9645 SW VENTURA COURT 9645 SW VENTURA COURT
FROM : AHCTIL Heating P Coo Iin9 PHONE MO. : 503 2825722 Jul. 31 2003 10:41AM P1
Mechanical Permit Application
_ Dttereceived; r1 ?� Pcrmitno
City of T'igar(i Project/appl.no.: Expire date:
n Ti and Address: ,13125 SW liall BlvdTigard,OR 97273
Coy
r g Phone: (503)639-4111 Datc Issued: By: Receipt no..
Fax: (503)598-1960 Case file no.: Payrncnt type.-
Land
ype:Land use approval: Buildingpennitno,:
:LUJN,-w2=co,-t-j(3ion
g or accessory �_1 Comrrtcrcial/industrial 0 Multi-family U Tenant improvement
U Ad(litit)rt/alten4iorr/repluceme.nt 0 Other:
1
Jot)address: Indicate equipment quantities in boxes below. Indicate the dollar
Bldg-no.: Suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax map/tau lot/a_ccount no.: profit.Value S
Lot: Block: f Subdivision: •See c icoklist for important application information and
project same: ZZ jurisdicCon's fee schedule for tesidential rmit fee.
City/county: Ti yma— ZIF: Z2 _
De. 'ription and location of work on ptemises: Al ,/-�'!� r
G
Est.date of completion/inspection: ----_ 1Ie_aerilMlao Qry. lea.only Res.eal
Air
Tenant improvement or change of use: — Air
handling volt CFM
Is existing space heated or conditioned?0 Yes CJ Noi,�'r conditioning(site plan rcquire4)
la existing space insulated?O Yes O No V,ternuwo
onofex
tl!rr/compressom
State boiler permit no.:
Business name: wi l, a( 'C �'A��L U HF Tons„- —_BTU/H_
Address: Za �. ( tl,; ire/smokednmpur ductamc+ a detectors
City: _ State: t 7_.lp 2� tt pump(site plan rcqutred) — __
Phone:2$ �o ,�-- Fax:Z$2•$ E ntaiL• Hata rep acefurn inner_ flfii
Including doetwork/vent liner jai lT,._e�Cl.�N_o
CCB no.:___ 9� Hata replacetrelocitehea!ets-suspended.
Ciry/trtetm tic.no.' �-j l� wall,or floor mounted
Name lease print): C -0 ventTo other than furnace
(p I ) >t,.`tC"7L 1 �uu� V keT 71;4 --�`_
Absorption unitx
Name: P�� Chillers_--. HP
Con•nc��:nc:_____------ HP
Addttsa: —-- -•— -. -- ' vunmenil e•xhawt and vWt n o!u
City: �p Appliance vent
plwnr f;ez: t.ntttl: yereT zT
M<xxZ 1 ype 17'll/res.kitchewha7mat
bond fire suppression system
Name: n_ ; i�q Exhaust fan with single duct(both fans
ItMilitt a dress: I /��4 S..) xhwst s stem a an rom eaun or
City. ' stale: ZIP: ���. T e N LF(,distribution a p to o GH
_.�.�AA&0 ����ee �
Phone: 2t. !j•.p,. r"a::: &mail: Fu ca each additional over
ProcestP P ng(schematic tequiftd)
Number of oatlete
Name: _— _ �._ -_---- _ l t r a e ofpscnl:
Address: tkcorauvefi lace _ __
City State: 1sert=—
1?h�ne
Cox Gmail; ooetov pe etatove
+.ppli.ranYs signature: Date: —
L Namey+�rirtt> � — - -- —
Permit fee.....................S •_
Ne:aU j-Ww ar rxpt meat uM.pkaalpawteuon hx os nMWon NoticThis permit application
Minimum fee.............. $
ttsa 0 Muatr Vard expires if a permit is nM obtained
Pian review(at 9t) $
Ord'u cm entota:_ _. — —L,—L— within, 190 days after is has been
nxa 3� acceptcd as crpmpletc. State surcharge(S%) ,..S _
mAmn oncpe _ nQ TOTAL ......................S
AtaenM 4104617(fiMt +ft
