16240 SW COPPER CREEK DRIVE f
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16240 SW COPPER CREEK DR
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-417 5 Business Line: 639-4171 MST `
BUP
Date Requested " AM PM !� BLD
Location `2 Lolt- 4L Suite — _ MEC
Contact Person , Ph � PLM ---
Contractor _ Ph SWR _
BUILDINf; — Tenant/Owne ;l"� 7 - 2cy�� ELC — -_—
Retaining Wall ELR
Footing --
Foundation
Access: FPS
Ftg Drain
Crawl Drain Inspection Jotes: `� SGN
Slab —--- — 44: _� ----
Post&Beam — SIT
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation ��, �- _.._ --._.---------- ------
Drywall Nailing
Firewall
Fire Sprinkler _
Fire Alarm
Susp'd Ceiling -.---•— -----_ —_- _ _--
Roof -
Misc
Final
PASS PART FAIL ------- --- -_ ______-__—�
PLUMBING
Post& Beam -- --- - — ------
Under Slab
Top Out —
Water Service
Sanitary Sewer ~—
Rain Drains
Final — — - —
PASS PART FAIL
r
Post& Beam -- -- -----.
u ' �
i�D
flanipFrts
PASS PART FAIL
ETRICAL _ -- --
Service
Rough In �—
UG/Slab
Low Voltac
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill/Grading — -- —— - — -
Sanitary Sewer
Storm Drain I ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Gatch Basin
Fire Supply Line ( ]Please call for reinspection RE: ( ]Unable to inspect- no access
ADA
Approach/Sldewalk
Other Date _ —Inspector-
Ext
Ext
Final
PASS PART FAIL_ DO NOT REMOVIE this inspectio record from the jots site,
CITYOF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2000-00417
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/20/00
PARCEL: 2S114BA-14100
SITE ADDRESS: 16240 SW COPPER CREEK DR
SUBDIVISION: COPPER CREEK STAGE 4 ZONING: R-7
BLOCK: LOT: 106 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:
F' N < 100K BTU: _ AIR HANDLING UNITS OTHER UNITS: 1
rU == BOOK BTU: <= 10000 cfm: G 1
? 10000 cfm: AS OUTLETS:
Remarks: Instal ation of gas insert and associated gas piping.
Owner: _ FEES
CANNON, S -►KHAN F AND Type By Date Amount Receipt
SUSAN C PRMT CTR 10/20/00 $72.50 272000000C
16240 SW COPPER CREEK DR
1-IGARD, OR 97224 5PCT CTR 10/20/00 $5.80 272000000C
Phone:
Total $78.30
-- —_
Contractor:
ANCHOR FIREPLACE PRODUCTS INC
14175 SW GALBREP TH DR
SHERWOOD, OR 91 i40-0170 REQUIRED INSPECTIONS
Gas Line Insp
Phone:925-86eB Mechanical Insp
Reg#:LIC 102814 Finai 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 you to follow rules adopted in the Oregon
Utility Notificatior, CeHer. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (500246-9189.
Issue Ay: � G! r _ Permittee Signature:
tall (503) 639-4175 by 7:00 P.M. for inspections needed the next Vusiness day
09.':.17 00 WED 15: 43 FAX 503 598 1960 CI'1.1• 01' 'TIGARD Q]002
CHY OF TIGARD Mechatil cal Permit Applicatti1a Plan Ch�
1312r SW HAIL BLVD. commel:ial and Residelq Date Rc a rl
TIGARD, OR 97223 ` Date to P.E~
(503) 639-4171, x304 Print or Type Date to DST
Incomplete or illegible applicatiocs will no * ed Perm" -
0pp%, Called
Name of DevetopmenuProieci Description ---�
l ' _nical _
( 1 \11Table 1A MechaCode\� ) Furnace to 100,000 BTU Price Total
Job 51ree!Address ( (-1 Sufte p 1� 1
t t-• including ducts&vents _ 14.00
Address �'v -;`l,l.`,�+ 2) Furnace 100,000 BTU+ —�
aldgo city/stale ZIP including duds&vents 17.40
1{ L� ��.� 3) Floor Furnace
Name(or name of business) including vent 14.00
Owner l i ) 4) Suspended heater,wall heater
---- or floor mounted heater
Mailing Address
1, 1 K l 5) Vent not included in appliance permit_ 6.80
—"Y/slate Zip — Phnne
6) Repair units 12.15
Check all that apply "Boiler Heat Air
Name(or name of busuress) For items 7.10,see or Pump Cond Oty Price Total
l ( �^ footnotes 1,2 Comp ..
Occupant Mailing Address 7)<3HP,absorb unit to
100K BTU _ 14.00
8)3-15 HP;absorb and
City/Slate Z Phone 100k to 500k BTU_ 25.60
9)15.30 HP;absorb
Contractor Name unit.5-1 mil BTU _
I _ 3500
I 1( L (• f �G L.( Z�\ 10)30-50 HP;absorb J— I — --
Prior to permit Mailing Address unit 1-1.75 mil BTUI _J ,2.20
issuance,a r. 14\ �( 11)>50HP,absorb unit>1.75 mil HT-5 --�^ --
copy ! L( 1' C� _ 87.20
of all licenses City/Slate ZIP Phone r j,)� 12)Air handling unit to 10,000 CFM
are required it % _ __ 10.00
expired in COT Oregon Corrrl.Cont Board Uc.lt Exp.Dale 13)Air handling unit 10,000 CFM+
database 14_ jl tv) d L t 11720
Architect Ne1TM 14)Non-portable evaporate cooler
- _ 1000
or Mentng Address 15)Vent fan connected to a single duct 6.80
_ 16)Ventilation system not Included in
Engineer cny(Slele J Zi —'I Phone appliance�lermlt _ 10.00
17)Hood served by mechanical exhaust
--- — — ----- _ 10.00 _
Describe work to be done: —
18)Domestic incinerators
New 9 Repair O Replace with like kind Yes O No O 17.40
Residential Q Commercial O Modification O 19)Commercial or industrial type incinerator
Additional Information or description of work: 69,95
20)Other units,including wood stoves
10.00 10
NOTE. For Commercial projects only;Units over 400 lbs.,located on the 21)Oas piping one to four outlets r,_ �.,
loot,require structural caics prepared by licensed engineer _ 540 )
Type of fuel oil O natural gas bl LPG O electric O 22)More than 4-per outlet(cacti)
1.00
— -- —�— — Minirnum Permit Fee f72.50 5UBTUTAL
I hereby ac'nowledge that I have read this application,that the ----
information given is correct,that I am the owner or authorized agent of 8%SURCHARGE
the owner,that plans submitted are in compliance with Oregon State PLAN REVIEW 259%OF SLIGTOTAL '
laws Required for ALL commercial permits only
Slgriature of ownedAgent Date _ TOTAL
\ L C l 1 ( L�- ( � (� l other Ins"etions and Fees:
1 Inspert!ons outside of nurnr i business hours!minimum charge-two hours)
Contact Pe on Name Phone 512 50 per hour
Inspectletls for which no lee is 3pe_cific47'ly ndrealed (minimum charge-hilf hour)
012 be pet hour
Footnotes for commerzial projects only: 3 Additional plan review required by changes additions or revisions to plans(minimum
1 Provide full scherrwtrc of existing and proposed gas line and pressure charge-one hall hour)$72 50 per hour
2 Provide drawings to scale showing exisbry and proposed mechanical 'State Contracior Boiler Certification required
units —Residentiat AJC requires site plan showing placement of unit
I\rfststfofmstmechperm rev doc 918/00