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10275 SW HOOJVIEW ISR
CITYOF + ,Y A R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2004-00680
13125 S" Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE IC'SUED: 10/12/2004
PARCEL.: 25111 CB-01705
SITE ADDRESS: 10275 SW HOODVIEW DR
SUBDIVISION: HOOD VIEW ZONING: R-3.5
BLOCK: LOT. 004 JURISDIC rION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPtiNCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: i
STORIES: BOI:-ERS/COMPRESSORS HOODS:
FUEL TYPES — 0 - 3 HP: DOMES. INCIN•
3 - 15 HP: COMM. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + Hp: WOODjTOVES.
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN >=100K Brl!: <= 10000 cfm: T OTHER UNITS: 1
> 10000 cfm: "-AS OUTLETS: 1
Remarks: Install gas insert,extend gas line,direct \C111
Owner: _ _ FEES
WESTBY, RICHARD & DENISE Description Date Amount
10275 SW HOODVIEW DR -- —
TIGARD, OR 97224 IMECH) Permit Fee 10;12/20( $72.50
ITAXI 8%Slate Surehmi 10/12/20( $5.80
Phone: 503-624-0553 _ _____ Total $78.30
Contractor:
BELL HEATING
1 b550 SE PIAI-ZA AVE
CLACKAMAS, OR 97015 REQUIRED INSPECTIONS
Phone: 503-656-1184 Gas Line Insp
Heating Unt Insp
Reg#: LIC 447 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. T his rarmit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adapted in the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246-6699.
Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business clay
Ill nical Permit Application FOP191170 1EUSEONLY
Received Pei nut No.
City of Tigard Date/R40 2:Q'C-1 a.) 6
13125 SW I tall Blvd.,Tigard,OR 97221 Plan Rc%itcw
Phone: 50,639.4171 Fix: 50.598.1960 Ljatc/Bv' Other Permit:
Inspection Line: 503.639.4175 ADate Ready/By: Juns —0See Page 2 for ii k
IntInternet: www.ci.tigard,or.us Notified/Mctbod: .10 Supplemental Information
OT -09BICHECKLIST
❑ Mechanical permit fees*are based on the to of the work
New construction F1 %tl,ii(i(,rl,,ilteration/replacement performed,Indicate the va;ue(rounded I, ..nearest dollar)of all
CJ Demolition J Othct mechanical materials,equipment,labor,overhead,and profit
qrco Value:$
-SYSTEMS FEES*
and 2-family dwelling [3 Commercial industrial M/'accessory building
r<.
�:' !, ...... .
For special information use checklist.
r7 Multi-famil., [3 Master builder El Other: Description Qty --Ea. Tota
Gi ; YO�" 'iN a'. "ZHeatingcoolipl
ji —
Job site address:
Air conditioning or heat pump
021 (requires site plan showing placement) 14.00
Ci'Y/StAte/zIP: i, Fur,.ace 100,000 BTU(ducts/vems) 14,00
Furnace 100,000+BTU(ducts/venv) 17.90
-uite/bldg./apt.no.: Project name: Gas heat pump 14.00
cross stitevdirectiotis to job site: Duct wr.rk 14- --.2U
)L —
Hydronic ho water system 14.00
VAL)'NN�' Residential boiler(radiator or
CO
hydronic) 14.00
Unit heaters(ft, -type,not electric),
in-wall,in-duct,suspended,etc 1000
Flue/vent for 9--,,of above 10.00
Subdivision:on: Other: 10.00
map/pNeeld"O.: Other[u!LsUllfinces
"V#.17 Water heater 1000
Gas fireplace 10.00
K U,.,J *0 Irr Flue vent for water heater or gas
l
fir lace 10.00 Ir
'12L�hoCL:- T- 0, �J Log lighter as 10.00
N N !--Jpf' lJl' Wood!pellet stov 10.00
Wood fire lac 10.00 Ic
C 4' Chimneylliner/flue/vent 10.00
-LJ PF�Rr �O
1
A q Other: 10,00 1
Name. Environmental exhaust and ventilation
—L 1-,&� Range hood/other kitchen
Address: equipment 10.00
CClothes dryer exhaust 10,00
City/State/zI Single-duct exhaust(bathrooms,
Phone:(-,)L L toilet compartments,utility rooms) 6,80
Attic/crawispace fans 10,00
t a` AW
4-1 a ..f4w -Other: 10-00
Business name: Fuel paping
Contact name HEM 55.40 for first four;$1.00 for each additional_.
Address: 55504F — -Furnace,etc.
- —W (AMA-S.AEGON 97015 Gas heat pump
City/State/ZIP: W-1 1119114 `A-r Wall/suspended/unit heater
Phone: Water heater
Fireplace
E-mail Range
Barbecue
Clothes d!yer(gas)
Business name:
ELL b;7N11VG.J=- Other,
Address. IBM SE PIAZZA AVE.
'PFE.94'
city/S I OREGON 97010 &C--) Subtotal
�dft A A"A Minimum permit fee($72.50)
[SPIone-. Plan review(25%of permit fee)
CCBI
I ffp-rmw 1V6
CCI3 I
TOTAL PERMIT
Authorized signature: This permit application expires If a permit Is not obtained within 180
days after It has been accepted as complete
Print name: Fee methodology ser h� Tri-County Bufldini Industry Service Ftosr,l
440-4 1--Tf410JCUtA -11�
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
z-=]$1.00 to$2,000.00 Minimum fee$72.50
$2,001.00 to$5,000.00 $72.50 for the fust$2,000.00 and$2.30
for each additional$100.00 or fraction
thereof,to and including$5,000.00.
$5,001.00 to$10,000.00 $141.50 for the first,'5,000.00 and
$1.80 for each additional$100.00 or
fraction thereof,to and including
$10000.00. _
$10,001.00 to$50,000.00 $231.50 for the fust$10,000.00 and
$1.31,for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,001.00 to$100,000.00 $771.50 for the fust$50,000.00 and
$1.25 for each additional$100.00 or
fraction thereof,to add including
$100,000.00.
$100,000.01 and up $1,396.50 for the first$100,000.00 and
$1.10 for each additional$100.00 or
fraction thereof. ---
Note: All new commercial buildings require 2 sets of plans.
—)III J198
t 1UCO Hoj.J.i,J ,.A",AA 1OA.J*
Wl l t-EM W f Oft
4 j 111»1
i\Bui1ding\Permiis1,h1EC Per"itApp.doc 12103 1
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
MST _
INSPECTION DIVISION Businoss Line: (503)639-4171
SUP - --
Received Date Requested AM — PMT--_-_ B
Location -_._._ 1 & 2--7 .5` ���` `�-��Suite_ FY 2�i ,l-Ula IL kc
Contact Person __ ____..________. �4 Ph( __) S _ PLM
Contractor- ------ - ._.�.------- Ph(---) SWR -
BUILDING Tenait/Cwner —_____— —.-_._-
l=LC
Footing ELC
Foundation GC .SS. _-.------- - --
Ftg Drain ELF3
Crawl Drain
Slab Inspection Notes - SIT
Post&Bearn
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing - -- -- - ----- =- _
Insulation
Drywall Nailing - - - - - --- - -- - ------- ------- - - --_ --- - _ ---
Firewall - -
Fire Sprinkler -- - -_ _�.--- ---------.-----
Fire Alarm
Susp'd Ceiling ----
Roof
Other.
