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CITYOF TIGARD MECHANICAL PERMIT
DEVELOPMENT O lh�•✓ACES PERMIT #: ME02000-00066
/2000
IM 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1CB-
1
PARCEL: 2SI2S111 CB-01711
SITE ADDRESS: 10125 SW HOODVIEW DR
SUBDIVISION: HOOD VIEW ZONING: R-3.5
BLOCK: LOT: 010 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FIIRN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANUY 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: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS � OTHER UNITS:
FURN >=100K BTU: <= 10000 rfm:
GAS OUTLETS:
> 1u%"00 cfm:
Remarks: Replace at, a„sting furnace with Iiku kind.
Owner: f_-- FEES
OWEN, MARY PAT Type By Date Amount Receipt
10125 SW HOODVIEW PRMT GEO 03/03/201 $50.00 //000427
TIGARD,, OR 97224 5PCT GEO 03/03/20( $4.00 000027
Total $5409
Phone: -- – -- -----
Contractor:
FIRST CALL MCCALL N'ATING �
COOLING
1650 NE LOfvi,,r%RD _ REQUIRED INSPFCTIONS
PORTLAND, OR 972.11-4196 Heating Unt Insp
Phonr:231-3311 Final Inspection
Rog #:LIC 102030
ORIGINAL
This permit is issued subject to the rc�gulatiuns contained in t},e Tigard Municipal Code, Sta'e: at Ore. Specialty Codes
and all other applic-3ble laws. All work will be done in ac=uanre with approved plans. Thi; )ermit will expire if work: is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATVENTION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules arz stt fur u, in UAR
952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by
calling (503)246-9189
Issue By: _.. t ”[��jf Permittee Signature:
Call (503).619-4175 by 7:00 P.M. for inspections needed the next business day
08/12/99 THU 11 :18 FAX 503 598 J960 CITY OF TICARD 4 002
CITY OF TIGARD Mechanical Permit A li-ation Plan Check#____
pP Recd By _
13125 SW HALL BLVD. Commercial and Residential RECEIVb6Rerd -
'TIGARD, OR 97223 Date to P E �-
(503) 639-4171, x304 1�/� I'>nAk 4 Xl"to DST ~_^
Print or Type Perm.`t
Incomplete or illegible applications will not be A VFLBWlst4��-- --
Name or Den Iopment/Proled pescripti0n _
Table 1A Mechanical Code pt Price A •t
Job street Address �/ 8usas A Permit Fee --�
Address
/0/,
C j,?S .S'lJ!fd dt�vrrr.J 1) Furnace to 100,000 BTU - _
Including duds d vents see footnote 1,2 9.65
Bld,aa Oxy/: a Zip 2) Furnace 100,000 BTU+
QtC1 UM y r7112 Y Including duds&vents see footnote 1,2 12..00
Name(or name of business) 3) Floor Furnace
I?vyrtOr o ��7r D ) Including vent see footnote 1,2 9.65
r' t f ?
Mailing Ad 4) Suspended heater,wail heater �—
w or floor mounted heater see footnote 1,2 9.65
�r UCTt rP4 // 5 Vent not included in a Nance ermit 475
u4irstate LP Phone Check P!!that apply: 'Boller Heat Air
Tr' (rC� For Items 6-10,see or pump Cond Oty Price Amt
Nalfle Wnsrnaofbu ) footnn!es 1,2 Comp ••
� e, 6)••3HP;absorb unit lc
10GK BTU 9.85
Occupant Malllna Address 7)3.15 HP;absorb unit
100k to 500k BTU
city/stela '— 21p Phone a'45-30 HP;absorb
s,,,n.5-1 mll BTU _ �. 15
Contractor None — 9)30.50 HP;absorb _
_ �/ PR riw ^ uMR 1-1.75 mil BTU 36.00
i "' ,I LC'r'�it 10)>50HP;absorb unit -
Prior to permit VAng Ad ss I - >1.75 mil BTU 60.15
M
Issuance,a copy S C, Lorn 12G r r?r 11 Air handling unit to 10,000 CFM
of Al licenses c 21p Ptrars
are required R t' u h r� 21P ,31 "3&f 12)Air handling unit 10,000 CFM+ 700 —
explred in COT Oregon Gorst.Com.Board Lk.x Exp.Date 11,85
database 13)Non-portable evaporate cooler
Architect Name
7.00
14)Vent fan connected to a single duct
Or Malllnq Addreae 4.75
15)Ventilation sy-tem not inciuded in
appliance per�t 7,00
Engineer cnyrstara Lv Pha,e 16)Hood served by mechanical exhaust
7.00
Describe work to be done 17)Domestic Incinerators
12.00
New O Re air O Replace with like kind: Yes No O 16)Commercial or industrial type incinerator
Residential F Commercial0 48.25
i 19)Repair units
I Additional Information or descripllo, of wori. 8.40
20)Wood stove/gas FPiolher units/clothe dryer/etc.
