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Permit CITY TIGARD MECHANICAL PERMIT ,� DEVELOPMENT SERVICES PERMIT #: MEC2004 -00835 I' - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/27/2004 PARCEL: 2S114BA -13200 SITE ADDRESS: 16515 SW COPPER CREEK DR SUBDIVISION: COPPER CREEK STAGE 3 ZONING: R -7 BLOCK: LOT: 097 JURISDICTION: TIG 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: GAS 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: Remarks: Furnace replacement. Owner: FEES JENKINS, CATHY Description Date Amount 16515 SW COPPERCREEK DR [MECH] Permit Fee 12/27/20( $72.50 TIGARD, OR 97224 [TAX] 8% State Surchart 12/27/20( $5.80 Phone: 503 - 598 - 8431 Total $78.30 Contractor: BRUTON COMFORT CONTROL INC 12855 SW 22ND ST BEAVERTON, OR 97008 -5152 REQUIRED INSPECTIONS Woodstove lnsp Phone: 503 Final Inspection Reg #: LIC 65296 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. Issued By: Permittee Signature: i , / C - 4 . — €.7") - • Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day Sent'By: BRUTON COMFORT CONTROL; 503 646 0126; Dec -23 -04 1:00PM; Page 1/2 / :,;Mechanikal Permit AffeCr IvE i o t12 ( 1 1 I 1 ( i ( t `r ti City of Tigard ' ,' r 0 dam/ ?i .AW f � 13125,, SW Hall R1vd., ligard, OR 97223 Ran Review i Inspection Line: 5031 Fna. 03.598,1960 b3 ii 75 i {� 11 g emit' D L� 28�'' . .1 Pate Reettyffly Avis, a1 See Page 2 for Internet: www.ci.tigard.Or.uS Nut.fi«UMetlod: Supplementalhaforinetion CITY OF ' i t n ��:', .�.,s„2 •',r, .,,, ; �h ;� ;-, >,ln, a •<.`, 'rJ i .c, ,, .i,�. �.,7Y�u,� - � � t, •,, � �rH�8G4' � �5fk['w, w' �7, - atzw M `l,Y ."' Y. CrG`M1°1��'fir q „ •, e ,,. ,... , ., n.u,,a. :r , M r : / 1 r 's ",�• • d ' n,d S� � Jk .. f .r a d 9 e R + - ,, , .,,,�.,. „ , � ,��'! � ,...�,. �.., siJ�s'>Lb J3 ', :, at k ,r,7•; ,) $G „w „ s' ;�5 : +;,.:.-�: wwawri��t �l ac +trt�x±4w�1 .ra�M�ssac” *icl.�c sax+.rz�sr�Vtuw - n �{ :rte aa t� r ,;, ;��.:' El New construction IL�I. Addition/alterationlreplacement Mechanical permit fees* arc baked on the value of the work © lhmolilirm ❑Other: peed- indicate the value (rounded to the nearest dollar) of all mechanical materials, equipment, labor, overhead, mid profit ,,,..Y +);;`:; i :S. �r�� n �- ,., %"1 t, ; >rb:, Value: $ 1'rl , 's` / G1� �k��' ', s ; „•i ;r. QQ+' M yyly�xt s �A�tvml >IttgkG (, ,� ,. „ ,„'' „ " y'f:5%tr�',. ,l,' . 4 r 5 . RJ 'C �� 9.•+ ,' �•Ge M I — and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building "' ' For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other Description 1 t2ty, I Ha. T fatal • 'ty Y 7 't"" `tw � ,is' i, ' ' fit,,, r Heating/cooling „ o -, v'`4't +�� <'•���;�C��, , � 01 �� 2 9.. V , +�� t ; 5 � � „�'n ��a�t "�"`�S, f Job site address 1 ./ 9 r^ ^a Air conditioning or heat pump t T (requires site plan showing placement) 14.00 ` Puma= 100,000 BTU (ducts/vents) / 14.00 Furnace 100,000+ BTU (ducts/vents) 17.90 Suitc/htdg./trpt. no -: Project name: C4a1a hcat. pump 14.00 Cross street/directions to job site: [� 4.. '� • y ' fat ! L tg Duct work 14,00 � ,, --\\ • � Hydronic hot water system 14.00 � . �� t 0-; , �' (�(l *it() C4 UJ� a 1� Rosiderttial (radiaiatoro[ ML A. 16 ! —. r '• - dh1 r _ hydrOnic) 1400 . c f ` �r� . Unit heaters (fled -type, not electric), Z._"\ � V - . � U0 ' ` ` ' b r . L. • S Ca5 Aj$ L . � o , , in -wall, in -duct, suspended. etc. 10.00 Subdivision Lot no.: Flue/rent for am y of above 10.00 Other: 10.00 . Fax map/parcel nei.: Other fuel appliances flatilingena f E b o f f4 s ;Y y 2 � , .. - ,';;�C'r'-k /'�r'" Water ileater — 1000 . . . r A , Gas fireplace 10.00 d . J • Flue vent for water heater or gas Fin 1acc IOAO Log lighter (gas) 10.00 Wood/pellet Wove 10.00 Wood fireplacelinsert 10.00 • , ' °Yrc �E'. il/l #i. of ^� ' :dap Chimttncy/lrncr /fluclvcut 10.00 i Other: 10.00 Name: f Z Ye...-.n Environmental exhaust and ventilation Address: ltanga ts� l I . / _ • a r Juipmen hood/ other kitchen 1 0.00 City /State/ZIP ` C. 1f �� Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: i4.1 Ari + r� Fax: ( ) toilet compartments, utility means) , 6,80 :,v1:;;V;y ry I7i,M, ' � ,.\''.:A / ; ,�3r.�Y.' y ' A I r , :R., RI Attw /crawlspace fans 1 0.00 da. �� .)I Other: 10.00 .Business name: A... , — 1 I� i aULi/) 7 1 , a<tid l e; p i � Contact name: i "C i 0 e) /C e $5.40 for first four; $1.00 for each additional , Furnace s etc. Gas heat pump City/Stare/ZlP: d ! f / I . Ai KT Q 41 i � Waivs - unit heater - Phnnc +r /j /Me . ii, AP Water heater 4. La -mail: � -/- , - , .._ , „ , ., • , Barbecue . Aniline as nettle: dodo' sr 7L ! Clothes dryer (gas) / ”, -,,,r r x Air rcao I i2 Ill t � i l,.'1 b + � ' , t,: ` ,a o.. ,,.. /, ■ d , q <. . ,, d M ��,;iiv:,' y '7 %�` `' -+u .i� .. ' 0 e' r,... Subtotal r; // �� Minimum permit fee ($72.50) 7:',...., , Phone: ' - dodo (!J •- t! ! el 10 —,,. i Plan review (25% of permit fcc) 13:1311r AI '.' State surcharge (8% of permit Sea) �j '1 PIk:RMIT l K rmn . Authorized slgnat d after it h been �� OM a this permi application expires i1 a permit is not o1 d'wfthto 1 bee araxptrd an T w..thn,inlnm, an t h.. Tril`m...ty R,.il.linet T.,rl,.cn„ C.r,,.,' Rnurra ,L -- - tM ' , -e/ /e /6�1Ce /r / 5 5 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: r ) :A 4175 INSPECTION DIVISION Business Line: 50 "' 9 -4171 MST BUP r Received Date Re.uested ! — - ( AM PM BUP Location / .S / C i + /1)._ C Suite app D 0 823,5"" -823,5"" Contact Person 1i / Ph (S ) 7 1/4) • 5 3 4 7 PLM Contractor Ph ( ) 6 2(0 - 7 477 SWR BUILDING Tenant/Owner ELC W1`A Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain ' Slab Inspection Notes: SIT Post & Beam %' Jh1 Shear Anchors Ext Sheath/Shear .:A.„‘ 1 i ' S - -=�/ Int Sheath /Shear / / 2— CY Framing Insulation V r 1 A--)L. ► -1 -r 27 ? S Drywall Nailing Fi rewal I Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING:. ' : - Post & Beam Under Slab A Rough -In Water Service irlir • Sanitary Sewer Rain Drains Catch Basin / Manhole ,' Storm Drain z --- Shower Pan _� MPV' Other: M v Final I P. PART FAIL LAICAL _ . Pos : Beam Rough -In Gas Line Smoke Dampers tilirAp 'ART FAIL - RICAL>' . ' ' ervice Rough -In UG/Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE, El Please call for reinspection RE: 0 Unable to inspect - no access Fire Supply Line ADA D Z� G I nspec t or �� Est Approach /Sidewalk / Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL