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Case File e`F w Ul to En r 0 O O x d pu c� r I a i t, 15315 SW ALDERBROOK DRIVE CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST -----_-__-. INSPFCTION DIVISION Business Line: (503) 639-4171 1: 3010 BUP P.eceived �?�'_ � Date Reauasted _. _'"1 -: _�_ _ AM._ - PM ---a- BUP -- - - - _ - Location _151.5 -St .l. MEC Contact Persoonlr -_�Y � _ Ph( '�)(o2`�-1s—--- PLM Contractor -1--- Ph '��3) y =_` oZ - SWR - - ---- - BUILDING Tenant/Owner ELC - -- - _-- f MO rKy -- ---- ELC Pili✓1Dr-Jalt . Foundation Access: Ftg Drain ELR Crawl Diain Slab Inspectior Notes: SIT Post d Beam Shear Anchors - Ext Sheath/Shear ------- - h t Sheath/Shear Framing - - -- - Insulation Drywa,l Nailing Firewall Fire Sprinkler � Fire Alarm Susp'd Ceiling v- -- --T 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 ---- -- --- - - -� - MEC4ANICAL — Post&Beam Rough-In - ---- - - -- - ----- Gas Line Smoke Dampers -- -------- -- ---- — Final PASS PART FAIL -- — ---- - -�-- ELECTRICAL Service --- ---- -- -- -- - - Rough-In -- UG/Slab Love Voltage -- Fka. larm _Fin '_' 1-1Reinspectiontee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL Please call for reinspection RE:_ — 4Uunsible tp l sped-no access Fire Supply Line ADAL Approach/Side%valk DMO - Inspectolr _ .Ext Other: __- Final DO NOT REMOVE this Inspection record from the)oto site, PASS PARI FAIL M CITY 0t" TIGAR® ` MECHANICAL PERMIT PERMIT#: 12/28MEC2000-00508 DEVELOPMENT SERVICES DATE ISSUED: 12/28/00 1x125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111DB-03400 SITE ADDRESS: 15315 SW ALDERBROOK DR SUBDIVISION: SUMMERFIELD NO 8 ZONING: R 7 BLOCK: LOT: 420 JURISDICTION: TIG CLASS OF WORK: ALT — FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS IC OM PRESSORS HOODS: FUEL TYPES _ 0 - 3 HP:V DOMES. INCIN: IPG - 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODGTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS_— OTHER UNITS: FURN >=100K BTU- <= 10000 cfm: GAS OUTLE rS. 1 > 10000 cfm: Remarks: Installation of 2 gas fireplace inserts, gas range and gas piping. Owner: _ ----- FEES — Type B Date Amount Receipt KAF�N GARDNER Yp Y -_. _] 15315 SW ALDERBROOK DR PRMT CTR 12/28/00 $72.50 2720000000 TIGARD, OR 9722.3 5PCT CTR 12/28/00 $5.80 2720000000 Total $78.30 _ Phone:503-684-1112 — Contractor- DAVID J GATES 774.5 SW MAYO STREET PORTLAND, OR 9722:3 REQUIRED INSPECTIONS Gas Line Insp Phone:503-763-3151 Mechanical Insp Reg #:LIC 125141 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of Ore Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if wor!c is suspended for more than '180 days. ATTENTION. Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by caning (503)246-9189. Issue B r ZC.7.3 4___ Pt:rm!ttee Signature: Call (503) 639-4175 by 7:00 P.M. for inspections needed C'neusiness day Mechanical Pernut Application —�— --- -- Datereceived: Permitno./cJ��0D0-�OSn�' City of Tigard Pro�ectlappl.no.: Expire date: City of Tigard Address: 13125 SW Hall B k d.Tigard,OR 97223 Date issued: By:�f Receipt no.: Phone: (503) 639-4171 — Fax: (503) 598-1960 Case file no.: Payment type: Land use approval' Building permit no.: 1 ' 1,1 &2 family dwelling or accessory U Conuuercial/industrial U Multi-family U Tcnant improvcmcnt U New construction U Addition/alteration/replacement U Other: _- 1111111111lil]XI"A 101 1 1 1 t Job address: A J pn Indicate equipment quantitif s in boxes below. Indicate the dollar Bldg.no.: Suite no,: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: prof-it.Value$ , Lot: QI(x:k: Subdivision: 'See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City/county: ' ZIP: SCHEDULE ELLING....... IDERMIIFEE Description a d to tion f work on premises: 1 1 t t salla e (Co.)F(rdotal Est.date of completion/inspection: nTx Descriptio,, (p Y. Res.only Res.only Tenant improvement or change of use: Air handling unit CFM _ Is existing space heated oronditioned`!46-Yes U No Air conditioning(site pinn require ) _ Is existing space insulated? cs U No A teration of exlNil ('11%NICAU CONTRACUOR sung system Boi 70o State boiler permit no.: Business name: c.� ac HP Tons_ BTU/H Address: "7 Q e C' Fire smo a amprrs uctsmo edetectors _ City: State:Op I ZIP: '7-z cat pump(site pin reyuin: ) Phon• ' 6Fa .9o7�*-rtry 1 mail nstal furnace/burnerrepace /H sfi� Including ductwork/vent liner U Yes U No CCB no.: J� _ e , - _ _ nsta replac re ocatc eaters-suspen e City/metro lic.no.: {. rG ;e •J.[� wall,or floor mounted Name(please print): vent forappliance other t -an furnace Refrigeration: Absorption units___ BTU/II I _ Name: Chillers_ _ HP -- Cossors _AdHP dress: _ Environmental exhaust an ventilation: on: City; State: ZIF: Appliance vent Phone: Fax: E-mail: Dryer exhaust _— lo s, ype I res. itc en/hazmat hood fire suppression system --- Name: c� _ Exhaust fan with single duct(both fans) _ Mailing address: e i z gust systema art from eating or AC _ State: ZIP: u ' e piping an str rution(un tots) City: _ l ype: LPG NG Oil Phone: - fr t s Email: tFrjc stn cac a itiona over out ets cess p p nR(sc cmatic reyuircd)umber of outletsName: er t app ince or equ pmcnt: Address: _ I)ec trativefireplace City: State: 7 : ZIP_ It•.en type _ - oo stove/pet et stove Phone: Fax: E-mail:-- Other: /tS _ -- Applicant's signatu - Date: �-Jj 00 pt r' h '— Name (print): -,j'j 7 N.Wljurhdlctians xcept c1mlit car&,please call jurisdiction for rttore information Permit fee.....................$ Notice:This permit application Minimum fee................$ U Visa U MasterCard a expires if r�ermit is not obtdined _M (•redit cud number. --_—�- �--- � Plan review(at 96) $ __-- Espire, within 180 days alter it has been State surcharge(996) $ _ Name of cardholdLt as shown r•n credit card s acre,-:•-d as complete. TOTAL .......................$Cardholder signature Amount 440.4617(6An/COMI MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: Description: - Price Total TOTAL VALUATION: FEE- _ Table 1A Mechanical Code - Qty (Ea) Amt _ $1.00 to$5,000.00 _ Minimum fee$72.50 1) Furnace to 100,000 BTU $5,001 00 to$10.000.00 $72.50 for the first$5,000.00 and Includina ducts&vents _ 14.00 - _- $1.52 for each additional$100A0 or 2) Furnace 100,000 BTU+ fraction thereof,to and Including includina ducts&vents _- 17.40 $10,000.0 3) Floor Furnace $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and includingVent 14J00 $1.54 for each additional$100.00 or Suspended treater,wail heater fraction thereof,to and Including 4) Sor uspended mounted heater 1400 $25 000.00. 