9735 SW VENTURA COURT ADDRESS:
2-7-657 2zi venL rr& er
i:\records\microflm\targets\building.doc
Page No. 1 CASE. HISTORY FOR CASE NO., MEC97-0025
JACK HURT
09735 SW VMTrURA CT
01/27/98
Action beocriptirm Req/
Schd/ End/ Action Ncten Dinp By Update Upd
Dateey
code Sent Done Dcme
02/05/97 PASS JDA 02/05/97 JDA ,
MECA007 Application recnived / / / / pA89 TAT 02/07j97 .7«tI
MECA060 (F) l8NUO permit 02/07/97
M&CA715 Mechanical Inap
02/05/97 / / / / 02/05/97 JDA a
MECA720 Woodetwe Inap
02/05/97 / / / / 02/05/97 JDA
MECA799 Final Inspection / 02/12/97 STAINLESS STEEL STOVE PIPfi OK FART MS 02/13/97 MRS
THIS IPN'T AN APPROVAL FUR THE STOVE fi
RETURN AIR NEXT TO STOVE IS TOO CLOSE
MECA800 Care Finaled
/ 01/2.0/98 Finaled by review....outntanding PASS HAP 01/20/98 DGW
correction regarding combustion air vent
and woodstove addressee a pre-existing
condition. ...permit for flue pipe
o;nly. . .
MECH'4NICAL
I TY OF T I G A R D PE RN 7 T
PF Rlyl I T #. . . . . . . : MEC97-17.10J:`:;
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 02/07/97
PARCEL: 11,3125DD-08200
TE ADDRESS. . . : o,313'�j SW VENTURA CT
JBI)I V I S I ON. . . . : WASH I NGTON SCIUARE ESTA'T'ES NO. 3 ZONING: R-4. 5
LOT. . . . . . . . . . . . . :90
ASS OF WORK. REP FL.0 0 R F!I R N. . . . EVAP COOLERS: 0
�`PE (IF USE. . . . -SF UNIT HEATERS. , : 0 VENT FANS. . . : 0
'CUPANCY GRP. R3 VENTS W/O APPL: 0 VENT' SYSTEAS: 0
TORIES. . . . . . . . : 0 BOILERS)/COMPRESSORS 111OODS. . . . . . . : 0
'El_ TYPEG3- 0-- 3 NF'. . . . :; 0 DOMES. TNCIN: 0
3-15 HP. . . . - 0 COMML. INCIN: 0
()X INPUT: 0 BTU 15. 30 HP. . .. . - 0 REP,nIP UNITS: I
TRE DAMPERS ?. . : 30--50 Hr.,. . . . 0 WOODSTOVES. . : 0
1'iS PRESSURE. . . - 50-4- Fir,. . ., , 0 rl () DPYERS. . - it
,!(j. OF UNITS---- AIR HANDLING UNITS OTHER UNITS. 0
FURN < 1.001./, BTU, 0 10000 r-fm : 0 GAS, OUTI.-FTS., 0
TURN ) =100K BTU: 0 > 10000 cfm : 0
to%,e chimney ; Sec�'-tt-jtY WM-fl' A!
Pom,kv-ks : Storm Di-1111---Age 12/95. t,eplacpmerli. (:)f* wf)0(1,-,,
HT
FEES
I 11JRT t y,P(? .A m o i.i.n t by t e
) 7'7 PRMT $ 0. 00 JDA 02/05/97 FUND 12
,5 SW VENTURA DR I-,C T t 0. 00 JDA 02/05/97 FUND
HUARD OP 97223
1101-le #:
!IERTCAN C11iMNEY ""WEEPS
iiMERICAN CHIMNEY & MASONRY INC
r,O Bn- y 1.33.tt
,ORTLAND OR 97213 0. 00 TOTAL,
I C.)T I V #-.
,q.
REPU I RED TNSPECTTONS
This pervit is issued subject to the regulations contained in the MechiAnical Trisp
Tigard Municipal Code, State of ore. Specialty Codes and all other Woocistove Insp
applicable laws. All work will be done in accordance with Fin .-il. Inspection
approved plans. This pervit will expire if work is not started
,,ithir 18@ days of issuance, or if warty is suspended for more
,an IN days.
d
C,:jj 1. for
p(a
639-41
x
Plan Check q
CITY OF T IGARD Mechanical Permit Application Recd By
13125 SW MALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P E.
(503) 639-4171, x304 Date to DST
Print or Type Permit# ti 1e-C-`r7-c6%J
Incomplete or illegible applications will not be accepted r alley!
