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15202 SW ALDEPBROOK PL.
CITY (J-F-TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ----
_ SUP
Date Requested _PM —__—_ BLD
Location_ o Juite _. MEC 9 6ae,
Contact Person _ ��� �' Ph -y S75�a PLM — ------
Contractor Ph SWR
BUILDING enant/Owner —__—
Retaining Wall _ ELR
Footing Access: FPS
Foundation -- --
Ftg Drain - -- SGN _
Crawl Drain Inspection Notes: --
Slab _-- SIT
Post&Beam
Ext Sheath/Shear -
Int SheathlShear
Framing i � ;1. `/J✓i1.�tAC� !/Gc.r��C%1L L_tl�.�:o.G /�' �L Qc4}f�Z .-
Insulation
Drywall Nailing
Firewall
Fire Sprinkler - - - --
Fire Alarm
Susp'd Ceiling —
Roof i
Misc:_
Final _
PASS PART FAIL - v
PLUMBING
Post& Beim
Under Slab
Top Out
Water",4rvice -- -
Sanitary Sewer
Rain Drains —
Pinel -- - - _
PASS P,%RT FAIL - - - - - ---
MECHANICAL
Post R Beam ------ --_._.--_ -
Rough In
Gas Line ----- ._ _-- --.-
oke Dampers
PASSPART FAIL
EL'TRICAL
Service - ----- ---- - - --
Rough In
UG/Slab ---- -------
Low Voltage
Fire Alarm
Final
PASS PART FAIL - ---- - -----SITE _
Backfill/Gradin3 ----
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ]Please call for reinspection RE:_ [ ]Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date fie' -el _ Inspector �� -Ext
Other _ - -
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
1
CITY OF TIGARU NIECHANICALPERMIT
DEVELOEMENT SERVICES PERMIT#: MEC2001-00288
13125 SW Hall Plvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/13/01
PARCEL: 2S 111 DB-04800
SITE ADDRESS: 15202 SW ALDERRROOK PL
SUBDIVISION: SUMMERFIELD NO.7 ZONING: R-7
BLOCK: LOT: 412 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.: VEN SYSTEMS:
STORIES: 1 BOILERS/COMPRESSORS HOODS:
FUELTYPES 0 - 3 HP: �1 HOMES. INCIN:
3 15 HP: COMMI_. INCIN:
MAX INPUT: B1'tJ ;5 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BT(): 1 AIR HANDLING UNITSOTHER UNITS:
FURN >=100K BTU: <= 10000 ctm: _
> 10000 cfrn: GAS OUTLETS:
Remarks: Replace gas furnace and a/c unit.
Owner: _ _ FEES
JIM TAYLOR Type By ^Date Amount Receipt
15202 SW ALDERBROOK PL PRMT CTR 8/13/01 $72.50 2720010000
TIGARU, OR 97224 5PCT CTR 8/13/01 $5.80 272001000C
Phone:503-598-8410 Total $78.30--- --
Contractor:
SPECIALTY HEATING & COOLING
9518 SW TIGARU ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Heating Unt Insp
Phone:620-5643 Cooling Unt Insp
Reg #:LIC 66578 Final 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 Notification Center Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0030 You may obtain copies of these rules or direct questions to OUNC by
calling ($0 )246-9189.
Issuey: / ,� �/ � Permittee Signature:,���/ �,P r)"7I
Call (503) 639-4175 by 7:00 P.M. fcr inspections needed the next business day
Mechanical Permit Application
Date received: Permit no. /
City Of 'Tigard Project/appl.no.: Expire date:
City ofTigrd Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: Bim:�Receipt(503) 639-4171 ipt no.
Fax: (503) 598-1960 Case rile no.: Payment type:
Land use approval: Building permit no.:
? &2 family dwelling or accessory I7 Commercial/industrial 0 Multi-family O Tenant improvement
U New construction Addition/alteration/replacement U 1 nher:
JOB SITE INFORMATION1MMERVAl'VALUATION SeIIEDULE
Job address: iU . -4, Indicate equipment quantities in boxes below. Indicate the dollar
Bldg.no.: I Suite no.: value of all mechan-cal materials,equipment,labor,overhead,
Tax map/tax lot/account no.: profit.Value$
Lot: Block: I Subdivision: _ *See checklist for important application information and
Project name: fihIC R jurisdiction's fee schedule for residential permit fee.
City/county: id k,/A S// I ZIP: q/c. 'Ll 1 1
Description and loca ion o work on premises: - � _ :B7oilertcomptessors f L .fQCe � lolalst.date of completion/inspection: F /7 O� Uc_rripljttn` tpy. Rm.onlr Res.noly�Tenant improvement or change of use:Is existing space heated or condi 'oned?. Yes U No it _. _—CFM__g(site plan require )
Is existing space insulated? es U No istjti[s system
I RE I lik'1110,11 Irs ---
Business name yr� L n d State boiler permit no.:
HP _ Tons__BTU/H
Address: 6 6LJ / rIF LL'► s'r- �tIrsmokcdampeer ductsmo edetectors
City: ►CLU1 d State:O0—1 ZIP.Gj 7,4 a 3 iTeaeat pump(site plan require )
Phone• (P�pSEe/ Ftx598r U'7/ E-mail: nsta replacefumac urns T /
Including ductwork/vent liner U Yes U No
CCB no.: 5J Lr __ Instal I/replace/re locateheaters-suspen e ,
City/metro lic.no.: _ wall,or floor mounted _
Nance(please print): C ynq t-f(i�I c, �•�nt lt,r a p lance t her nn urnnce
efrlgerationi
CONTA(`T PERSON Absorption units BTU/H _
Name: K_1P'e_& /Y -::--k I rl '7�%i� Chillers_
Address: $� Compressors, HP
$� / / �1 K S /
,�10'
nr rolex tier an ventilation:
�
City: �Gf _ Stae:Q ZIP: Appliancece vent vent
Nlonc: 3 _1<, Fax:59�'a)/$' E-mail: Dryerex aunt
Hoods,Type V 1 res.kite en/ azmat
hood Fre suppression system
Name: `h 6e Exhaust fan with single duct(bath fans)
Mailing ad cess: 5,,A0 % "14ud t x gusts stem apart from heating or AC
Fuel p n na^: st tut oo up to outlets)
City: /� 66�GI State�C ZIP: 7'
Phone: - / Fax: Email: T.,pe: __LPG __ NG Oil —
u.�l i in each at itiona over out ets
ro:ass piping(sc ematic required)
Name: Number of outlets
-- -- -Other Usled app u._or equ pment:
Address: _ Decorative fireplace
City: _ State: ZIP nsert-type
Phone: I t E-mail: oo stov peIlet stove
Applicant's signature: � tkH,t L Date: i3 O/ "other.er.
Name (print): -
Nor all jurisdictions accept cmlit cards,pleas call jurisdiction for more information. Permit fee.....................$
Notice:This permit application
U Visa U MasterCard Minimum fee................$
expires if a permit is not obtained
Credit card number _ Ex ire within 180 days after it has been Plan review(at 9E) $
p State surcharge(8%) ....
$
Name nr cardholder u shown on credit card accepted as complete. -; -�
S TOTAL .......................$
Cardholder signature Amount
4404617 ItjrtxK:OM I
Commercial Schedule 182 Family Dwelling Schedule
ASSUMED VALUATIONS PER APPLIANCE Description
Furnace t0 100,000 BTU T-1A Mechani,al Cade _ Gly PrkA Total
I) Furnace to 100,000 BTU
Including ducts&vents 955 including ducts a vents 4 00
2) Furnace I00,000BTU-
Furnace> 100,000 BTU lndudin duds&vents 17 40
including ducts&vents 1,170 3) FloorFumarx
Includmq vent 14
floor furnace 4) Suspended heater,wall healer
including vent
955 or poor mounted healer 1400
suspended heater,wall heater 5 Vent not included m a Nance perms 680
or floor mounted heater 955 0 Repair units 1215
Check all thrl apply 'Bauer Heal All
Vent not inducted in appliance permit 445 For Hems 7.10,see or Pump Cond Oly Price Total
footnotes 1,2 Comp
Repair units 805 -T)-< HP,absorb unit to
<3 h absorb,unit I)3 S _ 14.09
p; e)3.15 HP,absorb unit
to 100k BTU 955 100k to suok BTU 25.6°
9)15-30 HP,absorb
3-15 hp;absorb.unit and.5-1 mit BTU __ 3500
a so
101k to 500k BTU 1700 1n3o1.75-SWO mi BTU
unit 1.1.75 mil BTU 52.20
15.30 hp;absorb.unit 11)>50HP;sbsotte unit]1 15 mil BTU
ezzo
501k to 1 mil.BTU 2310 12)Air handling unit to 10,000 CFM
-- 10.00
30.50 hp;absorb.unit 13)A(r handling unit 10,000 CFM
1-1.75 mil,BTU 3400 _ 17.20
14)Non-portable evaporate cooler
10.1]0
>50 hp;absorb.unit 15)Vent fan connected to s single dud
>1.75 mil.BT'J 5725 6.e0
Air handlingunit to 10,000 Cfm 656 16)Vent ilalwn system nal MGuded in
appliance permit 10.00
Air handling unit> 10,000 cfm 1170 17)Hood served by mechanlca(exhaust
1000
Non-portable evaporate colter 656 16)Domestic Incinerators
_ 17.40
vent fan connected to a single duct 446 19)Commercial or Industrial type Incinerator
Vent syst.not included in appliance permit 656
20)Other units,including wood stoves
Hood served by mechanical exhaust y 656 1000
Domestic incinerator __ 1170 7.1)Gas piping one to four outlets
5 4p
Commercial or Industral Incinerator _ 4590 22)More than 4•per oUIWI(each) 1.00
Other unit,Including wood stoves,inserts,etc. 656 Minimum Permit Fee%12.50 !UaTOTAL -
Cas piping 1-4 outlets 360 854 SURCHARGE
PLAN REV"W 25%OF SUBTOTAL
Each additional outlet 63 Required for ALL commercial permits only
TOTAL Lai
Other InspKUons and f lies
I
Inspeol."anse,e or namar business h-s Im,nenum Tsrge�hvu hound
212 sit Per hour
2 tnspesAon>M writ+ro lee It SOMr"#V ed"fed Invmm-"Wrye�haa haul
f 77 So Per hour
J Addncn i pan ra-reig-ed W dharpessddnms a reasons to Pesos
Total Val4ation Fee _ dura n#.haV iwrl$72 50 per hair
-Sulo rgnvociOr leader CenKicaiion requ-i
--Resrdenual At r"w"Me pm Ihrhvq,q plate--nr unn
51.00 to$5,000.00 � Minimum$72.50
55,001.00 to S10,000.00 $72.50 for the first S5,000.00 and S1.52 for
each additional$100.00 or fraction th.:rcof,
to and including$10,000.00
$10,001.00 to 525,000.00 S148.50 for the first$10,000,00 and S 1.54
for each additional$100.00 or fraction
thereof,to and including 525,000.00
$25,001.00 to S50,000.00 S379.50 for the first 525,000.00 and S1.45
for each additional S 100.00 or fraction
thereof,to and including S50,000.00
S50,000.00 and up $742.00 for the first$50,000.00 and 51.20
for each additional 5100.00 or fraction
thereof
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