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10455 SW Hoodview Drive
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection line: 639.4175 Business Line: 639-4171 — — —
BLIP
—_Date Requested /I r AM� _ _ PM
- QLD
Location / � /`7-rc s. t -e.Qs-[. �ii Suite NIIEC --- ----
Contact person ra : PLNIG
Contractor Ph SWR
P_WLDING _ T-enant/Owner ELC
7etainin4l Wali -- — —�� ELR
Footing
Foundation ACrsSS
FPS
Ftg Drain /Eu.t ter. - .4
Crawl Drain ;nspection Notes: ..GN --- -----
Slab SIT
Post&Beam —------ ---
Ext Sheath/Shear
Int Sheath/Shear r
Framing _
Insulation --
Drywall Nailing _
Firewall
Fire Sprinkler
Fire Alarn, �
Susp'd Ceiling
Roof
Misc:
PASS PART FAIL —
PLUMBING
cost&Beam
Under Slab
Top Out —`-- - —
Water Service �L
Sanitary Sewer
Rain Drains
'ASS FART FAIL
_
ME HANICAL —
Post& Dean
Rough In
Gas Line — -.• _ __��____ ___ ._---_
Smoke Dampers
Final ___--
PASS PART FAIT_
ELECTRICAL - --
Service
Rough In —
UG/Stab
Low Voltage
Fire Alarm f
Final
PASS PART FAIL
SITE ^---
Backfll/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 c,^11 for reinspection RE:___—_ _ _ __T_ [ )Unable to inspect- no access
ADA
A roach/Sidewalk 'r /
Other Date L Inspector s t Q/e79 Ext
Final
PASS PART FAIL) DO NOT REMOVE this insper.tiort: record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-F,our Inspection Line: 639-4175 Business Line: 639-4171 - —
BUP
Daae Requested_, / AM _-._PM -_- BLD
Location L' 7 s1�`t� ter--_ Sla : -- MECl�z� Y�
Contact Person _� � ���- •y _ Ph 4 --7 PLM --
Contractor _ Ph SWRL-ol --
BUILDING- -� Tenant .- w ,-"I �{ �f U ELI;
Retaining Wall ELR _
Footing Access: FPS
Foundation
Fig Drain SGN
Crawl Drain Inspection Notes
Sial)
---- --- _ SIT --
Post i3,Beam
Ext Sheath/Shear --.--
int Sheath/Shear
Framing -----.------- _ —_ —_ ---
Insulation
Drywall Nailing ----- - - -
Firewall
Fire Sprinkler - ----
Fire Alarm
Susp'd Ceiling - - - -
Roof
Misc ---
Final _
PASS PAPT_ FAIL -T-
PLUMBING -. -.._-- -- _ ---- ---
Post& Beam _
Under Slab
Top Out
Water Service _ -------_--------.__ _ -_
Sanitary Sewer
Rr r, Drains -----__.____--
Fnal
PASS PART FAIT_ -
fMECHANICAL
Post&beam -- - - '--�
Rough In
Gas Line ---
Smoke Dampers -- _— --.—
PASS"" PART FAIL ---
EL I.TRICAL
Service _- --- -- -- -
Rough In
UG/Slab ----
Low Voltage
Fire Alarm
Fit --
PASS PART FAIL __-__----- _-- _ ----
SITE
13ackfilllGrading --_---- ---�'�� -
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RF __- -�___ [ ]Unable to inspect-no access
Fire Supply Line
ADA _ r=�.
Approach/Sidewalk pate t l ;� _ Inspector_ _ Ext
Other --
Final
PASS PART F/.IL DO NOT REMOVE this inspection record from the job site.
CITYOF TIGARD _ MECHANICAL PERMIT
PERMIT #: MEC2001-00386
DEVELOPMENT SERVICE. DATE ISSUED: 11/1/01
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111C".s-01741
SITE ADDRESS: 10455 SW HOODVIEW DR
SUBDIVISION: HOOD VIEW NO.2 ZONING: R-3.5
BLOCK: LOT: 040 JURISDICTI )N: TIG
CLASS OF WORK: ALT 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 T_YPES 0 3 HP: - DOMES. INCIN:
LPG 3 15 HP: COMML. INCIN.
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE. DAMPERS?: 30 - 50 HP:
OD
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS C
-- --- ---- OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 3
> 10000 cfm:
Remarks: Install gas furnace, water heater and gasline.