7.00
NOTE: For Commercial projects only;Units over 400 fbs require 21)Gas piping ore to four outlets
structural gas talcs. See footnote 1 3.75
Type of fuel oil o natural gas LPG O electric O 22)More then 4-per outlet(each)_ 75
Minimum Permit Fee$FO.00 SUBTOTAI. G'
1 hereby acknowledge that I have read this application,that the Information %SURCHARGE e
given is correct,fiat)am the owner or authorized agent of PLAN REVIEW 2b%OF SUBTOTAL U
the owner,that plans subrnitted are in complinnoe with Oregon State laws. _ Required for ALL commercial permits only
TOTAL i oe
Signs of OwnerlAgent Date
�'
p Cutter Inspections and Few
'D� 1. Inspections outside of normal basiness hours(mininum charge-two
Contact Penson Name Phone hours) $50.00 per hour
2 fnspectlons for which no fee Is sps-1111rally Indicated (minimum
charge-half hour) $50.00 per hour
FoonoteI for commercial projects only: 3. Additional plan review required by changes,additions or revisions r
1 Provide full schematic of existing and proposed gas fine and pressure. plans(minimum charge-one-half hour)$S0.00 per hour
2. Provide drawings to scale showing existing end proposed mechanical
units. "State Contractor Boller Certification required
—� "Residential A/C requires site plan showing placement of unit
1:lrtsechperm.doc rev 7/19199
hi
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
4171 639- BUP
24-Hour inspection Line: 6's9-4175 Businecs Line:
Date requested �' — � AM PM -— BLD
- - -t1MEC
_
Location I Suite L I L)
Ph 2 LA � ' ?,.OS 1 PLM
Contact Person —
SWR
Ph - �-
Contractor EL.0 —
BUILDING _ Tenant/towner - ELR
Retaining Wall
Footing Access. FPS —
Foundation SGN
Ftg Drain �—
Crawl Drain Inspection Notes. _ SIT
Slab �.-.----------- -..�__�._._ ------------ -__
Post&Beam -
Ext Sheath/Shear
Int SheathlShdar -
Framing ------ -- - ..-
Insulation
Drpvall Nailing --- --- -
Firs-wall - - ---- - - -
Fire Sprinkler -
Fire Alarm -
Susp'd Ceiling --
Roof - --- --
Misc -_.--�___.---
Final
PASS PART FAIL - - -- --
PLUMBING
Post&Beam _
Under Slab _ - -
1 op Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PAR",' FAIL - - ---.------ -
M ANM
(Post R-team
Rough In
Gas Line -- -
Smoke Dampers
in
SS PART FAIL ----
TRICAL
Service -- _— --- — —
Rough In -------
UGlSlab - --
Low Voltage
Fire Alarm - -
_.----------------
Final
PASS PART FAIL ---- _ -
SITE
Hackfill/Grading
Sanitary Sewer re uired before next inspEction Pay at City Hall, 13125 SW Nall Blvd
Storm Drain [ ]Reinspection fee of$__- _- q
Catch BasinFlease call for reinspection RE __ - [ ]Unable to inspect- no access
[ ] ------------_-
Fire Supply Line
ADA } / -
ApproachlSidewairc Date __._ ___� _a'4---
lnspector —Ext
Other .--
Final DO NOT REMOVE this inspection record from the job site.
PASS BART FAIL