Permit CITY TIGARD MECHANICAL PERMIT
rl�► DEVELOPMENT SERVICES PERMIT #: MEC2004 -00655
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/30/2004
PARCEL: 2S 110BA -06300
SITE ADDRESS: 14227 SW VISTA VIEW CT
SUBDIVISION: SHADOW HILLS NO.2 ZONING: R -2
BLOCK: LOT: 046 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:
3 - 15 HP: COMML.INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Gas piping for furnace, water heater, fireplace & pool boiler.
Owner: FEES
BROWN, KEVIN R AND MARY E Description Date Amount
14227 SW VISTA VIEW CT [MECH] Permit Fee 9/30/200 $72.50
TIGARD, OR 97224 [TAX] 8% State Surchar€ 9/30/200 $5.80
Phone: Total $78.30
Contractor:
METRO ROOTER & PLUMBING
PO BOX 33585
PORTLAND, OR 97292 REQUIRED INSPECTIONS
Phone: 503 Gas Line Insp
Final Inspection
Reg #: LIC 106824
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 -0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246 -6699.
Issued By: '0 I2 Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next bus day
09/29/2004 18:00 FAX 5035981960 CITY OF TIGARD I001 .
• . a
4 • .
Mechanical Permitlil ,,-,-,'_`.., I I I " ' E D FOE; o 'let: l'SE oN1.1?
City of Tigard v is; d . / ' S i O 1 - 4 - Pgrfak 1'41! Na. - ,
13125 SW Hall Blvd., Tigard, OR 972 6EP 2 9 2004 A, Plan Review
Phone: 503.639.4171 Fax: 503.598.1460
Inspection Line: 503,639.4175 411.- ' ' ; 1 111 IrAla '17 ' r tra - see /age 1 hr
Intarnet: wvAv.ci.tiganiar.us CITY OF TIGARD ''' "" Notitledindedrial: ilopoieniental Information
BUILDING DIVISION
-. ,.." • ' r . i': 1: :: :::' . .• '.... .:*10 Nft:•Iik. . l'..' ' " 1 , 7 „ , ; • ;: • . , 76 SO igairi.4 uti4 • ' . / 4.*, 7
MechanicalTerrnit has" ate based on the value of the work
1:1 New construorlon XAddition/alterarion/replaccment perfiarrold. indicate the value (rounded to the Pear= dollar) of all
p Demolition ID Other mechanical tuaterisgrareat. labor, overboad.ml,refit. .
Vain:: S
: ' ; • .. . ... • L ... i :' •• . CATZGOgrY'br CONSTRUCTION': . :!...:':: ..: .:„...... ..
• . ...,. ,. . . ,
...w !;;,:: IiitOtlfr.lijA9i1li*ENtiOirre**E .': :.,..
• • - and 2-family dwelling 0 Commercial/industrial 0 Agoossory building
For iffleelal informatitht use checklist.
• Ivlulti 0 Master builder I: Othcr: ' Description I Qty. I Ee- I Total
r . : .liiiiJ stit*t 40i Lack** ; ' - ;.:!...
. _
iL ip im IN gra ipm . a . ..___ w Air coadilioning or heat pnwr
dd p
Job site ar 1 (
ess: /1! requiem she plan anovring ulaeone4 MOD
City/StateraP! r II, III= Mance 100,000 BTU tdueolvens) 14.00
Suite/bldg./RV- no.:
pioject came: i t o . depill Pura= 100,000+ BTU (dunatventiL
Gas heat pump 17.00
14.00 '
'
Cross street/direct:km to job site: Duct work 14.00
Ilydronia hot Water sVerd 14.00
Residential boiler (radiator or
Isydronic) 14.00 -
Unit ban= (111e1 not electric),
ie.wall, in-duet, suspended. etc. I 10.00
Flue:Neat thr any of above 10.00
Other: 10.00 ....
Other fuel appliance.%
• - , .. . . .. • .: .: ., I .. .pricip • . . : ... : ' e= ; .. , ., W holier 10.007 --''''''
Gas fireplace 10.00
/
IIEBAX,_ l tit i
- F L P 1/4 I rhea vent for water heater or gas
f fireplace 10.00
la liehmt (gas) 10.00
, .