Nome of"'eye pm nV led I Description
1�1� 1 lit. <�� Table to Mechanical Code QTY PRICE AMT
Job Street AddressII I/ 1 Sudsy A) Permit Fee -0- -0-
1000
Address ) 7:)h `1� v�/'rcwoL _
SMprs gjWstete Zip 8) Supplemental Permit 300
�/ (' _
Ns�r s(or ns of business) 1 ) Furnace to 100,000 BTU 6 00
Owner j�l �? ; �j � �Z incl ducts&vents
Mnlrng, d is. I 2.) Furnace 100,000 BTU+ 750
GG f' J � ) ��1_ _ incl,ducts&vents _
cr isle Zip Phone 3) Floor Furnace 600
C (, �1-� _incl-vent
Name( name of b.hens) 4) Suspended heater,wall heater 600
or floor mounted heater
Occupant Mailing address 5) Vent not incl in 300
appliance permit _
City/Stale Zip Phone 6) Boder or comp,heat pump,air conn 6.00
to 3 HP,absorp unit to 100K BTU _
'y'/ I 7.) Borer or comp,heat pump,air Gond. 1100
�Y
)(Y 1,f Y C 'C
l ad i 3-15 HP.absorp unit to 500K BTU _
Cont.-actor Mating Address �,1 8) Boder or comp,heat pump,air Gond. 1500
15.30 Hf.absorp unit 5-1 and 8 rU _
Attach copy of c,tyrstat}p r Zip 9) Boiler or comp,heat pump,air Gond 22.50
Current Licenses 7_' ill � 2 t —o 30-50 HP,absorp unit 1-1 75 and BTU
Oregon const.on�.a Lrc s Exp.Date 10) Boder or comp,heat p,fmp,air Gond. 37.50
>50 HP,absorp unit 1.75 mil BTU
COT Business Tax or s Exp.tints 11 ) Air handling unit to q 50
�i��i •►r _ 10,000 CFM_
Architect Name 12) Air handling unit 7 50
10.000 CTM+
or Marling Address 13) Non portable 450
evaporate cooler
Engineer C tyistase -�Z o Phone 14) Vent fan connected — _ 300
_ to a single dud _
Descnbe wcrk New O Ar,;ition G Alteration U Repair IQ 15) Ventilation system not 450
to be done Residential C� Non-residential J included in appliance permit
,Additional Description of��,rk _ 16) Hood served by mechanical exhaust 4 50
y!" 14r ,�` i� r
__ _ _ _ __ 17) Domestic incinerators _ 750
Existing use of 18) Commercial or industnaitype 3000
building or property _ _ incinerator
19)_Repair units 450
Proposed use of 2oodstove 450
budding or property A�_ _ _ I It)
oc
_ 21) Clothes dryer,etc 450 _
Type of fuel-oil O natural gas O I.PG O electric O 22) Other units 4.50
I hereby acknowledge that I have read this a.olicahon.that the 23) Gas piping one to fou, wtletr, 200
information grven is correct.that I am the owner or authonzed agent of
the owner,that plans submitted are in camrance with Oregon State 24) More than 4-per outlet (each) 50
lays_
Signature of Owner/Agent Data QTY.SUBTOTAL
'SUBTOTAL
Contact Person Name Phone 5%SURCHARGE
PLAN REVIEW 25%OF SUBTOTAL
i:kdstvnechpmt.doc (rev 7196) 'Minimum permit fee is S25+5%surcharge
1
Jar.-.jary 2, 1997
CITY OF TIGARD
OREGON!
973.5 SW Ventura Court
RE: 1995/1996 Storm Damage
We hope that you have recovered from the storm and that you are not experiencing any
difficulties related to storm damage. As you will recall, following the 1995/1996 Storm, a
staff'member of the City of Tigard Building Division performed an inspection at the above
noted address, to assess storm damage. At that time you were left a notice regarding the
need for a permit to cover the necessary repairs
Our records indicate that a Building Permit has not been obtained for the repair. F ermits
and inspections required by the Tigard Municipal Code are an important part of your
repair project. Permits help to ensure that work is done in compliance with minimum code
requirements. Inspections are intended to protect the occupants of buildings and building
owners If the work has already been done, we can still inspect it for compliance with the
code.
ALL FEES WILL BE WAIVED FOR BUILDING PERMITS TO REPAIR STORM
DAMAGE.
Enclosed are the necessary permit applications along with supplemental
informationfinstructions.
Please submit, in person, the necessary application materials to DEVELOPMENT
SERVICES, 13125 SW Hall Blvd. Or, if you have questions regarding the permit
process, contact DEVELOPMENT SERVICES at 639-4171 ext. 304.
Thank You,
.till Aldrich, Customer Service Manager
Development Services
Je*nMWCWM
13125 SW Nall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 --
I
n
City of Tigard, Oregon .��
Rapid Damage Assessment Form
BUILDING DESCRIPTION: OVERALL RATING: (Check one)
INSPECTED(Green)
Name: --- --` ✓` Exterior only
C.�•,��—� Exterior & Interior
Address: LIMITED ENTRY (Yel ^w) U
UNSAFE (Red) ❑
No.of Stories: —
Basement: Yes ❑ o ❑ Unknovm 0
INSPECTOR: 7
Inspector ID �LAt
Primary Occupancy: Dwelling�_ Affiliation
Other Residential ❑ Commercial ❑ Office ❑
INSPECTION DATE-
Industrial
Industrial Public Assembly ❑ School❑ Mo/day/year Z i
Govprnr_ient O Emer.Serv. ❑ Hospital ❑ Time v -- am
7p;
Other
Instructions: Review structure for the conditions listed be!ow. A "yes" answer to 1, 2, 3, or 5 is grounds for-,.,r.,,
posting entire structure UNSAFE. if more review is needed, post LINQTED ENTRY. A "yes" answer to 4
requires posting AREA tiNSAIh nd are to be tested and/or Bround arri dca edhe rdto indicate essuch as a toxic AREA UNSAFE. pol or an
asbestos release are covered by Po More Review
Yes _ N0 Needed
Condition _ -- -
artial collapse,or buildurg off foundation ❑
1. Collapse,p ❑
Ll
2. Building or story noticeably leaning u
3. Severe racking of wall,obvious severe damage and distress
Ll pid
4. Chimney, parapet or other falling hazard ❑ pd ❑
5. Severe ground or slope movement present ❑ ❑
6. Other hazard present: !� -
Recommendations:
❑ No further action required
Ll Detailed Evaluation required (circle one) Structural Geotechnical Other — _-----
❑ Barricades needed in the following areas: - -----
ff_Other.
Occupants Notified to Vacate Temp Housing Req.
Posted.at this Assessment: L3 Yes baa(--�_' 0 2
❑Yes �, No ❑ Yes Na .
Comments:
Estimated Damage �j-0% Ll25% Ll 50 ❑ 100% $
C —OFFlCE USE ONLY
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