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Case File t► r Cn A a. Cr 0 0 pr co ii i a i i ISM SW Alderhrook Place �Sa�b CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line, 639-4171 MST Date Requested S� r / AM PM — L !!"�..,, BLIP BLD �-----.�_ Location �ly � �� -C Suite _--- MEC Contact Person Ph � 1 '`' L '� PLM Contracts, — _-- SWR BUILDING Tenant/Owner ELC Retauirng Wall � -------_—._--____ Footing ELR —---- Oe Access Foundation Fig Drain FPS Crawl Drain Inspection Notes; SGN — Slab -' - SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear --- —�-- ---- Framing Insulation — ----- Drywall Nailing — Firewall — Fire Sprinkler Fire Alarm Susp'd Ceiling _ Roof Misc: — Final j - - PASS PART FAIL ,_ ----- PLUMBING Post& Beam J"` ---- Under Slab Top Out --- -` Water Service - --- __ Sanitary Sewer / Rain Drains - Final `— - PA S.S.- P T FAIL ost (earn --- - - - - — Rough In Gas Line - - --- -- - -- Smoke Dampers AS PART FAIL tffn,7RICAL �— — — — Service - Rough In — -- — - UG/Slab Low Voltage -- - Fire Alarm Final PASS PART FAIL _ SITE _ Backfill/Grading — --- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ 1 Please call for reinspection RE [ nable to Inspect-no access ADA Approach/Sidewalk Date / Other - — - Inspector Ext Final PASS PART FAIL_, DO NOT REMOVE this Inspection record from the job site. CITI! \,)F T I G A R D —� ELECTRICAL PERMIT PERMIT#: ELC1999.00259 DEVELOPMENT SERVICES DATE ISSUED: 4/29''99 13125 SW Hall Blvd.. ''''curd. OR 97223 (503) 639-4171 PARCEL: 2S111DB-04500 SITE ADDRESS: 15266 SW ALDEROROOK PL SUBDIVISION: SUMMERFIELD NC.7 ZONIN.. R-7 BLOCK: LOT : 415 JURISDICTION: TIG roiect Description: Installation of one branch circuit. RESIDENT IAL UNIT _ TEMP SRVC/FEEDERS_ _ MISCELLANEOUS 1000 Sr OR LESS: 0 200 amp: W PUMP/IRRIGATION: EACH ADD'L `)OSF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): T SERVICE/FEEDER BRANCH CIRCUITS _ _ ADD'L INSPECTIONS _ 0 200 amp: W/SER%+ICE OR FEEDER: PER INSPECTION: 201 400 amp: list W/O SRVC OR FUR: 1 PER HOUR: 401 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SEC-rJON 1000+ amp/volt: >---4 RES UNITS: > 600 VOLT NOMINAL: Lu Reconnect only. SVC/FDR ?=225 AMPS: CLASS AREWSPEC OCC: Owner: Contractor: FLAHL:RTY, JOHN T + SHARPE ELECTRIC INC DOROTHY I TRUSTEES 22605 SW RIGGS 15266 SW ALDERBROOK PL BEAVERTON, OR 97007 TIGARD, OR 9724 Phone: Phone: 642-7937 Reg #: LIC 000815 SUP 3344S Fr c 'j4-217C FEES Required Inspections Type By� Date Amount Receipt Elect'I Service PRMT DST 4/2999 $35.00 99-314942 Elect'I Final 5PCT DST 4/29/99 $1.75 99-314942 Total $36.75 This Permit is issued subject to the regulations contairad in the Tigard Municipal Code. State of OR Specialty Codes and all other applicahlN'am All work will be done in accordance with approved plans This permit wit expire if work is not started within 180 days o'issuance,or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503) 246-1987 Permit Signature; /x3 Jquj.,Gtu� Iss4ed By: I' _ OWNER INSTALLATION ONLY The installation is being made un property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: ,. DATE:--,— CONTRACTOR INSTALLATION ONLY _ SIGNATURE OF SUPR.'E}EC'N: � QE � ��'�`� �� _ DATE:l'/- LICENSE NO: _3YC> Call 639-4175 by 7:00pm for an inspection the next business day I CITY OF TIGARU Electrlca.+ Permit Application Plan (Check# 13125 SW HALL BLVD. Rec'dt3y rIGARD OR 97223 Date Recd Phone (5031 639-4171, x304 Dale to P.E.Date to DST Inspection (503 Ins 639 Print or Type p ) 4175 Permit# !L( ;hr%O0 A-/ Fax (503) 684-7297 Incomplete or illegible will not be accepted Galled -- 1. Job Address: 4. Complete Fee Schedule Below: Name of Development -___-____ _ __ _ Number of Inspections per hermit allowed ---- Name(or name of busin'esss). ____ __ Service included• Items Cost Sum .V Zia Address 1 � 5 4Jde✓6PIA�� 4s. Residential-per unit City/State/Zip77L[�p,✓�__� 1 -" 1oo0 les $110.00 - _ 4 77 Each ad addit.oor r l ss s sq.ft.or Commercial ❑ Residential portion thereof $25.00 Llmited Fnergy $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder -__ $68.00 2 2a. Contractor installation only: (Attach copy of all cuprent licenses) 4b.Sen+Ices or Feeders Electrical Contractor. K P� &��c Instaiia0on,alteration,or relocation 200 amps or less _ $60.00 _ 2 Addre �- Gd S S I 20. amps to 400 amps _ $80.00 2 City l -7 State C,le- Zip 7 vo 401 amns to 600 amps $120.00 __ 2 Phone N�_��' Z 3 601 amer ps 100 or volts $180.00 2 Job No. C -7~� 5 7 Reconnect onl, _ - $50.00 2 Elec.Con,. Lice. No.