Permit CITY TIGARD MECHANICAL PERMIT
'l, DEVELOPMENT SERVICES PERMIT #: MEC2004 -00826
± -- I I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/22/2004
PARCEL: 1S125DD-01400
SITE ADDRESS: 06650 SW VENTURA PL
SUBDIVISION: WASHINGTON SQUARE ESTATES • ZONING: R -4.5
BLOCK: LOT: 034 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: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: Replace gas furnace & install gas piping to range.
Owner: FEES
HOMEN, LINDA J Description Date Amount
6650 SW VENTURA PL [MECH] Permit Fee 12/22/20( $72.50
TIGARD, OR 97223 [TAX] 8% State Surcharl 12/22/20( $5.80
Total $78.30
Phone:
Contractor:
COMFORT MECHANICAL INC
17936 SE DIVISION STREET
PORTLAND, OR 97236 REQUIRED INSPECTIONS
Phone: 503 Heating Unt Insp
Misc. Inspection
Reg #: LIC 79558 Final Inspection
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)246 -6699.
Issued By: Permittee Signature: p �p
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next bushess day
Dec 22 04 08:43a COMFORT MECHANICAL, INC. 503- 762 -5394 p.2
'Mechanical Permit tit ` FOR OFFICE
Permit No OFFICE USE ONLY ""id'
S
tl Da .% l/ � 47 (� �U 0�6
City of Ti and
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review /� 2 '
Phone: 503.639.4171 Fax: 503 598.196 Lt•;,+„ ,., .,ro I ; +i\ Datc/By: Other Permit.
Inspection Line. 503.639.4175 �IU "'I
Internet: www.ci.ngard.or.us 2 2 2004 ��'` Date tdlMe J ®See Page 2 for
1
g Notifiecd/Method: /i / I
tt . Supplemental Information
Y ... . . ,! • — 2 - ' -i<. ;r .pt t
4:_ aVo i�s' "•;: r w - - r'V'a: y ;' " . ,. - T -"C , :TFB $E:UL) , L TISBC11?EECKLIST
❑ New construction ..` o. alre Onlr LtNeht Mechanical permit fees* are based on the value of the work
• performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other mechanical materials, equipment, labor, overhead, and profit
—'1,-"::',1,4.4- . •CATEGORt .O _COMS i ON : ": - - -: ' : °'' Value: $
;; : ..4,::,,1 r iESth - -E QTJIP,MENT`t,SYSTEMS FEES*
TA and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
Mult1 -famil
❑ Multi-family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
' 'S OS-0rf -F O Q!N A J 4.ION;,.:r_ is F,"- •i' Beating/cooling
Job site address: �.�,L -' ��I t ' `. 1 ' ^ �� � �}7i Cc ( Air conditioning s ste plan or hegtp pump
1 1 (requires site tan showin placement) 14.00
City/ State/ZIP: r „ ( . -] Z Z Furnace 100,000 BTU (ducts/vents) 1 14.00 I'-(f —
1 ' L L Furnace 100,000+ BTU (ducts/vents) 17 90
Suite/bldg./apt. no.. J Project name: { . r , c - n Gas hear pump 14 00
Cross street/directions to Job site: Duct work 14 00
Hydrontc hot water system 14 00
•
Residential boiler (radiator or
/ tE) ._ [ 1 l 1 hydronic) 14.00
�G C Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: i Lot no.: Flue/vent for any of above 10.00
