Permit ,yI ' CITY OF TIGARD
,,y MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00051
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/30/2008
"' PARCEL: 1 S125DD -09400
SITE ADDRESS: 09650 SW VENTURA CT ZONING: R -4.5
SUBDIVISION: WASHINGTON SQUARE ESTATES NO.3 LOT: 102 JURISDICTION: TIG
PROJECT: SPELMAN
Project Description: furnace replacement
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
TOM & LAURA SPELMAN Description Date Amount
9650 SW VENTURA CT
TIGARD, OR 97223 [MECH] Permit Fee 1/30/200E $72.50
[TAX] 12% State Surch 1 /30/200E $8.70
Total $81.20
Phone: 503- 245 -6894
Contractor:
AAA HEATING & COOLING
2915 NE MLK JR BLVD
PORTLAND, OR 97212 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 284 -2173
FAX 503- 284 -1552
Reg #: LIC 222
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: `� Permittee Signature: P �r X rte/
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
From: \\I V 01/30/2008 08:28 11476 P.002/002
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Mechanical Permit Avu1ic , 0. pl... :, : .. 1(,u 0, 1(.L 1 ..,I. ()Nu
• • ' , City of Tigard P' " n Received
I
.. v ( - 4 IsAv Date/By: 71Ord. EMI ii.TMPTIJIM/
.....:- :- 13125 SW Hall Blvd., Tigard, OR 97223 6
O 1 l' c \O ` . 1
C
' Phone: 503.639.4171 Fax: 503,598.16\( N. _ ‘,..‘ \\I‘
Date/By: Other Permi0A d.,Rovi ,o,pg ,
..,_ ,, 6 Inspectioraine: 503.639.4175 Xlq V° ' Date Ready/By: Adis: 811 See Page 2 for
Internet www.tigard-or.gov \JO .
i3 Notified/Method; Supplemental information
•
ZgaittighaiR40240,itEtOW.-RHAIMASEOVEREZ g f::::: 41#.0"7. 7.,c
Mechanical permit fees* are based on the value of the vrork
0 New construction leAddition/alterationireplacement
performed Indicate the value (rounded to the nearest dollar) of all
o Demolition 0 Other: mechanical materials, equipment. labor, overhead, and profit.
'V;PpiCIZZAagi"gre;ilitaiifiti-likifeiloliff-Vg412e4:170F644:149 Value: S
,.S.L-ROK
DI- and 2-family dwelling 0 Commerciallindustrial 0 Accessory building
For special information use checklist.
0 Multi-family 0 Master builder 0 Other
Descron 1 Qty. 1 Ea. 1 Total
MaPaN Beathigiaa a ait
Job site address: 7 6 -SW . VeAbig-A- edit Air conditioning or heat pump
(requires site plan showing placemen0 14.00
City/State/ZIP: tf 1°A.,,,,424 577z-z.-3 Furnace 100,000 BTU (ducts/vents) y 14.00 Pi
Furnace 100,000+ BTU (ductsivents) _ 17.90
Suite/bldg./apt. no.: 7 ' - Project name: .. 5' " ief ell A i
Gas heat pump _ 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel-type, not electric),
• in-wall, in-duct, suspended, etc. 10.00
Flue/vent for any of above 10.00 ,
Subdivision: I Lot no.:
Other 10.00
Tax map/parcel no.: Other fuel appliances
674 --PagaRti r el*IW*1 1 0*.O RK ITEDErdell:72" . 1: 1 1 ,- .M - Water heater 10.00
Gas fireplace 10.00
,64e-i..54 3ikee/Z-1.e.e4.21; .
Flue vent for water heater or gas ,
fireplace 10.00
Log lighter (gas) 10.00 _
Wood/pellet stove 10.00
- -
Wood fireplace/insert 10.00 -
F gal= 1 1.* " 4 , 7 1 *TX71- 6 ***1 7 .01 1 MSZNICP S .W4TWARe C Wiinerifluelvent 10.00
10.00 .
