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10915 SW MIRA COURT-1 3- 1� "IW MSS9160L a � ac � rn m o � a J 10915 SW MIRA CT • CITY OF TIGARD --- -- MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2004-00082 13125 SW Hall Plvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 2 PARCEL: 2S 5103 103DA-07000 SITE ADDRESS: 10915 SW MIRA CT SUBDIVISION: MIRA PARK ZONING: R-4.5 BLOCK: LOT:008 JURISDICTION: 1 IG CLASS OF WORK: ALT Ft_OOR FURN: EVAP COOLERS: 1 YPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS: STORIES: _ BOILERS/COMPRESSORSHOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: L,71r 3 - 15 HP: COMML. INCIN: MAX INPUT: Bl U 15-30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 50 HIS: WOODSTOVES: GAS PRESSURE- 50 + HP: CLO DRYERS: FURN < 100K BTU: 1 AIR HANDLiING UNITS _ OTHER UNITS: FURN >=100K E fU: <= 10000 cfm,: GAS OUTLETS: > 10000 cfm: Remarks: Gas furnace changc-oat. Owner: _ — �— � --- FEES NAPIER, KATHY Y +DARRELL K Description Date Amount ._ 10915 SW MIRA CT [MECH) Permit Fee 2/27/04 $72.50 TIGARD, OR 97223 [TAX]8%State Surcharl 2/27/04 $5.80 Phone: Total $78.30 -- — Contractor: COLUMBIA HEATING + COOLING INC P.O. BOX 230397 8900 SW BURNHAM #E1110 REQUIRED INSPECTIONS TIGARD, OR 91223 Phone: 503-624-2704 Heating Final Inspection RPg#: LIC 76359 a m J -i-his permit is issued subject to the regulations rontained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All worts will be dont,in accordance with approved plans. This permit will a.,pire 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 Notificaticn Cents r. Those rules are.set forth in OAR 952-001-00 I,;sued By: s�i r,� Permittee Signature. -`�t-�t�..�lu. i Call (503)6394175 by 7:00 P.M.for Inspecttr^:, needed the next Business day Mechanical 1Aatiun -` 1-�C� Rxeived i Mechanical Data/B /c�7�U'1 ,,1J I Permit No., Q'O Ciy.of Tigard Planning pprr el �-Building +� FEB '' 2004 Date/B . Permit No 1315 SW Hall Blvd, C 2 Plnn Review Other — Tigard, Oregon 97223 T Qr TIGARD Date/BL i ermit No: Phone 503-639.4171 L �1� 9I�li�ON Datc/By PNI-Rev1tK Lana Use Internet: www.ci.tigard.�. _M Case No.: Conuct 10 See Page 2 for 24-hour In5p�ction Request: 503-639-4175 Name/Method. /f�/ Supplemental Information. TYPE OF Wi?iCK "COI+SMI;Rt WAL FEE*SCHEDULE-113E CHECKLIST N?w construction — I Demolition Mechattical permit fees'are based on die total value of the work Addition/alteration/replacement I Other: performed. Indicate,he value(roundel to the nearest dollar)of all _ CATEGORY OF CONSTRUCTION r mechanical materials,equipment,labor,overhead and profit. 1 & 2-Family dwelling Commercial thidustrial Value: S _ see Page 2 fol r'e.schedule Accessory Building Multi.-Family_ _ —RSID ORM- K'/S'1lSTEb SCE111DULIt Master Budder Other. Descri don _ t Fe-ea. Total _ BeatlaL/CooUa JOB SITE Il oq/cMATION and LOCATION Fumace add-on air conditioning**_ 14.00 _ Job site address: p /r' 51, 1 /t��RA �f t pump 14.00 Suite #: Bld ./A t.