9760 SW VENTURA COURT ADDRESS:
4v.ra 4, Ixr
i:\records\microflm\targets\building.doc
CITY OF TIGARD BUILDI G INSPECTION DIVISION
24-Hour Inspectinn Line: 639-4175 Business Phone: 6394171
Date Requested: -46/77 A.M. P.M. _ MST:
BUR
Lo ation:�. L(,Ls,1Sd D�/l
Suite:—______Bldg:Bldg: MEC:
Tstiarit: — —
Contractor:
Phone: rI-q� PLM:
I I�� _
Phone: _J ELC:
(honer: - ELR:
_—
( SIT:
SITE
BUILDING BLDG(con't) PLUMBING —IMEC�II�
MECHANICAL CooveCT Cover/Service
L Scwer/Storm
Site Post/Beam PosUBcam Water Line
Roof (Jndri/Slah Rou -ln Ceiling
Footing Rough-In t J0' Sprinkler
Slab Framing Top Out Cies Line gh
Sewer 1 uct Reconnect Vault
Foundation Insulation Furnace Temp Service MISC.
Bsmt Damp Drywall Storm
Masonry Ceiling Rain Thain AIC UG Slab
Sheai/Sheath Fin Spklr/Alm Crawl/Four+d Dr I]cat Pump Low Volt
rove Approved Approved
Approved
Approved PP Not Approved
Appr/Sdv,Ik Not Approved Not Approved o roved Not Approved PP
FINAL FINAL FINAL FINAL FINAL
C1 Call for reinspection D Reinspection lee of S___required before next
t inspection M Unable to inspect
Inspector. ---- --•--
Page--,---of-4--
---__�---- � ME:f'H A f d I CAL.
CITY OFTIGARD PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : MEC97-0211.
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 06/24/97
PARCEL: 1 S 1.c DD-•05000
SITE ADDRESS. . . : 09760 SW VENTURA CT ZOhIING:
SUBDIVISION. . . . : WASHINGTON SGiUARE ESTATES NO. ,- ZOINISDICTIO"�: TIG
BLOCK. . . . . . . L.OT'. . . . . . . . . . . . . :�8
CLASS OF WORK. . :ALT FLOOR F URN. . . . : 0 EV AP COOL—ERS: 0
'TYK'E OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP- - :R3 VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . . 0 BOTL_ERS/COMPRESSORS HOODS. , . . . . . : 0
FIJEL_ TYPES ._.___-----.---- 0-3 HP. . . . : 0 DOMES. I NC I N: 0
:GAS 3-1.5 HP. . . . : 0 C0MM1-. I NC I N: 0
MAX INPUT: 0 BTU iS -30 HP. . . - : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : 30--50 HP. . . . : 0 WOODSTOVES. . : I
GAS PRESSURE. . . : 50+ HP. - — : 0 CLO DRYERS. . : 0
NO. OF 1JN I TS-- - -- _- AIR HANDLING UNITS OTHER UNITS. : 0
FURN ( 100V BTU: 0 <' 10000 c f m : 0 GAP) OUTLETS- 1
TURN > =1O0K. STU: 0 > 10000 cfm: 0
Remark : Installing gas fireplace and gas piping
Owner-: _---•__.___._.___ _______._.____.__-_____.___
---- FEES -•--------------
LAURIE L. KELLY type-- amount by date r^ecpt
9760 SW VENTURA CT PRMT $ 2:5. 00 B 0E,/24/97 97-296344
TIGARD O-1 97223SPCT $ 1. 25 B 06/24/97 97--`96344
Phone it: a46- 1412
Cont rac_t or^: •---•--.___._____
CHIM-PRO CO. ----
CLASSIC HEAT SOURCE, INC. $ _--26. 25 TOTAL
19 '01 SE !STARK TREET
PORT1-.AND OR 776.33
Pi o n e #: 669--9301
Reg #. . 000649
-- - REWIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas L.Ane Insp -_--
Tigard Municipal Code, State of Ore. Specialty Codes and all other Woodstove Insp
applicable laws. All work will be done in accordance with Final Inspect ion
alp^.ved pians. This permit will expire if work is not started
wr,�in lee days of issuance, or if work is suspended for more — -
than 180 days. ATTENTION: Oregon law requires you to follow rules --
adopted by the Oregon Utility Notification Center, Those rules are
set forth in OAA 952-001-0010 through OAR 952-001-0080, You may ----
obtain copies of these rules or direct questions to OIINC by calling
(503)246-9187.
