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i6ino SW CAPPER CREEK DRIVE
CITYOF T'IGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2003-00487
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 4171 DATE ISSUED: 8/12/03
PARCEL: 2S114BA-14800
SITE ADDRESS: 16100 SW COPPER CREEK DR
SUBDIVISION: COPPER CREEK STAGE 4 ZONING: R-7
BLOCK: LOT: 113 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVA.P COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPt-: VENT SYSTEMS:
STORIES: _ BOILERSICOMPRESSORS HOODS:
_
FUELTYPES 0 - 3 HP: 1 DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INOUT: BTI1 15 - 30 HP:
REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP:
WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS C
-- -- OTHER UNITS:
FURN >=100K BTU: <--: 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Pemarhs: Install gas hanacc ani :1l 11111.
Owneu: -----______ FEES _
MORRIS. ED Description Date Amount
16100 SW COPPER CREEK DR
TIGARD, OR 97224 1MCCFIJ Permit Fcc _ 8112/03 $72.50 -
)TAXI R"",Slate'Tax 8/12/03 $5.80
Phone: 503-624-7951 -_ _ Total — _$7u.3u _ l
Contractor:
COLUMPIA HEATING + COOLING INC
P.O. BOX 230397
TIGARD, OR 97223 REQUIRED INSPECTIONS
Phone: 503-624-2704 Heating Unt Insp
Cooling Unt Insp
Reg#: LIC 76359 Final Inspecticn
This pet mit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started �Mthin 180 days of issuance, or if work is suspended for more than 180 clays ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules, are set forth in OAR 952-001-00
Issued By: r ' crf 1' Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections nped--d the next business day
i
Mechanical Permit Application
Datereceived: -ig/03 Permit no.:atL -AVD �
City Of Tigard Rf ED Proiect/appl.no.: Expire date: 7
Cit yofTigard Addre&R: 13125 SW Ball Blvtij' gat d,OR 97223
Phone: (503) f139-4171 AAUU j1 2003 Gaeissued: By:60 Receipt no.:
Fax: (503) 598-1900 Case file no.: Payment type: ------
CITY OF TIGARb —
L,and use apitrrwal' WOR 1`1111M
�� Building permitno.:
U I &2 family dwelling or accessory U Commercialiindustrial U Multi-family Ll Tenant improvement
U New construction Addition/alteration/replacement U Other:
Job address: 0) Ind,cate equipment quantities in boxes below. Indicate the dollar
-
BIS.uo.: Ite no.: value of all mechanical materials,equipment,labor,overhead,
Tfx map/tax lot/account no.: ^ profit.Value$
Lot: Block: Subdivision: •See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
City/county: 011,14ALI I ZIP: l
Description and location of work on premises:lQjs�i1 _ _�, I!W1 lKir
Est. ate of completion/inspection: Description .21L. Res,only Rm.on
Tenant improvement or�:hartge of use:
Is existing space heated or c, litioned?U Yes 0 No Airhandling unit CFM
Is existing space insulated'?U s U No Air con i onings tep anrequire ) -
terauon of existing s stem
Boiler/compressors
Business 44 164 CooState boiler permit no.:
Address: p�j a Q � HP Tons cto
it smo a am ni
rs/ uct so a electors
City: 7-1", Statc:tN 9-,), A74/ eat ump site an re uir.