_ --- - -- -_�._____- - ---- -------
Final -
PASS PART _FAIL --_ -
Post 3 Bearn
Under Slab - --- _ - -- - - -- -
Pough-in a
Water Service
Sar.itary Selwer
Rain Drains -— _ - _- --- - -- ----- - -�
Catch Basin/Manhole
Storm Drain - - ___------------__---- -----___-_. __ _-_
Shower Pan
Other: --------------- -- --
-------------------
Final
PASS PART FAIL
MECHANICAL -- - -. -- ---.._ ..--- ------------ --
Post&Beam
Rough-In ----------- --
Gas Line
Smoke Dampers --- _ - ----- ---�_ _- - -- ----------
PAS I PART FAIL _-_-.—�.--
ECTRICAL _
Service __..a�- ------------ -
Rough-In
UG/Slab
Low Voltage ----_- --
Fire Alarm
FinalPART FAIL El Reinspection fee of$ - required before ngxt' spection. Pay at City Hall, 13125 SW Hall Blvd
PASS
SITE _ -�- E] Please call for reinspection RE; - Unable to inspect-no access
Fire Supply Line - -� ,,7 •
ADA
Approach/Sidewalk Data ,� 'C-- linspoeto - Ext-
Other:
Final DO NOT REMOVE this irtaspection record from the job site.
PASS PART FAIL_
V
CI1y C I 1 I CARL? MECHANICAL
COMMUNI 71' DEVELOPMENT DEPARTMENT PERM 11.
13125 SW Hall Blvd.Tigard,Oragon 97223.9199 .,(60,-)639.4171 PERMIT #. . . . . . i MEG94-0,340
DATE ISSULD: 11/.2-9/94
PARCEL.: 26111CLA01705
I I-L. ADDRESS. . . » 10275 SW HOODVIEW DR
JLAO I V Ica I CIN. HOOD V I EW ZONING: R-3—
I-OCK. L.01.. . . . . . . . . . . . . :4
k.-I-ASS 01F:' WORK. GALT FLOOR FURN. . . . LVAf.-., COOLF-RS:
TYPE OF' UBE. . . . ';.F" UNIT HEATERS. . VENT FANS. . . ;
OCCUPANCY GRP. . - R3 PENT W/0 APPI..: VENT SYSTEMS:
STORIES. . . . . . . . : 1 BOILERS/COMPRESSORE) V40ODS. . . . . . . .
FUEL 0-3 HP. . . . : DOMES. INCIN:
: /GAS/ 3-15 HP. . . . : COMML... INCIN;
MOX INPUT : BTU 15-"70 HP. . . . : PEPAIR UNITS
F I HE:. DAMPERS ). HP. WOODSTOVES. . -
GAS PRE13SUFRE. HP. C1_0 DRYERS. . .
1\10. OF UNI_r*S------------ Alk HANDLING UNITS OTHER UNITS. :
URN ( 101ZIF, BTU: I (= 10001A c f m : GAS OUTLET'S. .-Z
URN ) =100F, BTU: > 10000 cfm.
emav-ks : OIL 1'0 GAS FURNAC'E CONVERSION
,.Jk,;ner: FEEc�
QOM GILLIHI1114 type amol.tnt by date t,prpt
0-:1-I�/tj SW HOIJDVIEW PRMT $ 25. OCA JF 11/29/94
5P(__ 1 $ 1. 25 JF 11/; 9/94
IbPIRD OR
[none #..
L,ontr-actor-:
AIRFLOW ENG1NIFIERING
P0 BOX 1213218
LAKE 09WE130 OR 97039 ---------------
Phone #: 63,5-46,3/ $ 26. 25 TOTAL.
