Permit t.
., CITY OF TIGARD .a MECHANICAL PERMIT
° • COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00398
TIGARD DATE ISSUED: 7/6/2007
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 25111 DC -03700
SITE ADDRESS: 15660 SW ALDERBROOK DR ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.7 LOT: 382 JURISDICTION: TIG
PROJECT: HILDEN
Project Description: Replace existing a /c.
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: 1 DOMES. INCIN:
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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
BILL & JEAN HILDEN Description Date Amount
15660 SW ALDERBROOK DR
TIGARD, OR 97224 [MECH] Permit Fee 7/6/2007 $72.50
[TAX] 8% State Surchar€ 7/6/2007 $5.80
Total $78.30
Phone: 503- 430 -8623
Contractor:
ANCTIL SHEET METAL CO.
4320 N WILLIAMS AVE
PORTLAND, OR 97217 - 2952 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 281 -0752
FAX 503- 282 -5722
Reg #: LIC 8897
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 OU NC by
calling 503.246.6699 or 1.800.332.2344.
Issued y: r C� /�t� Permittee Signature: 5 0t...
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.
Mechanical Permit Application • FOR Orrl(I 1 ()NIA.
iv " "ed C r
City of Tigard ! ew � Pert No.: 13125 SW Hall BlvdTigard, a r� ,
' 111. . Phone: 503.639.4171 Fax: 54 . •- 196ft ' Other Permit:
Inspection Line: 503.639.4175 Dam/By:
r I c; A k 1) JUL ® 5 2007 Date Ready/By:
Internet: www.tigard- or.gov p AAr�rr�• Notified/ Method: �� RI See Page 2 for
Supplemental Information
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Mechanical permit fees* are based on the value of the work
❑ New construction /1 • ddition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition • Other: mechanical materials, equipment, labor, overhead, and profit.
f c s ; 1 i 'Lt`a r.'� c' ? Rk ,., `fx ' .,,� 13�S'rafia w:sac t m Value: $
14 a {Qa�F'Ea : �c ;; Ji T ; },i x r ii 'fxl'E. {iia i i) T t.
1 �Pa 7 a 3w? = " - rnl .�r i ,r c�s.t?' � , y � �� i t` . @;r. � � x <_>.. Z.," i k `� $ ` 'I�f��r`,aT� � r a '�'1 A} � �; >m rP)�tr�6�I!iea « � r4;
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9 1 and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building
.k'' 'ilitd:,:,dfi>? i'`..sa °kv,w ..i.�., ..i4.^. 1 i' i.,116 A.��k'✓F.`:i.'iiii _M et::
For special information use checklist.
❑i Multi-family gyp{} ❑ Master builder ❑ Other: Description Qty. Ea. Total
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Job site address: L `f - l p r �,/ �,/ Air conditioning or heat pump CO
(� ro (b O �11N A I r . � Kf a (� �( J f 1 ye_ (requires site plan showing placement) 1 14.00 ill
City / State/ZIP: f ( f J � ,, d_ Furnace 100,000 BTU (ducts/vents) 14.00
J r Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: d*t(.4 icQ Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: I Lot no.: Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: . Other fuel appliances
t rt 1 0' i i4, s',' li y i . 1e; x V8s 1 r,t ig, ': t r t � &�Fi �' Water heater 10.00
� - i� »w+i_.;- �v „�rnrr , t... >,ns"aF.'Hm�:t�S;�1�,7,.,.H ...,�e'i6 o�sS:ia� ..t3H3�`'b`� .�G(`r:N la
Gas fireplace 10.00
plA . el t 0 A , 4 ,_ _ . _sue... , _ y ` Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00 _
Fiji t S'Si`ti1 - ; t : } e t r,: �° R `'t '�Irs1.mt}Gly ati' . 4i 'r : ,:t.p Chimney/liner /flue/vent 10.00
f... .r ,! re,..) P.41 . : j.l tIll/ � +:.., ,.. .°'. it r 1, 12r , r`v`g4%. t §
�t.^t. -.r 1_ �. �'., ._.r;rn, 3 c -s[a .. :. 1t. �+1? -az . other: I0.00
Name: . %-. 4 ex) Environmental exhaust and ventilation
Address: ',�, to O SO I e r k roo � 1 ! V (. quipment d/otherkltchen 10.00
City/State/ZIP:17 / z••1 / l .-.1..? a q Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: b (4 i - % , Fax: ( ) toilet compartments, utility rooms) 6.80
, < n� Rli i r AriliFit fi stt itgii `' €F? ,� �s 1 sa ii e gal ; `I � �0v " s' i Attic /crawlspace fans 10.00
u t' t,m4vIreir',�,I. m jai -awl, fit . • 4 4 ;AstpE'! 1 S- 3 1..k i * t> r!r • t »`_ " m'sta - 41.., atiaft.€ .1.0 _ :,� 6.4 .e iwa:?,e�ic-...
Other: 10.00
Business name: ,nil i I t n ' , 0C) 1 n ` Fuel piping
Contact name: I ✓ Sh j (+�) ) $5.40 for first four; $1.00 for each additional
Address: '! 4 aQ . JL , 1 ) i i a , - Avenues Furnace, etc.
_ t v Gas heat pump
City/State /ZIP. • . J I - Wall/suspended/unit heater
Phone: A� ) Fax: : � 2) Water heater
WM ", ' i - I to • A 0,,e, Fireplace
1 iii . I N •� Range
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'•Mik�..i t fit. { a £ £
1� � 'use F �,- � It: :��'t(?C' � �' �i���. �.. Barbecue
Clothes dryer (gas)
Business name: ,�1�t � ) Nm'�� of ,r, L Other:
Address. / , s�. , rrt r , t�� Il ,$ v t l : ,et i f X r ,
City/State/ZIP: / ,
r „nG � � I e Subtotal • •
Phone: ( ) (/` r ' 6.4T9 Fax: (( ) Minimum permit fee ($72.50) �� , S°
Plan review (25% of permit fee)
CCB lie.: a � State surcharge (8% of permit fee)
TOTAL PERMTT FEE 0
Authorized signature: This permit application expires if a permit is not obtained within 18(1
_ • J,y ._ days after it has been accepted as complete
Print name: V � Date: i ff () • Fee methodology set by Tri-County Building Industry Service Board ■
I:\ Building \Permits\MEC- PermthApp.doc 04/06/06 440.4617T (1 r /02/COM/WEB)
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CITY. OF TIGARD .
BUILDING DIVISION PERMIT #: MEC2007 -00 4?
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 716/2007
Phone: (503) 639 -4171 a l
Inspection Requests (24 Hrs.): (503) 639 -4175
,INSPECTION WORKSHEET FOR DATE: 9/10/2007 TIME: 7:00AM PAGE: 45
SITE ADDRESS: 1E.660 SW ALDERBROOK DR CLASS OF WORK:
SUBDIVISION: SLIMMERFIELD NO. LOT #: 382 TYPE OF USE:
PROJECT NAME: HILDEN
DESCRIPTION: Replace existing ale.
OWNER: HILDEN, BILL & JEAN PHONE #: 503- 430.8623
CONTRACTOR: ANCTIL SHEET METAL CO. PHONE #: 503 -0752
Inspection Request Scheduled For: Date: 8/10/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 055263 -02 503.430 -8623 N
Corrections /Comments / Instructions:
A / 4 , p z - zio Aole
iscoNit Z_ '
(MP • ' ° ' TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL • ALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: c 1 /64 Phone #: (503) 718- Z‘.4Y
,INSPECTOR'S SIGNATURES ARE NOT
Inspections Re for. y -{i6;. j0? -003 ?$ REQUIRED ON GREEN INSPECTION CARD.
✓ Code Inspection Description I PASS Date By ✓ Code Inspection Description PASS Date By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG- Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post/beam structural 150 Hot tub /spa/pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG- Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post /beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling >< 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG- Structure final 625 Duct work
. _ 498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
7( 699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post/beam plumbing
995 Misc. inspection: 320 Plumbing rough -in
998 Alarm final 322 Shower pan
999 Sprinkler final 330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culven /catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing
399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I: \Building \Forms \InspCard- AOP Blankdoc 02/02/07
P ,, ... .. . ,
N CITY OF TIGARD /� RD MECHANICAL PERMIT
a COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00398
T IGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/6/2007
PARCEL: 2511 1 DC -03700
SITE ADDRESS: 15660 SW ALDERBROOK DR ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.7 LOT: 382 JURISDICTION: TIG
PROJECT: HILDEN
Project Description: Replace existing a /c.
6 -1/e..-- --
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: 1 DOMES. INCIN:
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:
FURN < 100K BTU: AIR HANDLING UNITS _ OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES j
BILL & JEAN HILDEN Description Date Amount
15660 SW ALDERBROOK DR '
TIGARD, OR 97224 [MECH] Permit Fee 7/6/2007 $72.50 `
[TAX] 8% State Surchar€ 7/6/2007 $5.80
Total $78.30
Phone: 503- 430 -8623
ywA 3
Contractor: m
ANCTIL SHEET METAL CO.
4320 N WILLIAMS AVE q , • , 9
PORTLAND, OR 97217 - 2952 REQUIRED ITEMS AND REPORTS
1
gps�j=ralrsrce cs�t`r�4 0
Contact #: PRI 503-281-0752 e. . ..: k a ^v +t
0
FAX 503 -282 -5722 ` `. U3
Reg #: LIC 8897 -_ µ .0
if., h • , s^* - ; x- y. v .,,, '` m
This permit is issued subject to the regulations contained in t Tgard 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 OU NC by
calling 503.246.6699 or 1.800.332.2344.
C
Issued CKIF I (Q...444 / Permittee Signature: 400110, , ; Al. 'Af iI'�' e __ - -a
r
Call 503.639.4175 by 7:00 a.m. for inspect 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.