) heater,solar,clothes dryers,etc. 20) Qas pipin¢ane to four outlets � 2.00 prop•�sed use of - build ng or property --- �- 21) More than!-per outlet - Type of fuel oil Q natural gas to LPG C) nlndrlr C j -- Minimum Fite$25.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION 6x SURCHARGE •a5 AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR _ IF CONSTRUCTION OR WORK IS SUSPENDED OR _- ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL AFTER WORK IS COMMENCED. TOTAL Spada)Contitions Date issued —by - r.wtowr