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16385 BW MEADOWOOD WY
CITY OF T IGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2003-00693
13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 12/5/03
PARCEL: 2S 114BA-09800
SITE ADDRESS: 16385 SW MEADOWOOD WAY
SUBDIVISION: COPPER CREEK STAGE 2 ZONING: R-4.5
BLOCK: LOT:051 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COCA!ERS:
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. INOW
LPG 3 - 15 HP: COMML INCIN:
MAX INPUT: BTU 15 -30 HP: RC:PAIR UNITS:
FIRE DAMPERS?: 30 -50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
CLO DR S•
OTHER UNNIT
FURN < 100K BTU: 1 AIR HANDLING UNITS ITS:
FURN >=100K BTU: <= 10000 cfm:
> GAS OUTLETS:
10000 cfm:
Remarks: Furnace replacement.
Owner: FEES
PETTIT, JAMES K Description Date Amount
16385 SW MEADOWOOD WAY
TIGARD, OR 97224 [MECH] Permit Fee 12/5!03 $72.50
[TAX] 8%State 12/5/03 $5.80
Phone: Total $78.30 e
Contractor:
SPECIALTY HEATING & COOLING
1601 SE RIVER RD
HILLSBORO, OR 97123 REQUIRED INSPECTIONS
Phone: 503-640-1507 Heating Unt Inst
Final Inspection
Reg#: LIC 66578
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C7 This permit is i-sued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Cortes -ind all other applicable laws. All work will be done in accordance with approved
plans. 1-11is pE rr,pit Buil) expire if work is not started within 180 days of issuance, or if work is sLtspe,'<ded
for more than 130 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notificatinn Center. Those rules are set forth in OAR 952-001-0010 through OAR
95?-001-0100 You may obtain copies of these rules or direct questions to OUNG by calling
(503)246-66
Issued By: y Permittee Signature: ,
Call(503) 6394175 by 7:00 P.M.for Inspections needed the next business day
- I
r
lecbaa ermlit Application— Received r McelennMol -r �,n..� n
, Date/F���"a Permit s
c2of '/11U�&
— ?IannttiR A 1 a-,itdtnR
131�SW 1Permit No.:
(( Date/By:
L.�t_(. Plan Revinv �Jthc:
Tiga ,mac;on 97223 Da*Ek: Permit No.:
Phone 503-6394171 Fax: 503-59$-1960 Post-Review land Use
i i Y i)I TJI;/1(�D DateB : Case Nn.:
Intermit: -v v.ci.tigard.orAs C,,,,ts�t fund,,: �K res e i for
24-hot.r ins itction Re ueYPN63V%§LOilh§lnrA(W s
1 q Nank/Method: _ „ , Su femental Infornatlon-
_ TY
�_ PE OVW'
bRK _CON10►glfRGiA�.FEE!►3c'E LtI(II.s-U3S CHEG7U:(ST
New construction Demolition Mechanical permit fees*are based bn the total value of the work
At Sitio a/alteration/replat.ement Other performer', Indicate the value(rounded to the nearest dollar)of all
_ ATEGQR 'p1r CCO(STRtK CIO r mechanical materials,egaipmcnt,labor,overhead and profit
---�- `
1 fi t-Gamily dwelling C?nimereiaVlndustrial valpe, S See Psee 2 for Fee Schedule
-H-ACCEs.Sl $LIl]ding Multi-Tamil R$9Ni�EDrTTI►Pl:1g TW*Z_
•
Deeerlpgen qe� Fee(eJ� Total
Master 3Uker "Tnw
Other pathcoons
ff
x0 Rn�")GOC Furnwe-add-on air conditioni�ss*_ 14.00
Job silo ad_rrosa: b 3d S Jam_/art��to�•3vd Qau hr�tr ump 14.W
Suitt ft. - $ldg./Apt.#: Dust work _ 14.00
Project Nat.te: - I!ydronic hot water s stem 14.00
Cross >txee/DReside 'af boilerirections to job site: for radiator or hydronic system 14.00
Unit heaters(fuel.not electric)
(in wall,in-duct,suspended,ctc. 14.00
Flue/ventfor an of shove_ 10.00
Suhdorisiot. Lot#: Re air units __ 12.15
Tax m3 / lt'ael # -
Wates Other Fuel An Ifaneey hooter 10 00
---�'UESCRCPTIbN'OF'�YORK 1"` `.e;:i' Gas trace
10.00
_ Flue vent water heater/ as fi ►ace 10.00
`4 tighter(sae) I O,CO
WOU✓ Olet stove 10.00
_ Wood"replace/insert I IC.00
_ _ _ Ch'Troev/linedilus(Y-mt —I0.00
P.1l7GIPEA'.Y!!OWNF.R. �TE1YANp.. :°a Other: 1 10.00 _
Name j ew+; �Cc �t Perth rinvlroartdeDtal Exhaaxt&Vetlnlatioa
A('ICIIPSS: -�..�r- ��_L►'LR t�.o�.)OC3.4 Range Range hood/other kitchen equipment 10,00
7,w
Clothes dryer cxhauat 10.00
Cit /State✓Zi�,_E_ u-•4 R)-2 ay
-ted- -- Single duct exhaust
Phone: Fax: (bathrooms,toilet compartments,
�SY1PUCAA 4 I +":: utili to T-9) 6.80
NwneAttic/crawl space fans 1 10,00
Address: — other' 10.00
Cruel tl la
Ct /State/?,iP. -- **($5.40 for flat $1.00 each additions(
Phone: _ Fac; Furnace em. +«
as heat auTnD ••
L>C —- Wa1VsusMded/t:nir heater ••
bONVI'MCT.01(t.'.; +:> . Water heater — •+
Busincss N ame: c i-._. ,e c_4-, r Fireplace ••
Address: lr 6 1 -_ i .l� x<< ane ••
�", Cit /State/:i _ X84——— ++
1 ----Z-�--: 1 f ' �% - Clothes a as .• --
(� Phone ; a . ' p fF_
nx jv 'I- O? li3 other: ••
w CCB Lic. : j�:S'
Authori2cd
Mechanical Pwndt Fop•
Signatur- ` ,Zl`tl ti b- Moe. Suutotol: S . U► - -
Minimum Permit Fee 5]'2.50 S
Plan Rev •v re 25%of Permit Fee S _ _
(Please print name) 4 Start{Surcharge 8%of Permit Fec Si v
TOTAL t $
Notier: 1'his pe rmit application expires If a permit is not obtained within `Fee methodology set by Tri-County Sulldint;Industry 9ervite Board.
180 days at!x i has been attep:ed as complete. "Site plan regnlred for exterior A/C units.
i\Ihta\Pe mit Fc rrm\MecPermftApv doe 01/03
;_7 'd SILO 1369 C09 autzeaH R21etaadg df :1,0 C0 CJ tea❑
CITY OF TIGARC 24-Hour
BUILDING Inspection Lineg639-4
175 to
INSPECTION" DIVISION Business Line: 1 MST
8UP — --
Received __ — Date Reque,ted_ __ AM—__ .PM— BUP — —. —
Location Suite _—_.__ MEC
Contact Person A P..,( ) __ PI-M - -
Gentlectvfr �r Ph( > l�� ��3 _ SWR
BUILDING Tenant/Owner .____ ___ _ _ __ ELC _- —
Footing ELC --_
Foundation Access:
Ftg Drain ELR
Crawl Drain SIT
Slab Inspection (votes:
Post&Beam -
Shear Anchors
Ext Sheath/Shear —_- --- ---
Int Sheath/Smear
Framing ------ ----- -- -- -------
Insulation
Drywall Nailing --- -- --"-
Firewall
Fire Sprinkler - -_------ -- -_..- p-_- _--
Fire Alarm
Susp'd Ceiling
Roof
Other: _--
Final
PASS PART FAIT. -
PLUMBING _. ______ _
Post&Beam —
Under Slab - -- --
Rough-In WAD
Water Service --------- - _J0_
-
Sanitary Sewer
Rain Drains ---
Catch Basin/Manhole ZARN
Storm Drain -------- - -- --
Shower Pan
Other: -
Final
PASS PART FAIL
'AL
-Irest&ream
Rough-Ir —
1% Gas Line
Smoke Dampers
N a - _
N PART FAIL - -
RICAL —
J Service
m Rough-In -
UG/Slab
JLow Voltage ---
Fire Alarm
Final Reinspection fee of$_,�___-required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE - Please call for reinspection RE- Unable to Inspect-no access
Fire Supple Line c
ADA Dab ` - - Insprctor
PP Ext -
A roach/Sidewalk
Others
Final DO NOT REMOVE thls Insploction reoerd frori the job sites
PASS PART FAIL