5) Vent not included in appliance permit $25,001,00 to$50,000.00 $379.50 for the first$25,000.00 and 680 $1.45 for each additional$100.00 or Repair 6) units fraction thereof,to and including 12 15 _ $50.000-00. -� $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler Heal Air $1.20 for each additional$100.00 or For items 7.11,see or Pump Cond fraction thereof. footnotes below. Com " -- -- 7)<3HP;absorb unit -- to 100K BTU 14.00 ASSUMED VALUATION_ S PER APPLIANCE: 8)3.15 HP;absorb Value Total unit 100k to 500k BTU 25.60 Description: Cit Ea Amount 9)15-30 HP;absorb 35.00 Furnace to 100,000 BTU,including 955 unit.5-1 mil BTLI _- ducts&vents 10)30-50 HP;absorb Furnace>100,000 BTU including 1,170 unit 1-1.75 mil BTU - 52.20 ducts&vents --- 11)>50HP:absorb Floor fuincludin vent 955 unit>1.75 mil BTU 87.20 rnace Suspended heater,wall heater or q55 12)Air handling unit to 10,000 CFM 10.00floor mounted heater -- Vent not Included in applicance 445 13)Air handling unit 10,000 CFM+ 17.20 permit _ Re air units 805 14)Nun-portable evaporate cooler <3 hp;absorb.unit, 955 10.00 to 100k BTU 15)Vent fan connected to a single duct 3-15 hp;absorb.unit, F2,31 ,700 6.80 101k to 500k BTU 16)Ventilation system not included in 15-30 hp;absorb.unit,501k to 1 10 a fiance permit 10.00 mil.BTU 17)Hood served by mechanical exhaust 30-50 hp;absorb.unit, 3,400 10.00 1-1.75 mil.BTU + 18)Domestic Incinerators >50 hp;absorb.unit, 5,725 17.40 >1.75 mil.BTU 19)Commercial or industrial type Incinerator Air hand lit�unit to 10,000 cfm 856 68.95 Air handling unit>10,000 cfm 11170 --- Y0) her uni ,:nciuq(ng_wood stoves �1. aS Non-portable.eva orate cooler 656 - �.-�V.'Q Ic - Iac(i 10.00 Vent fan connected to a single duct 446 21)G€s piping one to four outlets ASt('fS l Vent system not Included In 656 1 5.40 a fiance permit 22)More than 4-per outlet(each) 1.00 Hoed served by mechanical exhaust _ - Domestic IncAnerator . 170 - --_--_ Minimum Permit Fee$72.50 SUBTOTALS $ - Commercial or industrial incinerator 4,590 --- Other unit,Including wood stoves, 656 8%State Surcharge $ Inserts,etc. - -- -- _ -17- - Gas i in 14 outlets _360 _ - 25%Plan Review Fee(of subtotal) $ Each additional outlet 63 Required for ALL commercial permits only TOTAL COMMERCIAL $ TOTAL RESIDENTIAL_PERMIT FEE: VALUATION'. Other Ins tions and Fees: 1 Inspections outside of normal business hours(minimum charge-two hours) $72 50 per hour 2 Inspections for which no fee is specifically indicated (minimum charge-hall hour) $72 50 per hour 3 Additional plan review required by changes,additions or revisions to plans(minimum charge-une-half hour)$72 5U per hour State Contractor Boiler Cerliticatien required for units>200k BTU. "Residential AJC requires site plan showing placement of unit. i\r,ts\forms\mech-fees.doc 10/11100 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - — BUP ----_-__-- Date Requested �"' �� --__— —AM--- _PM _--- BLD -- Location-1 ,3S S u/ _ c ,i( _ '_ Suite — MEC Contact Person _— _ ,�rv,�� Ph 24(, ,d- 3 PLM / Contractor_ — Ph SWR UB ILDING Tenant/Owner RL06Se Cl ±' e6 4-r/` Sc ELC — Retaining WallL( l ,...