16085 SW ROYALTY PARKWAY-1 ADDRESS:
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iArecords\microfim\targets\building.doc
INSPECTION NOTICE
City of Tigard Building Depa.-tssent
13125 SW Ball Blvd. Tigard, or,gon 97223
Inspection Line (Rec-O-Phone): 639-4175 Pjsiness Phone: 639-4171
Inspection:-_.____-_ -- -- ---
Footing Plbg. Underelab M ch. Rough-in Appr/Sdwll,
Found. Plbg. Tod. ^+t Cas Line FINAL,
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet-/Beam Hoch. H.-yin Drain Insulation -Plumb.
Plbg. Underfloor Nater Line /p t/ Gyp. Rd. �.
Date Requested:_ /lsl ! 7 Time, AM PM
p 7
Addrees: n0C.j� & L< rermit 1EG-�
Builder:
THE FOLLOWING CORRECTIONS ARE ANQUIREM D '
az
Inspector: Date.
__APPROVED DISAPPROVED �' APPROVED SUBJECT TO ABOVE
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department.
13125 SN Hall Blvd. Tigard, Oregon 9-.23
Inspection LLnf (Rec-O-Phona): 639-4175 Businenb phone: 639-4171
Inspection:
Footing Plbg. Underslab Hoch. Rough--in Appr/Sdwlk
Found. Pl.by. Top Out Cas Line FINAL:
Post/Beam Strutt. San. Sewer Framing --Bldg.
Poet/Beam Meth. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Lines Gyp. ad. -Hoch.
Date Requested: ` 2��I S�J ,,y� — Time: AM / ^PH
Address:l4 G � ) $ C Lt� Permit
Builder: !`
'HF. FOLIXMINC CORRECTIONS ARE RF.yUIRED: dr
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Inspector: �i -A Date:_ 3
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Ca]] For Reinsp.
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT I,� MECHANICAL
13125 SW Hall Blvd,Tigard,Oregon 87223.8199 (503)538-4171 ✓` PE hM I f
V'E RM I T #. . . . . . . . MEC94-023`.)
(?39-4171 DATE ISSUED: 00/31/94
PARCEL: 2S 1 10CC---04500
SITE ADDRESS. . . : 1608,5 SW ROYALTY PKWY
SUBDIVISION. . . . : ZONING:
BLOCI'.. „ . . . „ . . . . LOT. . . . . . . . . . . . . .
CLASS OF WORK. . :ALT FLOOR FURN. . . . ; EVAP COOLERS:
TYPE: OF USE. . . . :SF UNIT HEATERS. . : VENT FANS. . .
OCCUPAiVCY GRP. . : R3 VENTS W/O ADPL: VENT' SY'S'TEMS:
STORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYPES ----_ - -- -- -- 0-3 HP'. . . . : 1. DOMES. 1 NC:I N:
: /ELE/ / / 3-15 HF'. . . . : COMML.. 1NCIN:
MAX INPUT: BTU 15 30 HP. . . . : REPAIR UNII'S:
FIRE: DAMPERS''. . ; 30-50 HF'. . . . : WOODSTOVES. .
GAS PRE...SSURE. . . :L 504— HP. . . . : LLO DRYERS. .
NO. UF UNITS------------- AIR HANDLING UN I TS OTHER UNITS. :
FURN ( 10011 BTU: l 10000 c f m : GAS OUTLETS. : 1
FURN ) =100K PTU: > 10000 cfm:
Remarks : AIR CONDITIONER NO ISE INSPECTION REOUIRED
Owner-.. ____._....__._._..__.___.________.__.__________-----_____.-.--____-- FEES
HERBERT LINDNE.R type amol_rnt by date r^ecpt
16085 SW ROYALTY PARKWAY PRMT f 25. 00 JF 08/31/94 -
5pCT $ 1. 25) JF 08/31/94 -
KING CITY OR 97224--0000 IhISC $ 20. 00 JF 08/:,1/94 --
Phone #: 503- 620--6202
B R T GAS SERVICE, INC.
5885 SW 177TH AVENUE
ALOHA OR 97007
Phane it: t 46. 25 TOTAL
Req #. . : 91104
- -- - REQUIRED I NSPE LT I ONS -__ ...._.....
This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection
applicable laws. All work will be done in accordance with Final In pection
approved plans. Thiy permit will expire if work is not started
within 180 days of issuance, or if work is suspended for sorethan 190 days.
