Permit III CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00612
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/22/2007
PARCEL: 1 S125DD -03700
SITE ADDRESS: 09875 SW VENTURA CT ZONING: R-4.5
SUBDIVISION: WASHINGTON SQUARE ESTATES NO.2 LOT: 045 JURISDICTION: TIG
PROJECT: SHREVE
Project Description: Install gas furnace and a/c unit.
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: 1
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
NAT 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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
SHREVE, THOMAS A + MARY B Description Date Amount
9875 SW VENTURA COURT
TIGARD, OR 97223 [MECH] Permit Fee 10/22/20( $72.50
[TAX] 8% State Surcha 10/22/20C $5.80
Phone:
Total $78.30
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. ,...,,,
Iss -d By: / / /�� /, // f / Permittee Signature: . j�'� C� '
Call 513.639.4175 by 7:00 a.m. for inspections that business da
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.
FYom: RECEVED 10/22/2007 07:58 11028 P.002/003
„ .
OCT S 2 2007
Mechanical Permit Aaph F ramp ,..: O,.l l( (.5,: (i ,.,
City of Tigard IN PEEN2®6U1SiON Received � �
Date/By: Permit No.: / _ - /_ 2 ,
III
13125 SW Hall Blvd., Tigard OR 97223 y' C� / A v[/ V (G
Phone: 503.639.4171 Fax: 503.598.1960 Plan Review
Date/By: Other Permit:
i . lc A R LI Inspection Line: 503.639.4175
Date Ready/By: See Page for
Internet: Www.tigerd or.gov
Notified/Method: Mil Supplemental Information
..pi >;iRI': 5.ti €' - X :: 1; _ _ Y 7i F- 5 Eab';K,. -.; as - W mrd.9, -nip,_
Mechanical permit fees* are based the value of the work
CI New construction Addition/alterationfeplacement
performed. Indicate the value (rounded d to the nearest dollar) of all
El Demolition ID Other
mechanical materials, equipment,
s =c_ •:�*;,:, a oie - uipment, labor, overhead, and profit
Value:5
f �M17fr,+1""L�, sv�'�:� -9�'Jr:
. ,r,- ��iiy��u"'_,.. �.,..t- •ui.�✓%r
- and 2 family dwelling ❑ Commercial/industrial ID Accessory building — k`� L ` .
❑ Multi f For special information we checklist.
Y ❑ Master builder ❑ Other:
i'� a ^... „� r t' ..� r Re Description I Qty, I Ea. I Total
: .rr••r, c��"��a; y i,. S / CZUryrT i���' i ^t
ex: 2.; ::a:i ✓at. c � . �' .n,.M -.�.-; ! +u N, - " ^ zva•=at�;,�7 Q ug
.- - ..li..u�aEi�ffJ....i�:tfr� .'.•r'1: Heatutg/ooalhrg
�� 5 s� ^A Air conditioning or heat pump
Job site address:
��
City/ State/ZIP: � 6 ,4 OV- (free site plan showing Dlacement) ( 14.00 1
p - 1 Z'-1) Furnace 100,000 BTU (ducts/vents) 14.00 cr
Suite/bldg. /apt. no.: I Project name;
Furnace 100,000+ BTU (ducts/vents) 17.90 t l —
Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00 _
Hydonic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel-type, not electric),
_ in-wall, in-duct, suspended. etc. _
Subdivision: Lot no.: _ Flue/vet for any of above 1 10.00 10
10.00 _
Tax map /parcel no.:
Other fad appliances
'a .ys+.xl r ' - ,. q ;•,. -4 _. r 7 rr ,;_, k ✓` -i `, Water heater 10.00
k14 S wr r~ 4 e ti p hs �r,, l� Gas fireplace _ 10.00
n' r Flue vent for water heater or gas
Arxry, pir . fireplace 10.00 ,
1 Log lighter (gas) 10.00 -
Wood/pellet stove _ 10.00
Wood fireplace/insert 10.00
a w i., �� -, • :: , .. ^r „ , y .. , Chimney/liner/flue/vent 10.00
r i.'£S); _ `t4 , - ,, k. " irigL' a ° Other: 10,00
Name: Tow.
S� Environmental exhaust and ventilation
Address: c StA) k{a t..,$••- r, c - Range hood /other kitchen
V equipment 10.00
City/State/ZIP: 't'; a_,,a gel LI- 2 Clothes dryer exhaust 10.00
Phone: Single -duct exhaust (bathrooms,
hone: ) l � ( � V�� jg� + n �� � � 7 Fax: ( ) toilet compartments, utility rooms) , 6.80
af ti71?.3M�, n , ,7& � .,��rC�'�9,1',.Jq�' AttiC/t.mWlSpaCe fans 10.00
s
Business name: Other a 10.00
r Fuel piping
Contact name: c1d 1,, s 4.2. Z A $5.40 for first four; $1.00 for each additional
Address: c+5 l t Furnace, etc.