< ELR Footing . — -- Foundation l,ccessFPS Ftg Drain SGN _ Crawl Drain Inspection Notes: Slab -- ---------- - -- --- - SIT Post&Beam --- -- Ext Sheath/Shear Int Sheath/Shear �! Framing —� Insulation -- Drywall Nailing _ Firewall _ � , �r - ---- --- -- Fire Sprinkler � Fire Alarm .__-- Susp'd Ceiling _— Roof --- Misc: — Final PASS PART FAIL PLUMBING �J Post& Beam ---` Under Slab Top Out Water Service Sanitary Sewer - Rain Drains Final - --- -- PA ART FAIL l ECHAyj.QA _---- ^--- Post& Beam f --- ------- --- Rough In CY�s T,r LAG+ Gas Line ------ --- e Dampers PART FAIL ECECTRICAL -- Service _ Rough In UG/Slab Low Voyage -----------.—_-- _—_ _.--_ ,lire Alarm Final -- --—--- ------- ---— PASS PART FAIL SITE Backfill/Grading —_ - --— -- — — Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ )Please call for reinspection RE:_—` --_ _ [ J Unable to inspect-no access ADA Approach/Sidewalk L Other _ Date C� _ Inspector _ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line. 6394175 Business Phone: 6394171 Da4c Requested: OZ " J " C/O _ e4 A.M. P.M. MST: Location: 1_ ���L j BUR Tenant: — Suite: Bldg: Bldg: MEC:97- -�-1 Contractor: "" -- _�—Phone: 2--2 /—0470 PLM: (hurter: e CA_ � � �n 'rr!� Phone: ELC: "GQ srr: BUIWING BLDG(con't) PLUM KECHANICAL, ELECTRICAL SITE Site Post/Beam Post/13eam Post/Heam Cover/Service Sewer/Storm Footing Roof UndFl/Slab Rough-In Ceiling Water Line Slab Framing Top Out Gas bine Roagh-In UG Sprinkler Foundation Insulation Sewer I1axUDuct 9 �,1- Reconnect Vault Bsmt Damp Drywall Storm r, -tuull ,)U f , ^ Temp Service MISC. Masonry Ceiling Rain Drain A/C fnWA tlG Slab Shear/Sheath Fire Spklr/Alm Crawl/round Dre i11 t I' l Low Volt Approved Approved6104—XV, Approved Approved Appr/Sdwlk Not Approved Not Approved ppi, ed Not Approved Not Approved FINAL FINAL FINAL FINAL FINAL —. 4l✓N!�& IQ*-ScKE1Cr2AtE2 -Ir—." 11ALAi_ Cl Call for reinspection CI Reinspection fee of S required belore next inspection M Unable to inspect Inspector: J � ---- nate: C& ' 9 Page__ of_ L_ -- -- CITU OF TIGARD BUILDING INSPECTION DIVISION 24-1-four Inspection Line: 639-4175 Business Phone: 6394171 Date Requested: fLC C_ 0 r ( 9 d 1 __- A.M. _L� P.M. MST: Location: 1 S-jp/ 5` SW AL96990-ouie �_� BUR Tenant: Suite, Bldg: MEC: Cin-Ll Contractor:D I C k Mr S aw`r 1--t-rL r _ Phone: —2 y, PLM: _ Owner: jRuacar CIIicum _ _. Phone: 2 U — �J'C�i _. ELC: Y —OO'2 Z ELR: _ �---- SIT: BUILDING BLDG(con't) PLUMBING MECHANICAL LSE ECTRICA SITE Site Post/Beam Post/Beam Post/Bearn over e�) Sewer/Storm Footing Roof UndFI/Slab Rough-In Ceiling Water Line Slab framing Top Out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer flood/Duct Reconnect Vault Bsmt Damp Dry all Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear/Sheath Fire