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Permit
-_ , ' ' . ^/ MECHAN ,^ V& �w���� �� � � CFEY � � PERMIT # ^ MEC95-0423 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 12/11/95 , 131usSw Hall Blvd. Tigard, Oregon 9722388199 (503) 639-4171 PARCEL: 1S125DC-01500 SITE ADDRESS...: 07145 SW VENTURA DR . SUBDIVISION ^ WASHINGTON SQUARE ESTATES ZONING: R-4.5 BLOCK..........: LOT ^5 ______ _ _ _ CLASS OF WORK..-:ALT. FLOOR FURN : 0 EVAP COOLERS: 0 TYPE OF USE -SF ' UNIT HEATERS.': 0 VENT FANS...: 0 • OCCUPANCY GRP..:A1 VENTS W/O APPL: 0 VENT SYSTEMS: 0 STORIES � - 0 BOILERS/COMPRESSORS HOODS - 0 FUEL TYPES" ----- 0-3 HP. ' . ..: 1 DOMES. INCIN: 0 :/GAS/ / / 3-15 HP ^ 0 COMML. INCIN: 0 . MAX INPUT: 0 BTU 15-30 HP ^ 0 REPAIR UNITS: 0 FIRE DAMPERS?..: 30-50 HP : 0 WOODSTOVES..: 0 GAS PRESSURE...: 50+ HP ^ 0 CLO DRYERS..: 0 NO. OF UNITS . AIR HANDLING UNITS OTHER UNITS.: 0 FURN < 100K BTU: 0 <= 10000 'oft,: 0 GAS OUTLETS. : 0 FURN ) =100K BTU: 0 > 10000 cfm: 0 • . Remarks: RESIDENTIAL ALTERATION FOR HEAT PUMP ' RESI DENT IALALTERATION TO HEAT PUMP Owner: — FEES -------------- . JACOBS HEAT lNG & AC type amount by date recpt 1421 SE HOLGATE BLVD PRMT $ 25.00 JMH 12/11/95 95-273729 . 5PCT $ 1.25 .j111-1 12/11/95 95-273729 PORTLAND OR 97202 Phone #: 503-234-7331 . Contractor: . JACOBS HEATING & A/C . 1421 SE HOLGATE BLVD • ` . PORTLAND OR 97202 - Phone #: 234-7331 . $ 26.25 TOTAL Reg #.. 001441 -•REQUIRED INSPECTIONS This permit is issued subject to the r000 atimo contained in the Gas Line Insp __ _ Tioard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp _ _____________ applicable laws. All work will be done in accordance with Misc. Inspection _ ____ ___ approved plans. This permit will' expire if work is not started Final Inspection _ within 180 days of issuance, or if work is suspended for _ _______ than 180 days. , --_ __- _ ____________________ ________ ________ • , - -- __� &N _ ---- -- ---- --- Permittee Signature: �i , __ _ ________ ______________ �� ���� ���� ` ����������`�� tilt Issued By: �� ___ _____ ___ __ ___ /� u' Call for inspection - 639-4175 . • ' . • CI1YOFTIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT DEPARTMENT PERMIT # MEC95 -0423 13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 830 -4171 DATE ISSUED: 1111-42-47 PARCEL: 1Si2SDC- 01500 SITE ADDRESS...: 07145 SW VENTURA DR SUBDIVISION • WASHINGTON SQUARE ESTATES ZONING: R -4.5 BLOCK LOT °6 CLASS OF WORK.. :ALT FLOOR TURN....: 0 EVAP COOLERS: 0 TYPE OF USE....: SF UNIT HEATERS..: 0 VENT FANS...: 0 OCCUPANCY GRP.. :Al VENTS W/O APPL: 0 VENT SYSTEMS: IZI STORIES 0 BOILERS /COMPRESSORS HOODS ...... °: 0 FUEL TYPES -- - - - - -- 0 -3 HP 1 DOMES. INCIN: IZI : /GAS/ / / 3 -15 HP 0 COML. INCIN: 0 MAX INPUT: 0 BTU 15 -30 HP 0 REPAIR UNITS: 0 FIRE DAMPERS ?..: 30 -50 HP....: 0 WOODSTOVES..: 0 GAS PRESSURE...: 50+ HP : 0 CLO DRYERS..: 0 NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 0 FURN < V 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0 FURN > =100K BTU: 0 > 10000 cfm : - 0 Remarks: RESIDENTIAL ALTERATION FOR HEAT PUMP RESIDENTIAL ALTERATION TO HEAT PUMP Owner: • - -• - •-- - - - - -• FEES ----- JACOBS HEATING R. AC type amount by date recpt 1421 SE HOLGATE BLVD PRMT $ 25.00 JMH 12/11/95 95- 273729 5PCT $ 1.25 JMH 12/11/95 95- 273729 PORTLAND OR 97202 Phone #: 503 - 234 -7331 Contractor: - --••- -- JACOBS HEATING & A/C 1421 SE HOLGATE BLVD PORTLAND OR 97202 V -- -- Phone #: 234 -7331 $ 26.25 TOTAL Reg #F., .: 00144 • REQUIRED INSPECTIONS ----- This permit is issued subject to the regulations contained in the Gas Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp _ applicable laws. All work will be done in accordance with Misc. Inspection approved plans. This permit will expire if work is not started Final Inspection within 180 days of issuance, or if work is suspended for more _ than 180 days. • Permittee Signature: _ r - - • - -- Issued B_y : ` - -- Call for inspection - 639 -4175 • la / ae29 3 City of Tigard MECHANICAL PERMIT Planck/Rec. # 13125 SW Hall Blvd. APPLICATION Permit # 7 .' Tigard, OR 97223 (503) 639 -4171 Nam. of , Development Descnption J i4i 5n/ V &//►1 -t1 tt ,r/ Table 3A Mechanical Code QTY PRICE AMT Job Address 6trl5ta 4 " 6 / W . / ltiZ 1) Permit Fee -0- -0- 10.00 . 