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Permit a/ f o.s.. - - " . 7 A CIT OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00145 T1Gi�RD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/20/2008 PARCEL: 2S114BA -13300 SITE ADDRESS: 16525 SW COPPER CREEK DR ZONING: R -7 SUBDIVISION: COPPER CREEK STAGE 3 LOT: 098 JURISDICTION: TIG PROJECT: ROSS Project Description: Installing 15 feet of gas piping to range. 3/27/08, adding range hood and range installation to scope of 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: 1 FUEL TYPES 0 - 3 HP: DOMES. INCIN: NAT 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1 FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Owner: FEES CLAYTON ROSS Description Date Amount 16525 SW COPPER CREEK DR TIGARD, OR 97223 [MECH] Permit Fee 3/20/200E $72.50 [TAX] 12% State Surch 3/20/200E $8.70 Total $81.20 Phone: 503- 348 -5036 Contractor: KOEHLER CONCEPTS LLC 10772 SE HWY 212 CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 650 -9550 FAX 503- 650 -1220 Reg #: LIC 120277 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 direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: 0 11 y Permittee Signatur Call 503.639.4175 by 7:00 a.m. for inspections that business • ay. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00145 TIGARD DATE ISSUED: 3/20/2008 1 3125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S114BA - 13300 SITE ADDRESS: 16525 SW COPPER CREEK DR ZONING: R - 7 SUBDIVISION: COPPER CREEK STAGE 3 LOT: 098 JURISDICTION: TIG PROJECT: ROSS Project Description: Installing 15 feet of gas piping to 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: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: 1 Owner: FEES CLAYTON ROSS Description Date Amount 16525 SW COPPER CREEK DR TIGARD, OR 97223 [MECH] Permit Fee 3/20/200E $72.50 [TAX] 12% State Surch 3/20/200E $8.70 Total $81.20 Phone: 503- 348 -5036 Contractor: KOEHLER CONCEPTS LLC 10772 SE HWY 212 CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 650 -9550 FAX 503- 650 -1220 Reg #: LIC 120277 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 direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By • — Permittee Signature: S � �� b4/ i Call 503.639.4175 by 7:00 a.m. for inspections that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. ■ 1 ,if _ Mar 19 2008 3:56PM KOEHLER CONCEPTS LLC 503 - 650 -1220 p.2 t 4!* � P -- ' . ,,'p e pj rEtY ; , T , v' ; rol l ��l n\ Ll , l 4 n „ • Mechanical Permit A plicatio P W •� � 9�1�, xiE2,..r.._.w s °sd�fi^.�, ` : 88rr••�® D " . =ed � �A, Per 1.1'1: r / , .-. 00 / - �� C of Tigard G� � . , D � , v 13125 SW Hall Blvd., Tigard, OR 9 , . o 6 Plan Review u , 111 Phone: 503.639.4171 Fax: 503.598.1961av1 A� 1 Other Pamie 4 4k Da t eBy : T 1 . r i+ h ; Inspection L 5 -. j{ i@ i® Date Re adyBy: runs ® See Page 2 for . ♦ w Internet: www.tigard or.gov 6' ' mk t 11510 1�`yL 1 ®��t^ . Notified/Method. Supplemental Information �rr o 1�r: t r - - • 1I®� L+ d ��, r r � I pr tfgr nrr�:sssYryr '? ��':��lr' �-�w�x n r �,�,a. z r. ys + ^'tK / c- . i s<'ij115 , tt ir �I t'' 4,4 r.}+ - d 4 '," .�` f:7 .rrrw,y,.� ' kt` :. i r' 1 ,. it, .. l r^, r t+ 1 rn144 •iTr 't .: I q 5 a. :8 - 'rt�tl. {, p ?i Mechanical permit fees• are based on the value of the wor !' , ;&hr.al:t.:47 , -41L! li rormre ! �u goat it a u a.�lu o . ..q41. ; 'b vt, �� *r..,,t (>z,� a( .r_.. u ,.,1 „.,,,, .7„ t,., k ❑ New t onstruction Addition /alteration /replacement performed, Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. a ,-rs 'f "- T z1�r3? rd°` ssF .rut rlil: inig �n rer r. ta - r1"ulg�i 1W. Value S -r £` u� ; ' : n P J r 1t4 a 1 sr� 4: 1 ,1 gsy g n. 6it't , G ,. ,� fi .elti 4. Y9.'Dn ti ` ; ' tt - r :vu.u,t`. . 7... v ?: f. rErre�si: L: itiarx... mru!' m:,_. irL.' �tct.. efi� .:lv.4c�.fi.ru�i�xdt .. !? dr �La 'S ,tra rte.: f ftf a+arc., r � sr� , s. Rs 1 rx i . F r'+ ; .r; . r'. F6S ie� 61,: St4 r Ll :i juaj;ica .tika i If `.i re.�!t, RI 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist: ❑ Multi - family ❑ Master builder ❑ Other: Description Qty, 1 Ea. 1 Total k ' 1 s e 1�' d r, ! a K t xt r I igrl 5T aasir <ki t t re Tos ..st, ' ' i,[ •t*,. , „*ti ] `r" � L.",^met',';1;,1.i ,, JVii :w.... -e . :4 'r 2-.