Permit 7
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CI TYOFTI GA RD .
MECHANICAL PERMIT
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COMMUNITY DEVELOPMENT DEPARTMENT PERMIT # ^ MEC96-0014
131osSm Hall Blvd. Tigard, Oregon 9722 308199 (503) 639-4171 • DATE ISSUED: 01/19/96
PARCEL: 1S125DD-05600
SITE ADDRESS...: 09870 SW VENTURA CT
SUBDIVISION....: WASHINGTON SQUARE ESTATES NO.2 ZONING: R-4.5
BLOCK..........: LOT ...... .......:64
CLASS OF WORK.. :ADD FLOOR FURN ~ 0 EVAP COOLERS: 0
TYPE OF USE -SF UNIT HEATERS'.: N VENT FANS...: 0
OCCUPANCY GRP..:R3 VENTS W/O APPL: 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 • @ WOODSTOVES..: 0
GAS PRESSURE...: � 50+ HP ^ 0 CLO DRYERS..: 0 .
NO. OF UNITS - AIR HANDLING UNITS OTHER UNITS.: 0
FURN < 100k BTU: 1 <= 10000 cfm: 0 GAS OUTLETS.: 1
FURN >=1@0K BTU: 0 > 10000 cfm: 0 ' _
Remarks: 'Install furnace, air conditioner, and piping
Owner: - - FEES ------- -
DAVID SODERQUIST type amount by date recpt
9870 8W VENTURA CT PRMT $ 25.00 JSD 01/19/96 96-275104
5PCT $ 1.25 JSD 01/19/96 96-275104
TIGARD OR 97223
Phone #:
Contractor:— - 7
HEATING SPECIALIST
9300 NE HALSEY
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PORTLAND OR 97220 ----------- -----
Phone #: 257-7000 $ 26.25 TOTAL
• Reg #..: 056628
• REQUIRED INSPECTIONS
This peroit is issued subject to the reoulations contained in the Gas Line Insp _
Hoard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp •
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This pernit will expire if work is not started
within 180 days of issuance, or if work is suspended for nore
than 180 days.
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Permitte S --
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Call for inspection - 639-4175
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City of Tigard MECHANICAL PERMIT Planck/Rec. #
131 '5 SW Hall Blvd. APPLICATION - - Permit # i^t6 96.- ).,
Tigard, OR 97223
(503) 639 -4171
hone ofDovosoomw Descnption - Table 3A Mechanical Code QTY PRICE AMT
mere
Job 9 S lo 5 ‘k.4/1111, rct_ C,'t 1) Permit Fee -0- -0- 10.00
Address ulrfm zn
Ti 9ca..rz 9 7 2-2_3 2) Supplemental Permit . 3.00
Nome for norm of bwnm.el a 4 4, - 53t, 1. . , - Furnace to 100,000 BTU •
S cl.�r 1) incl. ducts & vents ( 6.00 Co Up
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Mary of ° • Furnace 100,000 BTU +
Owner 9 sr10 Z.w tf 2vm U tt'.f . C T 2) incl. ducts & vents 7.50
Cdyf Stale "o Floor Fumance
'T g q., r` 9 7 2_2_3 3) incl. vent 6.00
Nam. lo, name of buarwmml Suspended heater, wall heater
4) or floor mounted heater 6.00
• Ma-ng Address Phan. Vent not incl. in
Occupant 5) appliance permit
3.00
�Stal• LO Repair of heating, refrig.
6) cooling, absorption unit 6.00
Nam 2_5'7 - - ror a Boiler or comp, heat pump, air cond. )
�7h..¢. J-(-eat- n • c ■ t a l r,S r • 7) to 3 HP ab sorp unit to 100K B•TCJ ! 6.00 ( oo
Mina Accuse 7 anent Boiler or comp, heat pump; air cond.
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ei 3 pc) rJ Q, (-1 A L3.r 8) 3-15 HP; absorp unit to.500K BTU 11.00 •
' Contractor ci,,,,st„• y Lc
Boiler or comp, heat pump, air cond.
PfD 9 S 9 72_2_8 9) 15-30 HP; absorp unit .5-1 mil BTU 15.00
Slaw R o•om No. uh at. TO No. ' Boiler or comp, heat pump, air cond.
St, /- Z g ( 3 7o 10) 30-50 HP; absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowledge that I have read this application, that the 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 •
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15) to a single duct 3.00
Ventilation system not .
i _P7 _ 7 16) included in appliance permit 4.50
Sotoo a-3:pe` n4 Dam Hood served by .
17) mechanical exhaust 4.50
Descnbe work new O addition (Ef alteration 0 repair 0 Commercial or inaustrial _ -
. to be done, residential,6 non - residential 0 18) type incinerator 30.00
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Existing use of Other i.e., woodstove, water - .
building or property S 19) heater, solar, clothes dryers, etc. 4.50 -
Proposed use of 20) Gas piping one to four outlets 2.00 2.0a
building or property
21) More than 4 -per outlet
Type of fuel - oil 0 natural gas t LPG Q electric 0 ,
• 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 26. -zC
Special Conditions
' . Date issued by
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone39 -4171
Inspection: 1
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I "._a__/,•__. -
Footing / Susp. Ceiling Sprin . Rou -in Appr/ # Ik
Foundation Plbg. Underslab -c . Rough -in ' ireplace
Post/Beam Struct. Plbg. Top Out - - . - ough -in / FINAL:
Post /Beam Mech. San. Sewer / -Bldg.
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation
Underflr. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: ( \ 1 C -2—\ l Time: X AM PM
Address: 7 D c J
Builder: Permit raac rrul76 -00 I ,-
THE FOLLOWING CORRECTIONS ARE REQUIRED:
- lS L.:,■■...( ' :Lc )-- 36 C0 16%6Z
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P - k tr...\ vA ,% c- ,.,./l,s e.
t. - T c„A.`'V .
1 __ J U c Inspector: Date: 1 Z Z / �Q
PROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
(� _Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
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Date Requested AM PM BLD
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Location / ? 70 ) Suite MEC 676 — 60 1 L(
Contact Person Ph PLM 76
Contractor Ph SWR
BUILDING Tenant/Owner -(-T b4 / '! 5 e ELC
Retaining Wall o 4 en, r ELR
Footing
Foundation NOT REQUESTED FPS
Ftg Drain
Crr awl l Drain In
FOUND DURING RESEARCH SGN
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Slab NO INSPECTION(s) IN FILE SIT
Post & Beam
. Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler n��
Fire Alarm / /
Susp'd Ceiling - .. f i L.
Roof
- ASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rai, Drains
tit
l�l PART FAIL
M HANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
A Or
PART FAIL
CTRICAL
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 11. ` �' Inspector `i`l/ /' Ext 2
Final
PASS PART. FAIL DO NOT REMOVE this inspection record from the job site .