1 a-
Gas heat pump
City/State/ZIP:
Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Email: Fireplace
_Range
_ .. ..W. .-,. 0 -1t .:4 .9 -:�.•. v ^":::j:._` Barbecue
Business name: ANN c � -h��{ �1li� Clothes dryer (gas) —
Address: 7,___4( � vlG wt1 1 e cj1V4 Other. „,F ICAI.`.I!'EB8 jEBB +, :y
City/ State/ZIP: Pv� Cl.i1G( 'k1 Z( Z - Subtotal �/ v A
Phone: ( y,) L. (�(,k �� �J 7 Fax: (W3) Lgj� Minimum permit fee ($72.50) 12 ”
I Plan review (25% of permit fee)
CCB lic.: a
State State surcharge (8% of permit fee) s
TOTAL PERMIT FEE g 3 3
Authorized signature: Thus permit application expires if a permit is not obtained within 180
days after It has been accepted as complete.
Print name: , pv I Date: 47 -- 2.7x,- p 7 • Fee methodology set by Tri-County Building Industry Service Board
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CONTRACTOR NC-HEAT PUMP —:- UNIT SITE PLAN
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:AA AI
A HEATING & COOLING, IND. - . - D4c) n
2915 NE MLK JR. BLVD. ...........6....1■■■•■■•■■■■•••••••4""54•4 lYer--4
PORTLAND OR 87212 . .
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CUSTOMER INFORMATION • .
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PLEASB =PAX APPLICATION WITH SITS PLAN.
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CITY,OF#TIGARD - --
BUILDINCa DIVISION PERMIT #: MFC2007- 00617
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/2212007
Phone: (503) 639 -4171 ���I�
Inspection Requests (24 Hrs.): (503) 639 -4175 .40- ° ..
INSPECTION WORKSHEET FOR DATE: 2/2117Q08 TIME: 7:00AM PAGE: 63
SITE ADDRESS: 091.176 SW VENTURA CT i CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT #: 045 TYPE OF USE:
PROJECT NAME: SHREVE
DESCRIPTION: Ir,siall gz:, furnace and a/c unit.
OWNER: SHREVE, THOMAS A + MARY B, PHONE #:
CONTRACTOR: AAA HEATING t COOLING PHONE #: 503 - 2.84-2173
Inspection Request Scheduled For: Date: 7/21/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
EquB Mechanical final 065186 -01 50-284-2173 Y
Corrections /Comments/ Instructions:
(� , ✓,i v,� dam '. ■20 , �,Q __ Ay:IL` 6
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
❑ FAIL IN CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: .� Date: - - ^ d Phone #: (503) 718- - 24
p � )
CITY OF TIGARD
BUILDING' DIVISION PERMIT #: MEt 2007.013612
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10122/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 „lilt
INSPECTION WORKSHEET FOR DATE: 315/2008 TIME: 7:00AM PAGE: 48
SITE ADDRESS: 09875 SW VENTURA CT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT #: 045 TYPE OF USE:
PROJECT NAME: SHREVE
DESCRIPTION: Install gas furnace -and a/c unit.
OWNER: SHREVE, THOMAS A + MARY B, PHONE #:
CONTRACTOR: AAA HEATING & COOLING PHONE #: 503 - 284-2173
Inspection Request Scheduled For: Date: 3/5/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
659 Mechanical final 066081 -01 503.2842173 N
Corrections /Comments/ Instructions:
•
Pte" ASS 0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: #
A Date: 3 — S - c. 9 Phone #: (503) 718- -Z-cf=
CITYL OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007TO0 12
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /0/2212007
Phone: (503) 639 -4171 T t
Inspection Requests (24 Hrs.): (503) 639 -4175 ...' IL
INSPECTION WORKSHEET FOR DATE: 2125/2008 TIME: 7:00AM PAGE: 43
SITE ADDRESS: 09875 SW VENTURA CT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT #: 045 TYPE OF USE: ,
PROJECT NAME: SHREVE:
DESCRIPTION: Install gas furnace and a/c unit.
OWNER: SHREVE, T HOMAS A .f MARY 13, PHONE #:
CONTRACTOR. AM HEATING & COOLING PHONE #: 103-204 -2173
Inspection Request Scheduled For: Date: 2/25/200F) Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 065626.01 503.284-2173 Y
Corrections /Comments /Instructions:
i it2 .<< i2 ' iZ CTv /2/4/ idic.. . 4�
�) L A C.. A 7 IL 7 �.i /" • --"? =- - /p-.��, 02 c.'-'
�i - /-- le. �i c4c --
4 Ls r, .«,4L r! �. �i. J n - - 26 —6
❑ P S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL 7 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: "/, Date: - Phone #: (503) 718-