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Permit
CITY TIGARD MECHANICAL PERMIT �� DEVELOPMENT SERVICES PERMIT #: MEC2005 -00125 °7 I J 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 3/22/2005 PARCEL: 25111 DB -01500 SITE ADDRESS: 15480 SW ALDERBROOK CIR ZONING: R -7 SUBDIVISION: SUMMERFIELD NO.8 LOT: 443 JURISDICTION: TIG Project Description: Installation of gas line for gas water heater. 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: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: OTHER UNITS: 1 FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 0 > 10000 cfm: Owner: FEES STEVENS, JACK L + ARDUS J Description Date Amount 15480 SW ALDERBROOK CIR TIGARD, OR 97224 [MECH] Permit Fee 3/22/200E $72.50 [TAX] 8% State Surcha 3/22/200E $5.80 Total $78.30 Phone: 503- 968 -5268 Contractor: GEORGE MORLAN PLUMBING 2222 NW RALEIGH PORTLAND, OR 97210 REQUIRED ITEMS AND REPORTS Phone: 503- 274 -1444 Reg #: LIC 02734 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 or 1- 800 - 332 -2344. Issued By: Permittee Signature: J p� Call 503 - 639 -4175 by 7:00 a.m. for inspections that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. MAR -21 -2005 17 55 GEO MORLAN PLMG SVC 503 265 0538 P.01 4 . i MeehanieaJ Permit Aplicat \ t F OR Of - F1CF. LI'r 0N1 lr F ad ' Q - PermuHa.: L,C 5- Mi- City of Tigard � - 13125 Sw T'1+11 Blvd„ Tibtnd, O� , "�J r r1.nAaria 0�r Permit Peron: 503,639,4171 Par: 5 60 i <,.;.,,. \ , D:td 6 ' ' y lariat la Su Pap Z ter Inspection Lino: 503.639.41175 A 22 100 ` : . a;{.�,, 41 rue ItaadYlBY hatpins www.ci,tigsrd.or.0 \ "► l� s Notified&Mcthud; ,r7:6-- Supplements' Worms ties G - " e! :EJA !li 6 'L'•' .. - � I A..... a' ?Rah- °'�•'r"' �r:�': � I I lnl ; ' �: " S , - LJr_.,.,� _ _..,J .„- + -' 1. :•i , •' - ? ur-it]II.J�liitty rein h i " :�a- ItiNiiL +Jlfli.' d on the al 0 t. a _ Mechanical peanut fees' art baste value f the work ❑ Neva co/1st:maim 7.4 L Itdl • •1 : . a ram performed. Indicate the value (founded to the nearest dollar) of all ❑ Demolition • Other mechanical laaterials labor, overhead, and profit. • .,T- l,t, c -�" r ;-'7171 k ';2!" '. '1 value;S ;!r '• r �TP:� •�'•,- - .;. .... A. ... 12s „.i,'- Y .v r- ;,S _i rM r'I'�il' 'S ,1 � el and 2-family dwelling [] Conunertial/iaduSmial 0 ArceSSory building 1 ' Y}.`* "i '` 3 :J:r.d. rJ ❑ Multi - family 0 Master builder ❑ Other: Description QtY. Ea. Total 1 ", , , ` - . 1 . 1 . q '' '' , T _ .. M,.7 - _ �,II : ` I: - r y I I f+ 1F1a 1 I f Ii . , : � ;+� I •'t � � ',, , - � •s ' M . � t hat•. coolie 7 } 1 6;':• * ; L.,, _ � _;. - • �. _ �..: . k ' :J -� ,.era. • n -� conditioning or heat puny 36 sets address, L{ ` . - IA) ��C1{ f ©� Air conditio (requites site slut showing placemenn . 14.00 �� l "� Pomace 100,000 BTU d4etsN�ee 4.00 City /State/ZlP: I a - �-( " � ` Ftimace 100,000* BTU (ducoiveaa) • 17.90 Mill Suitebidg./apt. no.: ?roj eet dame: � V . ' • In -J Gas heat • 0 • 14.00 Cross street/directions tt7 job sire Duct work 14.00 - li tlronie: hetwater sync" 14,00 diesidential bails (Mister or h dr,nicl 14.00 t .w 1 I (fuel-type, not theca it), in•++rall. a•d uct�subpaldtd, tees- 30.00 Fluelvr;nt for an of abavo 10,00 Subdivision: Other, Mill 10. Other Rid a lances ' ` :3r^ r;'T•'2 ,. - p�•nK;-;� , •., � .-- {- • f- - . I : - , n..;. , 1 .1.4 ;:,47.0 Wat r heddet' 10,00 1 ' „- - - • ,,.._ .:• -- - -- 10.00 ',,'"'.•_. as fir •lace .� - 1-1" - . • . ; ., r O SS vend a ce water heater or gas Br •lace 10.00 n , 10.00 Mil %I.. • Ella stove 1111111 10.00 woos full...A.. rt 10.00 r.:77-7-7, ; , a_ - �. .. r:.T: 7777' : ,r IG�i'tz ;'eF I. 51.P:4i3 Chirttn ltaeer/flue4snt 10.00 I. .1 z 7. ; •:: -�^ �, . , ?• - •' .. 10.00 Mil ^ Environmental ethatu$t end ventilation Name: C . �) ti CJ Range hts5d /other kitchcn Address: -.id ,meet 10,00 City/State/ZIP: C1adlos 4 er exchaust 1 1 0.00 commiiiiii _ 5ingie -duct exhaust (btfltmoms, Phone y totilet cam�nratal udt {ty roorr s) b.60 ill ,._ �, ' -. r, - ;�:. } _ _ , ; ., ,..; ; h Arudcrswlwace fate 10.00 I,�,, -7•,77,1,., , 1 _ 'C q � ' _ -7. �� t4i. '; , l7 'L ,7 �� r l4* �� '/. ,tyf 10.0 �5., ; ... r . . � Heel pip Con l r , ti' W i. $SA0 for first (our; $1,00 far tasb additional r flaw= ote• 1111111 Address: X` 2 C L • i " L \ CT heat Rum) City/State/ZIP: ` - _ ( : r � 1 (__) WalUsuspandcdhmit heater Phone- ` ,£3) M q f 1/ ( - / Fax : (5 -:2 (, . water bestGt � � l'} �2. F1r E-mail: Rau , l ; *1 ". - , .,r. .. -lr.a, ice ,. . • : : - ^t ." . B4Theauc ..a... . ..w, Clothes dryer (g as) e > � 1+ r Other: Y t - tJTFt- di: Address: 2? ( V L't/ / , l ` i.� IC,;':nr ,,wl J{{ ( C1tylSddtdZIP: C.'vI .,1'... ?.,1'... ,a) Minimum permitfee(572.50) l " Pllnne:( ) �"7'- -1 L( ax ( 1 O�CG' -• -Gr: 4 Platltevlew CCH lie.: _.2.7 ." _ TOTAL PERMIT - - i • C) ,<) Cpi pervdt •yrolica4eb aYptrte if A pa lm 0 sot obtatacd wlmin tae � Authorized tiaNte! 1 ---,-C7 C7 *- 1 . � drat Mlle le tut b..r. aeuvead of oometat /, V v �' Plitt wile; 1 v 9 1 Date: 3 -2 •i -�Y, • Fca madrodotoay by 'rn.Cowiy Building Indutoor Se Board otaul ilea ssrtitAlattwaaet[wpRdac rum atO.4617f (IllaliCO►VWBb) CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2005.00126 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/22/2005 Phone: (503) 639 -4171 : / /fl 1 h/tllhljI ' i, Inspection Requests (24 Hrs.): (503) 639 -4175 . !'+� INSPECTION WORKSHEET FOR DATE: 4/5/2005 TIME: 7:09AM PAGE: 68 SITE ADDRESS: 15480 SW ALDERBROOK CIR CLASS OF WORK: SUBDIVISION: SUMMERFIELD NO.6 LOT #: 443 TYPE OF USE: PROJECT NAME: STEVENS DESCRIPTION: Installation of gas line for gas water heater. OWNER: STEVENS, JACK L + ARDUS J, .PHONE #: 503- 968 -5268 CONTRACTOR: MORLAN PLUMBING, GEORGE PHONE #: 503 -274 -1444 Inspection Request Scheduled For: Date: 4/5/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 003517 -01 503- 968.5268 Y /Z :Go Corrections/Comments/Instructions: II PASS ] PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS IN FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: �_ Date: L- � Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: (y(EC2{)05 -00125 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/2212005 Phone: (503) 639 -4171 4 Requests (24 Hrs.): (503) 639 -4175 __.. INSPECTION WORKSHEET FOR DATE: 3/23/200'. TIME: 7:08AM PAGE: 102 K SA TZ. CC be SITE ADDRESS: 15480 SW ALDERBROOK CIR CLASS OF WORK: SUBDIVISION: SUMMERFIELD NO.8 LOT #: 443 TYPE OF USE: PROJECT NAME: TEV N S E S DESCRIPTION: Installation of gas line for gas water heater. OWNER: STEVENS, JACK L + ARDUS J, PHONE #: 503 - 968 -5258 CONTRACTOR: MORLAN PLUMBING, GEORGE PHONE #: 503-2741444 • Inspection Request Scheduled For: -. Date: 3/23/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 002497 -01 503- 274 -1444 Y , Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED r s Inspector: Date: Phone #: (503) 718 - A