ACITY O1 TIGARD _ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2003-00452
' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 07/31/2003
PARCEL: 1 S125DD-07400
SITE. ADDRESS: 09645 SW VENTURA CT
SUBDIVISION: WASHINGTON SQUARE ESTATES NO.3 ZONING R-4.5
BLOCK: LOT:082 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: i � EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O ADPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS _ HOODS:
_ FUEL TYPES 0 3 HP: DOMES. INCIN:
3 15 HP: COMML. INCIN:
MAX INPLIT: BTU 15 - 30 HP:
FIRE DAMPERS?: 30 - 50 HP:
REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOOUSTOVES:
FURN < 100K BTU: 1AIR_ HANDLING UNITS CLO DRYERS:FURN >=100K BTU: � <= 10000 cfm: OTHER UNITS: 2GAS OUTLETS:> 10000 cfm:
Remarks: Install exterior A/C unit. Do not place within the required setbacks. Install furnace, and vent water heater
Owner: _ FEES
PRICE, WILLIAM E +CYNTHIA I Description Date Amount
9645 SW VENTURA CT — --
TIGARD, OR 97223 [NIECH] Permit Fee 07/31/20( $72.50
[TAX] 8%State'rar 07/31/20( $580
Phone: 503-245-0684
Total $78.30
Contractor:
ANCTIL SHEET METAL CO.
4320 N WILLIAMS AVE
PORTLAND, OR 97217 REQUIRED INSPECTIONS
Phone: 503-181-0752 Final Inspection
Reg#: LIC 8897
This permit is issued subject to the regulations contained in the Tigard Municipal Cede, 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 n•ore 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)246-66.9.99. '
Issued By: // ( � Permittee Signature: —ern
Call (503) 639.4175 by 7:00 P.M. for inspections needed the nextbuiness day
FROM ANCTIL Heating & Cooling PHONE N0. 503 2825722
Jul. 31 2003 10:42Ah1 P2
W N
S F
60'
� l5
l
401
Cindy & Bill Price
9645 S1k' Ventura ("t
Tigard, Ore. 97223
W 3 22837
CITY OF TIG 1,- ) 24-Hour
BUILDING Inspectioth lune: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503)639-4171 BUP
Received _Date Requested—�
AM._ _ ✓ BUP
PM -
9 G 5" �. Suite
Location "� �a PLM —
Contact Person �4 ` --! Ph
Contractor __ _.—��, Ph( )�� � � `� ��-.9 swR �---
ELC
BUILDING _ _
lhr�anVOwner —__ -���--- -
Footing � - ELC
Foundation Access: r,,A M - ELF1 --
Ftg Drain
Crawl Drain SIT ------
Slab Inspection Nates:
Post&Beam �✓
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear - -
Framing -
Insulation
Drywall Nailing
Firewall ` t ----
Fire Sprinkler
Fire Alarm _ -- —
Susp'd Ceiling
Roof
Other:
Final _ —
PASS PART FAIL_ _
PLUMBING — -
Post&Beam _ —
Under Slab
Rough-In -
Water Service --
Sanitary Sewer r
Rain Drains
Catch Basin/Manhole - ----'-"'—
Storm Drain
Shower Pan - —�
Other: --- - -- _
Final - -- - -- — _
_PASS PART_ FAIL
MECHANICA =. -
Post&Beam - -
Rough-In --------- -
Gas Line
Smoke Damp —
lf-ina —
IL -
--,TR
Service —
Rough-In
UG/Slab
Low Voltage - -
Fire Alarm
Reinspection fee of$ _ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
l PASS PART FA{L Unable to inspect-no access
3 [� Please call to reinspeption RE:
_ -_
Fire Supply Line z
ADA Oats �.G--- Irwspiec —EXt
Approach/Sidewalk
Other._ DO NOT REMOVE this inspection record from the J b site.
Final
PASS PART FAIL