Permit - CITY OF TIGARD
DEVELOPMENT SERVICES MECHAN I CAL
PERM I T
L 13125 SW Hall Blvd., Tigard, 0R 97223 (503) 639 -4171 DATE I ISSUED: 07 /02 -060
PARCEL: 2S103AD -00806
SITE ADDRESS...: 10985 SW PATHFINDER WY
SUBDIVISION • PATHFINDER NO. 2 ZONING: R -4.5
BLOCK • LOT •043 JURISDICTION: TIG
CLASS OF WORK.. :OTR FLOOR FURN • 0 EVAP COOLERS: 0
TYPE OF USE •SF UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP.. :R3 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.: 0
FURN < 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS. : 1
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks : Install gas lines for range and water heater.
Owner: FEES
KAMERER, DONNA & TIM type amount by date recpt
10985 SW PATHFINDER WAY PRMT $ 25.00 DEB 07/02/98 98- 307055
TIGARD OR 97223 5PCT $ 1.25 DEB 07/02/98 98- 307055
Phone #: 670 - 0198
EXPIRED
Contract or:
COLUMBIA HEATING & COOLING INC
PO BOX 230397
$ 26.25 TOTAL
TIGARD OR 97223
Phone #: 624 -2704
Reg #..: 000763
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 Final Inspection
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 by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952- 001 -0010 through OAR 952-801 -0880. You may
obtain copies of these rules or direct questions to OUNC by calling
(503) 246 -9187.
Issue y: II I Permittee i i,17 _ �,� i:..
+++++++++++++++++++++ + + + + + + + + + + + + + + + ++ + + + + ++ + + + + + + ++ - + + + + + + + + + + + + + + + ++ + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + ++ + + + ++ + + + + + + + + + + + + + + + ++
Plan Chec # c.._...----
CITY OF TIGARD Mechanical Permit Application Recd B
13125 SW HALL BLVD. Commercial and Residential Date Rec'd 7-g"94
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST ``
Print or Type Permit # 1't _
Called
Incomplete or illegible applications will not be accepted
.... lame of Dev opment/Project Description
i / in Kern me( Table IA Mechanical Code OTY PRICE Amr
Job Street Address Suite* A) Permit Fee -0- -0- 10.00
Address /oca5 6u) lam!// //f)o Wl4Y
Siege /State t Zip 1.) Furnace to 100,000 BTU 6.00
/ I qa(d OR ?'? including ducts & vents
tare (or name of business) / ' ,� / 2.) Furnace 100,000 BTU+ 7.50
Owner / / /)'1 °f" Don na /heft/ me( including ducts & vents
Mailing Address 3.) Floor Furnace 6.00
/a Tar, A/0 /qty including vent
co/stare / Zip Phone , 7 4.) Suspended heater, wall heater 6.00
1 I9a r O2 47223 6o90 o /9Q or floor mounted heater
Na/ne (or name of business) 5.) Vent not included in appliance permit 3.00
rnQ.-
Occupant Mailing Address 6.) Boiler or comp, heat pump, air cond. 6.00
to 3 HP: absorb unit to 100K BUT""
City /State Zip Phone 7.) Boiler or comp, heat pump, air cond. 11.00
3-15 HP: absorb unit to 500K BTU"
Contractor N ° - 8.) Boiler or comp, heat pump, air cond. 15.00
(Prior to ( 7 ) u/71 h Q, ) " n 15-30 HP; absorb unit.5 -1 mil BTU"
issuance �_ Address 9.) Boiler or comp, heat pump, air cond. 22.50
applicant T Q . ,VQ)( ? 31.>37 ' 7 30-50 HP: absorb unit 1- 1.75mi1 BTU"
must provide all COf!stare Zip Phone 10.) Boiler or comp, heat pump, air cond. 37.50
contractor " a n d ox2 (4'77-3 6,A -9 90q- > 50 HP: absorb unit 1.75 mil BTU"
