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Permit t. CITY OF TIGARD MECHANICAL PERMIT ,�� DEVELOPMENT SERVICES PERMIT #: MEC2001 -00401 I I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/8/01 PARCEL: 2S1 14 B D -03400 SITE ADDRESS: 09500 SW RIVERWOOD LN SUBDIVISION: COPPER CREEK STAGE 3 ZONING: R -7 BLOCK: LOT: 074 JURISDICTION: TIG CLASS OF WORK: OTR 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: LPG 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: 1 AIR HANDLING UNITS FURN > =100K BTU: < =10000 cfm: OTHER UNITS: > GAS OUTLETS: 10000 cfm: Remarks: Replace gas furnace. Owner: FEES WYMORE, SHAYNE J + DENISE E Type By Date . Amount Receipt 9500 SW RIVERWOOD LN PRMT CTR 11/8/01 $72.50 2720010000 TIGARD, OR 97224 5PCT CTR 11/8/01 . $5.80 2720010000 Total $78.30 Phone: • Contractor: GEORGE MORLAN PLUMBING 9806 SW TIGARD ST TIGARD, OR 97223 REQUIRED INSPECTIONS Heating Unt lnsp Phone: 771 -1145 Final Inspection Reg #: LIC 02734 PLM 26 -60P • 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 N 'f+cat`on Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 1 -0080. YQu may obtain copies of these rules or direct questions to O C by calling ran 194A -Q1RQ Is a By: _ ! E 4 D iv 4 Permittee Signature: Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day' • ( 8@''d 14101 10/11/2000 09:51 FAX 5036847297 Cltl' of Tigard tjuu. • Mechanical Permit Application Date received: // 3 Permit no.:Nf�; /'00 / 16 City of Tigard Projecvappl, no.: Expire date: City of7i6ard A(7tlrci5. 13125 SW HttllelECGBMEO ?2A PNG Date issucd: By: Receipt no.: Phone: (503) 639 -4171 Fax: (503) 598 -l960 # Q .7 V Cast f Ic no.: Payment type: Land use approval: �� 0 4 t B ui l ding perm no.: • • . . , 'IlItE 1 MI : -- _ • .' �_. .';, • 1 a 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement 0 Ncw construction Nr Addition/altmtion/replacement 0 Other: "• JUD SITE INFORMATION . (OMnIfRt:l %1. VA1.t'AfIUN SCHEDULE. • • Indicate equipment quantities in boxes below. indicate the dollar Job address: QQ s. ..•.• BIdg. no.: Suite oo.: . ! value of nil mechanical materials, equipment. labor. overhead. Tax nap /tax lot/account no.: profit. Value S • Cot_ Block: 'Subdivision: 'Scc checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. Cl'ry /county: 1 a ill ZIP: 9 } .. Description and loca l of work an premises: f Pf)f a l' 9 ) AND COMMI ;III(:AMJINU1.N1'R1a.EOUIPl 1CSRSt Eiwi1: --- - S • ar Q r p J Foe (ea.) Totd Est. date 'tif compledon/iruperion: Description Qty. Ra. only Res-only Tenant improvement or change of use: Ai vac. r handling unit CEM Is existi space heated or conditioned? 0 Yes 0 No Air conditioning (site plan required) Is existing space insulated? 0 Yes 0 No Alteration of existing NV AC sylteru . + : •AlECIIANICAL (:ONTRN:TOII • Borler/compressors Sete boiler permit oo.: Business name: - . • at.• . i al R m a d Hp Tom BT(//1-1 Address: •Nripla T M! • Fire/smoke danpces rd Loci smote dcte mars MIRY/ Zip _ Heat pump (site Alan required) Gry Install /rep ace urn . ix/Purnu " BTUrH Phone: r a ,• Fax: • /t170 , s E - mail: ' Including ductwork/vent liner ¢I Yes ❑'No .. , U CO CCB no.: Install/replace/Fe beatcrs- suspended. Gtylmetnolie no.: 9 6 J wall. or floor mounted - _ Name (please print): vent foe apftiancc other than furnace Refrigeration: Absorption uni BTUJH Name: Chillers HP - ' Compressors HP Address: ' Ear'uvamental Faust and venniatton: • City: I State: I ZIP: Appliance vent Phone: Fax: E-mail: rya a oust Hoods, Type U lira. litehen/haanst • hood tire suppression system Name: I / - O/ I - Shittiest fan with single dun (bath fana) Mailing address: • NI it , . O . A w B� susc tystcrn a art nom Fciu • or AL. Sla ne: . ZIP 9 7�� Fuel piping na• • upon [up to 4 outlets) City: J Q(,y prpe: LPG NG Oil Phone: J Fax: E Fuel i i