Owner: — _—_�- FEES
CHANDLEE, GENIE S + MARILYN AN Type By Date Amount Receipt
1045:, SW HOODVIEW DR PRMT CTR 11/1/01 $72.50 272001000C
TIGARD, OR 972.24 5PCT CTR 11/1/01 $5.80 2720010000
Phone: �- _ Total $78.30
Contractor:
FIRST CALL HEATING & COOLING
1650 NE LOMBARD
PORTLAND,OR 97211-4798 _--__,,.–REQUIRED INSPECTIONS _—i -._-__
Gas Line Insp
Phone:231-3311 Heating Unt Insp
Reg#:LIC 102030 Final Inspection
This permit is issued subject to the regulations contained in t►ie Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work w',II ba done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
952-001-0080. may ohtain copies of these rulers or direct questions to OUNC by calling
(x;ni)9AA_41RS1
Issue By: u ti 1 Permittee Signature: „ •'7 � r�Q��.rQ Z-L i
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
Mechanical Per Ucatj9W
City of Tigard
Uatereceived: ;l ?u � t Permit no.:
� �
City of Tigard Address: 13125 SW Hall Blvd,Tigar ,��� 2 3 z0a1 I'rojecdappLno.: Bxpircdate:
Phone: (503) 639-4171 A Date issued: B)K f Receipt no.:
Cmy
Fax: (503) 598-196(1 Case file no.: Payment type:
Land use approval: Building permit no.-
t
t( �I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement
U New construction V"Adclition/alteration/replucentclit U Other:
JOB SITE INF6RMATION U01
Joh address: /. f) , Indicate equipment quantities in boxes below. Indicate the dollar
Bldg,no.: 1 "Hak,no.: value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lotlaccount no.: profit.Value$ .
Loi: _ Block: I Subdivision: — 'Sec checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fcc.
City/counfv: � ) , f , 71F 777-1-2 Ti _ ► t
Description and location of work on premisefi: I7A,,handling
't, iu (� y /i cam' Fee(es.) Total
Est.date of completionhnspedion: Dew•riptiun Q1y. Res.only Res.enly
Tenant improvement or change of use: unit CFM
I9 existing space heated or C011dlllCrlred'?0 Yes U No Atr con itioning(site plan require )
Is existing space insulated'?U Yr•s U No A teration of existing C system
Boiler/compressors
Business name: �.- �,, , State boiler permit no.:
+ --�- HP Tons BTU/H
Address: i,, .
•ir Fire/smoke a dampers/duct smoke detectors
—
City: Stale:c 71 P: J J ! / eat pump(a to p an required)
Phone: nsta :ep ace-T efurnucethurner
Including ductwork/vent liner Yes U No 1 I
CCB no.: ����: :?,r i Install/replace/relocate eaters-suspends ,
City/rnctrolie.no.: ) _ wall,or floor mounted
Name(pleaseprint): Vent for appliance other than furnace _ r
e geral on:
Absorptionunits_ BTUM
Name; __ Chillers _ HP
Address: _— —` --_� Com ressors_ __ - HP
Environmental ex ust an ventilation:
on:
City: _ State: ZIP: L
ncevent
Phone: F,n I mail•— x oust ----
t �'ype ccs. its en aazmat—
fire suppression system
Name: %c, �) , t fan with single duct(hath fasts)
Mailing address: , /e �),
,s stem apart from satin cr AC
-= piping end diArlbution(up to 4 outlets)
City: 1 --- Stale:, r 1,IP:> 1�J4 'I•ypc: —_.I,pG NO Oil
--- -
Phone: °� Fas I nt.il: Fuel pipingcach additional overdo�cts
I isrncessp p ng(sc cmaticreyuir•c 1 _
Name: Numher of outlets
Address: — , �ancr ar Cance or equ yrmrnta
Decorative fircplacr.
City: State: I ZIP: nser-type —`
Phone: r x: Email: - Woodstov pe et stove
Other:
Applicant's signature 1L e Uate: �� .4 ( t era _
Name (print): H_-,e r//)c
Not all)uricdidinne accept ettdii conllx please salt Jurisdiction for marc infornwiion Permit fee.....................$ f?. ��t
on
U Visa U N!"tetCefd Notice:'Phis permit not obtain Minimum fee................$
__� [,� expires if a pc�nit is not obtained
Credit card number:�_— F Plan review(at ._ %) $
Within 180 days after it has been ,
t State surcharge(896) $ -
i spied as complete. "" ,
Name or crdholder as shown on credit card TOTAL .......................$ ('!h
Cardholder tupature
$
Amount 440-4617(WWOM)
MECHANICAL PERMIT FEES
tiOMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
- Description: Price Total
TOTAL VALUATION: FEE: _ ---- Table 1A Mechanical Code Qty (Ea) Amt
$1.00 to$5,000.00 Minimum fee$72.50 1) Fumace to 100,000 BTU
$5,001.0c t $$10,000.00 $72.50 for the first$5,000.00 and includin ducts&vents 14.00 �I,
$1.52 for each additional$100.00 or 2) Fumace 100,000 BTU-
fraction fraction thereof,to and Including includin ducts&vents
$10,000.00. 3) Floor Furnace
$10,001.00 to$25,000.00 '":3.50 for tho first 510,000,00 and incl di vent 14.00
$1.54 for each additional$100.00 or 4) Suspended treater,wall heater
fraction thoreof,to and including or flour mounted heater 14.00
$25000-00. fi) Vent not included in appliance permit
$25,U01.00 to$50,000.00 $379.50 for the first$25,000.00 and .� 6.80 i
$1.45 for each additional$100.00 or 6) Repair units
fraction thereof,to and including 12.15
$50,000.05, Check all that apply: Boiler Heat Air
$50,001.00 and up $742.00 for the first$50,=_60and
$1.20 for each additional For items 7-11,see or Pump t,o�d
footnotes below. Com
fraction thereuf, '
7)<3H ;absorb unit 14.00
- to 100K BTU
ASSUMED VALUATIONS PER APPLIANCE: _ __ 8)3-15 HP;absorb 25.60
Value Total unit 100k to 500k BTU
Desorl tion: _ Q Ea Amount 9)15-30 HP;absorb
955 unit.5-1 mil BTU _ 35.00
Furnace to 150,000 BTU,including 10)30-50 HP;absorb
4
ducts&vents 1,170 -- 52.20 -
Furnace> 100,000 BTU Including unit 1-1,75 mil BTU
ducts&vents --- 11)>50HP.absorb 87.20
Floor furnace Includin_gvent 955 _ unit>1.75 mil BTU
Suspended heater,wall heater or 955 12)Alr handling unit to 10,000 CFM 10.00 _
floor mounted heater
Vent nnot Included In applicance 445 13)Air bar ling unit 10,000 CFM+ 17.20
Ree p
faia; 805r units � 14)Nun-portable evaporate cooler 10.00
<3 hp;absorb.unit, 955
to 100k BTU�____� 15}Vent fen connected to a single duct 6.80
3-15 orbhp;abs .unit, 1,700
101k to 500k BTU - 18j Ventilation system not Included In 10�cr
15-30 hp;absorb.unit,501k to 1 2,310 appliance permit
mil.BTU - 17)Hood served by mechanical exhaust 10,00
30-50 hp;absorb.unit, 3,400
1-1.75 mil.L.0 _ 18)Domestic incinerators 17.40
>50 hp;absorb.unit, 5,725
>1.75 mil.BTU 856 - 19)Commercial of Industrial type Incinerator 69.95
Air handling unit to 10 000 cim 1 170 -
Air handling unit>10 000 cfm 858 20)Olhor units,including wood stoves 10.00 _
Non�ortebte evaporate cooler
Vent fan coconnected to a single duct 448- 858 21)Gas piping one to four outlets 3 5.40
Vent!system not Included In --
a Ilonce ermit - _ 22)More thar.4-per outlet(each) 1.00
Hood served by mechanical exhaust 658 -
Domestic Incinerator r 5� M)nimum Permit Fee$72.50 SUBTOTAL f -I Z50
Commercial or industrial Incinerator 653
Other unit,Including wood stoves, .state Surcharge
Inserts,etc. -380
Gas _ 25%Plan Review Fee(of subtotal)
I)n r
in .1-4 outlets- -- � 63Required for ALL commercial permits only
Each additional outlet _
TOTAL COMMERCIAL TOTAL RESIDENTIAL PERMIT FEE: $ U
VALUATION: -
Other I s cti n- and FM:
1 Inspections outside of no mal business hours(minimum charge-two hours)
$72 50 per hour
2 Inspections for which no fee is specifically indicated (minimum charge-half hour)
$72 50 per hour
3 Additional plan review required by changes,additions or revisions to plans lminimum
charge-one-half hour)$72 50 per hour
`State Contractor Boller Certification required for units 400k BTO.
"Residential AJC requires site plan showing placement of unit.
I:\dsls\forms\mech-fees doc 10/11/00
CITYOF TIGARD _ PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PL6/01 00605
13125 SW Hall Blvd., -rigard, OR 97'.23 (503) 639-4171 DATE ISSUED: 11i116/G1
PARCEL: 2S11 1 Cb-0 1741
SITE ADDRESS: 10455 SW HOODVIEW DR
SUBDIVISION: HOOD VIEW NO.2 ZONING: R-35
- - -_-� BLOCK:_---- --LOT__040 i — J — JURISDICTION: TIG �-
CLASS OF WORK: AL1 GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUBISHOWERS: SEWER _INE: ft
WATER CLOSETS. WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Install electric to gas hot water conversion.