0
Name: \-5- 04- i Ra 6 AA(
. / 4 Environmental exhaust and ventilation
Range hood/other kitchen
Address: 474 - 6 4,1 , Ve4-r...kiir_ot-- ' e.....„K equipment 10.00
City/State/ZIP: t 1 0/4 . 9 zz. z_.3 . Clothes dryer exhaust 10.00 . !
/ 4% Single-duct exhaust (bathrooms,
Phone: (5 ) 5
. -.... ,g7y Fax: ( ) toilet compartments, utility moms) 6.80
ENMEMPTIWOW111-I.V.M tkinat:02*-VrOP AtticierawisPace fans , 10.00 '
Other: 10.00
Business name:
Fuel piping .
Contact name: - for first four; $1.00 for each additional
-
Furnace, etc.
Address:
Gas heat pump
City/State/ZIP:
Wall/suspended/unit heater _
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E-mail: -
Range
553AF Barbecue
Business name: 4 v._ ,144_, Ae C e'l
t'' - Clothes dryer (gas) -
Other:
Address: a vi..5 xi G z / I- ie._ tvci , MSNiEfg;*lg,QA7*Tel;kli*b3*-,r*::C1-SNIFZ
City/State/ZIP: 70R eK 012._ - 97zez_.. Subtotal
/ Minimum permit fee ($72.50) Wart)
Ph one: 4 7 eV - .2.1 73 Fax: (5 2-g CI - z-- Plan review (25% of pamit fee) .
CCB lic.: z2, 2._. State surcharge (12% of pennit fee)
,F TOTAL PERMIT FEE V
Authorized signatu • ' - This permit application expires if a permit le not obtained within 180
I days after It has been accepted u complete. •
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Print name: c, - .- '.- r741-- . Date: i 34:260 . * Fce methodology set by Tri Building industry Service Board
IABuilding \ PermitsWEC-PermitApp.doe 04/06/1. 440-4617T (11/02/COMAVE13)
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4
CITY-a. . TIGARD
BUILDING DIVISION PERMIT #: 1 4 ' (l(;i ,(;( 0';'(
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1f30/ 00ii
Phone: (503) 639 -4171 ° ° r� p ''4l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7115.1200E TIME: 7 :00AM PAGE: 30
SITE ADDRESS: 01,1;16() SW WWI URA CT CLASS OF WORK:
SUBDIVISION: WASHINGTON SCOARE Fif NO LOT #: 107 TYPE OF USE:
PROJECT NAME: SPI.:LMAN
DESCRIPTION: furi,ace replacement
OWNER: SPILIviAN, TOM & LAURA PHONE #: 503- 2
CONTRACTOR: AAA HEATING & COOi-ING PHONE #: 50a-2842173
Inspection Request Scheduled For: Date: 7l1i/200B Pour Time:
Code # Inspection Description Confirm # Contact # Message
639 Mochanical final 066083-01 503- 284 -2173 Y
Corrections /Comments/ Instructions:
1 V PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL 1 1 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: Z- /S- -- ofd Phone #: (503) 718 - ` 'S---
CITY QFTIGARD
BUILDING DIVISION PERMIT #: ta9FC.20t;?3 001:15'f
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1f30/200B
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/6/2008 TIME: 7:00AM PAGE: 41:;
•
SITE ADDRESS: C)9650 SW VENTURA CT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT #: 102 TYPE OF USE:
PROJECT NAME: SPELMAN
DESCRIPTION: fami:at:e fep)l ,cement.
OWNER: sPl- LM AN, TOM & .AURA PHONE #: 603 245 0351
CONTRACTOR: AAA HEATING & COOLING PHONE #: 503 -784 -2
Inspection Request Scheduled For: Date: 2J6120018 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 iVlec.ha!ucal final 064569.01 503- 2134 -2173
Corections /Comments /Instructions:
4120
Jr A 7 -P�=r-
( g(6 vtigiC4L /1 1 14.o01/ L # S /44-6 3� �e C z2 - r —
.. • r✓/T iV 4C6"" •
n PASS "n PARTIAL APPROVAL n CANCEL NO ACCESS
AIL 1 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: — — 0 C3 Phone #: (503) 718- Z-
.4