Permit C ITY OF TIGARD MECHANICAL PERMIT
I DEVELOPMENT SERVICES PERMIT #: MEC2003 -00214
A � f I ° 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/25/03
PARCEL: 1S125DD-03800
SITE ADDRESS: 09865 SW VENTURA CT
SUBDIVISION: WASHINGTON SQUARE ESTATES NO.2 ZONING: R -4.5
BLOCK: LOT: 046 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:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Remarks: Installation of heat pump.
Owner: FEES
KOSTUR, CHARLES J + DIANNE M Description Date Amount
9865 SW VENTURA CT [MECH] Permit Fee 4/25/03 $72.50
TIGARD, OR 97223 [TAX] 8% StateTax 4/25/03 $5.80
Phone: Total $78.30
Contractor:
AAA HEATING + COOLING
2915 NE MARTIN LUTHER KING BLV
PORTLAND, OR 97212 REQUIRED INSPECTIONS
Phone: 284 2]73 • Cooling Unt Insp
Final Inspection
Reg #: LIC 222
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 -0010 through OAR
952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)24 699.
Issued B • Ca6-1. 4A,a,/f ,) Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
• 41 11S /2001 12:00 FAX 5035981980 CITY OF TIGARD @I002
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�jry 6� Address: 13125 SW Hall Blvd Ii p1� p ` Projaco�pl. no.: , Expire date:
Phone: (503) 639 171 I� �• C U �3 oissued: Bur -Hi f4Receiptno.:
Pax: (503) 598 -1960
CITY O F TIGARD ' Case a te = rl, t e:
Land use approval: LD aG- CalIS1 Building pentane.:
I11'1. (IF VII? Nil T
New famil rxion or accessory O O Multi-family CI Tenant impr+ovomcnt
Q Addition/alteration/replacement 0 Other_
.1014 SIT I\FOI \1: \.1 1Ox ' CC) \loll Kt (. \L \ 111 , 11'4I1\ S (JIJ 11 :
. lob address: cl l• loS S1,J R.N\. & CA" Indicate equipment quantities in boxes below. Indicate the dollar
EZI:311 Suite tto.; value of all mechanical materials, equipment. labor overhead.
Tax mapltax lot/ /account no.: pao8t. Vale $
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Lot Block: Subdiviswn: 'See checklist for important applioadon infiu mien and
Pro e t name: 411\ p • • . Ds-k- jurisdiction's fee schedule for residential • .....1
Citykoranir 1 (3•C'K 0..1'\ ►' ZIP: lEIRRRIMMIENN I &: .1.\ \111 l I'\1 I_L1.1.`.(. l'1:I0111. 1.1 l', .Sc_191_I)1.11
• ption and location of work on ,, -,,, , • ■
� ,� �_ � u'l it / l�Dc ( \ I \ u 15 TItI\1_l_U1 1 1� ; 111'-1 (1,1 01_1
Tenant improvement or change awe: •
Ts space heated or mooned? erica O No Airhaodlia unit CPM
Is existing space Dilated? E Yes a No - Mil
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Business name: AA ' N- — • i J &- + COOL( 1..1 L*— State boner paw it no.:
Address: 1,5 HP Teas BTWA
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signature: �J r �.■1 - _ t a i ■Q�� � � a � �r
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'O . please COli imtemeaoe Ike woke vn. ` rlOtiCe: This permit li ra t ieu Permit fee .... ..S _ on Jurtscatsdow giar.S. Credit Z�i • D
east mad •vweoe / e i pe mil is dot obtained ) $ Z �o —
Nome of ta<tlhma.r ar atom m ae�e tad — days after taw ban teviu e 8% 96 $ t ,
$ aocepted ascomplete. Tom ( ) ....
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AAA Heating and Cooling I Air Conditioning Bite Plan
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CITY OF TIGARD 24 -Hour
BUILDING � Inspection Line: (503) 639 -4175
INSPECTION DIVISION`'\ Business Line: (503) 639 -4171 MST
BUP
Received Date Requested '� AM PM BUP
Location ____62/4 L/t 2i Suite MEC 3 —06
Contact Person ,) Ph ( ) a R 4 — a- 1 73 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing � i ( � u..e/..GD/G 7606
Insulation
Drywall Nailing ti /t t i r ,C27
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Fin •
AS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
PASS PART FAIL
ELECTRICAL
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 -
ADA
Approach/Sidewalk Date ' C! d3 Inspector Est
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL