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•10850 SW Pathfinder Wy
CITY O F TIGARD
MECHANIC'PAL PERMIT
DEVELOPMENT SERVICES DATEE !SS!SSUF_D: 12/18/011 4IT#: MEC2000464
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 4171 PARCEL: 2S103AD-02400
SITE ADDRESS. 10850 SW PATHFINDER WY
SUBDIVISION: PATHFINDER ZONING: R-4.5
BLOCK: LOT: 015 jURISDICTION. T!G
CLASS OF WORK: ALT FLOOR FURN:� T EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS.
OCCUPANCY GRP: Ra JENTS W/O APPL- VENT SYSTEMS:
STORIES: BOILERSICOMPRESS__ORS____ HOODS:
FUEL TYPES_ _ 0 3 HP: DOMES. INCIN:
3 15 HP: COMNIL. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 30 HP: WOODSTOVES-
GAS PRESSURE- 50 r HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1
FURN >=100K BTU: <= 10000 Cfm: GAS OUTLETS. 1
> 10000 cfm:
Remarks: Install gas fireplace insert, piping and outl9t.
Owner: FEES
SIBELIAN,KENNETH E AND Type By :�pte Amount Receipt
CECILIA Z PRMT CTR 12/18/01 $72.50 2720010000
10850 SW PATHFINDER WAY 5PCT CTR 12/18/01 $5.80 2720010000
TIGARD, OR 97223
Total $78.30
Phone:
Contractor:
SPECIALTY HEATING & COOLING
9528 SW TIGARD ST
TIGARD, OR 97223 k .OUIRED INSPECTIONS
Gas Line Insp
Phone:620-5643 Mechanical Insp
Reg#:LIC 66578 Final Inspection
This permit is issued subject to the regulation: contained in the Tigard Municipal Code, State of Ore.
Speci,31ty 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
Utilib/ Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
952-001-0080. You may obtain copies of these rules or direct questions to OUNC t-'/ ca!ling
Issue By: L Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for in:•pections needee we next business day
w.
Der, 14 01 02: 11p Specialty Heating 503 596 0719 p . l
1
Mechanical Permit Application
�
Daterncerved: � Pemritno.
•,
City of Tigard R E V V,1 D Preject/appl, Expire dLte:
Ciryoj?7gurd Address; 13125 SW HaJI Blvd,Tigard.OR 97223 — -�
Phone: (501) 619-4171DU 1 2001 Date issued: By:✓� Rccelpi 110Fax: (503) 598-1960 Case rile no.: Imenttype,.
LOvh�: CITY O1F116AIZLi
Land use a permit ni
: -- -�
Pp —�1 bla llA�3i�V t _ 1ding per
Will
I &2 family dwelling or accessory U Commercial/industrial 0 Multi-family Truant inipro%ement
7/49Ncw constssmctioa -ETAddiLior/alteradun/rcplacement 0 Other-
JOB
INFO TItN CgMMEROALVALUATION - I�1
!nh address 52i . _ Indicate equipment quanLLueb i,l uuxcs below.Ittdici it,the dollar
Bld .no.. Suite no.: value of all mechanical materials,equipment,labor, :verhead.
Tax ma /tax lot/account no.: profit.Value
Luc: Dlo<k. Suirdivlaiuu: 'See checklist for Important application information uid
Project name: •�/ ,�1q�j,_ _ jurisdiction's fee schedule for residential petinit fee
_City/county: �WASN ZII' 2 FAMILY II I7Re--,.
Ge4ctiptlon and Io.c t of work on premises: F Fee Est.date of compledon/inspeeuon: /.e"t / Description toy. Res
Tenant improvement or change of use:
Is existing space heatod elt t•nnditioned? Yes I]No Air handling unit CFh
8 p fir conditioning n (site plan requir�lt)"—
IS existing space Insulate cl'' es G No A tera or,of exisunij HVACsystem _
MECHANICAL CONTRACTOR
Hui er/compressors
State boiler permit no..