license °regal Const. Cont. Board l-ic.# Exp. Date 11.) Air handling unit to 10,000 CFM 4.50
information ' 76,35 - 9 ' /p -02-4
for COT COT usness Tax or Metro # p. Date /} 12.) Air handling unit 10,000 CFM 7.50
database). q�1 / g/_ -1 gi
Architect Name 13.) Non - portable evaporate cooler 4.50
or Mailing Address 14.) Vent fan connected to a single duct 3.00
Engineer City /State Zip Phone 15.) Ventilation system not included in 4.50
appliance permit
Describe work New 0 Addition 0 Alterations Repair 0 • 16.) Hood served by mechanical exhaust 4.50
to be done Residential.O'Non- residential 0 •
A tonal Description of work 17.) Domestic incinerators 7.50
an ) ? rt�,Clt92 ° t' r�eC
6 � 18.) Commercial or industrial type 30.00
f t�Te p1 � - Incinerator
Existing use of 19.) Repair units 4.50
building or property
20.) Wood stove 4.50
Proposed use of 21.) Clothes dryer, etc. 4.50
building or property
22.) Other units 4.50
Type of fuel - oil 0 natural gas.< LPG 0 electric 0 23.) Gas piping one to four outlets 2.00 ,,,
I hereby acknowledge that I have read this application, that the 24.) More than 4 -per outlets (each) .50 (Jv
information given is correct. that I am the owner or authorized agent of
the owner. that plans submitted are in compliance with Oregon State QTY. SUBTOTAL
laws.
Signat ggf Owner /Ag. / Date 'SUBTOTAL
l Q CC
5% SURCHARGE
1 1 L! : 1 -1 - 9 ? ice
Con °e.: • n Name r. Phone PLAN REVIEW 25% OF SUBTOTAL
c" 1,(/ rOn flu na b 9 - a 7 TOTA 4 0 ,9-5/
i:ldstlmechpmtdoc (rev 9 'Minimum permit fee is 525 + 5% surcharge
"Residential A/C requires site plan showing placement of unit.
CITY OF TIGARD BUILDING INSPECTION DIVISION sT
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171n ,
13 115 S Date Requested — 7 — I U — 7 8' AM PM BLD
Location lb 8 , / AA,,,,../. /. I Suite `� ( MEC cy Q Q
Contact Person �OC�� k e ' h 6;4' _a-74 / PLM i � () II 3
Contractor Ph .(/ t 10 ---o i ? SWR
BUILDING Tenant/Owner ) Zi9 u E.,
,j.0- ELC
Retaining Wall ELR
Footing Access: � n /
Foundation & 4. W j � � FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: I h
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear r 6 l .
Framing `�. S � "-� � �Q S � �o 6.;) 1 ��
Insulation '- ,.7 '., < !i - i ��� o -
Drywall Nailing "� I P °�
Firewall
Fire Sprinkler
Fire Alarm 0(k6-.._.A `JcM�, „Jt Susp'd Ceiling
Roof
Misc: 0 � ��
l) A JS r .:(1 . k L V\_c k Nt CLoc
Final
• •
PA • : RT FAIL A
PLUM = IN 1 b1 te r 19---(-- kAA S‘
o`T eam
Under Slab I •
Top Out
Water Service 43 4, , r ` Pct' 41-1 1 A
Sanitary Sewer _
Rain Drains ^ > ] \ ' 11.4k y � - FAIL ' / ~ I / � _ 1
�VIECHA L . _ �1.
Post & Beam - -
t
Gas Line P ' - j 1/4-j7 t-__■ ---∎
.2� S ,rv�..c, c_ S ��& f
• e Dampers
CO S PART ' FAIL i , - -) \ A....,
ELECTRICAL ; ' ` � n om
Service S
/ \
Rough b In
UG /Sla ►.∎ ' s 1 i Q S-
b � '� � �, �'j �
Low Voltage ' - _ '
Fire Alarm ,�_�. - V'\ �.4- P
Final r ' ' r , z_ 4 _7). -
PASS PART FAIL 4111 hf� ' ^� °
,\ f 1
SITE � r r, 1 - ■
Backfill /Gradin Q
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 Date /g Inspector r Ext
Other 7/i p
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.