Spktr/Ahn Crawl/Found Dr Heat Pump Low Volt Approved Approved Approved pproved Approved Appr/Sdwlk Not Approved Not Approved Not Approved o ved Not Approved FINAL FINAL FINAL FINAL FINAL 50 C1 Call for reinspection �nspcc'ion fee of S_ required(beetbre next inspection C1 Unable to inspect Inspector: _.. / Date:��a _ Page of CITY O F T I G A R D MECHANICAL 7r DEVELOPMENT SERVICES PEPMIT PERMIT #. . . . . . . : MEC97-0021 13125 SIN Hati Blvd., Tigard,OR 97223 (503)639.4171 GATE" ISSUED: 01/31 /97 PARCEL. 2S11. 1DB--03400 TTE ADDRESS.. . . : J!Fj315 SW ()LDERBROOV, DR UBDTVISION. . . . - SUMMERFTELD NO. 8 ZONT1,JG- R-7 OLOCK. . . . . . . . . . .I I OT. . .. . . . . . . . . . . ("[.ASS OF WORK. . -ALT FLOOR FU .. RN . . . . i'.i EVOP COOLERS: 0 TYPE OF USE. . . . :15F UNIT HEATERS. . : 0 VENT FANS. . . : 0 1".)c(7UPArsICY GRFI. . : P.- VENTS W/O APPL : 0 VENT SYSTEMS: 0 9TORIE5. . . . . . . . : 0 BOILERS/CoMpPESSORS HOODS. . . . . . . : 0 FJJEL 0-3 HE'. . . . : 0 DF)IYIF!3. INCTN.- Ill : /EL.E/ 3-15 HP. . . . : I ['OMML. TNCIN: 0 MAX TI -'UT: 0 BTU 1 '=, -3,T I IF,. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS?— : 30-50 HP. . . . : 0 WOODSTOVES. . : 0 504 HP. CLO DRYERS. 0 GAS PRESSURE. . . : r,10. OF UNITS----------- AIR H(.IN7)[- TNG UNITS OTHER UNITS. 0 '_ URN ( 1001' U BT : 1 100017, c f m: 0 GAS OUTLETS. -URN ) =100K BTU: 0 > 10000 c f m: 0 Pvmar-ks : Replace fi.tt,nace, .add fijej. pi.imp and blower ------------------------------------------------------ FEES I10BERT GILLETTE type amoi-ttit by date r ecpt 15315 SW ALDERBROOK DR FIRMT $ 27. 00 DST 01/31 /97 97-289770 17)P('T $ 1. 35 DST 01./31/97 97.-28T770 Ir .,ARD OR 97224 '''hone #: ,ant t-act at-: )FNIEpAt_ FURNHCE AIR ,:.10 BOX 35 OR 9701.5 Phone #: $ ".8. 35 TOTAL Reg #. . : 00081E, _.__._TNSPEC'1*TnNt-) This pereit is issued silbject to the regulations contained in the Misc. Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Tnspect ion applicable laws, All work will bp done In accordance with approved plans. This pewit will expire if work is not started within 188 days of issuance, nr if work is suspended for tore than 188 days, � fir.% ,.� -_--- -.---_-_-____..___ Permittee S i g n a t l_r Tssiled By: Call fat- inspection 639--4175 CITY OF TIGARD Mechanical Permit Application Recd©y�k� u 13125 SW BALL BLVD. Commercial and Residential Date Recd✓ TIGARD, OR 97223 Date to P E (503) 659-4171, x304 Date to DST r1 Print or Type Permit M _ Inc_o_mplet_e or illegible applications will not be accepted Called___—_ Name of UeveioprnenvProjea Description Table to Mechanical Code OTY PRICE AMT Job Street Aadres1153/S A) Permit Fee -0 ones - 1 -0 1000 4OXT Address p�/1 6400 K Slagrr 't 'slate 'ip B) Supplemental Permit 3100 game ror name of eusntess) 1i Furnace to 100.000 BTU 600 Owner O Q4 /' _�7�r L�.cTT _ ria ducts s vents 4- ( �/t Mailing Address 2) Furnace 100,000 BTU+ 1 —750 _ _ _ _ _ incl ducts&vents YC t rSmel.vent Stale p pnone 33) Floor Furnace s.oa Ry � 722�G1D _bD6 Name for name of business) 4) Suspended heaterwall heater 6.00 or floor mounted heater Occupant Mailing Address 5 j Vent not incl in 300 appliance permit _ CdyiSisia Zip Phone 6) Boder or comp, heat pump,air cond y, _ Name to 3 HP,absorp unit to 100K BTU 7 __ _ a/ - ) Boiler or comeat pu ,air cond ' 11 00 '+irNg'i7�4- dR ry'4rf _ 3-15 HP absorp unhfto 500K BTU Contractor Mailing Address 2 — 8) Boiler or comp,heat pump,an cond 15 00 1lfR�up V 15-30 HP, absorp unit 5-1 mil BTU _ (Prior to Cityrslate Zip Phone 9) Boder or comp, heat pump_air cond. 22.50 ssuence a copy L CleAAf•4= Q�Q ?701,f 1,31-0316 30-50 HP.absorp unit 1-1 75 and BTU_ of ag licenses are Oregon Const Cont Board LK a Exp Date 10) Boder or comp heat pump,air cond. 3750 required d Q /(% U /,Z y > >50 HP,absorp unit 1 75 mil BTU expired to C O T COT Business Tax or Metro a Exp ate �i 11 ) Air handling unit to 4 50 _ data base) �1�,�s (�/0/ yp 10000 CFM_ Architect Name 12) Air handhny unit 7 S0 CD N r1 G Dig. 10.000 CTM+ or Mailing Address 13.) Non portable 450 evaporate cooler Engineer CrtyrSiate — Z p14) Vent fan connected 3.00 Phoria �_ to a single duct Describe work New Addoon O Alteration Repair O 15) Ventilation system not 4 50 to be done sidenhal 9zNon-esidenhal O _ included in appliance permit Additional Descnption of work16) Hood served by mechanical exhaust 4 50 �t PSR t0' 1'Tr.%4 L j d'-i'vo a dr DD /ye'r9 !�d/?fF�, _ 17) Domesbc incinerators _ _ _ 7 50 Existing use of y� 18) Commercial or ndustnattvpe 3000 building or property /C�/A G N GG _ incinerator 19) Repair units ---- 4 Proposed use of �. 20) Woodstove 450 building or property _ 21) Clothes dryer,etc 4 50 Type of fuel-oil C, natural gas(D LPG O electnc� 22) Other units 4 50 I hereby acknowledge that I have read this application.that the 23) Gas piping one to four outlets 200 nfonnahon givens correct that I am the owner or authonzed agent of the owpr ,r that plans submrfted are in compli nce with Oregon State 24) More than 4-per outlet (each) 50 Signature of Owner/Agent Date QTY.SUBTOTAL 'SUBTOTAL Contact Person Name Phone 5%SURCHARGE PLAN REVIEW 25%OF SUBTOTAL TOTAL 7} \dsnmechprint doc )rev 7196) 'Minimum permit fees S25 -51%surcharge 6 — CITY OF TIGARD F.LECTRICAL_ PERMIT DEVELOPMENT SERVICES PERMIT : ELc97-0072 13125 SW Nall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 0j-='/o6/97 PARCEI_ r 2S11IDB-03400 [TE ADDRESS. , . : 1,j3tt, yW AI._DERBROOV DR ZON1.NG: R--7 'JBD I V I�3I(AN. . . . : SLIMMERF��I ELD NO-8 ,4i_0 G-q_.00K. . . . . . . . . . LAT. . . . . . . . . . . . . pr^o.jectpUesc►^iption : Install two branch r.ir^cl.tits . . . : 0 0 -TE'MF SRVC/FEEDER S•----- ----.-MISCELL-ANEOUS------- - - -RESIDENTIAL UNIT ---- 0 PUMP/ IRRIGATION. . . . : 0 1.000 SF OR I_.ESS. x'00 <-Amp. .. . 0 . . . : 1- INE L 5005. . . . : 0 201 400 amp. . . . . . . : 0 SIGN/OUT INE L_TG. . 0 40 t ►-,00 -_.1 m i. , . . . . . : it, 91 GNAL/PANE L-, . . . . , . : 0 1-.IMITED ENERGY.. . . . . ' 0 C MINOR LABEL ( 1.0) . . . : 0 MANF. HM/ SVC,/FDR. . 0 G0] +amps-it?�00 volts. : 0 - BRRNCII r; f RC:I_ITT --SERV TCF/FEEDER-­­- 0 - 'c'00 amp. . . . . . a 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 400 aml_�, . . . . . : 4h 1st W/(7 �;f1VC; OR FDR. : 1 PF.