Business nnm� t � L _ r Yl / HP Taus 3T`J/H
dress: 6 `�^ �1 .�T �inpets/ uN sows e.
jinn/am0 Er CLCCWfY
City: lgcm of State: ,e Z11';q 7�,; ,� cat um (site plan rt wrr --
T -_-'Ph
�/ r-muss: Instal rePlace fum. uincr TUI one• (1 Sir.! Fax�,,r9Ff-0
y— Including ductwork/vent liner 0 Yes J No
rrB nn_ !� ,� _ InstallImpficclielocat--Fe seaters-cusp-� .ndcd,
City/metro lie.no.; wall,or floor mot.nted _
Namr(please print): /.yyl r ent or a p ratite other than furnace W
♦ s e gerstUoa:
Absorption units RTU/H
-N_atne: lip.T- 4ze /`I 4'7 e 4 „� Chillers_ HP .�
Address: .s____�__ SC4 7�/c^ ,s T Com rr,sors HP --
Ci U<'trotrrtnetn ei6au-'std ren'""�Tt Tot on.`
&I _ Sta e:C ZJP: Q �� Appliance.vent
Nrlonl' G..ZO Fax:.54,,r-CMT C mail: I>ryerexhaust
Hoods.Type RA kitchenihn7tivit
hood fire suppression system _
Naine: Exhaust fa with single duct(balk fans)
xh€ au'st syst
Mailingaess: SGS GtJ t //Yl — em apart from hesun`or
— ddr -..0
Fuel piping and +tr ut ort(up to 4 ouuets?
City: "wQt Sun e: IP 7?-- Type; _LPG ✓ NG Oil
Yhunc; Fuel piping tach additional over 4 outlets _
I a>rroctssst.;�tsglschcmaucrequtredl - _.
Name• Number of outlets_07H-er-IlRed applimce or equipment: - - -
Address _ Decorativenreplare
Ma
City: —, te_ nsort ZY••: Irye -
Phone:,-- ax. L' E-mail: oo mve peTfet st, Jc ---- --
J
Applicant's sig ML,JV Date:
Name (paint): 4 _i"�N r,�jS]•i�l(/ ---- OtTiet' — --�--
(N aI juNrdcdora weep ercdll ase calf ron,dieban for more In!amuaon. Permit fee.-. _......_...S /
�sa Notice:This perttii application
ion Minitnum fee..... .. ..... S
'_Md't cue nu r e:thin if a r dairtys
a is not as bcc d Platt review(at _ `�) 5
w<thm l8U drys after It has been
Nage o a s rao 0 on ere a cad ac:opted as complete. State surcharge(8°6) ....S
44 0-Li 17 WM ZqM)
CITY CSF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ,
Date Requested_' ; _—AM_-- F PJI —_ BUP
BLD
c
Location Ci )CeSuite ---- .._ { MEC / � fro `t
LL� _
Contact Person ��� Fh (; '�`, �_ PLM
Contractor— __ Ph _ _ _ SAIR �.
BUILDING Tenant/Owner ELC
Retaining Wall EL1R
Footing
Foundation ACC ! FPS -
Ftg Drain -- SGN
Crawl Drain Inspection Notes: -
Slab —____._._- _ — _ SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
InsulationZ--
Drywall Nailing '1
Firewall
Fire Sprinkler
Fire Alarm _ ^
Susp'd Ceiling ----
Roof
Misr.
Final
PASS PART FAIL -- —
PLUMBING
Post& Beam
Linder Slab
r •p out L� -
Water Service ��?// �l -i-t' �1-' —
Sanitary Sewer
Rain Drains Z' -2.1 L-J7 —
Final
P T FAIL —___—
Post& Beam —
R
Smoke Dampars
in
PARI- FAIL �.4 —_--
CTRICAL
Service ---- -----
Rough In
UG/Slab —
Low Voltage
I Fire Alarm ---- ----_ - —
Final
PASb PART FAIL
SITE _ ---------- -----
r Backfill/Grading
Sanitary Sewer
Storm Drain I J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Cath Basin inspect-no access
Unable to ins
Fire Supply tine [ ]Please call fog reinspection RE: [ J P
ADA •� l
Approach/Sidewalk Date 12,�f- Z- Inspector� E
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.