Permit CITY TIGARD MECHANICAL PERMIT
►I'* DEVELOPMENT SERVICES PERMIT #: MEC2003 -00115
. ,� I � - 13 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/17/03
PARCEL: 1S125DD-01600
SITE ADDRESS: 06700 SW VENTURA PL
SUBDIVISION: WASHINGTON SQUARE ESTATES ZONING: R -4.5
BLOCK: LOT: 036 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: 1 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: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Replace gas furnace and install a/c.
Owner: FEES
HEATHER MACGREGOR Description Date Amount
6700 SW VENTURA PL
TIGARD, OR 97223 [MECH] Permit Fee 3/17/03 $72.50
[TAX] 8% StateTax 3/17/03 $5.80
Phone: 503 246 - 3705 Total $78.30
Contractor:
COLUMBIA HEATING + COOLING INC
P.O. BOX 230397
TIGARD, OR 97223 REQUIRED INSPECTIONS
Phone: Heating Unt lnsp
hone: 624 - 2704
Cooling Unt Insp
Reg #: LIC 76359 Final Inspection
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 I .
Issued By: / 1 5- i` !_„/,_, / 4 • Permittee Signature: /��,,,. ei,.
Call (503) .39-4175 by 7:00 P.M. for inspections needed the next business day
(.. .- ,+
,.):
Mechanical Permit Application
, Date received: / 703 Permit no.:Mt 60 /l
s .,l,� ;� ": l l il City of Tigard
Project/appl. no • Expire date:
City nj Addre s: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 Date issued: By: Receipt no
Fax: (503) 598 -1960 ( 1Cp Case file no.: Payment type:
t
Land use approval: Building permit no.:
• .. TYPE OF PERMIT. ... z.
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 Tenant improvement
0 New construction ii • edition/alteration/replacement Cl Other:
- JOB SITE INFORMATION - COMMERCIAL VALUATION SCHEDULE ".
Job address: AV 0 .ter ,. Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: Suite no.: value of all mechanical materials, equipment, labor, overhead,
Tax map /tax lot/account no.: profit. Value $ .
Lot: (Block: Subdivision: *See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
City /county: ZIP: - . 1 & 2 FAMILY DWELLING PERMIT FEE : ;
Description and location of work on premises: -t# t,,t ii,44 AND COM11'IF.RICAL /INDUST RIAL EQUIPMEN1 SCHEDULE
1 1L1.4 t 41.(./ t/nyigaell •fC.. Fee(ea.) Total
7'sst. date of completion /inspection: Description Qty. Res. only Res. onh
Tenant improvement or change of use: HVAC:
Is existing space heated or conditioned? 0 Yes 0 No Air handling unit CFM
Air conditioning (site plan required) [
Is existing space insulated. 0 Yes 0 No Alteration of existing HVAC system I 1
. MECHANICAL :CON1'RA(:1 OR . : - Boiler compressors
Business name: State boiler permit no.:
.. .. sr HP Tons 'BTU /H •
Address: p o L3 ox ,,z 3 0 3 '7 Fire/smoke dampers/duct smoke detectors
City: 11 6., q oz .0 I State:eV I ZIP: 47/J4/ Heat pump (site plan required)
Phone: Fax - -,., , E -mail: Install/replace /P BTU /H
CCB no.: 74 S Including ductwork/vent liner 0 Yes l to
9 Install/replace /relocate heaters - suspended,
City /metro lic. no.: /a 7 a wall, or floor mounted
Name (please print): m, c A a t / o lse_Aeiz_ Vent for appliance other than furnace
CONTACT PERSON Refrigeration:
/1 Absorption units BTU /H
I'�
Name: AM (l A /6 y 0 144 OoalAe_47 �/ Chillers HP
Address: / Compressors HP
Environmental exhaust and ventilation:
City: State: ZIP: Appliance vent
Phone: ,7 p Fax :s% , L. E -mail: Dryer exhaust •
0 • Hoods, Type l/ Illres. kitchen/hazmat _-
hood fire suppression system
Name: - V 0.1... Exhaust fan with single duct (bath fans)
Mailing address: G 7e v _ sa/ , Ytue iv Exhaust system a.art from heating or AC
ue p p . g an. ' but on up to 4 out ets)
City: 7-7.444144," I State:
64,1 ZIP: 9707,03 Type: LPG NG Oil •
Phone: , .• Q$ Fax: E -mail: Fuel .i.ing each additional over 4 outlets
ENGINEER - ' rocess p p . g (schematic required)
Name: Number of outlets
Other listed appliance or equipment:
Address: Decorative fireplace
City: I State: I ZIP: Insert - type
Phone: I Fax: I E -mail: Woodstove/pellet stove
� Other:
Applicant's signature: ��` `% � Date: . y -ea Other,
Name (print): Qig• OAl6y
Na all jurisdictions accept credit cards, please call junsd rt
retion for more infonauon Permit fee $
0 Visa 0 MasterCard Notice: This permit applicatio Minimum fee $
Credit card numtxr.
/ expires if a permit is not obtained Plan review (at _ %) $
Expires within 180 days after it has been State surcharge (8 %) .... $
Name of cardholder as shown on credit card accepted as complete.
$ TOTAL $
Cardholder signature Amount
440 -4617 (6v00/COM)
Columbia Heating & Cooling, Inc.
P.O. Box 230397
Tigard, OR 97223-0397
Phone: 503-624-2704
Fax: 503-598-0270
•
1:1
o ,s
- _
A A
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested a,-90 AM PM BUP
Location 07,09 5 Zv `I eet /r,t4 /4/ Suite MEC '3- 7l5
Contact Person Ph ( ) PLM
Contractor re:4:0//4%t Ph ( 7o y SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection s: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/ShearZ # V� 7 3 2_
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm � 4110/
Susp'd Ceiling
Roof D--7 ,
Other: 3 d a-�
Final
P ASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rou -In 7
Water Service
Sanitary Sewer
Rain Drains •
Catch Basin / Manhole S' deC-Pj Lc_iz i 't
Storm Drain
Shower Pan Cc
Other: (
Final
PASS PART FAIL
Offal/T
Post & Beam v
Rough-In
Gas Line r V_
Smoke Dampers
; PART FAIL
TRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final 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 J
ADA Approach/Sidewalk Date $ " I ns pector " _ ` Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL