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10200 SW HOODVIEW DRIVE _
CITY OF TPLUMPING PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . , PL.M98-O40
13125 5W H,-,Il Blvd.. Tigard,OR 97223(50J)539-4171 DATE ISSUED: 1 G,/2?9/98
r?ARCEL: uS 1 1 1 CB-•01709
T TF
ADDRES —
S , :: 1 Vt :Okt 5W I If?f.1DV I EW DR
UBDIVI;ION. . . . : HOOD VI ZONING: R-3. 5
BLOCK. . . . . . . . . . . L...OT. . . . . . . . . . . . . :006 JURISDICTION: TIG
CLASS OF WORT'. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . , . :SF WASI.41 NG MACH. . . . . . c 0 PACRFLOW PREVNTRS. . : 0
OCCUPPNI;-,Y GRP. . : R3 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . 0
STORIE:S. . . . . . . . : 0 WATER HEATERS. . . . . : 1 CATCH BASINS. . . . . . . : 0
FIXTURES---------------- I-PUNDRY TRAYS. . . .. . : P L--)F RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . : 0 URINALS*
RTNALS. . . . . . . . . . CREASF TRAPS. . . . . . . s 0
I__AVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. - 0 WATER LINE (ft ) . . . : 0
DISHWP3HERS. . . . s 01 RAIN DRAIN (ft ) . . . A
Remo—A,—Its: C-nversinn of water heater to gas.
Owner: ----- -____.._.. _._._.______.._._.__._._._-•---•-•-----..____.___--_____-- FEES
ROBERT S CORTRIGHT type amoi.►nh by cJate rec-pt
1.O2012t SW HOODVIEW rtR PRMT $ C-'..;. 00 DEB 10/29/98 98-:310407
TIGARD OR 97223 SPCT 0 1. 25 DEB 10/29/98 96-310407
Phone #:
Cont r^act or----••--__._______.__.___._____--____--
,JIM' S PLUMBING
PO BOX 71 GO
ALOHA OR 97007
Phone #: 649•-•4034 26. 25 TOTAL..
Req #. . : 71.660
------- RECUIRED :NSPECT:ONS
This parsit is issued subject to the regulations contained in the Misc. inspectin:►
Tigard Municipal Cnde, State of Ore. Specialty Codes and all other Final Inspec+ ion
applicable laws. All work will be done in accordance with __�___ _ ____ __�___ _•.�� _ _ __��_
approved plans. This permit will expire if work is not stared
within 190 days of issuance, or if work is suspended for sore _
than 190 days. ATTENTI(N: Oregon law requires you to follow rules
adopted by the Oregon Futility Notification Center, Those rules are
set forth in DAR 95c' 0001 0010 through OAR 952--0001-00130. You may
obtain copies of hese rules or direct questions to DUNG by calling
(503)246-1987.
1ss�.►ed�Hy :� :� Permittee Signati.tre :y I
t•+++++f•++++++++++++++•f•+++++++•++++++++'++++'}++-t*++++++++++++•F+++'+++++++.f-++f•+f•+++
Call 639-4175 by 7:00 p. m. for an inspect ion needed the next bl..►sinpss day
++•4-4-++•i-++++++++.�F+++++++++++++++++++++++++++++++++4-+�+.4-+++++++++++-f++++++++!! ++-a
CITY OF TIGARD Plumbing Permit Application Plan Che
13125 SW HALL BLVD. RECEIVED �omn)ercial and Residential Recd s
TIG-APD, OR 97223 DateRoc'd
(503) 639-4171 OCT 2 r) 1991 Dale to P.E.
, Print or Type Date to DS�
..; .,,�, n�V[If1 t,1FNt Pomdt0
Incomplete or Illegible applications will not be accepted
cased —r
Name of Development/Project
Job Sink g.00
,address Street Address ` Sulto
Lavatory Address
Tub or Tub/Shower Comb. 9.00
BIdp R Ck Bats L Shower Only g.00
— water sole' g.00
,-� ashwasher 9.00
Owner Malling Address Garbage Dlswral g.00
I U WasIft4 Balite SM
CRYMM" MOW_ Floor Uraln/Floor Sink 2'— 9.00 — -
t
-._—_—_ r� 3" -- 9.00
Nafie - -
-
Occupant Malting Addross •• Suite Water Heatsr�l cxxrwxsbn J Iike kirxl g.00 t
Gas Laundry I�lrT�regtdres a separate r wxhanical permit. I
City/StAto 21p PhOna d3.00
ry Room Tray --— —�
Urktai _•" - __ —_--- 9.00
[�irrta Other F'odures(Specify) .. -- 9.00
9.00
Contractor Alir'" SUV
t' _ Lg C
Prior to rwmft city PrA M II Sewnr-1 it 100' — 30.00
Issrwnce,a copy i q C - I -
, - Sewer-each additional 100' 25.00
of ori kbnsea aro Dragon Cor1t 80Md llc>R �• Mgamer SeMce_tat 100' M. 0
required If
oWhind in(;OT Plumbing Lk.9 lip.011e Watrf SerAce•each additional
database - Storm it Ra!n Drain•-t st 100' 30.00
Nano Storm 6 Rain Drair-each additional 100' 25.00
Architect - Mobile Home Space 2!DO
Or Milling Address Suite CMMMdAI Back Fluw Prevention Devioa or Anti— 25.00
Pollution Device_
Engineer City/State 71p�— Phone Residential Racicilow Prevention Device' 16.00
guiprion timing devtoea mquire a separate
r*4crP;�work to be iic ne: - �^ restricted eTM parmll.) _ _
New V Repair U ReplacA with like kind Yes Q No O Any Trap or Waste Not Connected to a Fbdure �g•�
Residrintial 0 Commerdal O v
Catch liaskt g.00
JAdditional description of work: - Insp.of Edsting Plumbing --__ 40.00
h(
Specially Req+MLted Ins ,dions 40.00
rmr
Rain Drain,single family dwelling 30.00
Are you capping,moving or replacing any fiat irea9�� _
Yes O No O Grease Traps
0.00
If yes,"a back of form to Indicate work performed by `— QUANTI IY TOTAL
fixture. FAILURE TO ACCURATELY REPORT FIXTURE leorrrakle or rber dignm Is roquMed I(kmrtky TOW Is >Y
WORK COULD RESULT IN INCREASED SEWER FEES. •Sl1BTOTAL —
I hereby 90novdedge that I have read this application,that the Information _
given Is correct,that I am the owner or suthortxed agent of the owner,and 576 SURCHARGE I
Nu hs submitted are In compilance with—on State Laws,
signature of OwnerfApetrt _ Date ! "PIAN REVIEW 26%OF SUBTOTAL
i^ ,ked cnh Ir tt<Me total Is,e _
jWil Lek A
Contact Person Phone _
'Minlrn_um permit foe Is S25+5%surcharge,except Realdentlal eadctlaw
C1. Mck �, ' Prevention Device,which Is$15+6%surcharge
"All New Commercial Bulldlnr;a require plans with IsomeMr or riser dlegrnm
and plan review
Lldrte0japp.doo 7021116
7.nnl' nmv,)tT an ITT') nQRT QRe me 1'Vq b1 :el wit QRin7ini
CITY OF TIGARD I'IFCFIANICAL.-
P,E Rlyl I T
(DEVELOPMENT SERVICES PERMTT #. . . . . . . : MEC98-0485
13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 DATE ISSUED- 10/129/98
PIARCEI-: 26111CB-01709
SITE ADDRESS. . . : 1.0200 �.jW HGODVIEW DR
SUBD J V I S I ON. . . . : HOOD VIEW 70NING: R-3. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .008 JURTSDICTION: TTG
CLASS OF WORK. . :AI-T FLOOR FURN. . . . : 0 E'VAP, CO(J1_.ERS: 0
TYPE OF' USE. . . . :SF UNIT HEATERS. . .- 0 VENT FANS. . . : 0
OCCUPANCY GRP'. . :R;3, VENTS W/O AP1P11_- 0 VENT SYSTEMS: 0
STORIES. . . . . . . . .. 0 BOILERS/COMP,RESSORS HOODS. . . . . . . : 0
FUEL 0-3 HF,. . . . 0 DOMES. TNCIN: 0
:GAS
3-45 HFI. . . . 0 COMML... INCIN: V,
MAX JI\IP,UT: 0 DTtJ 15-310 HP,. . . .. 0 REPAIR UNITS: 0
FIRE DAMFIE RS7. 30-50 HFI. . . . 0 WOODSTOVES. . : 0
BAS P,RESSURE. . . 50-4- HP'. . . . 0 Cl-O DRti'ERS. . : 0
NO. nF LINT AIR HANDI ING L I N I TES OTHER UNITS. : 2
FURN ( 100K BTU: 1271 10000 cfm: 0 GAS OUTLETS. : i
TURN ) =I.00K BTU: 0 > 10000 ffm - 0
Remat-k s - Installation of YdS logs and gas piping.
Owner-,: FEES
ROBERT 9 CORTRIGIAT type amoi.tnt by date recpt
1,0200 SW HOODVIEW DR F,RMT $ E5. 00 DEB 1.0/29/98 98 -310407
'TIGARD OR 97223 5PCJ $ 1. 5 DEB 10/29/98 9B-31.0407
Phone #:
Contract or-: --------------------------- -----
ADVANCED HEATING' & AIR GOND
6,918 SE 48TH AVE
$ 26. 25 TOTAL-
P-nRTI AND OR 97206
Phone #: 235--001.-,0
Rey #. . -, 0009951
REOUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas L.inp Insp
Tigard Municipal Code, State of Ore. Specialty Codes ana all other Mec.,hanical Insp
applicable laws. All morl, will be done in accordance with Misr_ Irispectiori
approved plans. This permit will expire if work is not started FiTial lyispect ion
within IN days of issuance, or if work is suspend-6 for more
than 180 days. ATTENTUN- Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in (AR 952-00I-010 through BAR 952101-0080. You may
obtain copies of these rules or direct questions to DURC by calling
15031246-9187.
Issi-te B :._ L
.........++++++++++++++++++4..........4.......4--+4-++++4..........4-+++4.++4.......4-++4-4
Call 6-9 -4175 by 7:00 p. m. for in,;pertions needed the nf-)(t bl.1siness day
+++-4- -++++++++•4•++++•+++4......4......4.......+++++++++++...........+++++++4-++++++++++4
Plan Chec J
CITY OF T!GARD REQ Ghanical Permit Application Rer d 8� �_l'
13r�
125 SW HALL BLVD. Commercial and Residential Date Rec'd_ -La' I_
TIGARD, OR 972kLDate to P.E.
(503) 639-4171, x304 OCT 2 i`) 1998 Date to T'
CO��MUNITY DrvElnp' Print or Type Permit$0 4 _
Incomplete or illegible applications will not be accepted Called_
Name of DeveloprnentlProiect Description
Table to Mechanical Code OTf PRICE AMT
Job Street Address Sune0 A) PermitFee -0- -0- 10.00
Address
Bldg$ -t tylstata ZIP i 11Furnace to 100,000 BTU 6.00
�t
1 c rV 1� - including ducts&vents -
N..*a for name of buriness� 3.) Fumace 100,000 BTU+ 1.50
Owner -1 / C �� including ducts&vents
Mailing Address 3.) Floor Furnace 600
U (3cincluding vent _
Gitylstate Zip Phone 4.) Suspended heater,wall heater 6.00
or floor mounted heater
Name(b5 name or busness) 5.) Vent not included in appliance permit 3.00
Occupant Mailing Address 6) Boiler or comp,heat pump,air Gond. _600
_ to 3 HP;absorb unit to 100K BUT" _
city'State Zip Phone 7.) Boiler or comp,heat pump,air Gond. 11.00
3-15 HP;absorb unit to 500K BTU"
Contractor Name 8.) Boiler or comp,heat pump,air Gond. 15.00
A j-- U 15-30 HP;absorb unit.5-1 mil BTU"
Prier to permit Mailing Address ( - 9.) Boiler or comp,heat pump,air Gond. 22.50
issuance,a copy C. - 30-50 HP;absorb unit 1-1 75mil BTU"
of all licenses1hat Zip Phone� 10) Boiler or comp,heat pump,air cond. 2750
are required if t;j,' ,c..f_, j� 1 , >50 HP;absorb unit 1.75 and B_TU- _
expi ed in COT Oregon Const.Cont.Board Lic.N Exp.Date 11.) Air handling unit to 10,000 CFM^ 4.50
database (- - _
Architect Name 12.) Air handling url _ --T-50
10,000 CTM+
or Mailing Address 13) Non-portable evaporate cooler 4.50
Engineer ityl5tate Zip Phone 14.) Vent fan connected to a single duct 300