FEES
Owner_
Type e By Date ` Amount Receipt
J/kMES NELSON PRM-1 (�TR 11/16/01 $72.50 27200100000
10.55 SW HOODVIEW DR. 5PCT CTR 11/16/01 $5.80 27200100000
TIGARD, OR 97224
Total $76.30
Phone 1:
Contractor:
PORTLAND PLUMBING& HEATING
STEVE DELAERE PLUMBING
928 NE HAZELFERN PL. REQUIRED INSPECTIONS
PORTLAND,OR 97232 - --------
Phone 1: 503-233-9113 Final Inspection
Reg #: PLM 114098
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable laws All work will be done in accordance with approved plans
,-his 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 by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
Issued By: _ ,+ �N Z Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
11'15/01 17:34 FAX 5032889803
nnrtrecei.cd: ,���, �7 i �PC=(no.�J1 ?fY,r ' ✓;
Cay of Tigard � a � _PCs I
4lddst�s:13125 SVl Hall v ( T ; Sru�a m1t teo. Sml,Lng _--
Cirp r(Tgard Phnue: (503)639-41 t t Nmi'NayGl.r,v.: Etp6redate'
Fax.(503)59&-Igo NOVi LJ ��n1 trt'°isamd, - 8 Ettcalptno.. '
Land use approval: _ 1 I 9 I U �.r Olc no- I PatymCatWK:
J 1 &2 family dwelling or accessory ❑Commerviallutduarial ❑Multifamily i crate rnrprrn en,e+nr
Cl NCW curiUmcdou Cl Addi.iuu/altcruion/ttplaccnent :t food,crviu,. J l Wier.
MRLL
Job addtrws, __._�O-t.57 5- G Suirc�1: r v r pC Desr n Qtu• Fee(e&) Taw
- I ` �- New 1-&M Z fiuviiy dw ;R ant): -
T&X NaplRt:lvtlncc017At 110.: Cuoilade9100D.fureacbatflltyrnttt+wrrtfc►o)
SFR 0)beth
La Blvcla Subdtvisiun:
SFii 2 bath
PLO tSttttle: C. SO SFP.(Tbat i -
Citylootuay: 1 7�1Y•_- 7 Z,-Z 1'�f:h a dauonal bate/Kirchaa
Datceptlon as loaWon of wart prem' es: Sitellta]itles:
` SIE. , n W O Catch be:JNatra drain
Fat dote of eompleronlinq xenon _+PLUMBING CONTRACTOP !1
Footintl amu,(nrs Im. .)
cufarttrred home tttaitias
B115ifl053 tVItM: \)a Ar\b.. t. _
Addrrss Rain connartvr 1
City: Smtz��. ?.1<P: Z stllt:ttyscv;er(ttn. in.�
pllooc. ee M,;-W Utd.IM ft.) I
CCB no.: 1(` U Plrtmh.bus.tog,no: y-)
Water trsvir_(no.lit..R
Citylot!.1M He.no.: 4 1 L p Fis7ree er Etatn:
COat:lactot'4 re�rE3tatativt ai _L Abbu)q ton v%lve _
Print ttmIIe I?ase ( 1 t> C ack£now prewmIrr
BBJkwutcr valve
?;sainsTlt�arary
Nanitt: �,.L 4 . aches wasber —
Pltorta - 3 Bax:Z F- SIMIMP
ttt�: art°'
Fixtgtt/sewcse �..•. _._._
Nau1e Floor drainsffloor--Q
U age 4is -4lakWhob-
Mailingadilms V
tO q t-cJ � _ --
pas
City: T _ 1Statel:• 7.<P Z [:c maker _
Phone. Fat: E-mail MCK-.)�-reap
Owner hs t'esldentlal mairtenumc only. 11tt actual installation Pdmcr(s) _
w►II be madr.by me yr the roainMi m c clad mpair trade by re)r Aw oaf dndn(comm(cal) -
ernpimyer.on the pwp,-m I own as prr ORS Chatter 447. s, a(a),ii-MR-)
Uwtut'a si n.a>y�: Dale: Sump
'Pi2/s'lroar ' orwsp�
Urinal
Naurs _ __---- _--- -.------ _1�atcrdnsa
AAdresst Weicr rueTi i
Clivi_ State: Other. ��
Phoac: Fett: Small o
-- �� Mirritmnu fee.... ... ...S — -77-
N 5
I lnri.Aman.mep�d�A.prate ta':1 Lttttmttlert far nm irdrrmsem NotiThis permit sDvlir-stow ..•, ..Vitt ❑M3+tr.tC T Z l a'-EII2r Z 13{ �FTres d e permit a not obtalncd Plao review(u,96) S _.
eye rgZtba; '1_C.�°� within 110 days a4a it Fry bear TO RL ....Re(Q4..,)....S
'IC �`m aa,a3,rr,d as maeplera
_ easmuaa .-.�mA"'im� �taM1s���rr