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Permit CITY TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2004 -00382 13125 SW.HaII Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/17/2004 PARCEL: 2S111 DB -05500 SITE ADDRESS: 15390 SW ALDERBROOK CT SUBDIVISION: SUMMERFIELD NO.7 ZONING: R -7 BLOCK: LOT: 405 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: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: > 10000 cfm: GAS OUTLETS: 4 Remarks: Install gas lines to dryer, range fireplace & water heater. Owner: FEES JOHN SMITH Description Date Amount 15390 SW ALDERBROOK CT [MECH] Permit Fee 6/17/2002 $72.50 TIGARD, OR 97223 [TAX] 8% State Surchart 6/17/200 $5.80 Phone: 503 730 - 0401 Total $78.30 Contractor: KENTEC HEATING CONTRACTOR PO BOX 233 WOODBURN, OR 97071 REQUIRED INSPECTIONS Phone: 503 Gas Line Insp Final Inspection Reg #: LIC 63621 • 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 -1 l ! - , •h OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling (50 46 -6699. ) I - Permittee Signature: Iss ed By: !� ! / L Call (503) .39 -4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Agpl tion r (Hz O I I 1( i_ l, i t 0 v i .1 City of Tigard , MASMIE Permit No.: / , f 3e.2- 13 '.5 St / Hall Blvd., Tigard, OR 97223 Phone: 503.639.4171 Fax 503.598.1960 . A . Da� By Other Permit: ) Inspection Line: 503.639.4175 ,.-.A!.1 4.L. Date i ee S See Pagel Information by net •wvw.ci.tigardor.us NatiSed/Mb[ethoetho d: Sstppteaieatallaformatioa H sn "i +'dIIlA''1 ., .v '' . i+.7 ) " ty a:l alr ' [� New construction Addition/alteration/replacement Mechanical permit fees' are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other. mechanical materials, equipment, labor, overhead, and profit :. . •., • i, r i' � ,• Value: $ r. - - .i 7:40 "h,` eai.: "r'Y)tI I 'i - ,> :... .V ,ik V :s 4 V T, ® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building `" ' �' El Multi ❑ Master builder ❑ Other: For special t o nrarron use Description„ I Qty. y. I checklist. Ea. I Total ��� , "a fi` , a ;r 5i Heating/cooling 5 pO 5 A / e v 6 r Air conditioning or heat pump Job site address: / W 40� CI, (requires site plan showing placement) 14.00 City/State/LEP: -r c a r -di. 1 eyt `/ ???-q Furnace 100,000 BTU (ducts/vents) 14.00 / Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg./apt. no.: I Project name: 5"/, 1 - G Gas heat pump 1..00 Cross street/directions to job site: 'At r, h( e7 Aar /- 6 a'' . Duct work 14.00 Hydronic hot water system 14.00 ®r, ro f / r break C f' Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 S••ivisioo I no.: Flue/vent for any of above 10.00 , Other: 10.00 , Tax map/parcel no.: Other fuel appliances Water heater 10.00 Gas fireplace 10.00 1 !l S fa // S //h es 7 0! y e r 2 e / Flue vent for water heater or gas 1- �" fireplace 10.00 • F/21-4/;11.4 cc 1 GlaL1 r `tea t e� Log lighter (gas) 10.00 ' Wood/peilet stove 10.00 Wood fireplace/insert 10.00 Chimney/liner/flue/vent 10.00 Other 10.00 Nam:: J S/h / 4 Environmental exhaust and ventilation / S / Bulge hood/other kitchen Address: / 3 9Q 5 W 4aer - 1 oak C74' equipment 10.00 C._f/StatefZlP: �9,etr, / d2 97 ? ?-u Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (503) 730- d4/O . Fax: ( ) toilet compartments, utility rooms) 6.80 Attic/crawlspace fans 10.00 , Other 10.00 Business name: /1 e ft le L (eJ 1 Ity Fuel piping C....acx name* : M!f( . lei_ /(a..1"- $5.40 for first four; S1.00 for each additional Address: Furnace, etc. l Gas heat pump City/State/ZIP: Wall/suspended/unit heater - Phone: (50 3) 7/0 - 79 ? 9 I Fax:: ( ) Water heater / Fireplace / E"m"it: Range , / Barbecue Business name: / e e _ geed 1 /`l y Clothes dryer (gas) I Po d 33 ¢t; t ,. 3s: _ r I r _ �� x l , _ i ' F,6? C, City/StateraP:: 1/1)610db041. 0 ©) `774 Subtots. t Minimum permit fee ($72.50) 7a, co Phone: !S 3) , N)_ - 3 I Fax: (SC 3 )7 ) - 6 d g 11 Plan review (25% of permit fee) C C B lic.: ( 0 - 3 6 ) ( State surcharge (8% of permit fee) S' $ ) /yy ,e(.4,-- - TOTAL PERMIT FEE 7g, j D Authorized signature; , rrrt���� ,,, This permit application expires if a permit is not obtained within 180 days after It hi's been accepted u complete. .'rint ,.ame: frt ,'t Kt (/' (r I Date: ( - / (p - v • Fee methodology set by Tri- County Building Industry Service Board 1 L, I mo W 1 UO 000 artier MO hit 6C00 r P , ) ` ,t h 1 I D00 At 7 -Cf. . 1 L 1 /)-C + ( 5 \� i 4 1 w Bra V 30) 040 CITY OF TIGARD 24 -Hour - BUILDING Inspection Line: 3) 639 -4175 __________ INSPECTION DIVISION Business Li (503) 639 -4171 BUP Received Date Requested 6 —I AM PM BUP Location /s3 Suite ', D e It---6 63,E,?___ Contact Person Ph ( ) PLM ractor Ph f 7/ ) ' --1 '7 q SWR r BUILDING Tenant/ Or I ,�IJ■ 11L� A , ELC I 1 ' ( A/ L k--' Footing ✓7,a -0 c ELC Foundation Access: Ftg Drain S.arL��° ELR Crawl Drain Slab Inspection Notes � e SIT Post & Beam - --t ., r Anch Ext Sr Sheath/ors h ea t h / Srs Shear � ' rl ` �/ Ext eah/ / {' � Int Sheath /Shear Framing Insulation / ' 1 /'_�_�i1 / / AN° g � CY 0 S Drywall Nailing ` �—(/ �/ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole • Storm Drain Shower Pan Other: Final PASS_PART FAIL (fen CHAWa L i R kA � ' ' ) •� c � f ` i Post & Beam ( L �6f '�n' Smoke Dampers " Fin 4 PART FAIL TRICAL Service Rough -In UG /Slab Low 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: E Unable to inspect — no access Fire Supply Line ADA ��� Ext Approach/Sidewalk Date `/' ^© Inspector p r : 7 r Other DO NOT REMOVE this inspe _ r from the job site. PASS PART FAIL