Req #. . . 96146
REQUIRED INSPECTIONS
�his permit is issued sub*ject to the regulations contained in the Gas. Line Insp
'igard Municipal Code, Statq of Ore. 5-icialty Codes and all other Mechanical Insp
applicable laws. All work will be done in accordance with Filial Inspection
approved plans. This vem..t will expire if work is not started
within 186 days of issuance, or if iiork is suspended for more
*han 180 days.
ler,mittee
:.s,.;1.iPd By :
cAll fol- inspection 639-4175
City ofkrigard MECHANICAL PERMIT Planck/Rec. # _
13125 SW Hall Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171
escnpuon
c•.- i L Lt IrA Table 3A Mechanical Code OTY PRICE AMT
Job c Z S t" l��r �u 1) Permit Fee -0- -0- 10.00
Address :� --
'TF„?�Cr^"r n-171 2) Supplemental Permit 3.00
•umace-En-TIId�tRT-6T0`— —
7 Ff (' a Ll 1) incl. ducts 8 vents 6.00
Furnace 100,000 bTi.A -
Owner It,,l 5t.' (` nC,40le 2) incl. ducts S vents 7.50
oor urs nance -
i 3) incl. vent 6.00
5uspanded heater,wail hinter
4) or floor mounted heater 6.00
RrAs - vent not iridin
Occupant 5) appliance permit 3.00
- p —epau oTeFi anng,re n-f g
6) cooling,absorption unit 6.00
NWA -' --- Boiler or comp,- heatpomp,air conk.
L r^t4 t 1 7) to 3 HP;absorp unit to 100K BTU 6.00
boiler or comp, eat pump, air con .
a f'3� 2'3 2&4' 7j5 � 8) 3.15 HP;absorp unit to 500K BTU 11.00
Contractor i er or comp, heat pump, air conn-
/7_ n •� 9) 15.30 HP;absorp unit.5-1 mil BTU 15.00
� r TO.N. -- ter or comp,heat pump,air cone
10) 30-50 HP;absorp unit 1-1.75 mil BTU 22.50
hereby acTi jwl5agethat I hav`o--r-e-01;ias app ica ion, that tM-i---- boiler or comp, ea pump, air cond.
information given is correct, that I am thv owner or awhorized rgent 11) >50 HP;absorp unit 1.75 mil BTU 37.50
of the owner, that plans submitted are in compliance with State it hariffing urn to
laws, that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given is co.Tect. (It exempt, om State registration, Air handling unit
please give reason below) 13) 10,000 C'rM+ 750
7 on portable ----
�" / � r ) 14) evaporate cooler 4.50
ent Ian connected----"-- - ---
15) to a single duct 3.00
mu aeon system not -
16) included in appliance permit 4.50
g o.srar$attr-- -Hood served by -- --
_�/; 17) mechanical exhaurt 4,50
u4scrioe work now aoditionU all ration U7 repaor oFn-m rF5Tor in ustna to be done residential(D non-residential O 18) type incinerator 30.00
xisnng use oZ--- R er i.e,wo�T./e, water
building or property _ 19) heater, solar, clothes dryers,etc. 4.50
Proposed use of 20) Gas piping one to four outlets 1 2.00
building or property _ --- - —• -
Type of fuel - oil 0 natural gas(Q LPG O electric O 21) More than 4-per outlet— - --
Minimum Fee$25.00 SUBTOTAL.
PERMITS BE;OME VOID IF WORK OR CONSTRUCTION - - --- —`-
AUTHORIZE ) IS NOT COMMENCED WITHIN 160 DAYS,OR 5%SURCHARGE
IF CONSTRI. CTION OR WORK IS SUSPENDED OR -
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY riME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED. - - - -
TOTAL
Special Conditions
Date issued by- --
M✓Mr•QIPMT
+admMw
r
I
CITY C ARD BUILDING INSPECTION NOTICE
Inspe&on Line Phone). 639-4175 Business Phone:
639-4171
� - --
Inspection:_ 'g
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plog Top Out Elec. Rough-in FINAL:
Post/Beam Mach. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation 9S
I lnderflr Insul. Shear Wall Gyp, Bd. Elec
TimeAM PM
Date Requested: „_ —Time-4
AM
Builder:—L— Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
A Date:Inspec4 _T_r
PROVED
APPROVED SUBJECT TO ABOVE
Call For Reinsp.