9950 SW RIVERWOOD LANE 9950 SW Riverwood Lane
MECHANICAL PERMIT
CITY O F TIGARD
DEVELOPMENT SERVICES PERMIT;t: MEC2003-00116
13125 SW Nall Blvd., Tigard. OR 97223 (503) 639-4171 DATE ISSUED: 3/17/03
PARCEL: 2S114BD-00900
SITE ADDRESS: 099510 SW RIVERWOOD LN
SUBDIVISION: PICKS LANDING ZONING: R-4.5
BLOCK: LOT: ()7U JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: _ EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APDL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSOR_5 HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML INCIN:
MAX uvPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 504 HP: CLU DRYEF.S:
FURN < 100K BTU: 1 AIR HANDLING UNITSOTHER UNITS:
FURN >=100K BTU: <= 10000 cf.n: GAS OUT!E TS:
> 10000 cfm:
Rarnarks: Pciflace furnace and install a/c.
Owner: FEES
PHIL DINSMORE Description Oats Amount
9950 SW RIVERWOOD LN
TIGARD, OR 97224 N11:c'I I Permit Frr 3/17/03 $72.50
IT'AN1 t{'; StateTax 3/17/03 $5.80
Phone: 503A68-9253
Total $78.30
Contractor:
COLUMBIA HEATING + COOLING INC
P.O. BOX 230397
TIGARD, OR 97223 REQUIRED INSPECTIONS
Phone: r,24-2704 Heating i Int Irsp
Cooling Unt Insp
Reg #: LIC 76359 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires.yo follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00
O
Issu d By: t_Q } Permittee Signature:
Call (503) 639-4175 by 7:OC P.M. for Inspections needed the next business day / 1
L
Mechanical Permit Application
------ �' Date received
Project /,� Permit no.:J t" 's,eeill
City 9f Tigard /appl no., Expire date:
City n(Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Da,issued: _ By: Receipt no: —
Phone: (503) 639-4171
Fax: (503) 598.1960 Case file no.: _ Payment type
Land use approval: Building/�
U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-fon J Tenant improvement
U New construction ddition/alteration/replacement U Other:
3011 SITE IN1111111MATION1 1 1
Job address: AAroao Indicate equipment qua,..ities in boxes below. Indicate :oil
Bldg.no.: _ Suite no.: _ value of all mechanical materials,equipment,labor,ovctttaad.
Tax mup;u,.A lot/account no.: profit. Value$ _
Lot: Bloc: Subdivision; - -_ *Sue checklist for important application information an
Project name: jurisdiction's fee schedule for residential petmit fee.
11111111
City/county: ZIP: i i
Uescrip ion all location f work un premises: -_ I I f I
Es .dote of completion/inspection: Desrripri mt1 Res.unl� kes.unh
Tenant improvement or change of use:
Air hundiit
t
Is existing space heated or conditioned?U Yes U No con g unit C ."It
-
Alron itioning(site plan rcquir•di -'•-�Is existing space iMlIlrtted"U Yes D Nn -- --+~--
A teration of exist n AC s),tc
MECIIIANICAL CONTRA(I'OR ompressors
Business name. State boiler permit no
— ,l�la_ Grl�t4/4 Y- 6y,ii . ztjc- HP —'runs BTUM _
Address:�Q O 60 As O .9 A 04 ire smo a ampers duct stook-a cTeteclors
_
City: ep A ow 1State:LIV I ZII': 92P7_1 at pump sit required)
Phone:411 7 7 do I`ax =Q;L E-mail: Install/replace urnac Burner /
CCB no..
�4- 3 ,, -- - Including ductwork/vent liner es U No _
S -_ Instal rep ac re ocatcheaters-suspende ,
City/metro lie.no.: f wall,or floor mounted
Name(please print): �i'�/S o / o/,�, Vent foappliance er than furnace
e gest on:
Absorption units
Name: SAM O49 N 41F d eA V Chitters --- HP
Address: Compressors _ fit'
--------- E.Invirolunental ex tausl gild Ventilation:
City: — State: J 'LIP: - Appliance vent
Phone: I-ax. v E:-nl:ul. Dryer ex aunt - --- --
r,ao s,TypeU It/resti7c'cfien/tazntat — - --
houl fire suppression system
Name: _�.ys�lo• _ _ Exha4Gl fan with single duct(bath fans)
Mailing address: �p_ -T off— •x ousts stem apart from heating or AC
City: State:a ZIP: ue p ping and distribution(up to 4 outlets)
Type: Lhr NG Gil
Phone: Fax: E-mail: "Poet I to eacTiat3c+tiunu over outlets -
P rocess piping(sc hemettc require )
7�Adld-rtjs
Number of outlets_____ -___ --- ttherI sl teTtirrnce or eq ipment:
__ Decorative fire lace
State: ZIP: nsert--tv e_- --
Phone: Fax: E-mail: oo stov pe et stove
Ether +
Ap7e�
nt's slgnawrr I?.ri �-JZ_ GOther:
Napent): X014
Not all jurinccaotu accept crani cards,please tall lwidiction f(x nuwr udonnauon Permit fee.. ..................$
U Visa D MasterCard expires if a Notice:This pe
ii applications not obtained Minimum fee $
expp -"
Creat card numbs: ___(;_1__ Platt review(at ` %) $
apirer within 180 days after it has been State surcharge(8%) ....$
ame or older u own on c t r� accepted as complete.