� - Z-Exp.Date �6 y -- 2 OR State CCB Reg. No. 1 Exp.Date4c.Tempo-ori Services or Feeders COT Business Tax or Metro N0. 3/ ._Exp.Date.-2h oa Installation,aiteratlon,or relocation 201 amps or less -_ $50.00 p signature of Su r. Elec'n_. 201 amps to 400 amps $75.00 g �= ---- 401 amps to 600 amps _ $IC0.00 Over 600 amps to 1000 volts, License No. _jjyye Exp.Date__y/-41% y _ see"b"above. Phone No.__. 6 4/.Z 4d.Branch Circuits New,alteration or extension per panel ?b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name _ feeder fee, Address _ _ _ Each branch circuit $5.00 ----- b)The fee for branch circuits City State. Zip`^ without purchase of Phone No. _ service or feeder lee. tq oU First branch circuit $3500 '"/ 2 The Installation is being made on property I own which is not I Each additional branch circuit__ $5.00 , intended for sale,lease or rent. 4e.Miscellaneous Owner's Signature (Service or feeder not included) 4 9 - Each pump or irrigation circle $ 0.00 2 Each sign or outline lighting $40.00 2 3. plan P.evie.w section (if required):* Signal clrcuit(s)or a limited energy- panel,alteration or extension $40.00 2 --- Fleasv check appropriate item and enter tee In section 5E3. Minor Labels(10) $IV0.00" f or more residential units in one structure 4f.Each additional Inspection ova, Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per inspection _ $3500 Classified area or structure containing special occupancy Per hour $5500 as described in N.E.C.Chapter 5 In Plant $55.00 _ Subn i 1 2 sets of plans with application whn a any of the above apply. Jam. Fees: Not required for temporary construction services. 5a.Enter total of above fees $ 5016 Surcharge(05 x total fees) $ NOTICE Subtotal $ 1o.Enter 25%of line 5s for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZEu Plan Review if reauitM(Sec 31 $ NOT COMMENCED WITHIN 18C DAYS.OR IF CONSTRUCTION OR WORK Subtotal $ - - IS SUSPENDED OR PEIANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME A� TER WORK IS COMMENCED 1:1 Trust Account# f Total balance Due I iUSTSIELCOS APP Rev aae CITYO F TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC1999-00181 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/29/99 PARCEL: 2S111 DB-04500 SITE ADDRESS: 15266 SW ALDERBROOK PL ""7DIVISION: SUMMERFIELD NO.7 ZONING: R-7 BLOCK: LOT:415 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HLATERS: VENT FANS: (:::CUPANCY GRP: R3 VENTS WiO APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 3 HP: DOMES. INCIN: GAS 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: 1 _ AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfrn: Remarks: installation of gas furnace and gas piping. Owner: FEES FLAHERTY, JOHN T + Type By Date Amount Receipt DOROTHY I TRUSTEES PRMT DST 4/29/99 $25.00 99-314941 15266 SW ALDERBROOK PL 5PCT DST 4/29/99 $1.25 99-314941 TIGARD, OR 97224 Total $26.25 Phone: _ Contractor: SPEC 113Y HEATING + FABRICATIO 9528 SW TIGARD ST TIGARD, OR 97223 REQUIRED INSPECTIONS Gas Line Insp Phone:620-5643 Heating Unt Insp Reg #:SUP 2570RET Final Inspection LIG 006657 This permit is issued subject to the regulations contained in the Tigard Munic;pal Code, State of Ore. Specialty Codes and all other applicable laws All work will be done in arr3,dance with approved plans. This permit will expire if work is riot started within 180 udys ,` 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 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-9189. ISSA By: Permittee Signature: , 9 mA, .a11 (503) 6394175 by 7:00 P.M. for inspections needed the next business day CITY OF TIGARD Mechanical Permit Application PlanlCheck# , p� Rec'c-y 13125 SW MALL BLVD. Comrterciaf and Residential Date Recd—_y-- �� '_} TIGARD, OR 97223 Date to P.E. --- (503) 539•4171, x304 �, Date to DST Print or Typ,:; I / Permit# Kle t99`1 Incomplete or illegible applications will not be accepted Called _ Name of Development/Pioiect � Description y Table 1A Mechanical Code Qt Price Amt Street Address - A) Permit Fee 10 00 JOS ) Sude# _ .. ui� i..,,., /S=AG ,4r.'hyi zv,� 1) Furnace to 100,000 BTU— ` Address G including ducts&vents see footnote 1,2 / 6.00_ BlcM# Crt�/Sta_te Zipo 2) Furnace 100,000 BTU+ n� / 7:. Zinclu6ing ducts&vents see footnote 1,2 7.50 Name or name of business) 3) Floor Furnace Owner 1\1 / !