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Permit CITY OF TIGARD MECHANICAL COMMUNITY DEVELOPMENT DEPARTMENT PERMIT 13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503)1339-4171 PERM I T # MEC95 -0428 DATE ISSUED: 12/11/95 EXPIRE PARCEL: 2S102BC -06500 SITE ADDRESS...: 10640 SW PATHFINDER WAY SUBDIVISION • YOLO ESTATES ZONING: R -4.5 BLOCK LOT •14 CLASS OF WORK.. :ALT FLOOR FURN • 0 EVAP COOLERS: 0 TYPE OF USE -SF UNIT HEATERS..: 0 VENT FANS...: 0 OCCUPANCY GRP °.:A1 VENTS W/0 APPL: 0 VENT SYSTEMS: 0 STORIES • 0 BOILERS /COMPRESSORS HOODS • 0 FUEL TYPES— - -- 0 -3 HP • 0 DOMES. INCIN: 0 :/GAS/ / / 3 -15 HP • 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15 -30 HP • 0 REPAIR UNITS: 0 FIRE DAMPERS?..: 30 -50 HP • 0 WOODSTOVES..: 0 GAS PRESSURE...: 50+ HP • 0 CLO DRYERS.. : 0 NO. OF UNITS AIR HANDLING UNITS OTHER UNITS. : 1 FURN C 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS. : 0 FURN > =100K BTU: 0 > 10000 cfm: 0 Remarks: Residential alteration of one of the following gas woodstove, water heater, solar, clothes dryers, ect. Owner: FEES TONY DIDOMINICO type amount by date recpt 10640 SW PATHFINDER WAY PRMT $ 25.00 CJS 12/11/95 95- 273770 SPCT $ 1.25 CJS 12/11/95 95- 273770 TIGARD OR 97223 Phone #: Contractor: - - -- --- FIRESIDE CONTRACTORS 18389 SW BOONES FERRY RD PORTLAND OR 97224 -- - - -- Phone #: 684 -8535 $ 26.25 TOTAL Reg # °.: 40979 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Gas Line Insp __- Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp —_— applicable laws. All work will be done in accordance with Misc. Inspection approved plans. This permit will expire if work is not started Final Inspection within 180 days of issuance, or if work is suspended for more than 180 days. — Permittee Signature: #/ /9/`g,© — _ Issued By: Sc���G(t — — — - -- — — Call for inspection — 639 -4175 • • City of Tigard MECHANICAL PERMIT Planck/Rec. # 9s- X 737 2 7 13125 SW Hall Blvd. APPLICATION Permit # macis -ov�?g Tigard, OR 97223 (503) 639 -4171 Nano of WWOpmr+ Description c^ Table 3A Mechanical Code O1 PRICE AMT Masse Job Address 10040 Su B fi�E 1) Permit Fee -o- -0- 10.00 E r j► t 9 TZL.3 2) Supple Permit 3.00 c nom. GI Memo) Fumace to 100,000 U I U f ■ '4 Of 001/141 4 ki CEO 1) incl. ducts & vents 6.00 rim... Phan Furnace 100,000 510 + Owner _ a4A/0— 2) incl. ducts & vents 7.50 av Floor Fumance 3) incl. vent 6.00 Nano (r nano of bv.nw) Suspended heater, wall heater a � 4) or floor mounted heater 6.00 Mr•v «• Mono Vent not incl. in Occupant 5) appliance permit 3.00 OP Repair of heating, refng. 6) cooling, absorption unit 6.00 n Boner or comp, heat pump, air cond. /JS lfE f / ork1601- -S 7) to 3 HP absorp unit to 100K BTU 6.00 Boiler or comp, heat pump, air cond. 1 i • . � l� � F-e 1-1 8) 3 -15 HP absorp unit to 500K BTU 11.00 Contractor Boner or comp, heat pump, air cond. 6 - j S �� C59--M6:14) L O2 ° -�y _ 9) 15 -30 HP absorp unit .5-1 mil BTU 15.00 L/09-49 / Boiler or comp, heat pump, air cond. or C 8i 10 30 -50 HP absorp unit 1 -1.75 mil BTU 22.50 mat I hereby acknowledge at I have read this application, that the Boner or comp, heat pump, air cond. information given is correct, that I am the owner or authorized agent 11) > 50 HP absorp unit 1.75 mil BTU 37.50 of the owner, that plans submitted are in compliance with State Air handling unit to laws, that I am registered with the Construction Contractors Board, 12) 10,000 CFM 4.50 that the number given is correct (If exempt from State registration, Air handling unit please give reason below.) 13) 10,000 CTM + 7.50 Non portable 14) evaporate cooler 4.50 Vent fan connected 15) to a single duct 3.00 Ventilation system not 1Z- 0-9 16) included in appliance permit 4.50 swam. ( � Hood served by ` 17) mechanical exhaust 4.50 Describe work new U addition 0 alterations- repair t Commercial or industrial to be done residentialtia-- non - residential 0 18) type incinerator 30.00 Existing use of Other i.e., woodstove, water building or property F0 19) heater, solar, clothes dryers, etc. I 4.50 th Proposed use of �( 20) Gas piping one to four outlets l 2.00 Z,UD building or properly y" 21) More than 4 -per outlet Type of fuel - oil 0 natural gas J., LPG 0 electric 0 NOl ICE ,CO Minimum Fee $25.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE It ( rJ i IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL AFTER WORK IS COMMENCED. TOTAL it Special Conditions Date issued jr - J/- 9S by el* kNMECHPMT ro,dca, d.v • 3/9/00 Activities for Ca se #: MEC95 -00428 4:16:34 PM - Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MECA007 Application received 12/11/95 CJS RECD TMP 12/11/95 - MECA010 Plan check by 12/11/95 TMP 12/11/95 MECA799 Final Inspection TMP 12/11/95 MECA705 Gas Line Insp 1/19/96 KS APP KBS 1/19/96 #-1- pressure test 31 psi for 15 • minutes #-2- support gas piping adjacent water heater #1-3- call for final inspection after installation is completed MECA715 Mechanical lnsp 12/11/95 TMP 12/11/95 MECA725 Misc. Inspection 12/11/95 TMP 12/11/95 MECA060 (F) Issue permit 12/11/95 CJS PASS TMP 12/11/95 MECA705 Gas Line lnsp 1/18/96 KS DIS KBS 1/18/96 #-1- gas piping not complete at this time extend to appliances MECA880 Expired by limitation' 3/9/00 • RB DONE No Hold AKJ 3/9/00 • • • • • Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested AM PM BLD Location (O(J40 , P \41' \C I Suite MEC 9S' Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Foundation NOT REQUESTED FPS Ftg Drain Crawl Drain FOUND DURING RESEARCH SGN Slab NO INSPECTION(S) FOUND IN FILE SIT Post & Beam /4 Ext Sheath /Shear lit Int Sheath /Shear ` Framing 4 /, -fry h.- Insulation Drywall Nailing Firewall S & v . 6 � Fire Sprinkler �✓l.� Fire Alarm S ( WO Susp'd Ceiling ��� c:: -e • Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains � Final FO PASS PART FAIL Post & Beam Rough In Gas Line Smoke Dampers - ASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /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 call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Dat Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.