Permit C ITY OF TIGARD MECHANICAL PERMIT
Irs DEVELOPMENT SERVICES PERMIT #: MEC2000 -00319
�� I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -41 DATE ISSUED: 8/4/00
PARCEL: 25111 CB -01737
SITE ADDRESS: 10370 SW HOODVIEW DR
SUBDIVISION: HOOD VIEW NO.2 ZONING: R -3.5
BLOCK: LOT: 036 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:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm:
GAS OUTLETS: 3
Remarks: Remove old and replace with new gas fireplace and furnace also includes associated gas piping.
Owner: FEES
ELIZABETH SEEBERGER Type By Date Amount Receipt
10370 SW HOODVIEW DR PRMT DEB 8/4/00 $50.00 0004242
TIGARD, OR 97224 5PCT DEB 8/4/00 $4.00 0004242
Total $54.00
Phone:
Contractor:
ROTH HEATING
ROTH ZACHERY HEATING INC
PO BOX 1265 REQUIRED INSPECTIONS
CANBY, OR 97013 Gas Line lnsp
Phone: 503 - 266 -1249 Mechanical lnsp
Reg #: LIC 00014008 Heating Unt Insp
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 -0080. You may obtain copies of these r s or dir t ques /ions to OUNC by
calling (5 )246 -9189
Issue _ � d Permittee Signature: dw
i4
Call (503) 639 -4175 by 7:00 P.M. for inspections needed`�the next business day
Plan Chec
CITY OF TIGARD Mechanical Permit Application Rec'd By
13025.,SW HALL BLVD. Commercial and Residential Date Rec'd g,11
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST `-- z
Print or Type Permit# / eX J/
Incomplete or illegible applications will not be accepted Called
Nero 4 4,C,&A) f Development/Proje Description
4 � G r Table 1A Mechanical Code Qty Price Amt
, l 'hj S ;�, � �4 .,, t
Job Street Address Suite# A) Permit Fee ,� , i* 16.00 =
Address 1320S 5& t' ,( L 1) Furnace to 100,000 BTU
Bldg# City /State Zip including ducts & vents 9.65
p-, 2) Furnace 100,000 BTU+
T ; ( /N- Q4 I 7-23 including ducts & vents 12.00
Name (or name of business) 3) Floor Furnace
Owner • ' 1 including vent 9.65
Mailing Address 4) Suspended heater, wall heater
or floor mounted heater 9.65
5) Vent not included in appliance permit 4.75
City /State Zip Phone Check all that apply: *Boiler Heat Air
p Y�
For items 6 -10, see or Pump Cond Qty Price Amt
Name (or name of business) footnotes 1,2 Comp "'*
1 1 6) Repair units 8.40
• Occupant M ailing Address 7) <3HP;absorb unit to
100K BTU 9.65
City /State Zip Phone 8) 3 -15 HP;absorb unit
100k to 500k BTU 17.65
Contractor N e 9) 15 -30 HP; absorb
f /
V-O l`!e tt ,, 9 t, L.co 1,o�
unit .5 -1 mil BTU . 24.15
Address 10) 30 -50 HP; absorb
Mailing to permit g unit 1 -1.75 mil BTU 36.00
issuance, a copy 11) >5OHP; absorb unit >1.75 mil BTU
of all licenses c; state Gt Zip Pn e 60.15
are required if e /7o (3 (10N 24( /2K`
12) Air handling unit to 10,000 CFM
' expired in COT Oregon Co � 0 Cont. c Board Lic.# EExp, Date 7.00
000 CFM+
database P 2 0 6e) Zd� 13) Air handling unit 10,
Architect Name 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
_ 9 16) Ventilation system not included in
appliance permit 7.00
Describe work to be done: 17) Hood served by mechanical exhaust
_ 7.00
New■Pf Repair 0 Replace with like kind: Yes.PS No O' 18) Domestic incinerators
Residential 0 Commercial 0 Modification 0 • 12.00
19) Commercial or industrial type incinerator
Additional information or description of work: 48.25
Crook -- O•P I -C'9 t ilee4 4 1 3 ( ') 6.f - 5 A % 1 .rvt✓S 20) Other units, inpludin wood stoves /, 7 c9
^ 5.N 51 -si d.H` `V 7.00 /
NOTE: For Commercial projects only; Units over 400 lbs., located on the 21) G pipin e to .bur outlets ` U 2 75- roof, require structural calcs. prepared by licensed engineer. • / 3.75 Lr
Type of fuel: oil 0 natural gas LPG 0 electric 0 22) More than 4 -per outlet (each) l . . 76-
• I hereby acknowledge that I have read this application, that the information Minimum Permit Fee $50.00 SUBTOTAL t1, =.k A
. given is correct, that I am the owner or authorized agent of 8% SURCHARGE M, ;- * `.+ y, ze
?; m;r
the owner, that plans submitted are in compliance with Oregon State laws. PLAN REVIEW 25% OF SUBTOTAL ?'a „x,..> � ,
Required for ALL commercial permits only
Sig toe ••f / Lwner /Age
i Date TOTAL i''° _ ���
WV. a y,
act Personci6r1 e r
Phone Other Inspections and Fees:
p 12 t,i O� 1. Inspections outside of normal'business hours (minimum charge -two hours) $50.00 per hour
et, 7 L �j� V i �t4� 1 2. Inspections for which no fee is specifically indicated (minimum charge -half hour)
Foonotes for commercial projects only: $50 0operhour
1. Provide full schematic of existing and proposed gas line and 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
*State Contractor Boiler Certification required
units. •Residential NC requires site plan showing placement of unit
I: \mechperm.doc rev 11/1/99 .
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639-4175. - • - Business Line: 639 -4171
BUP
Date Requested —Z 2- DO AM PM BLD
Location /037c Suite MEC af:ea-eel 3/9'
Contact Person $ed Ph Z 66 /2( PLM
Contractor ����� Ph SWR
BUILDING - . Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm --
larm rg? •��
Susp'd Ceiling ° � f ����1 At1 ■%��I0r1. ��∎J
Roof mo
'
w - i
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab /X t ACCr
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
- ART FAIL
Beam
rr
Smoke Dampers
PART FAIL
RICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date / a Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.