Phone "1 ___A?. Fax _ E-mail: InstaIUreplace furnacetbun er / —
C_C13 no.: -_ �G S Includingductwork/vent liner O'+es No
-------- nsta repac reocate earers-cusp n e ,
City/metro lie.no.: j 7 wall,or floor mour:,ad
Name:(please rrint): m�< < o�dc eat ora lance ot.er than ruraace
Refrigeration:
�1 ''_ ' Absorption units._._ __ BT U/11Name: t`_t� �? N Q� Chillers-- — - _ Hf
Address: Com ressors_ tip
ex ust anrTvent at un:
tate: ZIP: n onmenta--_` Appliancevent
Phony p jV4 Fax: E-rnail: —ryerez a Sit--
Hoods,
t -ao s,7 vpe res. itc a iazmat
�--� /yt�ri4J hood fire suppression system _
Name: G= Exhaust fan with single duct(bath fans)
Mailing address: �.6_Wd _� ..x iaust system apart from hcati-S heat—Sor AC
City: _ S a e: ZIP: Yvel piping anfi ut oto(up to out cts)
Ty ie: LPG Na Oil
Phone Pax: E-mail: Fuelpiping each addifional over ou els
Process p p og(schematic required)
Name- Number of outlets
Address: - ter Appillance or equipment,
Decorative fireplace
City:_ L2S
Z.1P: _ nsert-typeFax:
Phone: ! -rnail: oo toy pe et stove
Applicant's signature: tier:
_ Date:
Name (print): tern
Not all jurisdiclioru accept credit cards.please cau jurim iction far more Infomutlm Permit fee.....................$
O Vibs O MasterCard Notice:This permit application Minimum fee................$ �_—
Creeit era number: / / expires if a permit is not obtained plan review(at _ %) $ _
Expires within 180 dad s after it has been State surcharge 8%
NUN n limn no c i c accepted as complete. 8 ( )....$
Car"-- tkt it s Amount TOTAL .......................$
�wrure
4144611(6%4COM)
HEATING & COOLING, INC.
8900 S.W. BURNHAM ROAD, SUITF x,110
TIOARD, OR 97223
(503) 624-2704
FAX (503) 598-0270
JOB ADDRESS:
SITE PLAN FOR AC OUTDOOR UNIT LOCATION
::11 i CSF TIGARD 24-Hour
311.1I1-DiN; Inspection Line: (503)639-4175
INSpE!710N DIVISION Business Line: (503)639-4171 VST — -
SUP - ----
Received -- ------Date Requested � �' _ AM__.__-__ PM._ - BUP
OMEC Location Suite. AgA l _.__
Contact Person ___-_ �mz� �_--- Ph(__-_-_) _ q:� � _ PLM
Contractor_-.-- ---- -----.-_----- Ph( —) - SWR _
BUILDING Tenant/Owner �_� .-__-_--- t �
Footing _
ELC
"oundation --•
Fog Drain Access- `
V Vr��.t�,� ��-c�.�.-��` FLS -- - -- - -- - -
CrE,wf Drain
Slab Inspection Notes: SIT _-__ - ----__-----_ _-
Post&Beam
Shear Anchors -
Ext Sheat'. Shear
Int Sheath/Shear Y
Framing
Insulation
Drywall Nailing --- —
Firewall
Fire Sprinkler -- ----- --- ----
Fire Alarm
Susp'd Ceiling
Root
Othor --- - --- - - ----- --
Final —
PASS PART FAIL - ----
PLUM_BING -
Post&Beam ._- - --------- ---- - -------
Under Slab _ ---- -- - - --------- --
Rough-In ---- - ----
Water Service - ------_�-_---_�_ - -__-- -- __--
Sanitary Sewer
Rain Drains -- --- -------- ---- -- -
Catch Basin./Manhole
Storm Drain -- -- - - -- - --
Shower Pan
Other: _ -- ----- --- --
Finol --
PASS PART FAIL --
MECHANICAL r w
Post 8 Ream --�-- -----------
G�
Rough-In --- --- --_.------ - - _- -
Gas I.ine ��i
Smoke Dampers n(I`� _- --- --------- -- - -----
--ffB$$% PART FAIL - - --- - ---- -
ELECTRICAL
Service--____------ --- -------------- - - -----•-- -----
Rough-In __ -_--- ------------- ------- --- -
UG/Slab
Low Voltage �� - -----_--.. _ --- ------ -- -------- -
! e Alarm
[ Reinspection fee of$.-. required before next inspection. Pay at G: . Hall, 13125 SW Hall Blvd.
AS- _PART FAIL
$ - ( ..-1 Please cal!for r inspectign RE: Unable tc inspect-no access
_ -
Fire Supply Line
ADA
Approach/Sidewalk fl?st• ''}� _!�-_- __ flnspwcftQr► IBxt.
Final DO NOT REMOVE this inspecklon record from the[oh site.
PASS PART FAIL