9600 SW VENTURA COURT r
c
`►Mill SNN cnlut';t ( I
CITY OF
T I G /\ R MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002-00185
DATE ISSUED:
13125 SW Hall Blvd., Tigard OR 97223 (503) 639-4171 PAR(PARCEL: 1 1512 S125DD-^9900
SITE ADDRESS: 09600 SW VENTURA CT
SUBDIVISION: WASHINGTON SQUARE ESTA1 CS NO.3 ZOWNG: R-4,5
BLOCK: LOT: 107 JURISDICTION: TIG
CLASS OF WORK: ALT FLOUR FUF N: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATED S: VENT FANS:
OCCUPANCY GRP: R3 VENTS WIO APF-L: VENT SYSTEMS:
STJRIES: _ BOILERSICOMPRESSORS HOODS:
FUEL TYPES 0 3 HP: DOMES. INCIN:
f LPG Y 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
OTHER
Fl?
u 'q >=100K BTU: <= 10000 cfi-1: GAS :AS ',)UT LETS:
UNITS:
> 10000 cfm:
Remarks: Replace gas furnace with new gas.
Owner: --� .� -- ---�FEES_ --
WILBERDING, B J + MICHAEL J CO Type By Date — Amount Receipt
9600 SW VENTURA CT PRMT GTR 5/7/02 $72.50 272002000C
TIGARD, OR 97223 5PCT CTR 5/7/02 $5.80 272002000C
Total $78.30
Phone: -
Cootractor:
GAROKEN ENERGY COMPANY
3565 SW 182ND AVE
BEAVERTON, OR 97006 REQUIRED INSPECTIONS
MechanicLI Insp
Phone:848-3838 Heating UnInsp
Reg #:LIC 43124 Final InspL.,,.tion
PLM 34-113pb
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
pans. 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 952-001-0080.
You may obtain copies of these rules o. direct questions to OUNC by calling (503)246-9189.
Issue By: r_ / ,_ Permittee Signature:Call (503)(503) 639-4175 by 7:00 P.M. for inspections needed the next busing:ss day
04/30/2002 08:40 5033569002 GAROKEN PAGE 01
03/21/Ml 'AEU 12 58 FAX 503 508 11160 CITY Or TICARD � t
Mechanical Permit Application
r��' Datereoeived: �7 fJ 2 1'etmtt no.: L .Uo 5
City of Tigard Projecvappl.no,: Expire date;
City ofTigard Address- 13123 SH'Hall 131vd, T,gai I, OR 4'/223 Datcissued; 9y Rece)ptnu
Phone: (503) 639-41^1
Pax: (503) 598.1960 Cate file no.: Ptyment rype.
Land use approval: _ Bundlrrgperntllno!
& 2 family dwelling or accessory U Comm�srei&Vindustr,al .J Muln-family O Tenant improvement
Cl New construction �i�Qdditit n/alleratton+repls,cemenl J(ether. ___�
lob address: _ Indicate equipment quantities to"axes below Indicate the dollar '
Bldg, no.: Suite no,: ti value of all mechanical matenlils,equipment,labor,overhead,
Tax map/tax lot/account no,, profit. Value S i
Lot, Block: Subdivision: 'See checklist for impatient application Information and
Pro ectt name: ' (rte jurisdictIon's fee schedule for residential permit ;ec
Cil /count _ 7IP:
i Description Ad I ation of work premises:.
_ KAj i2a s
Est date of Com etion/ins eclton (� — Uacrilpdou r . Ila,uW� [lrs nu -
Tenant improvement or change of use, Air handlinj unit _ CFM
is existing spore heated orcondidonedtdYc< ON() teen luonrn an
site re u re )
la existing space insulated''";0Ves Cl No �Tleretlono existing stem
o aiTi:omprctson
Business name L f n f. State boiler permit no-
__
I l3 r� � I S HP Tone BTU/ _
Address. (t� $1AI I`$a r1 _ it som asm er duct smoke detectors
Cit I eat pum arta an re u to
Phan 6b }g-?�3�8 S•mail: )nsta rep ace furnacelbumerlQ
Including ductwork/vent liner U Yes r No
CCB no..
Cit /metro Itc.no `�� _ well.or poor mounted
ant for ante at er an urnace
Name(please nni) R i� --
milli UNIX e gen ant
Absorptionruts�. ______ lJTU/H
Name:_ Q{2 .Y�_.�_ �a Chiller) __--- ---_ HP
Address: - Compressors HP
nv I n�ainenta a ,suet an van at tons
City- Stag: .:II' A,,iplist ce vent
Phone, Fax: Email: irex„auu
0o e,Type rei.Totc a azrnst
hoot Yrrc suppression tytlem
Name, t r Bxh rust fan Witt)single duct(bath fans) _
Mailing address:
aunt t stern a an m eat n ori
rl
ue piping a sir u on up to out ets
City; -� ar Siete: ;.Ip: 3 T LPG NG Oil
Phone Fax �� E-mail: ✓ tel m eec s t one over out eta
rocetspiping(schematicrequ red)
Num4er of outlet
Name. __ -tier littia apritionce or equipment'. v
Address. _ :xcoratiye.fire 11"
City. State. �I;IP:
Phone: 1 Fax: oo ,mv poi ars ove
Applicant'ssl naturt Sad Oelc; _ejp� _ t eri __ {
Name (print): py. �1pY AO-.V. _
naw umaat,em Icce credit evdt,Oluu elft lnnwr titan rm mala Int nnaUon Permit fee $ _
+ w Notice This r-drrnnr application
n ❑Mature Minimum fee................$
eKptres if p p,rmfr to not obtained
crwn;vn nomr>cr _� � Phln review(at _ qi+) $ _.
xr,r s within 180 d rfter it hes been State surcharge(896) 3
d�l cu—
d '7 P
lcce ted u..gymp lett TOTAL ...... ...
�. 7 w s
Ill,via _ A'N•4n1' µ7.I)117;A,tlp'�CN.
CITY OF TIGARD 24-Hou,
BUILDING Inspection Line: (503)639-4175 fJST _ ----
INSPECTICtN DIVISION Business Line: (503)639-4171
BUP —
Received Date R quested AM— —PM_ - BLIP
Location n C� c.�'j" Suite MEC
Contact Person ___- _ _ _ Ph (___,) ,� PLM _
Ph SWR
Contractor ( )
.� �� ----
BUILDING Tenant/0 vner _ _ ELC
Footing ELC -
Foundation Access:
Fig Drain ELR
Crawl Drain — SIT
Slab Inspection Not�..s
Post&Beam -- - -
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Fire%all
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
_PASS_ PART FAIL
--
Post&Beam
Under Slab
Rough-In
Water Service --
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain
Shower Pan
Other: -
F inal - -------_ -- -- --
PASS PART FAIL
M_ECHANICAL --._— - -------- -- ----
Por & Beam
Rc.ugh-In ------- — — --------
Gas Line
Smoke Dampers ------------- --- --..�__-------
I -
�S PART FAIL - - — --�--- -
_ RICAL --------— — -
Sorvice -- ---
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
Please call for reinspection RE: Unable to i ispect-no access
Fire Supply Line �-
ADAExt
Approach/Sidewalk DMO Y-- `-` - Inspector
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL