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10225 SW VIEW TERRANCE
MECHANICAL PERMIT
A CITY O F TIGARD
_
(DEVELOPMENT SERVICES
PERMIT #: MEC2003-00533
DATE ISSUED: 8/29/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S1118C-01600
SITE ADDRESS: 10225 SW VIEW TERR
SUBDIVISION: GREENBRIER ZONING: R-3.5
BLOCK: LOT:002 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R? VENTS W/CU APPL: VENT SYSTEMS: i
STORIES: _ BOILERS/COMPRESSORS _ HOODS:
FUEL TYPES 0 - 3 Vrl: DOMES. INCIN:
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FIC, 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP:
GAS PRESSURE. 50 + HP: WOOD
STOVES:
< 100K BTU: 1 _ AIR HANDLING UNITS CLO DRYERS:
FURN >=100K BTU: < ,1000 cfmGAASS: - O UNITS:
OUTSETS: 1
> 10000 Cfm:
Remarks: Itchlarc furnace with new gas liirnarc,bas hiking:uul Vcntinb.
Owner: FEES
SARGANT, FRANCIS J RUTH Dnscription Date Amount
10225 SW VIEW TERRACE Ihir;Clll Pcrmif Fee 8!29/03 $72.50
TIGARD, OR 9,1223
I I A l x"�;,Stntc'iax 8129/03 $5.80
Total $78.30
Phone:
Contractor:
SYSTEM AIRE INC
14444 SW FERN ST
TIGARD, OR 97223 REQUIRED INSPECTIONS _
Phone: 503-524-5927 Heetingng Insp
Heating lint Insp
Reg#. I IC 38062 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 pans. This permit N ill 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 pules are set forth in OAR 952-001-00
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Issued By: L_ 17 Permittee Signature:
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Call (503) 839-4175 by 7:00 P.M. for inspections needed the next business day
Mecha."lcal Permit Appl►cathn Q _
_ Received �j Mechanical 1CC�C103�005 j7l
Date/By: L / Permit No.:
City of Tigard Planning Approval Building
y g Date/By: Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard,Cregon 97223 Date/By: _ Permit No.:
Phone: 50344-4171 Fax: 503-598-1960 Post-Review Land Use
Date/By: Case No.:
Internet: www,ci.tigard.or,us Contact Junes0 See Page 2 for
24-hour Inspection Request: 503-639-4175 1 Name/Mr'hod: I Supplemental Information.
r,IMP
CHIiMUST
New construction _ Demolition Mechanical permit fees'are based on the total value of the work
ddition/alteration/re lacement Other: performed. Indicate the value(rounded to the nearest dollar)of all
OREN
A /S'
mechanical materiallsj equi tltent,labor,overhead and profit.
&2-Family dwelling Commercial/IndustrialValor. $.T_ (n�J __ See Page 2 for Fee Schedule
Accessory Building _ Multi-Family- L."I "t�IAI-"E ?t!]1'1 9 W,1' _i,5� (ILE
Description ( Fee(ea.) I'otAl
Master Builder , Other: _ Heath. noon.ng_
Furnace-add.on air conditioning" 14.00
Job site address: C) 2,-4`i w j'r— Gas heat pump 14,00
Suite#: Bld ./A t.#: Duct work 14.00
Project Name: H dronic hot water system 14.00
job site: Residential boiler
Cross street/Directions to
1 for radiator oh dronic system) 14.00
Unit heaters(fuel,not electric)
in wall,in-duct,suspended,etc. 14.00
Flue/vent for any of above _ 10.00
Subdivision: Lot#: Repair units Hi 12.15
Tax map/parcel#: Other Fuel A Ilancel;
Water heater 10.00
Gas fireplace 10.00
Flue vent(water heater/ as fireplace) 10.00
Log lighter as 10.00
-- - - - ------ — Wood/Pellet stove 10.00
Wood fireplace/insert 10.00 _
Chimney/liner/flue/vent 10.00 _
Other: 10.00
Name: � 'c c � � ti-, r"
nylronmentaltUst�t intthttlon
1� - ---- - Range hood/other kitchen equipment 10.00
Address: -- - -
- -- -- Clothes dryer exhaust 10.00
City/State/Zip: - --- -- - —
— —_ -_ Single duct exhat t
Phone: 7 Fax: _ (bathrooms,toilet compartments,
a1'PF1I2bON__.!s' utility rooms) 6.80 1
Name: Attic/crawl s ep ce fans_,_____ - 10,00
Address: - Other: i o u0
---
-- --- - - �_FuelPPi�_��
Clt /State/Zip: •'(55.40 for first 4 $1.00 each additional
Furnaceetc •'
Phone: � Fax: .
.- _— . , ---
-- Gas heat pump *•
E-mail: _ Wall/sup ended/unit heater _ ••
Water heater ••
Business Name: ` ' .f e-• r , P - -e- Fireplace -- ••
Address: Ly�t u Cs•, Range _
S1 BB .•
City/State/Zip_�L� �.- � L�y _ Clothes dryer 3as) —�� •* _
Phone: Fax: other:— — -- -- - ••
CCB Lic, total:
Authorized Mechanical Permit FeW
Sd=--"-- --��7D ___ Subtotal: S _
Signature: —L I - .-1 - num Permit Fee$72.50 S
(. Plan Review Fee(25%of Permit Fee S _
(Please pri ame) — State Surc'iar a 8%of Permit Fee S
_ — TOTAL PERMIT FEE $ 7 K • iG� _
Notice: This permit application expires If a permit Is not obtained within "Fee methodology set by Tri-County Building Industry Service Board.
180 days after It has been accepted as complete. **Site pian required for exterlor A/C units.
isDsts\PermitForms\MecPemritApp.doc 01/03
Mechanical Permit Ap»lication - City of Tigard
Page 2. - Supplemental Information
Commercial Fee Schedule:
Total VriltiitCion: ,Y.ocmit b
$1.00 to$5,000.00 � Minimum fee$' 50
$5,001.00 to$10,000.00 $72.50 for the tirst$5,000.00 and$1.52
fur each additional$100.00 or fraction
thereof,to and including$1000000.,
$10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and
$1.54 for each additional$100.00 or
fraction thereof,to and including
$2500000.
$25,001.00 to$50,000.00 $379.50 for the fast$25,000.00 and
$1.45 for each additional$100.00 or
fraction thereof,to and including
$50,000.00. _
$50,001.00 and up $742.00 for the first$50,000.00 and
$1.20 for each additional$100.00 or
fraction thereof.
�Assianed Valuations Per Appliauee; _ �
Value Total
Description Ea Amount
Furnace to 100,000 BTU,including 955
ducts&vents —
Fumace—>I(Na000 BTU including ducts 1,170
&vents _
Floor furnace including vent 955
Suspended heater,wall heater or floor 955
mounted heater _ --
Vent not included in appliance ermit 445
Repair units 805 —
<3 hp;absorb.unit, 955
Ito IOU BTU _
3-15 hp;absorb.unit, 1,700
l01 k to 500k BTU
15.30 hp;absorb.unit,SOlk to 1 mil 2,310
BTU -
30-50 hp;absorb.unit, 3,400
1-1.75 mil.BTU
>50 hp;absorb.unit, 5,725
>1.75 mil.BTU
Air handling unit to 101000 cfm 656
Air handling unit>10,000 cfm _ 1,170
Nan-nortahle evaporate cooler 656
-Tent fan connected to a single duct 446
Vent system not included in appliance 656
ermit --
Hood served_y mechanical exhaust 656
Domestic incinerator 1 170
Commercial or industrial incinerator _4_,590
Other unit,including wood staves, 656
inserts,etc._ —
Cies i it g 1•4 outlets 360 _
Each additional outlet 63
TOTAL COMMERCIAL ;
VALUATION:
i:\Dsts\Penr.itForrns\MecPemitAppPg2.doc 01/03
mom
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O►-Y OF TIG 'RD eat-Hour
BUILDING Inspection Lin 503) 639-4175 MST
INSPECTION DIVISION Business Li 03) 639-4-171
BUP
Received __ Date Reque ted _._ AM .._ PM BUP
U-P �v 3 3
Location .�-� —_Suite - --- - MEC,A. --_
Contact Person n --p- � Ph( ) ���� S Z PLM _ -
Contractor— -_ _— Ph(_ ) _7�-G� ' c�{> SWR
BUILDING Tenant/Owner ELC _s
Footing EI_C
Foundation AcueSS: No
Ftg Drain
Crawl Drain EAT
Slab Inspection Notes: Co
----
Post&Beam —
Shear Anchors
Ext Sheath/Shear --
Int Sheatn/Shear v� �� S
Framing ---
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof _
Other:
FinalC--
PASS PART__FA%
PLUMBING pp _—
Post& Beam ---- N Cti�SZ �3 T L,E`�c� ``'� O
Under Slab - —
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain --
Shower Pan _
Other:
Final
PASS PART FAIL
MECHANICA
Post&Beam
Rough-In / -------- --
(3att't1R��
PA PART kL —
ELECTRICAL _ I
Servire ✓ `
Rough-In -
UG/Slab (a��(� X-yf—
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: Unable to Inspect-no access
Fire Supply Line \ _
ADA Darts -- / -- InfpNetor --- '" �`_ txt
Approach/Sidewalk - -
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
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HEAT 011, COMPLIANCE CERTIFICATION
DATE 0I-'REPORT('F.RTIFI( '.4TI('N: Septemhcr 3. 2(N)3
TANK OWNP H NAME: Bill Sargant
TANK S1TF, ADDRV'V,ti: 102'115 S.W. \view "Terrace
DEQ FILE. NUMBER: 34-03-1607
TYPE. OF PROJECT: Soil Matrix
Tile heat oil underground storage tank (UST) decommissioning and cleanup has
been completed and we have determined that the cleanup meets the requirements of OAR
340-122-205 through 340-122-360 and that no further action is required at this time.
Montag Oil, Inc ha.,, performed heating oil tank services at the above property and
certifies that the work performed meets the appropriate requirements of OAR 340-122-205
through 340-122-360 and OAR Chapter 340, Division 177.
Based on information and belief formed afler re sonable inquiry, the heating oil
tank services performed under this certification were conducted in compliance with all
applicable federal, state and local laws.
Mvntog 0 T. is currently insured as required by OAR 340-163-050.
„
V.L. Montag, pros. I date
Montag Oil, Inc.
Service Provider 16645, exp 03.21-04
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