9520 SW RIVERWOOD LANE 9520 SW Riverwood Lane
CITYO F T I G A R® ^MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002-00084
DATE ISSUED: 2/27/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S1 148D-03300
SITE ADDRESS: 09520 SW RIVERWOOD LN
SUBDIVISION: COPPER CREEK STAGE 3 ZONING: R 7
BLOCK: LOT: o7,i JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: i EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERSICOMPRESSORS HOODS:
FUEL TYPES 0 3 HP:� DOMES. INCIN:
IPG _ 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 UNIT_SOTHER UNITS:
FURN —100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Installation of gas furnace.
Owner: ________. --_ FEES
THORNTON, ROBERT WILLIAM + Type By Date Amount Receipt
RUTH ELLEN PRMT CTR 2/27/02 $72.50 2720020000
9520 SW RIVERWOOD LN 5PCT CTR 2/27/02 $5.80 2720020000
TIGARD, OR 97224 Total $78.30
Phone:503.639.0558
Contractor:
AAA HEATING + COOLING
2.915 NE MARTIN LUTHER KINS BLV
PORTLAND, OR 97212 REQUIRED INSPECTIONS
Mechanical Insp
Phone:281-2173 Final Inspection
Reg #:LIC 222
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 952-001-00 10 through OAR 952-001-0080
You may obtain.eopies of these rules or direct questions to OUNC by calling (503)246-9189.
Issue By: _�__ Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for insp lions needed thla next business day
1111 211-1 12:U4 FAX 5055981980 CITY OF TIGARDt10=
/\ Mecha.l calrfo
n
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Date reccived- J Permit no.
City O 'l �;srr� (r�4i& Projecdappl.no.: Expire dare:
Addrtsa: 13125 SW 1-. ,tivdt-Ta fltd,,OR . � `" ---
Phone: (503) 639-4171 '. : Date tsautal: By: i Receipt no.
RtX: (503) 598-1960 Cast file no. paynwvt -
Land use approval: *.1 f+.twurgper,rdtno.
2 fanuly dwelling or accessory D Cantnercial/indust.ttzl IJ M Ult1•fwnily D Tenant rmproveinrnr i
a New consaiwdon t:.1 Ad[litiun/alterutbn/tepltueutent U Other.
lob addtess: () v « d (j indicate equipment quaarities in boxao below,indicate the dollar
Bl
dg•no•; - Suite no.: y value of all mechanical tnueenals,equipment,labor,overhead,
Tax map1tax lot/account no.: -� paoGt. Value S i
trot: — B1ock -�5ubdiviaina _
*See chtroklist for important applicadon information and
PWjM name: •7"/-+�3r� ... f ._..� Itrrigrlicdrrn'e 10o vc:hcc{ulc f�i rcaJtten[fUl jwrthrr tri 1
lkucnptiou and location of work on pm rises: ZMAMIME
N�C2
—____. � Pee(a&) rtw
_Est date of compladon/inapectiou: Ilnpip8nn j1Afj. nom,
TensAt improvement Ot change of rise: r
Ts existlug spaco hested or oonditioned? ea Ll No Air handlin_#utu[ CFM
[s exwinq space insulated?i(Yes O N ''°n noutog cepf_n uiceiij
ocrau—un�TcxTetInpFVAC tya
Sate boilar permit no.:
Husitlass narrle; F ) 7 1 j NP Tons 13TtIM
Addm us: t- /J EW L ? t���V tido a ucismo o Lector. --City: _(_rel�r SatteS��� 71P j l�eat�u�► site lanrt,4M='d)
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�Pttone;,��..( '2( 7'5 Fax' [' �� mall T- rep sca turns rimer.__ /
------- lncludi duuworklvest Ilea U Yes1"No t
�CCHno' nnis t-epi�relaentresters-uwpen�ed;
I Cit /metro lic.no
: --wall,wall,or floor moontad
Name(please�rint): O( t - e
Z Yns tai aap Il'atiae TiberMann N-msce - -
Abampuonunite.__ _ BTU1H
Noma Chillor _ lW -
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�- ,� vsrvtamen a rtssaf tsn:
Cih. -- State: l.`""
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Lit
mall. ct eu t aunFi stHoods, ype rrea t' azrnathood fim suppression systemMM
h I 0 F;N T D►�) 7 1 , ) 1lf $ahws[tut rite slnbleducttbatn fnne,: t2" .S l It i \J LIJ t`.) 1oat s tcin Apart treCha i7 _ slate U� Z!3': �1 in ids don butlr tt(uv to a o ts1
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Ass: Decor ttivc flrepIarc
City - - - - _ -
• State: L1P. fnaeri �--
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1�h Fax:
Applke"T's aiRrtature;')) ) 1�l t I— Pate, 1 c'__- -
Name-�yrin0 J)1�?1�L h1 R r '1" r\
Na dl}nnWbUdaa weep credk ea Jt.lei call lutiWlcUoa h+e moYe rvov�auon. pomlit ter:.....................$ _
�lotice:This permit at•>thration
O via ']Mnstert:ard M1tittitnusn fee...... .......S
expires if a petmil is not obtained
1'itut review(at— It) S
within ISO days after k Jim beet' State- surcharge(8%)....S _
e tx`edeot aw�own m c>"'iii cwd -` i accepted as complete.
c�Tde`t dp+wure �e,aTni-- . •.. S C
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
BUP
Received Date Raquested ___ / _� _ AM___ PM_.—____ BUR _ __---
Location __ 9f sc2 _ �i��ti�-�,�_ i'1—Suite _-- MEC1-
Contact Person _— _— _ Ph( ) _______ PLM
Contractor _ Ph( ) ��'oZ 71�— SWR
BUILDING Tenant/Owner —_ ELC
Footing
Foundation Access: ELC _
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes, SIT
Post& Beam
Shear An6iors
Ext Sheath/Shear
Int Sheath/Shear —
Framing - - _- — --- - -- ------- --
Insulation
Dr),wail Nailing --------- -------..._._.....W__-_
Firewall
Fire Sprinkler --------- - ---- -- - -
Fire Alarm
Susp'd Ceiling
Roof
Other: _ - - --- -- — ----- ---�-__---
Final —
PASS PART FAIL -- --- -----F--- —� - - — --
PLUMBING
Post& Beam
Under Slab
Rough-In
Water Service --- -------- _ _
Sanitary Sewer
Rain Drains - - - -- -----
Catch Basin/Manhole
Storm Drain ----- --- -- —
Shower Pan
Other. -----
Final T---
P P FAIL
!?ough-In -- -- -- - --- ---------—
Gas Line --
Smoke Dampers ----- - - ---- ---
AS
"S PART FAIL ----_-.._---.--__ -- __ -- - ---.--- __ __
ELECTRICAL
Servicee.—
Rough-In _
UG/Slab
-ow Voltage __—_------- -- — — ----- --
Fire Alarm
Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART_ FAIL
$ITE _ --_ -- Please call for reinspection RE: Unable to inspect-no access
Fire Supply —_—.--_
ADA _ �S
Approachi Sidewalk Date
Other:
Final --— -- DO NOT RNMOVIII this im the job site.
PASS PART FAIL