#: Duct work 14.00 Project Name A)A D it r Hydronic hot w.ter system 14.00 Cross street/Directions to job site: Residential boiler j J tl? �I-A C f tot radiator or h dronic system) _ 14.00 Unit heaters(fuel,not electric) in wall,in-ducts suspended,etc.) 1400 _ Flue/vent(L—namf above _ 10.00 Subdivision: ~�u Lot #: Repair units 12.15 Tax mapparcel #: — Otheri+ . stances Walcr heater 10.00 DESCRIPTION OF WORK Gas ft.a lace _ 10.00 Flue vent(water he ter/ as fireplace) 10.00 10.00 Wood/Pellet stove 10.00 _ -- Wood fireplace/insert _ 10.00 Chirnney4iner/flue/vent - 10,p0 PROPERTY OWNER TENANT Other: -� I 10.00 Name�Yine /� A r iGtavlroaaseatd Itihaust&VendlatMa AV) -" Range hood/other kitchen equinment 10.00 Address: ---- Clothes dryer exhaust 10,00 City/State/Zi / Single duct exhaust Phone: 7 Fax: (bathrooms,toilet cunpartments, APPLICANT CONTACT PERSON utility rooms) 6.80 Name:_ MVIioll _ Attic/crawl she fans , I0.0n s: ,. Vic, Other 10.00 f' ipo _ Bt�r n .W" ___ Ru.t Ptpina d City/State/Zip: �;' v `•55.40 for first 4,$11. each addidona1_ Furnace,etc. _ — •• Gas heat p mp o E-mail: Wall/suspended/unit heater �« CONTRACTOR Water heater •• a Business Name: [� b t rte( Q� Fireplace -- •• M Address: too !3Range .. w City/State/Zip: BB .JI Clothes dyer(gas) •+ -`" Phone:s#3 &pH ��,� Fax: p1 Other: •. CCB Lic. #: _ 4 Total: Authorized �- Mechanical Permit Fees* Signature QA•A4.,dA." Date• ts?jZp_b Subtotal: S `�`-- — Minimum Permit Fee 572.50 S _ �RLJ� r Plan Review Fee 25%of Permit Fee $ (Please prime State Surcharge(g%of Permit Fee) S '-�j5LT TOTAL PEW_NIT FEE 1 S Notice: This permit application a xpires if a permit is not obtained within "Fee methrdology set by Tri-County Building Industry Service Board. 180 days after It has been accepted as complete. "Site plan required for exterior A/C units. I`.Dsts\Permit FormsNecPermitApp doc 0!/03 CITY OF TIGiAR© 24-Hour BUILDING � Irsplicn Line: (503)639-4175 MST INSOECTION DIVISION Business Line: (503)639.1171 n C / BUP Received—=;—. .c Date Requested 3/3 AM PM _—__— BLIP —_ Location —__ - qL —.-Suite ,,// Contact Person PhL.7a5 PLM _ Contractor___ f` _ l� _ Ph SWR - - r BUILDING _ Tenant/Owner Footing _ Foundation -� — ELC _ Access: 7'g Drain ELR Crawl Drain ISlab Inspectio es: SIT _ Post$Beam ------.-� ---.-_ --- Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler — ----------- - — — -- Fire Alarm Susp'd Ceiling -- --�--Roof Other:Other: -- Final PASS PART FAIL — - PLUMBING Post?Beam _-- Under Slab --- -- -- ---__-- --- — - Rough-in Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain -- ---- Shower Par, Other: -- — --_ — - PASS PART _FAIL --- - —_.v -- MECHANICAL Post&Beam Rough-In — -- — ---- — Gas Line 5wakaQampers - — - - Fi n PART FAIL-EM - -� - TR_ICAL _ J Service n Rough-In '9 UG/slab L! J Low Voltage Fire Alarm Final u Reinspection fat)of$_ —required Fafore next Inspection. Pay at City Will, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RF:___.___..__ ___- —_—_ _ L_] Unable to inspect-,no nccetsa Fire ADASupply Line -3G An roach/Sid Ik Deb-- Inspoetof..� �-EM!-_ p ewa Other: Final _ DO NOT REMOVE this InstpeatiQn record from the fob site. PASS PART FAIL