6630 SW VENTURA DRIVE 06630 SW VENTURA DR
A, CITY OF T I G A R D _— MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2003-00540
13125 SW Hal! Blvd., Tigard, OR 972.23 (503) 639-4171 DATE ISSUED: 9/4/03
PARCEL: 1 S125DD-03'200
SITE ADDRESS: 06630 SW VENTURA DR
SUBDIVISION: WASHINGTON SQUARE ESTATES NO.2 'ZONING. R-4.5
BLOCK: LOT: 040 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE. OF USE: SF UN;T HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VE14TS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS _ HOODS:
FUEL TYPES 0 - 3 INP: DOMES INCIN:
1_11G 3 - 15 HP: COMML INCIN:
MAX INPUT: BTU 15 - 30 HP:
REPAIR UNITS:
FIRE DAMPERS?. 30 - 50 HP:
GAS PRESSURE: 50 , HP: 1NOOD :
FURN < 100K BTU: AIR HANDLING UNITS CLU DRYERS:
- - OTHER UNITS. 1
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS- 1
> 10000 cfm:
Remarks: Install natural gas insert cnd iiiiiin.u.
Owner: --------__..--- FEES
MORLEY, RICHARD A + JOAN 1, Description Date Amount
6630 3W VENTURA DR
TIGARD, OR 97223 1ML•l'lII i'crnut Fce 9/4/03 $72.50
I AX 18"',.State'Fax 9/4/03 $5.80
Phone: L Total $78.30
Contractor:
LUDEMAN'S FIREPLACE & PATIO
12675 SW BEAVERDAM RD
BEAVERTON, OR 97005-2129 REQUIRED INSPECTIONS
Phone: 503-W6-6409 6-6409 Gas Line Insp
Mechanical Insp
Reg#: LIC 51469 Final nspection
This permit is issued subject to the regulations containers 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 mote than 180 days. ATTENTION Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rUlPs 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. - < < ,f y l
Call (503) 639.4175 by 7.00 P.M. for inspections needed the next business day
of t01 la. 43 FAX 5038847297 Citi of 'Tigard 4002
,A Mechanical Permit Application
16 t t Dawreetived. Permit no"
City of j,IgS1I'd �„ .Gib b , Ptoject/ttppi.no.: EtrsirsrJue: -
t ryo/Titarri Addfeii: 13125 SW Hall Blvi Igard,OR 97223 -- —.
Phone: (503) 639.4171 i 1.��,� Date iasund: Rcccipt no,;
Pax: (503)598-1%0 )` Case file no.. Paymm type:
( f ���� tuildin no.:
Land use approval: _ rtF 6P —^ --- - — I
vow
t i 1 & 2 family dwcfittg or xcccssory U CutnineaciWinduuuial U Multi-fauuly QTc a"(:mptuVCmcm
Q New construction AddiuOn/alterwuOndreplacernent ❑ether _
Jobaddress: _-_. �I till�W
�30_ySW ep? e R Indicate equipment quantities in boxes below. Indicate the dollar
Bldg.oo. Suite no.: value of all mechanical materials.equipment.labor.overticad.
Tax lot/account no.: profit_Value S
I.ot: Block Subdivision: 'See checklist for important application information and
Project name: W70 -/r 1 jurisdiction's fee schedule for residernlal permh fee
Cit;kounty: 7"/6+r 71P 7oZo73
Description and luxation of work on prrmiscs: -
27 G ..Z"�5 dry`'
Fee,(CIL 1 Tota►.
Est.date of complchoolmspection: Res.only tin 01,�
Tenant improvement or change,of use: H AC:
Is exucing spue heated or eondiuoned7 U Yes U NoAit handling unit _CFM,�
re `
Is existing apace iwtrlated? Xi coii&dontn (slue lea O Yes O No A teta4on o cacunn A cyettsm+
Mer/eompressota
$tgiis nye• State boiler permit no.:
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Clty Sur O ZIp O cat-amp(sire int mqq
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CCB no.- .�j IV&9_ CPA3 C- - — Includingductrotk/eern liner O Yea O No -
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C]visa 0 1,4h1qC
std Notleo:1%is permit.pphcabun
,�� :.puree if a permit is na obtamed �1i"i°tum fee................
Cnatrawt���r,. .�._ —L_1_ PI&nreview(at —96) $ _
Flvi n within 110 days aver it has heen State s'olthat
accepted sit complete gC(8%)....5
pii„- s TOTAL............__....
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