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Permit !a . t; CITY OF TIGARD MECHANICAL PERMIT PERMIT #: MEC2004 -00607 L �I�� DEVELOPMENT H BMENg Tigard, ) 6 -4171 DATE ISSUED: 9/10/2004 PARCEL: 25111 BC -01700 SITE ADDRESS: 10265 SW VIEW TERR SUBDIVISION: GREENBRIER ZONING: R -3.5 BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: UNK 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: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Oil to gas furnace. Owner: FEES STACK, RICHARD W JUDITH C Description Date Amount 10265 SW VIEW TERR [MECH] Permit Fee 9/10/200 $72.50 TIGARD, OR 97224 [TAX] 8% State Surchari 9/10/200 $5.80 Phone: Total $78.30 Contractor: SUNSET FUEL CO • PO BOX 42289 2944 SE POWELL BLVD REQUIRED INSPECTIONS PORTLAND, OR 97242 Heating Unt Insp Phone: 503 234 - 0611 Final Inspection Reg #: LIC 2374 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -6699. Issued By: Permittee Signature: �? P A N \P Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day 69/09/2004 15:39 0000000 ABAB:AAAAAA AA PAGE 02/02 t`. fro • Mellamcal Permit AD t li ,,: L. i elo i r t i r t l ......_. City of Tigard / J O f 4 1 A callo., _ 13125 SW Hall Blvd., Tigard, OR 972 001 �w� 1 7 Phone: 503.639.4171 Pax: 503.598.1960 ((`` Plan Review V Inspection Line: 503.639.4175 e P Other Line: Internet: www.ci.tigard.or.us J , ',_I Date �Y See Pao a for G ` �� O�'` O . _ • NotitieNMetEo4: S�ptemcntal 1ptormetloa ❑ New construction ddition/alteslation/replacement Mechanical permit fen° are based on the value of the work ❑ Demolition Other: performed. Indicate the value (rounded to the nearest dollar) of all ,,e;;: ;, ;' ', .._ mechanical materials, abor, overhead, and pto$t mec cal equipment, an .n, • " .. .... ........ Value: S and 2- fhmily dwelling ❑ Commercial/industrial [] Accessory building < : ;, ❑ Multi family ❑ Master builder ❑ Other: F f tl on use checklist 7 nl t; + rhr/ ?' r rr , c , -,, , For al !n ornta Description J Qty. I Ea. � Total HeatinII/ctmtia� Job site address: ` , Air conditioning or heat pump —` / i] .- v ' A • ' • , (requires site plat) Mewing placement) 14.00 0 • Furnace 100,000 BTU (ducts/verns) I 14.00 fit{ -OD _Ai Suite/bldg./apt, no•; Furnace 100,000+ BTU (ducts/vents) 17.90 1 Project name: irIMIIIIIIIM Gas heat pump 14.00 Cross street/direct to job site: Duct work 14.00 Hydronic hot water system 14,00 Residential boiler (radiator or hydronic) 14,00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: Lot no.: Flue/vent for any of above 10.00 Other: 10.00 Tax map /parcel no }yF #ln rf r planes �4 � _Other fuel appliances c It. , r1 rv y r ' , ',P;,� f4 + t 1 }k S ' ( , u N ,� r S ava , r. di,..54•, ll'., :', .r. ,e { 2 ,.,n,� „it ., S' ) ,� i Water heater I�.00 Gas fireplace 10.00 • 6] Si 0 a ._� Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10,00 ti Wood fireplace /insert 10.00 " ; + I, ` is I . 4 ,. , „t i a Chimney/liner/flue/vent : :�}pr+'r.a." ,r . ^ r+ .•, + ,, ., ∎ 10.00 < ;:. , . �. ,•.. _.:a, ; �. .4 ., other. 10,00 ' - d f . ', ' Environmental exhaust and ventilation Address: (v 2 t0 5 Range hood/other kitchen IL equipment 1000 .Iii r I Clothes dryer exhaus 1000 Phone: ( ) 4 Fax ( Single -duct exhaust (bathrooms, {, r o r t7 i i i ix { ) q , r, { r i y 5. t +V y. c\ .,,! -r.,,::,:., ). toilet compartments, utility rooms) 6.80 .'''CCF''((0 'i* E iii;11 Y F. ,, ' ,t -,LJ W „ . ,' +i . ' ` '' i : ' r .: ,Attic/crawlspace fan 10 00 Business name: • Other: 10.00 Contact name: Fuel piping $5.40 for first four: 51.00 for each additiona Address: Furnace, etc. City /State /ZIP: Gas heat pump _Wall/suspended/unit heater Phone: ( ) Fax:: ( ) Water heater E-mail: Fireplace s; rrn rum T ( y Range .. l...ICy 4 g Erg . i ., rt : :;;: -, "t!i 3: :':Sch..yl.`'Ief.4� iftt6l1J,^.., ilel Barbecue Business name: Sunset Heating and Cooling clothes dryer (gas) Address; PO Box 42289 Other. City/State/ZIP: Portland, OR 97242 4 E' y aac'P. d • i-,,: , ' t ' � .11,77-77, ' v ;. ,r +i " Subtotal 14.0 Phone: (503) 234 -0611 Fax: (503) 234 -0439 Minimum permit f e e ($72.50) 7 . ) CCB lie.: 161085 Plan review (25% of permit fee) State surcharge (8% of permit fee) 5.TD TOTAL PERMIT FEE 13O Authorized signature: 5314..a....k5 This permit application expires if a permit is not obtained within 180 )� days after it has been accepted as complete. Print name: Shauns D'Ambrosia Date: Fee methodology set by Tn Cowyty Building industry Service Board i• kat.IdinglPermNt C- PernitApp.dod 12/03 ddfl.jA17Tft1 rmMflun41201 CITY OF TIGARD I 24 -Hour BUILDING .. Inspection tine: "(503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received © FCrG� -61.- Date Request " /c ' AM PM BUP Location / jp r Si.'t) ' ham-L) 72-4.e Suite r(Z® —OG(g 0 2 Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam • Shear Anchors Ext Sheath/Shear • Int Sheath/Shear C Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof • Other: Final R I PASS PART FAIL PLUMBING Post & Beam �^ Under Slab . _ Rough -In Water Service �_ _ Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain • - Shower Pan Other: Final PASS *ART FAIL rr' AL Post & Beam Rough -In Gas Line Smoke Dampers 41112 PART FAIL - TRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm - Final E 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 / ` /V ��� Approach/Sidewalk Date � �' Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL - • ./ P 1..A -- 1g- S' , :`� z,•.' '• Y� �rl Department of Environmental Quality , ;. ; .:1 , Northwest Region Portland Office `"�- . * ' 2020 SW 4th Avenue, Suite 400 .. T R . Kulongoski, Governor December 16, 2004 Portland, OR 97201 -4987 (503) 229 - 5263 FAX (503) 229 -6945 TTY (503) 229 -5471 RICHARD STACK 10265 SW VIEW TERR PORTLAND, OR 97224 Re: Stack, Richard File No.: 26 -04 -1874 /0 ? , S a . 60 ' . . - .. a . __, __, _ 7- -Q - 4 0 . Dear Richard Stack: The Department of Environmental Quality has received a report and Goodman Bros., Inc. certification concerning the heating oil underground storage tank assessment and/or cleanup conducted at 10265 SW View Terrace, in Portland, Oregon. Goodman Bros., Inc. was licensed to provide heating oil tank services and has certified that the cleanup has met the Department's requirements. The Department has registered this report and certification and closed its file on the project. The decision to register the report and certification and to close the Department's file will no longer apply if new or undisclosed facts show that the project does not comply with the rules governing heating oil tank cleanups. We recommend that you keep a copy of this information with the permanent property records. Your efforts to comply with Oregon's environmental rules and regulations to ensure that your heating oil tank has been adequately addressed have been appreciated. Proper decommissioning and cleanup helps ensure protection of the environment from future heating oil tank leaks and ensures that the heating oil does not adversely impact human health = or the environment. If you - have any questions, please• feel free to contact me at (503) 229 -5151. Sincerely, Eats , , ager HOT Program i 1 ) cc: Contractor LustHotSP.doc - CITY OF TIGARD 24 -Hour - BUILDING ,Inspection,Lirw 639 -4175 INSPECTION DIVISION Business Line: - 03) p9-4 MST BUP Received Date Req Jested ° AM d" I ` */ BUP Location / b a C� c.�.Q� ' Suite dc60 7 Contact Person Ph ( ) P-34 ( PLM Contractor Ph ( ) )( / 3 / SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear r g ` ■ 7 ( z 7 S0NB "WI /G.. Framing V J Z' Insulation Rpm R t SL 9• Z o • 0 _.�__ 6ZP _s'su_S) Drywall Nailing / 9 Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling ��� Roof oV � E:Ft) /� 6 O Other: Final ( �-�M M f S p o 01 t_ - r - A-" E‹ "PC Pet PASS PART FAIL PLUMBING 1l 1 ' ° y Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Pos ::earn 0 Ac t • _ _ Smo e I per 8r C , PART FAIL Q CTRICAL �� /�/� j SL71-- gdd_. 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 fl Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Date 1 - � 7 . e Inspector Ext Approach/Sidewalk Other: Final DO NOT REMOVE this inspection recd om the job site. PASS PART FAIL