2) . Supplemental Permit 3.00 NAna tor name l be.neu) Furnace to 100,000 BTU TO �' 11 1) incl. ducts &•vents 6.00 M g °it P'roM Furnace 100,000 BTU + Owner 7 �'" " °L%')��S� � 2) Incl. ducts & vents a Floor Furnance 3) incl. vent 6.00 Name (or name of busneu) Suspended heater, wall heater �/� / 4) or floor mounted heater 6.00 Occupant Meing ?emu. IV tail `� vent not incl. m V (��/ /1 / 1� 5) appliance permit 3.00 DEN/Slate 0 ` 1 Repair of heating, refrig. 6) cooling, absorption unit 6.00 Name Boiler or comp, heat pump, air cond. if f fly, HFATIY JG Q. C 7) to 3 HP; absorp unit to 100K BTU I 6.00 (0 Mari Address �d .t3c .... l� Boiler or comp, heat pump, air cond. }' _1 S.E. HO 0A ' s Contractor r-- � � /I;1 8) 3 -15 HP; absorp unit to 500K BTU 11.00 �'O L A " D r OREGON 9` 202 Boiler comp, heat pump, air cond. u t LA I\ l'� 9) H 15-30 HP; absorp unit .5 -1 mil BTU 15.00 St to R gsaatwn No. ry / Pus. Tax No Boiler or comp, heat pump, air cond. 1j L ! _ �8S \ / ��� 10) 30-50 HP; absorp unit 1 -1.75 mil BTU 22.50 I hereby acknowledge that I . ate read this applicat that the 0L Boiler or comp, heat pump, air cond. information given is correct, that I am the owner or authorized 11) > 50 HP; absorp unit 1.75 mil BTU 37.50 agent of the owner, that plans submitted are in compliance with Air handling unit to State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM .4.50 Board, that the number given is correct. (If exempt from State Air handling unit registration, please give reason below.) 13) 10,000 CTM + 7.50 Non portable 14) evaporate cooler 4.50 Vent fan connected 15) to a single duct 3.00 (— _ / Ventilation system not (- _ l/ �� 16) included in appliance permit 4.50 .xinature tower or agent) Date Hood served by 17) mechanical exhaust 4.50 Describe work new 0 addition 0 alteration\ repair 0 Commercial or industrial to be done residential 0 non -resid tial 0 18) type incinerator 30.00 existing use op rtY �ld l iZ 19) heater, i.e., woodstove, water ter building or roe 19 heatete r, solarr, , clothes dryers, etc. 4.50 Proposed use of 20) Gas piping one to four outlets 2.00 building or property Type of fuel -oil natural as LPG 21) More than 4 -per outlet (each) 2.00 YP 0 g 0 electric Q NOTICE Minimum Fee $25.00 SUBTOTAL �� PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE I '� IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL AFTER WORK IS COMMENCED. - TOTAL '"`•Y ' Special Conditions Date issued by H ILOGIMOSTSIMECHPMT ■ •1 ; 1 : rrrr� • ___ - ■ + -- - - -- - '�f - -- - - • .. . . •._� i . - - - -- -- - P 20 Pc �! 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' '' `1 • ' / 4 '4* L ' .. 1 1, :., '''' • • '‘e ' ''•-•,- 'f.';';' : .,. •sc!...• '. .. 2",•''',,S(004)44,''.1-4%',.'‘,. - • t' 4 ' 7 ' A' ' ' ...; '''' I '1; ' N i ,.... jk i- , '4, 2 , ,,, ' ' • ' ' - 1., . 2 , ',' : ' ''' ,' 14 $0: t;„? le:: Ilre' 1 . . ' . :::!," .".:" ;'. :1 1 ,' :' L -2 ' •:', . ::::: . • . • "': , '''•-- , r.4 , 544 , ' , C•4•44ty , T.,.1•Iiilr , F .'.' I•i# ••• ' - Or ''.• "4'2 ; ::,', 4 '..Z• y ,i. ; , - ., 4.,, ,..„:•,„;,,- ,,, rArv...t. '.•." ' ' . ' -v .•.', , - 4y• '' •■•!.. ' ' • ' ; • '",:s "tV • CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested ' / AM PM BLD Location 7/ Y5 V ct Suite CaD 9 S—° y -23 Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner • COM / a . Ecpt 5 ems✓ ELC Retaining Wall ELR Footing Ace Foundations' e �K M Q FPS Ftg Drain NOT REQUESTED / — SGN Crawl Drain Insj FOUND DURING RESEARCH Post &Beam NO INSPECTION(s) IN FILE SIT Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling . Roof Misc: Final PASS PART • FAIL PLUMBING Post & Beam Under Slab Top Out MEN_ 1 Il Water Service Sanitary Sewer WIF 11 Rain Drains Final PASS PART FAIL ECH Post & Bea OU Gas Line S . ke Da' pers PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date Z Inspector ( • — '° °•-- Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. .