By _. ��J�.� - -- - 1:1 e r•m i t 'S i gnat u r e
++++++++++++++-++-1-++++++++++-►•++++++•+++++++•++++++t++++++++++++1+++ f ++++++++++++++
Call 639•-4175 by 6:00 p. m. for- inspections needed the next business day
+++++++++- + ++++++++•+++++++++++++++++++++++++++++++++++++++++++++++++++++1-+++-e+ ►
L-----
Plan Check
CITY OF TIGARD Mechanical Permit Application Recd By
13125 SW BALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P E. _
Dace to DST
(503) 639-4171, x304
Permit 0 Petit
Print or Type Called
Incomplete or illegible applications will not be accepted
N610 of DeveiopmenuProma -.1 Description
� it t C' I, 1 Table 1A Mechanical Code _ CITY PRICE AMT
Job SInNAddrtu
--'� sufto A) Permit Fee -0- -0- 1000
Address -7 LIP, (A --- -•
tap,► CdyiSlate Zip 1 ) Fumace to 100,000 BTU 6.00
including ducts$vents _
Nrrio la name of bumnessi 2.) Furnace 100,000 BTU+ — 750
Owner c , y ' >`l�L including ducts&vents —
Mading Address �'� 3) Floor Furnace 6.00
'I /(.(i 1-, ct / including vent _
Cnyistate Zip pfine 4) Suspended heater,wall heater 600
�,_�j J„j w IKI.1 or floor mounted heater
Nerne(or nlme of business) 5) Vent not included in appliance permit 300
M
Occupant arling Address _ ) 6) Boiler or comp,heat pump,air Gond. 600
to 3 HP.absorb unit to 100K BUT” _ ___
cdyisufs Zip Prone 7) Boiler or comp,heat pump,air cond 11 00
-- 3-15 HP,absorb unit to 500K BTU"
ContractorNaine 8) Boiler or comp,heat pump,air cond 1500
(Pnor to --�-- _ 15-30 HP,absorb und.5-1 and BTU" --
ssuance Mailing Address — 9) Boiler or camp,heat pump,air cond 22 50
applicant / ( ' .,.f , 30.50 HP,absorb unit 1-1 75m1 BTU"
must provide all CdyrstaleZip Phone 10) Boiler or romp,heat pump,air cond 3750
contractor F >50 HP',absorb unit 1 75 mil BTU"
license Oregon Coft.Cont.Board Lia M Exp Date 11.) Air handling unit to 10,000 CFM 4.50
information ( r r ,> / l h _ - -- — -—"-
for COT COT eusi was Tex or Murat EXP Dobe 12) Air handling unit 10,000 CFM 7 50
database). _ - / _ ___ —
Architect N'r"e y 13) Non-portable evaporate cooler 4 50
or Meting Address—1— 14) Vent fan connected to a single dud 3.00
Engineer CMiState— Lp Phone 15) Ventilation system not included in 4 50
— _appliance permit
Descnbe work Pll._V Addition O Atteration O Repair O 16) Hood served by mechanical exhaust 4.50
to be dm,_ Residential O Non-residential O
:,ti
Adronal Descnptton of work - — - 17)-Domestic inaneratcts 750
18) Commercial cr industrial type 3000
Incinerator
-- -- - 4 50
Existing use of 19) Repair units
building or property ---
20.) WeedNOCe --- 450
Proposed use of 21.) Clothes dryer,etc 4 50
building or property_- - ----- _--
22,) Other units 4 50
Type of fuel-oil O natural gas LPG O electric O 23) cies pip ng one to four outlets 2 00
I hereby acknowledge that I have read this application,that the — 24) More than 4-per outlets(each) 50
information given is correct,that I am the owner or authorized agent of - __._
the owner,that plans submitted are in compliance with Oregon Stale OTY SUBTOTAL —
laws —
Signature of Owner/Agent Date "SUBTOTAL
5%SURCHARGE
Contact Person Name �' - Phone PLAN REVIEW 25%OF SUBTOTAL
TOTAL
ldstlrrtechpmt doc (rev 9 'Minimum permit fee is 52.5+5%surcharge
"Residential AIC requires site plan showing placement of unit