_J'Hee Including vent see footnote 1,2 _ 600 ------— p`' Meiling Address 4) Sus nded heater,wall heater or floor mounted heater see footnote 1,2 6.00 ✓� f _ 5) Vent not included In appliance permit City/State TIP Phone _ _ 3.00_ IJ(J Check all that apply 'Boiler Heat Air —!^ Na (or name of business) For items 6-10,see or Pump Cond ON Price Amt — C_CG�1'L footnotes 1,2 _ Comp w •' Occupant MaBimt Address 1100K BTUhsorb unit to 6.00 7�3-15 HP;absorb unit CRyiState��-- Zip Phone i00k to 500k BTU _ _ _ 11.00 8)15-30 HP,absorb ContractorName unit 5-1 mil BTU 15 00 9)30-50 1113,absurb _J7J(�p..- 1 (/i R unit 1-1 75 mil BTU 2250 Prior to permit rMMallin Address 1-� 10)>50HP;absorb unit issuance,a copy / F�� I / f4- ,eP 3 F >1.75 mil BTU 1 _ _37.5_0 of all licenses kor4gonComrl 1/state tip Phone 11)Air handling unit to 10,000 CFM are required if /q'4160oZ0 �3 __ 450 expired in COT Cont Board Licit Exp ate 12)Air handling unit 10.000 CFM+ database GG57� S / _ _ 750 Architect Name 13)Non-portable evrporate cooler 4.50 or Mailing Address 14)Vent fan connected to a single duct 3.00 _ 15)Ventilation system riot included in Engineer CRY/Stale -� ZipPhone appliance permit _ 4.50 '�� 16)Hood served by mechanical exhaust Describe work to be done: 4_.50 17)Domestic incinerators New 0 Repair O Replace with like kind: Yes O I lo* _ _ 7.50 Residentialyd Commercial n 18)Commercial or industrial type incinerator _ 30 00 Addrtionai triforrnation or des ription of ork: 19)Repair units P G�YZ A4 50 S 20)Wood stove --- — NOTE: For Commercial projects only;Units over 400 lbs.require _ _ 4.50 structural gas talcs. _ 211 Clothes dryer,etc. type of fuel oil O natural gas LPG U electri4W 4.50 22)Other units 1 hereby acknowledge that I have read this application,that the Information 4.50 given is correct,that I am the owner or authorized agent of 23)Gas piping one to four outlets the owner,that plans submitted are in compliance with Oregon State laws. See footnote 1 _ 2.00 24)More than 4-per outlet 4each) Signature of Owner/Agent_ Date _ .50 C1 N Minimum Permit Fee$25.0_0_ —SUBTOTAL Contact Person am Phone — - �� 5%SURCHARGE PLAN REVIEW 25%OF SUBTOTAL Foonotes for commurclal projects only: Required_for ALL commercial permits onl 1 Provide frill schematic of existing and proposed gas line and pressure w TOTAL 2 Provide drawings to scale showing existing and proposed mechanical units i 'State Contractor Boiler Certification required "Residential A/C requires site plan showing placement of unit 1.\mechperm dor, rev 02/4/99 CITY OF TIG.ARD BU;LDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP DateRequested_�/_� 5'" ��'��9_AM PM BLD Location 15 Z Ur �GUI-4}�I'1 r)e, _ Suite MEC Contact Person 5 i2QL. 4.eC J�' Ph �� PLM Contrau',or _ Ph SWR q BUILDING Tenant/Owner ELC Retaining Wall _ ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab ------._ ---- — --------- — - SIT Post&Beam Ext Sheath/Shear _ Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -- -- -- Roof Misc: ---- Final PASS PART FAIL — ----- PLUMBING _J� Post& Beam Under SlabrG� Top Out Water Service _ Sanitary Sewer — Rain Drains Final PASS PART FAIL — MECHANICAL Post& Beim --- — - Rough In Gas Line ------ — - — Smoke Dampers Final — — - PASS PARI FAIL LECTRICAL, Service Rough In UG/Slab _. Low Voltage Fire Alarm _ PASS� RT FAIL MTE- Backfrll/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of E required before next inspection. Pay at City Hall, 13125 SIN Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE — ( J Unable to inspect-no access ADA l� ^^� Approach/Sidewalk Date (OGj. Inspector Ext Other --- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.