S TOTAL .......................$
Cardholdet tipature - Amount
tJ0.461 �tiQKCt t.f
HEATING & COOLING, INC.
8900 S.W. BURNHAM ROAD, SUITE E110
TIGARD, OR 97223
(503) 624-2704
FAX (.503) 598-0270
r
I
G
/)v L4 _
J
JOB ADDRESS: `:'�SZ' �G.� /i
_
S TF PLAN FOR AC OUTDOOR UNIT LOCATION
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST _
INSPECTION DIVISION Business Line: (503)639-4171
BUP _
Received —Date Requested L� AM_— PM__. _ BUP
location fiy\ Suite ME
Contact Person ____ Ph( ) PLM
Contractor Ph SWR
BUILDING Tenanlir __ -- ELC N
Footing ^ ELC
Foundation Access: ELR
Ftg Drain ✓- VV\ -
Crawl Drain
Slab Inspection Notes:� SIT
Post& Beam ----_ _
Shear Anchors
Ext Sheath/Shear --
Int Sheath/Shear
Framing
Insulation
Drywall Nailing ---- - 1-- -- --
Firewall
Fire Sprinkler ---- - _ -
Fire Alarm
Susp'd Ceiling - -- --- - --
Roof
Other: -- --- ---
Final
PASS PART FAIL
PLUMBING
Post&Beam _
Under Slab ---- - - - -- ----
Rough-In
Water Service ---------
Sanitary Sewer
Rain Drains - ----- !'
Catch Basin/Manhole
Storm Drain --- -�--
Shower Pan
Other:
Final
__ T FAIL —
CHANT —
Post& Beam
Rough-In - - -- ---
Gas Line
�'�
kc Dampers
a
T FAIL —�
Servic
Rough-In --
UG/Slab \
Low Voltage
Fire Alarm
Fd--)PA
Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
"i�SS PART FAIL
SITE Please call for reinsp coon RE: Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Dam --' Inspect Ext
Other:_
Final DO NOT REMOVE this inspection risoo M the j alto.
PASS PART FAIL
. TIGetARD 24-Hot,
BUILDING Inspection Line: (503) 639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
BLIP
Received _- Date equested �--
AM-- PM -- bUP -
Location _ Suito 'ME Q
- --
Contact Person IQ � Ph( ) _(A.d- L/ PLV,
Contractor_ _ . Ph(_ ) _— __ SWR
BUILDING Tenant/Owner . — _ ELC
Footing
Foundation Access
ELC --_-
Ftg Drain
Crawl Drain
Slab Inspection otes: SIT
Post&Beam
Shear Anchors — -- —
Ext Sheath/Shear
Int Sheath/Shear —
Framing --.- — — _
Insulation
Drywall Nailing
Firewall
Fire Sprinkler — —
Fire Alarm
Susp'd CelUng
Hoof ►n
Other:
Final
PASS PART FAIL --
PLUMBING _--
Post&Beam ---- -- -----_-- ----- — ---
Under Slab __..-
Rough-In
Water Service
Sanitary Sewer
Rain Drains ---- — — ------ - --
Catch Basin/Manhole
Storm Drain - ---- -
Shower Pan
Other: ---- --
Final --- ---.----
_PASS PART FAIL —
MECHANICAL
Post&Beam
Rough-In
Gas Line t L
Sj Loke Dampers P{� — -- —-- ---- ---- ---
F�iSS PART FAIL —
ELECTRICAL
Service -- -------._ ---- -------- ---- ____--_ --_---_.�_��__u
Rough In
UG/Slab
Low Voltage ----____--------- -- — ----_ --- ----
Fire Alarm
Final ❑ Reinspection fee of$-- required before ne;.t inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART_ FAIL
SITE — El Please call for,reinspectio RE:— V„ Unable to Inspect-no access
Fire Supply Line
ADA C �.
Approach/Sidewalk Date / Inspector_ ( ��1�. 1"' A axt
Other
Final DO NOT REMOVE this Inspection record tt''irem the site.
PASS PART FAIL