Permit IN - • CITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00688
TIGARD DATE ISSUED: 11/27/2007
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S102BC -05500
SITE ADDRESS: 12575 SW PATHFINDER CT ZONING: R-4.5
SUBDIVISION: YOLO ESTATES LOT: 004 JURISDICTION: TIG
PROJECT: NASS
Project Description: Install new gas furnace and gas line for future range.
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 TYPES 0 - 3 HP: DOMES. INCIN:
NAT 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: 2
Owner: FEES
KARI NASS Description Date Amount
12575 SW PATHFINDER CT
TIGARD, OR 97223 [MECH] Permit Fee 11/27/20C $72.50
[TAX] 8% State SurcharE 11/27/20C $5.80
Total $78.30
Phone: 503 - 481 -4459
•
Contractor:
OWNER
REQUIRED ITEMS AND REPORTS
Contact #: •
Reg #:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center.
Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or dired questions to OU NC by
calling 503.246.6699 or 1.800.332.2344.
Issue By: L I l ! a il �L P erm i ttee S'a . , : , :v .
Call 503.639.4175 by 7 :00 a.m. for inspections th . , business .. y.
This permit card shall be kept in a conspicuous place on the jobs e until completion of the project.
Approved plans are required on the job site at the time of each inspection.
!/26/2007 04:58 2508327116 COE NEWNES MCGEHEE PAGE 01/02
( Mechanical'Perm A r, • ._,L..1)1,. 1 E I DEL) / FOR OFFICE l SE ONLY
N City of Tigard ■ /i Permit N . 00(0
• 13125 SW Nall Blvd., Tigard ZUU PlenReview � '
Phone: 503.639.4171 Fax: 5�9 1 Date/By: other Permit:
1 . 1 N R u Inspection Line: 503e7 Or Y Y (`JH Date ReadyBr 93 See Page 2 for
Internet: www, ardor. Notified/Method:
Weil
Supplementallaformadon
S' .::: l ,• l t l '. " 1 f 7 1 f 1 , > - 1 4 I
• 1
❑ New construction P • . ditto eratio eplacement Mechanical permit fees' are based on the value of the work
performed, Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other mechanical materials, e• .meat, labor, overhead, and . rofit.
<{ r t; ,: r7.1,4'''',.. .[ 1 r I r Value$
E 1- and 2- famnil dwelling i E' i' I I . ... `. ,,,
y t a g CottamerctaUiadustnal ❑Accessory building For special Information use checklfst.
❑ Multi -family ❑ Master builder ❑ Other: o To
tel
f , C` I C C (4 :,'..:;:i"_;"':', , f M { r }
Description Qty. Ea,
.� 'a I. 1: °t : ' tI i : , : ; `, F, . ±l } „ !! rc { ..., I � , r _i: : Heal..' cool;,. • 5-7 I , j n n ee � /]�' A conditioning or heat pump
Job site address:
'� � -� /"� Q•' ` suites site .lax showin_ .laeemeat 14.00
City /State/ZIP: OR_ 9 2 • 3 Furnace 100 000 BTU ducts/vents MI 14.00
Furnace 100,000* BTU ducts/vents 17.90
Suite/bldgJapt. no.: 0 Project name: Gas heat .urn • 14.00
Cross street/directions to job site )6z//2 [� -i___ Duct work Mil 14.00 11 drone hot water stem 14,00
Residential boiler (radiator Or
hydronic 14.00 -
Umt heaters (fuel -type, not electric),
in -wall, induct, suspentied _ 10.00
Subdivision: I Lot no. Flue /vent for of a bove above
Other 10.00
Tax map /parcel no.; Other fuel a I . fiancee
{ i ?-:::;‘11.:-.4:1,1 r {1 ` , ,. t S r I 1 ' { �: , - Water heater 10.00
. .,,.I 1 � . ra[ ,- ,. - .,, , :ii , , ..t., ,..,_� ' ,. l' .1 .['::... .. f ,,
' ,Q ) Z -' � S L -rtCt / f 6 4. n . n) 10.00
/lf �i (I ff (,L �� 4
. ,� � , � Flue vent for water heater or gas
• •lace 10.00
Lug lighter gas 10.00
• _ �„1 1(p.( 5 . f� i n e . Wood/. Ilet stove 10.00
pp'' Wood fir •lace/insen 10.00
-
v i { 411 : ant y/Iir►cr /tludvent 10.00
Name: _ 4. ' a,S Environmental exhaust and ventilation
Address: �J�j 7 Range hood/otber kitchen
y 4ti'7 ✓t e. ent 10.00
City/State/ZIP: 4g,-. .- _- _ 97r� 7 2 Clothes •I exhaust 10.00
- ' � Single-duct exhaust (bathrooms,
% r;: ' * Fa x : ( )
( ) j milt rooms
6.80
Phone:
. r 1t�l
I t , . ( t i t n t toiletcom•artments u
1
t 1 .. : ,- 1 t t 1 • � , ] E. a other: te/Cr$W15 •aCe fans 1 O.00
!