Per-mittee 173ignat1_rr•e :
Is5,i.red Py ; _.._ r✓
Call f-rnr inspection - 639---4175
City of Tigard MECHANICAL PERMIT Planck/Rec. #121 -
13125 SW Hale 131vd. APPLICATION Permit #
Tigard, OR 97223 I 'Lha
(503) 639-4171 L ' U
ascription
Table 3A Mechanical Code CITY PRICE AMT
Job Xz s Q f��t, 1) Permit Fee .0- -0• 10.00
Address z... o
2) Supplemental Permit 3.00
—.1 Furnace to
�rl 1) incl ducts 8 vents _ 6.00
«� Furnace T00,000 BTU:—
CWnr_r loot? ,�„ty 2) incl ducts& vents 7.50
r F o-5 urnanr:e
3) incl vent 6.00
uspenn eater,wal ei ater
req C� 4) or floor mounted heater 6.00
Vent not inc m
Occupant 5) appliance permit 3.00
.� Repair of heabrig,re ng.
6) cooling,absorption unit 6.00
_ Boilpr or comp, heat pump, air cond.
-T- Gc., 7) to 3 HP;absorp unit to 100K BTU t! 6.00 .CD
»+ Boiler or comp, heatpump,air cond-
Ab Y 'IC LL )W3 8) 3 15 HP;absorp unit to 500K BTU 11.00
Contractor rmiler or comp, ea pump, air con
tt Cja -?Lk) 7 9) 15-30 HP;absorp unit .5-1 mil BTU 15.00
w• Boilpr or comp, heat pump, air cond.
z� 10) 30 50 HP,absorp unit 1 1.75 mil BTU 22.50
hereby ac now qe at have read is application, a re Boiler or comp, ea pump,air con
information given is correct, 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 State it ian3Fng 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, it an ung unit ——!
please give reason below) 13) 10,000 CTM. 7.50
Non portable—�
t t ,Ln _ 14) evaporate cooler 4.50
Vent an connect
15) to a single duct 3.00
enti aeon system not
16) included in appliance permit 4.50
,rte --,ism — d se-N y
17) mechanical exhaust — _4.50
—Ue—sEnbe worR new U addition U alteration repair U Commercialor industrial
to be done residential(,D non-residential O 18) type incinerator 30.00
-xis ng use o — er i.e.,wo s ove,waT e�-
building or property 19) heater, solar,clothes dryers,etc. 4_50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property
21) More than 4-per outlet
Type of fuel -oil O natural gas O LPG O electric O —
Minimum Fee$25.00 SUBTOTAL Ga
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE i 'U
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
Special Conditions
t� Date issue--p (� by
!AUG-24-'94 WED 08'22 ID:CITY OF KING CITY FAX NO:503 639-3771 4626 F02
DING CITY 2 ,
11-700 SAY. 116th Avc+nue,King City,Oregun 97,224 Phone,619.4017,2
MECH.Ar4 I CAL EF'EF_MI 'I' AML PPL I CAT I ON
DATE--% 9,A King City Business License No.
NAME OF APPLICANT: a �LJ \�D l,-�*�-'� k •_ PHONE: CD�•z' �3
ADDRESS: _. +� _ _ ��1_�7 ` b�° s ,. ;a__%-q a_ C�__
NAME AND ADDRESS OF PROPOSED JOB --
Ac 5 5-:>_ Ll kir- C 9-7»q PKONF,: (0;,4 -
NAMF nF rnNTRACTOR: _r j ,t�A- - �-�_- PHONE: fpv_.�
J r,
ADDRESS: -03 )90y{ qr �7 LIEN E NO. �ILi'F
DESCRIPTION OF WORK TO BE DGNE:_) �-Q_—_ _�„��n1c
FOR INSTALLATION OF AIR. CONDITIONERS PLEASE FILL OUT THE FOLLOWING
AND ATTACH TO THE APPLICATION A DIAGRAM OF WHERE THE COMPRESSOR. IS
SITUATED ON THE PROPERTY .
BRAND Ox' - TR CONnTTTnNFR : \I _
BTU' s = --, ` .� ( rU-`--- - NO-��. F DECIBELS ( BELLS ) :----
SIGNATURE
BELLS ) :----SIGNATURE OF APPLICANT:
"APPROVED APPLICATIONS ARE VALID FOR SIX MONTHS ONLY**
NOTE: Oregon Homebuilders Law requires that all persons who contract for work
on a residen.;e be registered with the Builders Board which means the
contractor is bonded and insured on the job sit. For your protection,
be certain your contractor is registered by calling the Construction
Contractors Board at 1-503-378-4621.
FOR//OFFICE USE ONLY
APPLICATION RECEIVED BY A __ DATE
APPLICABLE FEE RECEIVED $ CONDITIONS/COMMENTS
APPROVED BY _ DATE,_
Nor.c: A permit mu alsc be obtained from the City of 'Tigard Department of
Community Development YFs x Ne
CITY OF TIGARDINSPECTION REPORT
This project has been inspected and Approved_ Denied
Comments
- Signature_,_
Date
(City of Tigard please return one ropy to King City)
1 r , 4
AUG-24-'94 WED 08:23 ID:CITY OF KING CITY FAX NO:503 639-3771 9626 P03
B &T GAS SERVICE ..
�a
(503) 642-7243 Abba, OR 97007 (503) 244-9779
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