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Permit Ir CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00730 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/17/2007 PARCEL: 2S 114BA -15900 SITE ADDRESS: 16195 SW COPPER CREEK DR ZONING: R -7 SUBDIVISION: COPPER CREEK STAGE 4 LOT: 124 JURISDICTION: TIG PROJECT: TAYLOR Project Description: Gas insert and gas line 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: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: 1 Owner: FEES TRAVIS TAYLOR Description Date Amount 16195 SW COPPER CREEK DR TIGARD, OR 97223 [MECH] Permit Fee 12/17/20C $72.50 [TAX] 8% State Surcha 12/17/20C $5 80 Phone: Total $78.30 Contractor: SPECIALTY HEATING & COOLING 7500 SW TECH CENTER DR #130 TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS Contact #: FAX 503 - 598 -0718 PRI 503 -620 -5643 Reg #: LIC 66578 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: `` j / Permittee Signature: j` "L /J 1 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. _ DEC /14/2007/FRI 05:54 PM FAX No, P, 001 Mechanical Permit Application FOR OFFICE 1)SE ()NLY City O£Tigard Received /a- Permit .•� BOW � Date/By: 0 a .t �'J r i _ 13125 SW Hall Blvd„ Tigard, OR 97223 ,. , . ,� i ��� Alan Rainew Phone: 503.639.4171 Fax: 503.598.196 t ; .M,:n?n,D ,,; la °,', i +� Date/By: Other Permit: Inspection Lint: 503,639,4175 ■ f I , Internet: www.cttigard.or.us D E C 1 7 ? ."'-" Date ed /Meth S gee Pen l for Natifietf/Meth Supplemental Information mac. ru n x � r,s ,r it � rear a , u aFi °its, r a ��n••1 rt t " �7�: r. o t�3 "'• ��nZ ", t. ire �.; w' 'c{ ✓� fJl t l�' ;t 1 11 ,���4 y �ln x S ",[" z 3I S 5 nearssyt L °^ z r „7^ +'.'•"aP .i"ir 114 9 :10lsw"'fd`L'>Ti:"auPSS;�i�;`L ;t?ytigq �P ?,�'.3A.-- tif�'� aY{�d�7 i.rf. i, <iF fln �Nrf, ril a„ r�®,t�A , „„W „i .I:. E:7 }.y ��r1�Ae °1"_. l' "D�D� � i. ;; t�''' .lb i �.,a �'_ ..,., P:ti: , t.�t;,�-'�:ca..,.,.c�lF.:;,�� xayvan rra [] New construction A Addition /alteration/replacement Mechanical permit fees* are based on the value of the work perforated. Indicate the value (rounded to the nearest dollar) of all © Demolition CI Other: s?, mechanical materials, equipment, labor, overhead, and profit. (1 3114 .1 f' d ill '"" '`ta ` * e.4 ' a � D fn e ' . . _ . " I' i` u'' s Value: $ '.Lt. it r.. m.m u S „•, , m i u �� ( .' r 6 A ' Irk ' fl l' fr 7� y t/ 4 6 1 1 i .?, Y i I ''' '� a ells 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other � R _ ��. _ � Description I QQty I Ea. j Total Ire•f��'lla'�fo l'fti 7 �f ' ti 0 r . I t 0, i . a T A [ 0 tk 0ri }il D 0 j� I- {. e � i�` '' �, e y t c d. 4 rwF.at,a ". . a, 1. a9l . , ',r 4iif. �,ty311, tr, Heafin_coolin' ress: >> `. / 1 Air conditioning or heat pump Job Site add to j Qj s& l_. t_R�t Off' (requires site plan showing placement) 14.00 City /State /ZIP: -17. 6 L Furnace 100,000 BTU (ducts/vents) 14.00 Furnace 100,000+ DTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 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. 10.00 Flue/vent for any of above 10.00 Subdivision: j Lot no.: y Other: 10.00 Tax map /parcel no.: Other fuel appliances .;1 py7dii 21 F , Rr�6 !?tN !r ^IT YT. p F •yT; ,'lirt�i ; .,r Fil €r+r'•' °�! I 7, 1'17."' a I� O EI 'G.`' tl ,r 1r R� 1' 17 n 57 U 'L 'f ; f.'y ' v,' l 1 �S� y ..• "•• r y p�? a Water heater _ 10.00 ?..k';ti 3 t:- `;ct iieF =:3 l; el „a' n-Xi v,i.m �9t, a. , il� l.