�t;'..; .. 1�. ;,1 . I r ,lt_.. , _ ( •. t . ... f v _, �1 { I ,. �:.7 .t } _ : it • . i:- , i.:�� , t ' -..
Business name: 10.00
Fuel . i . i
Contact name: f'� $ 5.40 for first four; $1.00 for each additional
Address: `� Furnace etc. •
Gas heat , um •
City /State/ZIP: Wall/s . ded/unit heater
Phone: ( ) I Pax: : ( ) Water heater
E-mail: ■ 1 I a , ‘.1 I'.
Ran • - F •w111111111111
Ell
�/ clothes . r
Business name: _ --
Qr.(.)� p/ Other:
Address: - -- ,71', - 77 -- 7. " --- , - ;"7 7 I ,
City/State/ZIP: Subtotal • Minimum permit fee ($72.50) IFFIE
Phone:( ) Fax: )
Plan review (25% of permit fix) EMI
CCB lic.: State surcharge (8% of permit fee) Er . 00
1 TOTAL XEB IT FzE e. .
Authorized eignatuxe �/ This permit application expires if a permit is not obtained within 180
- / �� i i days after k has been accepted as complete.
Print name: _ /_ �/ Date: i/ / • Fee methodology get by Tri County Building Industry Service Board
IVuUdiaglPem iu1MK-P - 0 itApp.doe O4/06/o6 4a0.4617 t 0I/o7/COM/wEg) '
CITY OF, TIGARD -
BUILDING PERMIT #: MEC2007 -00886
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/27/2007
Phone: (503) 639 - 4171 "'i
Inspection Requests (24 Hrs.): (503) 639 -4175 ''I�
INSPECTION WORKSHEET FOR DATE: 1/8/2008 TIME: 7 :01AM PAGE: 50
SITE ADDRESS: 12575 SW PATHFINDER CT CLASS OF WORK:
SUBDIVISION: YOLO ESTATES LOT #: 004 TYPE OF USE:
PROJECT NAME: NASS
DESCRIPTION: Install new gas furnace and gas line for future range.
OWNER: NASS, KARI PHONE #: 503481-4459
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 1/8/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 062726-01 503481 -4469 Y
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' Date: / — B — G 8 Phone #: (503) 718 -
CITY Of TIGARD ,r ! .
BUILDING DIVISION PERMIT #: MEC200 7- 00688
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/21/7G07
Phone: (503) 639 -4171 V� I�i
Inspection Requests (24 Hrs.): (503) 639 -4175 P:_..
INSPECTION WORKSHEET FOR DATE: 12/18/2007 TIME: 7:01AIVI PAGE: 55
SITE ADDRESS: 12575 SW PATHFINDER CT CLASS OF WORK:
SUBDIVISION: POLO ESTATES LOT #: 004 TYPE OF USE:
PROJECT NAME: NASS
DESCRIPTION: Install new gas furnace and gas line for future range.
OWNER: NASS, KARI PHONE #: 503-481-4459
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 12/18/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 061722 -01 503.481 -4459 Y
Corrections/Comments/Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: , Date: 1 ; 1 — - - 4 5 - - 4 *7 Phone #: (503) 718-
r
CITY OFT.IGARD •
BUILDING DIVISION PERMIT #: MEC2007- 00688
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/270007
Phone: (503) 639 -4171 o-aha�l
Inspection Requests (24 Hrs.): (503) 639 -4175 -_..
INSPECTION WORKSHEET FOR DATE: 12114/2007 TIME: 7 :01AM PAGE: 67
SITE ADDRESS: 12676 SW PATHFINDER CT CLASS OF WORK:
SUBDIVISION: YOI.O ESTATES LOT #: 004 TYPE OF USE:
PROJECT NAME: NASS
DESCRIPTION: Install new gas furnace and gas line for future range.
OWNER: NASS, KARI PHONE #: 503481.4459
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 12/14120A7 Pour Time:
Code # Inspection Description Confirm # Contact # Message
6Th Mechanical rough -in 061617 -02 503- 481 -4459 Y
Corrections /Comments /Instructions:
ALL X0/1 � .:n.. .9-c. /'.i er7uo■J
le<ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: A Date: / 1---- t" > Phone #: (503) 718 - "25J -4,S--
CITY ORTIGARD , .
BUILDING DIVISION PERMIT #: MEC2007 -00568
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/21/2007
Phone: (503) 639 -4171'
Inspection Requests (24 Hrs.): (503) 639 -4175 _�' p'I I.
INSPECTION WORKSHEET FOR DATE: 12/14/2007 TIME: 7 :01AM PAGE: 58
SITE ADDRESS: 12575 SW PATHFINDER CT CLASS OF WORK:
SUBDIVISION: YOLO ESTATES LOT #: 004 TYPE OF USE:
PROJECT NAME: NASS
DESCRIPTION: Install new gas furnace and gas line for future range.
OWNER: NASS, KARI PHONE #: 503 481.4459
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 17114/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 061517 -01 503481 -4459 N
Corrections /Comments /Instructions:
do si/
❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: /'Z-- 7 Phone #: (503) 718 - '2s--