wcb additional over 4 outlets rrocess piping (sehcrnktic requir• . Number of outlets la Name: Otter Lured appliance or equipment: Address: Deconttivefireplace City: I State: I ZIP: I nstil — Rloodsroverpellet stove Phone IF. J b -mail: / Omer: Applicant's signature: ' . I /_ ,,,, !' D Le: tea: Name (print): 10 ;4"0 r - ,16 I. - - a'11 iaow rdaoot wAgx "MI' catdr. ploy can j A ran mme i"r°nr' W Permit fee L Notice: This permit 'application . foe S �� 674 C Yut D MastoCud if a pump (s not obtained Plan review (at _ 96) $ Dos( cad anse�cr � , P 1 Withal 180 daps alto it has btxn Stare surcharge (8 %) .... S Nana or armoury u ,bo..e .e mar card accepted as cota(t1etG 1'07AL . S rj' . . C�onoteQiu2tuan /tro o,nt ... -.' ..... . a!44Q (6AOtCO.O CITY OF TIGARD MECHANICAL PERMIT A. � � DEVELOPMENT SERVICES PERMIT #: MEC2001 -00401 ` 1 � ' � L 13125 S H all Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/8/01 PARCEL: 2S1 14 B D -03400 SITE ADDRESS: 09500 SW RIVERWOOD LN SUBDIVISION: COPPER CREEK STAGE 3 ZONING: R -7 BLOCK: LOT: 074 JURISDICTION: TIG CLASS OF WORK: OTR 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: LPG 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: 1 AIR HANDLING UNITS OTHER UNITS: FURN > =100K BTU: < =10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Replace gas furnace. Owner: FEES WYMORE, SHAYNE J + DENISE E Type By Date Amount Receipt 9500 SW RIVERWOOD LN PRMT CTR 11/8/01 $72.50 2720010000 TIGARD, OR 97224 5PCT CTR 11/8/01 $5.80 2720010000 Total $78.30 Phone: Contractor: GEORGE MORLAN PLUMBING 9806 SW TIGARD ST TIGARD, OR 97223 REQUIRED INSPECTIONS Heating Unt Insp Phone: 771 -1145 Final Inspection k Reg #: LIC 02734 C PLM 26 -60P O P I� G� • (I \ 1 1 a 0 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 UtiC______ ton a Center. Those rules are set forth in OAR 952 -001 -0010 through OAR 950. Yeu may obtain copies of these rules or direct questions to O C by calling tRn RQ \ \ O Is _- .,_Li: 'A �,/��.. L Permittee Signature: - j2 . Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day BUP - Building Permit ELC - Electrical Permit J Inspection Description Date Passed By ,f Inspection Description Date Passed By Footing /Setback Underground cover Foundation walls Wall cover Footing drain Ceiling cover Waterproof bsmt walls Electrical rough -in Slab Electrical service Crawl drain Electrical final Underfloor insulation Post/beam structural Shear walls /anchors ELR - Restricted Energy Permit Roof nailing Inspection Description Date Passed By Firewall Low voltage Tilt -up panel Electrical final Masonry /Reinforcement Framing 2i / -ca �� r MFG - Structure set -up Mechanical Permit Insulation Drywall nailing Inspection Description Da • ' : • st Suspended ceiling G line mechanical Engineered soils - Gas line Welding Lab Final Mechanical rough -in Lt / 211 Concrete Lab Final Fire dam. r I �, Bolting Lab Final Duct work • `j Structural observation Smoke detector Fireproofing Lab Final Mechanical final Final inspection PLM - Plumbing Permit BUP — Fire Protection System Permit Inspection Description Date Passed By Plumbing underslab -4 Inspection Description Date Passed By Crawl drain Sprinkler underfloor /slab Post/beam plumbing Sprinkler rough -in Plumbing top -out Sprinkler final RP /backflow preventer Fire alarm final Rain drain Storm drain Water service SIT - Site Permit Sanitary sewer 4 Inspection Description Date Passed By Culvert/catch basin Footings Pump /fill septic tank Foundation walls Plumbing final Sprinkler supply lines Sprinkler underfloor /slab Catch basin/Manhole SWR - Sewer Permit Engineered soils I/ Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final inspection Final inspection Inspection Record - BUP, PLM, SWR, ELC, ELR, MEC, SIT Permits i:\dsts \formskInspRecordBUP.doc 04 /17/01