Describe work NeW Addition O Alteration O Repair O 15.) Ventilation system not included
to be done _ Resid ntial O Non-residential 0 in appliance permit
Additional Description of work, 16) Hood served by mechanical exhaust 4.50
17) Domestic incinerators 7.50
Existing use of - ' 18) Commercial or industrial 30.00
building or property type incinerator
19.) Repair units 4 50
Proposed use of 20.) Wood stove 4.50
building or property
21.) Clothes dryer,etc. 4.50
Type of fuel-oil O natural gas O LPG 0 electric O T 22.) Other units ) / 450
441
I hereby acknowledge that I have read this application,that the information 23.) Gas piping onetto four outlets I 2.00 ,
given is correct,that I am the owner or authad-ed agent of
the owner,that plans submitted are in compliance with Oregon State laws 24) More than 4-per outlet(each) 50
Sig tura of Owne Age t , I Y�Date ^� *SUBTOTAL
C" 5%SURCHARGE -
ontact Person Name Phone Pi AN REVIEW 25%OF SUBTOTAL
Required for all commercial permits on .
TOTAL
Wkiinnum permit fee is S25+5%surcharge
"rtesidential A/C requires site plan showing placement of unit.
I hrechprrnt doc rev 4115!58
• ADVINCED HEATING & AIR CONDITIONING , IN (—
October 27,1998
City of'Piga A
13125 SW I tall Blvd.
Tigard,OR 97223
Rt:, 10200 SW Ho idview Dr.,'1'igard,OR 97224
Enclosed please find applications for a mechanical and plumbing permit for property address 10200 SW
I Ioodview I'1t.,Tigard,OR. Please -eturn both applications to my attention in the envelope provided as I am
scheduling I oth the mechanical and plumbing inspections. If you have any questions, please contact me at
235-0060. 1 hank you,
Sincerely,
�y
Rhana G. titather
Office Manager
RECEWF-
OC7 2 9 1998
i,linUl��rr DEVEIOPMENj
GUIs SI-. 49 I'll • VOR'I'LAND, OR • 972116
I ION11, (5111) 215 1106,1 • FAX: (511) 219 5195
C
CITY OF TIGARD DIJILDING INSPECTION DIVISION MST
34-Hour Inspection Line: 639-4175 Business Line: 639-4171 - -----
/ BLIP
3 _
Date Requested �� /3- 7 Q M / 0�PM BLD
Location ---4# 16)"f-00 J 2 , 7AYA ' uite
�MEContact Person Ph235 X) `pL
Contractor 11 Ph SWR _
BUI!_DING _ Tenant/Owner
Retaining WallELR
Footing Access:—�
Foundation FPS
Ftg Drain -"
Crawl Drain Inspection Notes: SUN
Slab SIT
Post& Beam -�`--- - -- --
Ext Sheath/Shear
Int Sheath/Shear
Framing CaLS ��-
Insulation
�Di,wall Nailing V�
F Irewall -
Fire Sprinkler —_.-
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PA FAIL -- --
UMBING
Post& Beam
Under Slab
Top Out -� - - -
Water Service
Sanitary Sewer --
Bain4tains
Final -..-
FAIL
�INVCHANICAL
Post-&-s—earn --
Rough In
Ges Line - -- - -
ampers
Fi-,al
S PART FAIL
TRICAL — -
Service _
Rough In
UG/Slab _
Low Voltage —
Fire Alann
Final
PASS PART FAIL
SITE
Backfill/Grading —
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Please call for reins ectlon RE:
Fire Supply Line [ J p ( J Unable to inspect-no access
ADAApprI
Otthaoach/Sidewalk Date (� 3A_ Inspector _. Ext�t�
Final
PASS PART FAIL DO NOT RE"OVE this inspection record from the joh site.