Wood/pellet stove 10.00
Wood fire lEs_e rinsert 10.00
: . Chinarevilinedilueivent 10.00
: ;
PIKIA*TY Walt i".! ..• ; ii.,:, ' . .: • . .• :.,,•.. .
. Other: , 10.00
Name: i A A . . 4, t . 1 Mg I Mill 'Environmental exhaust and ventilation
I • Range hoodfotber kitchen
Address:
• • MIIIIM"raggairMI equipment 10.00
City/Stifle/ZIP: _rire/Wallr Clothes diva* exhaust _ 10.00
Sing1c-duer exhaust (bathrooms,
Mee: ( O 4 , Fax ( ) toilet corn it't_ntretts, an rooms) 6,80 _
:4 OLICAir . ' .. • :!:: tiin,Act PERSON ' " : Actiekil fain 10.00
Business n Other 10.00
orm! Wane /iffaltga,W„Zforfarbrif'.."roM111 Fire1e,:ent
e
Contact nanut $5,411for Elm four; 51.00 for each additional
r=1110,11,§102101MAimmillMli p race. cc.
GES haat tam
City/Sodcra2: gliritacMitieRPTAMMIM Mil Wallisuspcnrled/unit heater
Phone: ( a . 4 , „2.....d.
ESP-- Water heater
Fireplace , kg°
M 1 . d_
ail: RSIVII
.1 .. ' ...' n '' ; : ..: Y :. ''' . ' t.9 147 . 114AC X0 1 . . " ; : : - .'!.■: , : . '. . . : ; . Barbecue .
Busine8511141129: hi .' nr7MIIIGNZ''' e7E1117:110WP. , clocti.• er -
Other: atiLe I .0 MIENMIONCiff •
Address: / /
..! I
Cit Miatiginini ------- alibiptsi -1-kl-S1
Minimum permit fee (372.50) - 7 j
Phone: ( ) ha; ( )
... Plan review (25 of panic flre)
CCB lir.; / ' /, , 1 i (N - / 7 State Bercharec (8% of Pelt* fee)
Willii/ , TOTAL PERMIT TEE 1
Authorized s'?. I' ' 15111. / , - Thb a ppfig gi deo cores If a peewit is oak ob via
tained blE1110
-. don after it has been accepted as complete.
Print' ' allkil h- i.' eff7211/717AVALMM • Fc gal bYrii4C4IMY Balling 'Musa." SCrvi" total
7:a7
O/0 39tod daW 59S9EVZ609 67:91 VOK/6/60
CITY OF TIC/a1RD 24 -Hour -
BUILDING Inspection Line: (503) 639 -4175 , -•
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
C BUP
Received /e ° Date Re uest d , �--- AM PM BUP
Location / Li" 5 ) f� Suite MEC 9 V- -620 /AS -&
Contact Person / 7 Ph (S 3 ) 519/6 7 7 PLM
Contractor Ph ( ) SWR
BUILDING- Tenant/Owner A _ if .1a Ira ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Note . SIT
Post & Beam Gt�o I 49 . I
Shear Anchors _ __ -- - / D
Ext Sheath/Shear _ = T s - = - . - f rat
Int Sheath/Shear
Framing 0 E: " :r _ /• S. e v7ES
Insulation ;! / /
Drywall Nailing -7705-7- '� i •� SYd «� � ../ &Er2S -re 2.41,
Firewall
Fire Sprinkler � ^f ®`e - •
Fire Alarm C T � V 47 - 4 -
Susp'd Ceiling
Roof
Other_ :
Final
PASS PART FAIL •
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhol:
Storm Drain
Shower Pan
Other:
Final
P• - - FAIL
ANICA
Po steam
Ro �� n I y1,
` Gas Lind V ,
�1nek� 59.50
ers
PART FAIL
CTRICAL
Service
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
SITE Please call for reinspection RE: D Unable to inspect - no access
Fire Supply Line
ADA
. Approach/Sidewalk Date /4 0-5----#44— Inspector • Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL