Case File �F tie
4� a► J � �
CITYOF TI G.A R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PEPMIT#: MEC2003-00142
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/26/0
SITE ADDRESS: 15288 SW ALI7ERBROOK PL PI CEL: 2S111DB-04400
SUBDIVISION: SUMMERFIELD NO.7 ZONING: R-7
BLOCK: ^� LOT: 416 JURISDICTION: TIG
CLASS O WORK: ALT FLOOR FURN: EVAP COOLERS:
TYFF OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY SRP: R3 VENTS W/O APPL' VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS_ HOODS:
_—FUEL TYPES0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCI?t:
MAX INPUT: BTU 15 - 30 HP:
FIFE DAMPERS"?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN >=1110K BTU: < 10000 cfm: OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS:
Remarks: Installation of fireplace insert.
Owner:
— ----- — F EES
WRAY, CHARLES H + JUANITA, N Description Date
15288 SW ALDERBROOK PL Amount
TIGARD, OR 97224 MECHj Permit Fee 3/26/03 $72.50
[TAX]8 StateTax 3/26/03 $5.80
Phone: Total $78.30
Contractor:
L 1DFMAN S FIREPLACE & PATIO
12675 SW BFAVERDAM RD
BFAVERTON, OR 97005-2129 REQUIRED INSPECTIONS
Phone: 503-646-6409 Mechanical Insp
Reg #: LIC 51469 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Cedes
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 adapted in the Oregon Utility Notification Center fhost rules are set forth in OAR 952-001-00
Issued By: ' ¢moi, Permittee Signature:_z,i /// - .. <'rF i
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
_Uvl 1-i. 4,, r.ti ,,uJoaaI_jI tir7, oI Llgara A002
Mechanical Pero,it Application
TE�e r.. I��E Dytrcceived: CS CL• Permit. E7(,Z
City of 'rigard Projectlapp►.no.: pipit date:
f irvnfTisa .: Address: 13125 SW Gall Blvd.Tigard.% 97223 —~ —
Phone: (503)639.4171 MAk 25 100.1 Wtc1ssued. By Rcttiptno.;
Fax: (503) 598-1%0 Cis'£deno.: Paymeattype:
CITY OF TIGARD eueldin6pernutno.:
Land use approval: HIWEBR no
�Ct'i S 2 family dwc•11ing or acecssury :3 C.c)mmeiciallind-uuial U Multi-fauuly Q Tenant imprurcment
'3 New consti u;aon U-Kddtit oNalteiauoramplaczment O other
Job address: /S o�8� fir. rOp,f` Indicate equtptnent quunitics to box.:a below. Indicate the.dollu
Bldg.no.: Scute no.: value of ail mechanical matenals .;quipmcnt.labor.ovcnccad.
Tax maW=lot/accow no.: profit-value S
Lot IBlock _Subdivision 'See checklist for important appkanun Information and
Protea none �,v_a i.r+s�1n;^ . s fee=:-hed':!e f
cityicouoty: z1P. q a
Description and locadca of work on pmmLws:
FQ(eL) ToW
FSL'lace of complctionims on: Ocsai w ^ ( Rete ites.odr
Tenant improvenlern or change of use: — AC.
C FAt
Is exittiag muW
ace hcor condiuooed!Q Yes Air haodlin6unit
No �iiamdidonin¢(slteetanttqutrw) -
IE existing space insulated?Q Yes O No Alteration or exlsanRRPA SySiem --
1 1 Boilulcdtsprrssors
Bttswess name � �/D Scam horterpermrtno.:
Addtus. 'qjr
�" dtorel /�� HP T. B-nJIH
� yy f _ uevsmoked
atapas/dtta smoked
Clty: Slue-0 ZIP Qd:;' e—mpwmp(sitepaTnregwred)--^
lnswl lace
�/� / yQ �y ---meq--�urnaburaer
Pirotle�jSSt'sLZ"L—LFI �ifL'Q—�+IL.ttxatl' - --- SAb9mpnon
twetkNew liner O Yc.":i..
CCB no.: - -Ka "Was
.__--- -_--------- __--- rrty/mem lic.no.: mounted
Name(pltxseptuu): +� ianits_— BTL►/H
- ---- - - Co Ftp
_Addirsl: ��4elL Went --�--
rY� State. ^ ZIP:_——M�-- Appinncevent
Phocu —--- - Fax E rnul ei ex3>uuist ------ --
Type res. -- - --
hood Sri suppnumn system
6xheme fan enet rirtale dun(lath(am)
Muting addrt as:/ / / brwirK — c.Iauu em of fit_ _
city: r Starep Z11 w Astr1illoollm(up to 4 outlets i
Photic T _ NG
G Fax: E md: Fuel piping ractnadd tl�oeIL over 4 ouUus
AMIN A/v!t• ctequrred) -�
Number of c%lets
Add __� J er oyswlw.at;
_ Deeorauvef ince
C. State_ ---TP. ------— assert IO
one. Fax: — 7E Mad. - Woot� ve
Applicant's signature: Date/_ ��
None ipnetn
Na sa trm�arcs any esejL please atI tie'for rm n wjtffMaba _ Ptrmll tee _.�... ..S _ l O.&a
13 VLSI
VLSI a
NotThis pvmrt appiiralson Minimum foe....._.........
expires if a permit is not ebmwed
f"Y�a withie 180 days afler:t has been Plan review(at
at ftm s aN accrptrd at etimpinr Stene s1 tBedeo)
rel..
es Ate„ TOTAL........ ..__.......S
---- -- t.a can r KeadG`O>►h
f ti
CITY OF TIGARD 24-Hour
BUILDING,; Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST - — -_
c7+ BLIP _
Received . _ Date Requested d AM PM- BLIP _
Location _ Suite — - MEC
Contact Person ,. Ph ZD l_.7 PLM
l,on::actor -- _— Ph( ) _-_--_.-- SWR --
BUILDING Tenant/Owner
_.�.-- -- ELC
Footing
Foundation Access: ELC
Ftg Drain
Crawl Drain ELF!
Slab Inspection Notes: r SIT
Post&Beam -- / • d 6 .
Shear Anchors —
Ext Sheath/Shear
Int Sheath/Shear —--
Framing _
Insulation _
Drywall Nailing
Firewall --
Fire Sprinkler _
Fire Alarm
Susp'd Ceiling __—
Roof
Other.— --- —ter -- - -_
Final
PASS PARTFAIL -
PLUMBING
Post&Beam —�--- —"
Undar Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain
Shower Pan
Other:—_ ---- �- - — -- ----
Final
ROSS PART FAIL
MEC4ANICAL
Post& Beam —
Rough-In
Gas Line
Smoke Dampers
PART FAIL --- - ------- __
ECTRICAL _ —
Service -- — -
Rough-In
UG/Slab - —
Low Voltage
Fire Alarm
-- ----
Final
PASS PARI rnit Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE__ Please call for reinspection RE: Unable to inspect-no access
Fire Supply Lina
ADA
Approach.Sidewalk este- h Inspector r�✓ � —__ fEltft
Other:
Final [►O NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL