10370 SW HOODVIEW DRIVE c '
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10370 SW'
CITYO F T I G A R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERPAIT#: M,1 00' ' 3
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/ /00
I00
PARCEL: 2S111C13 01737
SIT E ADDRESS: 10370 SW HOODVIF_W DR
SUBDiJISION: HOOD VIEW N0.2 ZONING: R-3.5
BLOCK: LOT: 036 JIIRISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APDL- VENT SYSTEMS:
STORIES: h0iLERS/COPAPRES0,OR_S 40ODS:
_F_UELTYP_ES 0 - 3 HP: DOMES. INCIN:
LPG � � 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPE:PS7: 30 -50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITSOTHER UNITS. 1
FURN >=100K BTU: <= 10000 cfm:
GAS OUTLETS: 3
> 10000 cfm:
Remarks: Remove old and replace with new gas fireplace and furnace also inrluaes associated gas piping.
Owner: FEES_
ELIZABETH SEEBERGER Type^ By Date s Amount Receipt
10370 SW HOUDVIEW DR PRMT DEB PA/00 $50 00 0004242
T IGARD, OR 97224 EPCT DEB 8/4/CO $4.00 0004242
Total $54.00
Phone: — v
Conti-ictor:
ROTH HEATING
ROTH ZAC'HERY HEATINC ;NC
PC) BOX 1:65 REQUIRED INSPECTIONS
CANBY, OR 97013
Gas Line I. ,)
Phony-:503-266-1249 Mechanical Insp
Reg #:LIC 00014008 Heating Unt Insp
Final Inspection
1•his 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 thar 180 days. ATTENTION: Ori- ,n law
,equires you to follow rules adopted in the Oregon Utility Notification Center Those rules are set forth in 01 ,
952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direrCt questions to OUi by
calling (503)246-9189~--) I
I/
Is 3ue By: A� �� Permittee Signature: .' ttI �r e�G d✓ ^_�
Call (5031639-4175 by 7:00 P.M. for inspect ons neede the next business day
CITY Plan Checl;,/k�--
F TIGARD Mechanical Permit Application Rec'd By_�CAZ,_
13125 S`V HALL BLVD. Commercial and Residential Date Recd • CMCJ
TIGARD, OR 97223 Date to P.E. A
(503) 639-4171, x304 Date to DST `
Print or Type Permit# 3/,r,
Incomplete or illegible a plications will not be accepted- Called-
NaA�fueveloprnent/Prole Description
g[ #hl Table 1A Mechanical Code Oty Price Amt
Job Street Address Suite# A) Permit FeP 16.00
Address j 320 S � [. 1) Furnace to 100,000 BTU
Bldg# City/State zip -�- _including ducts&vents 9.65
2) Furnace 100,000 BTU+
T;CzA(1L.A 9"U3 including ducts&_vents _ _ _ 12.00
Name(or name or business) 3) Floor Furnace
Owner I including vent _ 9.65
Mailing Address 4) Suspended heater,wall heater
or floor mounted heater __ 9.65
CRY/State Zip Phony, 5) Vent not included in a pliance permit 4.75
Check all that apply Boiler Heat Air
For items 6-10,see or Pwnp Cond Qty Price Amt
Name(or name of business) footnotes 1,2 Com _
6)Repair units
Occupant Mailing Address 8.4C
7)<3HP,absorb unit to
100K BTU __ 9.65
City/state Zip Phan-e 8)3-tri HP;absorb unit
100k to 500k BTU 17.65
Contractor N ° �9)15-30 HP;absorb
PQT-0- (�en tlJ�a Coo I unit.5-1 mil BTU _ 24.15
Prior to permit fulling Address ` 10)30-50 HP;absorb
unit 1-1.75 mil BTI, 36.00
issuance,a ropy
of all licenses C��vv//state q zi Ph e 11)>50HP;absorb unit>1.75 mil BTU
are required If Nt-13(3c. /�0 SC7"i.-7 60.15 _
expired In COT Oregon Con. Coot Board Lic.# Exp.Date 1.^.)Air handling unit to 10,000 CFM
datab?Qe7.00
Architect Name
---- - N-`�S--- 13)Air handling unit 10,000 CFM+
J
11.85
14)Non-portable evaporate cooler
Or Mailing Address 7.00
15)Vent fan connected to a single duct
Engineer City/State zip Phone 4.75
16)Ventilation system not Included In
appliance permit _ 7.00
Describe work to be done: 171 Hood served by mechanical exhaust
NevX Repair O Replace with like kind. Yes,6 No O 18)Domestic Incinerators 7.00
Residential O GDmmercial O Modification O 12.00
19)Commercial or Industrial type incinerator
Additional Infomtation pr description of work: V jA-t-rrL -4kr;Ty.r,.4_ 48.25
Cv�k Op F.1C:P ^C-t's 4 f o� I {�t�!t _ 5A1, 1.n,:'- 20) Other unit ,including wood stoves
CFor `' " �` 7.00
Cal projects only;Units over 400 lbs.,located on the1 l
NOTE: 7
of,require structur...talcs. re are b licensed engineer. 21)G pipin o e to ur outlets
ro
75
Type of fuel: oil O natural gas LPG O electric O 3.75_ 3
22)More than 4-per outlet(each) l .75
I hereby acknowledge that I have read this application,that the Information Minimum Permit Fee_$50.00 SUBTOTAL I
given Is correct,that I am the owner or authorized agent of 8%SURCHARGE
the owner,!hal,plans submitted are In compliance with Oregon State laws. PLAN REVIEW 25116 OF SUBTOTAL
Required for ALL commercial permits only
Slg to ef ner/Age Date - TOTAL 5'
(f"J.14
react Person a Phone Other Inspections and Fees
/ j 2 C 1 Inspections outside of normal business hours(minimum charge-two hours) $50 00 per hour
C11 1 7 U V 2 Inspections for which no fee is specifically Indicated (minimum charge-half hour)
Foonotes fo•commercial projects only: $50.00perhour
1. Provide full schematic of existing and proposed grs line a,,d pressure 3 Additional plan review required by changes,additions or revisions to plans(minimum
2. Provide drawings to scale showing existing and proposed mechanical charge-one-half hour)$50 00 per hour
units. _Y J 'State Contractor Boller Certification required
"Residential A/C requires site plan showing placement of unit
I:\mechperm.doc rev 11/1/99
CITY OF TIGAIR,D BUILDING INSPECTION DIVISION M T
24-Hour Inspection Line: 63d-4175 Business Line: 639-4171 _-- --
�, BUP _
ZM v /'4—Date Requested__ -'Z 2- "-eo AM PM _
— BLD
Location l G' �' 7 C' i' LCA � 1-f�G'r E'cc� SUlte —_ MECO—e? 313
Contact Person 5egf '0/' _ Ph PLM
Contractor_-_ T71�� Ph SWR
BUILDING Tenant/OwnerELC
Retaining Wall - - T ELR
Footing Access: —
Foundation I FPS - _ -
Ftg Drain SGN
Crawl Drain Inspection Notes: -
Slab
SIT
Post& Beam -------_---
Ext Sheath/Shear
Int Sheath/Shear -- - - --
Framing yl - — -- ---- - - - -
Insulation /
Drywall Nailing
Firewall - -� --- -----s-
Fire Sprinkler
Fire Alarm
Susp'd Ceiling —
Roof
Misc:
Final
PASS PART FAIL. ------ _--.—__-_"-
F:.UMBING
Post&Beam -" -
Under Slab
Top Out --- ---------_._---. -- _____.------- -
Water Service
Sanitary Sewer -�- -
Rain Drains _
Final - --
PA&A ART FAIL
JAl
Beam
Smo e Dampers
�(!Q PART FAIL
RICAL -- --- -
Service
Rough In --
UG/Slab
Low Voltage —
Fire Alarm
Final
PASS PART FAIL
Backfill/Grading ---� — -- -
Sanitary Sewer
storm Drain [ I Reinspection feu of _ _required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Plea�.e call for reinspection RE:
Fire Supply Line [ p - _—_ [ J Unable to inspect no access
ADA / C --C--'``-----
Approach/Sidewalk
Other Date // Z _,/(,jJ+, Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.