Other: _ 10.00
Tax map /parcel no.: Other fuel appliances ,
:: .r. F 9.i )F 0 lr..•
j , "➢i: :r Water heater 10.00
- n '7 1 Gas fireplace 10.00
(J k((C j C I 1 f CC 't (n:5 - \(i' ,l I - Flue vent for water heater or gas L
!, ' �/( • Q eplace 10.00
` ( �4 1 �� 1 � �' y� i `i ff t C J� Loq lighter ( as 10.00
I J Wood/pellet stove 10.00
Wood fireplace/insert 10.00
l :. =,; - A • ,n. - -�- ,,; . - Chimney/liner/flue/vent 10.00
**i4 1 �i- ` _} . ":' „'i' � , '. M,... �.
, . • �.- PERTY .. �, 4 ••I.�.,'7 � 7 ��',/�('. N� .. INT= . r i • Z. •'.h1 o t h er: o t h er: 1000
Name: I t, Y-V ' f \rte^) J .\\ > Environmental exhaust and ventilation
i— r Range hood /other kitchen
Address: 1 _: -� `� 1 ' \ �� lTh �l "..c-r:
K( e• equipment 10.00
City/ State/ZIP: l lr - L \ C I 122_S Clothes dryer exhaust 10.00
C: Single -duct exhaust (bathrooms,
,,
Phone ) C. - -' �C J e�( � Fax: ( n_ ) toilet compartments, utility rooms) 6 80
;0 ,g; - , . . - .5'+ •t'yligc 4•c`•;sPF.RS41?f ',:,i,ti: Attic/crawlspace fans 10.00
Other: 10.00
Business name:
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City/ State/ZIP: Wall/suspended /unit heater
Phone: ( ) 1 Fax: : ( ) Water heater .
Fireplace
E -mail: y Range I 5'4L
:,.e:•••-: �• :;n.: :.-..-'..:t; , , ,yr.�T ��R ± -'- . °• •� ' s:::i: ,.a. . - • •.. ,...-$ Barbecue
Business name: enw \4 T . 1 r' h n i e.C.c.J�l I 1 1� - t Other: dryer (gas) _
Address: i la 3 � :3 L t V t5(YC, -. , .
;v: . 1 •i,�� Cit�'A F 12MTI'+F l E�'
City/State/ZIP: ma.4-LarlA 41 2, Ca Subtotal
Mmimum permit fee ($72.50) ' ' .5(.._.%
Phone. (505, , L — (5 QQ Fax. fr,Q3 J,SF li-f. Plan review (25% of permit fee)
CCB he.: '1 C i..5 ?8 State surcharge (8% ofpermlt fcc) ) e( `
t
■ TOTAL PERMIT FEE `- ,-51'
y l
This permit application expires if a permit Is not obtained within 190
Authorized signature: i •k 6`� / ,)) CC t days after it has been accepted p as complete.
V lete.
Print name: ( l�l� (l �C -� ` t � Date: (2/?C)(! • Fee methodology set by Tn- County Building industry Service Board
1 , 1
,.tBuilding\Pennits l.[ C•PertnitApp doe 12/03 J 440.4617T (1 i/02/C014/WEB)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503, - 1 ., 175
INSPECTION DIVISION Business Line: (50 5' 6 ;) 1
MST
Received 1 ii b Date Requested / — / 9 AM - - -- m = P
Location c( \ev -)i i-✓c Pict 02_ Suite
(0 2004 °° OOga(
- --- / -1 0
Contact Person 1 ,1G P h ( ) 764— PLM
Contractor Ph ( ) SWR l� e
BUILDING, Tenant/Owner ELC v
1 Q+
Footing ELC
Foundation Access:
Ftg Drain 1 " �� ELR M co
Crawl Drain
Slab Inspection Notes: - SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear " _ Q _ n S � eQ '.- Framing (���YC. 1,15./2-e) C�
Insulation
Drywall Nailing f
Firewall
Fire Sprinkler -
Fire Alarm
Susp'd Ceiling •
l k
Roof
Other:
Final -
PASS PART FAIL
PLUMBING I :
Post & Beam _ -''
Under Slab _ 1'
Rough -In I ,
Water Service - . �," 3 if
Sanitary Sewer
Rain Drains '
u.
Catch Basin / Manhole
Storm Drain
Shower Pan 43
Other: - r
Final
IF
T FAIL.
MECHANICAL
Rough -In D�e
Gas Line
•• • ke Dampers Ut.., �
F,;_:,� 1
f�
tir 1) PART FAIL
' CTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Ej Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: _ 2 El Unable to inspect — no access
Fire Supply Line
ADA
A r Date Inspector / Ext
pp oach/Sidewalk , 2
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL