Permit C ITY OF TIGARD MECHANICAL PERMIT
PERMIT : MEC2002 -00600
DEVELOPMENT BMENg Tigard, SERVICES
(503) 639 -4171 CES DATE ISSUED: 12/23/02
SW
PARCEL: 1S125DD-03800
SITE ADDRESS: 09865 SW VENTURA CT
SUBDIVISION: WASHINGTON SQUARE ESTATES NO.2 ZONING: R -4.5
BLOCK: LOT: 046 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
> 10000 cfm: GAS OUTLETS:
Remarks: Replace furnace
Owner: FEES
KOSTUR, CHARLES J + DIANNE M Description Date Amount
9865 SW VENTURA CT [MECH] Permit Fee 12/23/02 $72.50
TIGARD, OR 97223 [TAX] 8% StateTax 12/23/02 $5.80
Phone: Total $78.30
Contractor:
AAA HEATING + COOLING
2915 NE MARTIN LUTHER KING BLV
PORTLAND, OR 97212 REQUIRED INSPECTIONS
Mechanical lnsp
Phone: 284
Duct Inspection
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 -00
Issued By: Permittee Signature: Ai ie - -
Call (503 639 -4175 by 7:00 P.M. for inspections needed the next b siness day
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Mechanical Permit n
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Ch y a d Add 13125 SW Blvd,
Phonc (503) 639 -4171 Thaeissuak ; Br•_ + Rec iptnos
Fax: (503) 593-1960 DEC • 3 ' ' flauo : P •
Land use approval: IiuiWagpe:mdt>oo_
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1 & 2 family oe al c gory CI - - - - 0 Multi-family D Taiant amlttvvanert
New construction Q Additionfaltaratiatheplacanteat Cl Other
.lilt; ',I I F 1\Fon \i:; 1101 (O \Oil. NC I.\1. \- \I. \1 $7_"111 01 I r=
• lob address: c \,(3 l, ti3 •.ANk ti 0 . lndie to equipment quaaddes in bwtes below. Indicate tha dollar
Bldg. no I Suite no.: value of all mechaniad materials. equipment labor, ovethead.
Tax melt loshecount no.: . paokt. Value $
Lot Block Subdlvieion: *See checklist for important application information aid
• earns: • • ,MilgplIME • jurisdiction's Sao schedule for reakientiat • R
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Eat. date of - Fea(+s.) ea. • ,
Tenant impeme nt or change of mec . T .
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Is existing space heated or oandit3med? Yea Oho Air ' 1 1f7r — Uhl
Is exiling spatx int:Wan d? -, Yes Q purr-7m � , `
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Business name: AA ' H- = ' rr. J Li — 4- CC.C)L JO_ State boiler amok no.:
Address: 6- I.5 /.-' 111 L - .:7L.• 1 1— 1 te-.. 1EiP Tons BTU/14
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Ovisat 0 Di a sward 1 This — application winhunnt fee....__,. „..., s -Ty Z • CO
aspires ifapeetoit is nocobo.iaed ( ) limey, Glee manna=
within 180 days alter hams ba ca State gift (S%) .. $
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Cardbatder • dm:esee AmO1ra 440.4617 osrallcom)
CITY OF TIGARD 24 -Hour
BUILDING , „ Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Re9uested � /— `� AM PM BUP •
Location g 2 -S vu2447..t.l Jt x_ C Suite MEC 0 — 0 O v
I Contact Person 1 Ph ( ) v'L F y - ° 1 (13 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
j Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
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
Smoke Dampers
PART FAIL
LECTRICAL
Service
Rough -In -
UG/Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA 17?)'?
Approach/Sidewalk Date i P Inspector s Ext
Other:
Final 0 NOT REMOVE this Inspection record from the Job site. •
PASS PART FAIL