-: ° issiini.11:i4 . a� T!E� a i,1h1 -v-r ' ` l � f.441 4 . , . , � HeatingJeooli ng Air conditioning or heat pump Job site address: \� ��') A • ,, -_ �Y (requires site plan showing pincernent) • 14.00 City/State/ZIP: . `� - C3c1Z'Zl{ Furnace 100,000 B•1'U (ducts/vents) _ 14.00 Furnace 100,000+ BTU (ducts/vents) 17.90 - Suite/bldg. /apt. no.: I Project name: Gals heat pump _ 14.00 Cross street/directions to job site: Duct work 10.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 14.00 Subdivision: I Lot no.: Flue/vent for any of above 6.80 Other. 10.00 Tax map/parcel no.: Other fuel appliances wrn t r . r'P l� ;:1,,P "itD+'" d .aC: lust n ,R'. r >:44ntr?t�,+.. ; r r tr lu`r'rt tam ^�` tT I : Water heater 10.00 _ irP u 1, r °+ ,..4tr`l'p i. . t. 1, .ti 10 ?: 1Ta1 0 it, t, ., '1 r ,' ra ..a; L.5 <.,.? i��imlrl�t !il.il�bz[ +udLm 1'rs;r Y c .vS,.sn� a aai Gas fireplace 10.00 ‘-�•v- ,r�,-1r- \ t y�. Flue vent for water heater or gas fireplace 10.00 R Q Y��� , \-e Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace /insert 10.00 F a 1 1 u t t tt M t w z c - . , x -P ry „ 't ., '" i x _mr p' Chimney /liner /flue /vent 10.00 • fii. ,w 'h .fe: -r ;E; 1: ,!�' r r_ ' ; . , y. ktai , ' ch { .! .n `l -.l r1 : w'.'_4 -!ii i P i' ' -Y 1 , 41 Other: 10.00 Name: G - 016.. Environmental exhaust and ventilation Range hood/other kitchen Address: �L t�-, j ..�� COkvyA( 11. 'Q"� equipment 10.00 city /State/ZIP: C w\ OR__ eC1-_ZL\ Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone:) ` - -`3l-* Fax: ( ) toilet compartments, utility rooms) 6.80 T r t r r 7 ;f 7 F IIt1• • 1 t4 l r0:41, 1, 7 ; a a∎, Attic/crewls ace fans 10.00 0.:: ;.an:I 1. .. v t! ?,..1�N ;.1. i :2ll `d11f1 1 M ,11d: u lL - : f i"ha a lAl F ,,l p rne: ` - /' _ Other: _ 10.00 Business Wa !- `(- )< CoN"C4 i4 \-^ Full piping Contact name: .)C"'■ es■ A 55.40 for first four; SI.00 for each additional \��Z` -i ` Furnace, etc. Address: \ -� - ?_ �J1= Gas heat pump City /State/ZIP: `__,4�C�.c�.(A` r Q c \�N� Wall /suspended/unitheater Phone: _ .f I Fax:: (c ( c _ \--EL0 Water heater Fireplace E -mail: • ....1■• lb p . . - try Range i mv^� "- '"„ a"s•'�' aix..ztrs, ae la: F ^y, a s� ,. ` l 3 ten : fi rms sic . r' t at.:* s 4 ,21 , r 6,0[4 e A { _ gt: a? ..t L � . isa`:.iaut barbecue Business name: , p� X - �r(" ._.1......c.._. tithes dryer (gas) Address: �a"\—\. y �-7 dr: F � 7° { 1 ' r RP 4 1.. �t � �, l Cr - "' ,t . . s , i? .:, ;+ 1 rte. -1, "f. ,4:, ..5 ", r''. " egg , City /State/ZIP: C�� , S .( C,,© Subtotal Phone: (i '-) -- C \SSA Fax: ( �) (p0 ,_ Minimum permit fee (572.50) i2 SD Plan review (25 %of permit fee) CCB lic.: \Z. -\- State surcharge (12% of permit fee) t -I a TOTAL PERMIT FEE e ,0 Authorized si ature: ` - This permit application expires if a permit is not obtained within 18a days after it has been accepted ar complete_ Print name: Date: Z20 -b . Fee methodology set by Tri- County Building Industry Service Board ra ME autlding1Permits\C -Perm itApp.dcc 01 4404617T (11/t2/COM/WER) CITY OF TIGARD ,, Lil Roe* BUILDING DIVISION .,c, PERMIT #: MEC200f100146 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/20/2o013 Phone: (503) 639-4171 *peoliolt / 1 Inspection Requests (24 Hrs.): (503) 639-4175 .., --4-AL ri CP. '' --e- 00 ° I INSPECTION WORKSHEET FOR DATE: 3/26/2008 TIME: . 7:00AM PAGE: 48 SITE ADDRESS: 16526 SW COPPER CREEK DR CLASS OF WORK: SUBDIVISION: COPPER CREEK STAGE 3 LOT #: 0913 TYPE OF USE: PROJECT NAME: ROSS DESCRIPTION: Installing 15 feet of gat: piping to range. OWNER: ROSS, CLAYTON PHONE #: 603-348-6036 1 I CONTRACTOR: KOEHLER CONCEPTS LI.0 PHONE #: 603,650 1 I Inspection Request Scheduled For: Date: 3/26/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 067321-01 503-348-6036 N Corrections/Comments/Instructions: ‘g ilil- a tti 14 tlk dal^ A WA .. W - 2 k -e ID petzsil :-/- . . ,. i, 1 0,? ‘.$ , 10\ tLo 64// • PASS El PARTIAL APPROVAL El CANCEL 0 NO ACCESS El FAIL I I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED , i 51 Vel Inspector: Date: Phone #: (503) 718-