Permit C ITY OF TIGARD MECHANICAL PERMIT
tI DEVELOPMENT SERVICES PERMIT #: MEC2004 -00364
., I � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/10/2004
PARCEL: 1S125DD-04400
SITE ADDRESS: 09805 SW VENTURA CT
SUBDIVISION: WASHINGTON SQUARE ESTATES NO.2 ZONING: R -4.5
BLOCK: LOT: 052 JURISDICTION: TIG
CLASS OF WORK: OTR 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:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Replace gas furnace with like kind.
Owner: FEES
YVONNE VALENTINO Description Date Amount
9805 SW VENTURA CT [MECH] Permit Fee 6/10/200 $72.50
TIGARD, OR 97223 [TAX] 8% State Surcharl 6/10/200 $5.80
Phone: 503 319 - 3397 Total $78.30
Contractor:
HEAT RELIEF CO
1311 NE 116TH AVE.
PORTLAND, OR 97211 REQUIRED INSPECTIONS
Phone: 503 Heating Unt Insp
Final Inspection
Reg #: LIC 122424
•
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 -669
Issued B Permittee Signature: 7
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Jun 04 2004 2:44PM Heat Relief 503 -261 -9814 p.1
Me .anic l Permit Aimlicat�ion =1 R t { I ! E : F .
1 L( Cj � .1i& -610.3
r y
City of :
13125 SW Hill Blvd. Phu Review pier
Tigard, Oregon 97223 no, hermit No.:
Phan= 503- 639 -4171 Fax: 503- 598 -1960 _ . Peoltegima Lead lbw
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24 Inspection 503 - 639 - 4175 !: - J ! Contact I S1 Bee t a i n5 Earmr lismeNticihopt
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IV Addition/a11erati 1 1 leer_ I • O'ther. performed. Isere the value (rounded to the nearest dollar) of
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k1�'. a S z N ,, c '�r 1 ''' s � c�: - � �I '�. + labor, � overhead
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�■ ♦ ��.: r i l: ,. �. {��' :11 z. �< 1 ] :c7 'o , cifi', -_, i <� F °' 'ALL c: .EP�L�.._
Builder Lt Other: °aQ a Fee( .) T'
lb Master Bi
I r :- l c1._ . +, ....�' G P. _M ., . e a f t s - aC`: .` -- ti " . ' Plume - add-en
_Job -site addnesa. ' : a _ V - . • _ _ n 14.00
. _
Suite #: � -- _ _Qeshestpomp -- -- -- • — - -- -- - -- _14.00_
Duct weak 14.00
' i *ect Name: Hydronle bet vrater system 14.00
Cross +actions to job site: bad
(her Minor orhydtrmic system) 14.00
Uni t bedew (fad, in tdecide)
kit mat in-duct, sanded. ere.) 14.00
Fhulvent (for any catabolic) ! 10.00
Subdivision, Lot # 1215
Tax #: I '�t - . /sari ,'.: •
Water heater 10.20
_t a _=' 3__riii rri-1: r, 'r_F _''a'_K� OKI &gime 10.00
■ _ w - Rae veal (water Ow:place) 10.00
, Lost botteroged 10.00
Wood/Pellet stove 10.00
Wood firepbastosert 10.00
adolneylrataffluelvart 10.00
'T‘'2 4 1 t ?, -1 y - n t . 512i -A TO 6 '',-. E.�s s Fa . 10.00
Name: ' vol Vas 1- -' 1,-.,i! - s ihrdiamaliace ll r &w atiea:
Address: • 0 Sw 1/
Range boadlother kitchen equipment _ 10.00
—L- Clothes dryer esbaast MOO
a):111- 'II: , a - , d 9 4,01.1.3 Si,�educt ethane
„
Phone: 503- d • - - Fax:
6 w t 3.1-B P !t 7; a li t iM tiitll utility rooms) 6.80
Name: !l a. - rrA c s . cwt sty fam 10.00
Address: • I E 116% e . • of r ' - t .- idal F . _. 10.00 -
,-:1 ' ` • , 7.2? 7.ZO `*�6A® Ow ghat 1, S1.1111 da sub additional)
Phoi: Sair•-1 -0077 Fa= Silira4, ( ' If If 's
13-mail: cue hat pump
Wallfituspaidedhadt heater oo
�c ,.rr'Tv s W,
• Yom/_. _ L ' i BEE- .� Water beater ••
Business Nagle: 1.442, a 4 ; e. L', e✓kr Fseplace 1*
Address: 1 l 16-1" :1 _ - Raw ..1
BBQ o*
III" . / II r-- '1, : f - � a. , i q 1t diver (gas) • ar
Phone: • . • -oo a: Other: ••
CCB Lie. #: / Total:
Au hariz' Signature: e ratirtc t 7
`� O b /4�W _ DrSUmun Permit Fee S72.50 _ $ AR • S
ANA. rk ecru r.c..i S e_0 Plan Review Foe (25% of Pesmit Fee) S
(Please pint name) Stale 9ureharRe (8'% of Penult Fee) $ 5 • So
Tarim rsa varrvie$ s •7 S • 3d
Notice: Thu permit application aspires it a permit In days *fur it wdt is dot obtained ruble *Pee •Pee sasde ao met 6 i'�my Boning Industry Service Sean been accepted
is 1F'pnait Foc adtApp.dae Ft EC E I y �estarbr A/C unite.
JUN 4 2004
CITY OF TIGARD
BUILDING DIVISION
CITY OF 24 -Hour
BUILDING Inspection • . 03) 639 -4175
INSPECTION DIVISION Busine me: (503) 639 -4171 MST
BUP
Received Date Requested 6' 1 7 AM PM BUP
Location
0.02,0/ / )( 4li�:!/t.G�� (� Suite --e636, 4
Contact Person Ph ( ) 3 19 3 ?-7
PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC fNQk
Footing
Foundation ELC
Ftg Drain
Access: s \ ELR
Crawl Drain /
Slab Inspection Notes: / L/7p' SIT
Post & Beam v
Shear Anchors
Ext Sheath/Shear -
Int Sheath/Shear
Framing I \ A 4 2LI Insulation V
Drywall Nailing — __-
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
S • ke Dampers
( 4 , 5 ; tto
PART FAIL
• RICAL
Service
Rough -In
J.
UG /Slab
Low Voltage '-
Fire Alarm
Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: ❑ Unable to inspect – no access
Fire Supply Line
ADA • C V
Approach/Sidewalk Date Inspect° ._ L� Ext
Other:
Final DO NOT R MOVE this inspection r rd from the Job site.
PASS PART FAIL