•i 'b.' b ,; , l,l "Z, y .. ] �t�lf ' �" /a ` Gas fireplace _ j 10 00 / 0 I i- 51(7 -I, fx. <` J` 7» 9 CK,I j n as ,n 1 Flue vent for water heater or g d fireplace 1 10.00 G '_d..._ _A Log lighter (gas) 10.00 - Wood/pellet stove 10.00 Wood fireplace/insert 10.00 •O ' 9 tIS ak "1CI•i; �({� 1: � I I 'Cj '�y' ",� A 4t: Chimney/liner/flue/vent 10.00 i t a 1� .,y , - r '•' '.1� U 8 . 1 7 ',. Q ,-- (�fiee`` � '3`. t'f i . n' ,>' tL,„ k1/ '�i1,A �p1}44 .+:14 � :„ „Jli}n�Yi�i2.T�'' , 'I f��] 1p) rr f 1 ��. a f f4 a �:YN{Y.A11tld.t,41 I.r.'Y.ihti ' Others 10.00 Name: IP a 0i s 1 i � L A Environmental exhaust and ventilation - r Range hood/other kitchen Address. L. / qJ Si ) &,ppt? r di, equipment 10.00 City /State /ZIP: ti.i'ti• tr. e _ qt - 7 0.13 Clothes dryer exhaust 10.00 Phone; C / l f - _ I Fax: ( ) toilet Single -duct compartments, exhaust utili (uathtroo rooms) t 6.80 Qurtit� -tr, -any, I c; r F., c, t�tp o. "�""c a„a ;�,„. ^', ,,G , a "; Atticcrawls in ' "a ,�f �S•" t t nr#y I'f 4t'� 'l (<, rat. I 1 �!'A l _�w, iF1", ',1: II i' . 1 f.� .. + i s g p a{7i.:4a�ub��� F '�ei d + r '� • I l� � � f .�!�LI;:..' �� � ... .., . h�.c. � D 1 ., tl h, P��;��•.,e" i7: ' / acefans 10.00 ,.. �.,.7 ;f ,)`,:,2LL_ .�:,�,.'� � E[.'tn; r r i :, i7 �''-� t;4 nsako� �' cr. <�. 2usiness name: f , _- J . ! 1 ' ) Other: 10.00 � pe0,10 171 __O (II1, 1 1)1) 1.1 rlAti 111_0_.. Fuel piping - Contact name 55,40 for first fouri$1.00 for each additIonal dress: 7 . �JU) e d "t Furnace, etc. Ad f �!�' �a Gas heat pump City /State/ZIT: ct et '7 Wall/suspended/unit heater Phone: ( ) Fax; : ( ) Stunite, Water heater Fire .lace 5. t1.) E -mail: Range r w i Y{ R r� s ! Sri' ?u >R y t 4, i an a g -, { ,m O c� T'�t^°° 4y , ' tTG'�" '�' 4 �. 5:' . , rY ¢¢ ��( Ili �n I al�'+,: fi inl „ ik` . 1rr,,,ig.,il.I'n.ril� i rt � c l li fi l , y "l "", ∎ 0'rtr ,, i t ito r.'" d - W sart!aCUt :�• , {* ; e,� �k I ne.cs..m:mu.,u_ul � l �ild3t 7i ➢'c�,t Business name: �t pe 1 &Lim N ij c e t i rie �ththes dryer (gas) Address: ' �i eay k,1 o o t'*R a Q °lam ' r � a i 2'`�. f^ 1, City /State/ZIP. r- , , , r Ok. 97 . .- Subtotal Minimum permit fee ($72.50) "7) , 50. Phone: 6 ! • to i C J _ Fax: ( 5 D3 ) 5 g - 01 1 g Plan review (25% of permit fee) CCB lie.: 4 t 5 l �+ 5 7 c State surcharge (8% of pennit fee) 5, WZ) �F TOTAL PERMIT FEE "7 $ ,30 Authorized Signature: This permit application expires if a permit is not obtained within 180 _ .i %,,, A .i, days after it has been accept as complete_ Print name: 17= _�• Date: / � �'7 • Fee methodology set by 7ri -County Building Industry Service Board i.' Building \PermltlU /tEGPem111App•doo 12/03 440 -4517T(1! /02/COM/WaS) CITY OF TIGARD BUILDING DIVISION PERMIT #: IvIEC2007-00730 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/17/2007 Phone: (503) 639-4171 „ N ,, ul „_ lill' Inspection Requests (24 Hrs.): (503) 639-4175 . mama& INSPECTION WORKSHEET FOR DATE: 212212008 TIME: 7:00AM PAGE: 74 SITE ADDRESS: 16195 SW COPPER CREEK DR CLASS OF WORK: SUBDIVISION: COPPER CREEK STAGE 4 LOT #: 124 TYPE OF USE: PROJECT NAME: TAYLOR DESCRIPTION: Gas insert and gas line. OWNER: PHONE #: CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503-620-5643 Inspection Request Scheduled For: Date: 2/22/2003 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 065338-02 503-620-5643 N Corrections/Comments/Instructions: PARTIAL APPROVAL fl CANCEL El NO ACCESS FAIL A I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: • -- Date: —, 2.--ev Phone #: (503) 718- - _ CITY. ������U�������� ��nm n_��m -nnn�w�mmm�� BUILDING DIVISION PERMIT #: k4EC2D07-O073O 13125 SW Hall Blvd., Tigard, OR 97223 ^ 1 DATE ISSUED: 2117/2007 Phone: (503) 639-4171 |nopm�ionReque�o(24Hro.):(503)639'4175 ,...,........W ' ��.. INSPECTION WORKSHEET FOR DATE: 2Y2212008 TIME: 7:00Al0 PAGE: 75 . SITE ADDRESS: 16195 SW COPPER CREEK DR CLASS OF WORK: SUBDIVISION: COPPER CREEK STAGE 4 LOT #: 124 TYPE OF USE: PROJECT NAME: TAYLOR DESCRIPTION: Gas inxe/1 and gas line. OWNER: PHONE #: CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503-G20-5643 Inspection Request Scheduled For: Date: 2/22Y2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 810 Gas line 06952001 503'G20'6643 Y Corrections/Comments/Instructions: �I<S | I PARTIAL APPROVAL 0 CANCEL | I NO ACCESS I I FAIL [ I CALL FOR INSPECTION [ | ADDITIONAL FEES ASSESSED Inspector: I Date: �� - Z2--^"& Phone #: (503) 718- - 2.- 4-q*s-" CITY; OF TIGARD BUILDING'DIVISION PERMIT #: fir 02007 007 0 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1W11/2007 Phone: (503) 639 -4171 AO H "lilt Inspection Requests (24 Hrs.): (503) 639 -4175 6 'I �.. INSPECTION WORKSHEET FOR DATE: 2/1 TIME: 7:00AM PAGE: 36 SITE ADDRESS: 161 %5 SW COPPER CREEK DR CLASS OF WORK: SUBDIVISION: CC7PPER CREEK STAGE 4 LOT #: 124 TYPE OF USE: PROJECT NAME: TAYLOR DESCRIPTION: Gas insert and gas line. OWNER: PHONE #: CONTRACTOR: SPECIALTY HEATING 8, COOLING PHONE #: 503-620-6643 Inspection Request Scheduled For: Date: 2115/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 6'39 Mechanical final 065072 -02 503 639- 2014 Y Coor /Comments /Instructions: / - n PA I I PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 2 - /.r -o7 Phone #: (503) 718- Z -7c--' 10-N1 CITY, OF.TIGARD BUILDING DIVISION AO PERMIT #: 4ur,2097..00730 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12117/2007 Phone: (503) 639-4171 / 46 41441#. Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 2/152008 TIME: 7:00,4,1 PAGE: 37 SITE ADDRESS: 16195 SW COPPER CREEK DR CLASS OF WORK: SUBDIVISION: COPPER CREEK STAGE 4 LOT #: 124 TYPE OF USE: PROJECT NAME: TAYLOR DESCRIPTION: Gas insert and gas line. OWNER: PHONE #: CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503-620-5643 I Inspection Request Scheduled For: Date: 2115/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 065072 503-639 Y Corrections/Comments/Instructions: -.e` /IVS -' --= cz710 "3 * ‘ KAAIAA50.7 ---7-1--- 0 PA--SS H PARTIAL APPROVAL I CANCEL 0 NO ACCESS AIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: ' c A Date: ---13 Phone #: (503) 718- • CITY4OFTIGARD BUILDING DIVISION PERMIT #: MEC2007-00730 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: •1' 17/20)7 Phone: (503) 639 -4171 Ifl Inspection Requests (24 Hrs.): (503) 639 -4175 L _',�- 'I �.. INSPECTION WORKSHEET FOR DATE: 2/Rf2008 TIME: 7 00AM PAGE: SITE ADDRESS: 16195 SW COPPER CREEK DR CLASS OF WORK: SUBDIVISION: COPPER CREEK STAGE 4 LOT #: 124 TYPE OF USE: PROJECT NAME: TAYLOR DESCRIPTION: Gas insz}it 'and gas line. OWNER: PHONE #: CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: ' O3- 62Cf.5e43 Inspection Request Scheduled For: Date: 211312008 Pour Time: Code # Inspection Description Confirm # Contact # Message 6)9 Mechanical final 064645-01 503. 639 -2014 Y Corrections /Comments/ Instructions: _ 7( ' A `17 ❑ PAS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL I I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: Date: Z — ...> Phone #: (503) 718 - � "