-'RI-•ICaI..JR. . . . . . . . . . . 0 i� EA ADD' t_ BRNCH CIRC: 1 I N PL.ANT. . . . . . . . . . . : 0 G01 - 600 amp. . . . . . _._. . 1 ,01 � REVIEW SECT TON.- ].000 =4mp. . . . . : 0 > 6i�O VOLT NOMINAL. . ; 000+ amp/volt. . . . . : 0 t =4 RES UNITS • • S- • ° CLASS AREA/SPEC OCC- only. .only. . . . . : 0 SVC/FDR 1 _-�L.,rAMC �� �______.__- FEES f1wner: ----________.____.____________._____- + Yee ramarcn+; by clatr:. r•ecpt I?OBF RT r T LI_ET'TF t 531 SW ALDERBf200F', DR F'RMT 'b �+0. 00 JSD 0c:/06J97 97--:90046 5E,C1 9 2. 00 .TSD OE,10t=./97 97-290046 1-IGARD OR 97224 t-'hone #: ':antr"af:tar: $_ -c4 '. 00 TOTAL_ DI.CKINSON', ELECTRTC ?449 SW BARBUR BLVD REOUIRED INSPECTIONS _..._ �1RTI.-AND OR 971='17 Ceiling Cover- Elect' 1 Final -ficine #: 503-246--3550 Wall Cover - 65534 This permit is issued subject to the regulations contained in the Fer^mittee Sid at�� a Tigard Municipal Cnde, State of lire. Specialty Code, and al. ithet applicable laws. All work will be done in accordance with approved pians. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more I s s pie �nan 10 days. IN STAI_.LAT ION ONI... __._. . lie iTrstallation is being made an proper-ty T own which is not intended far ay l.ea-N, or r-ent. DATE: -- -1NER' S SIGNATURE: r;(1NTRAr7T0R TNSTAL_1-ATTON nNLY __ ._ __-•-_..._._ _._.__.___._ (l3NATURE. OF SUPR. ELEC' N: DATE: r CFN 9F. NO: Call far inspection - 639-4175 CITY OF TIGARD Electrical Permit Application Plan Checktf�__ RecdBy 131.25 SW BALL BLVD. Gate Ree cd TIGARD OR 97223 Date to P.E. Phone (503) 639-4171, x304 Print or Type Date to DST Inspection (503) 639-4175Permit n I i Fax (503) 684 7297 Incomplete or illegible will not be accepted Called_ 4. Complete Fee Schedule Below: 1. Job Address: /5-3 /� �/L" " " ✓�� �� Number of Inspections per permit allowed Name of Development Service included: Items Cost Sum Name(or name of buslness),&z Address _� _ 4a. Residential-per unit -- -- moo sq.ti.or loss $1 10(1G q City/State/7_ip_- - Each additional 500 sq.h.or portion thereof Commercial ❑ Residential / / Limited Energy _- $25.00 ---- Each Manul'd Home or Modular Dwelling Service or Feeder %li no 2a. Contractor installation only: 4b.Services or Feeders (Attach copy of akcurr t licenses) Installation,alteration,or relocation Electrical Contractor 1) �t �' ! � - 200 amps or less $60.00 2 AddrP s_ tj Z ��� 201 amps to 400 amps $60.00 2 City State / 1c_ Zip 9z / 9,_ 401 amps to 600 amps $120.00 2 Phone No. �� 2 S�`r> 801 amps to 1000 amps $180.00 2 Over 1000 amps or volts $340.00 2 Job No. Reconnect only $50.00 _ 2 Elec.Cont. Lice. No. 24 f: ZLC Exp.Date_. OR State CCB Rey. Na. Exp Date 4c.Temporary Services or eders COT Business Tax or Metro No. _ ' p.Date Installation,afleratlon,or relocation 200 amps or less __ $50.00 - -- `� ` 201 amps to 400 amps $75.00 Signature of Sur,. Ele1 1c - 401 amps to 600 amps $100.00 Over 600 amps to 1000 volts, License No. /.11� Exp.Date - see"b"above. Phone No._ ` " 31- 5--V- - - 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name_ feeder tee. $5 Each branch circuit Address b)The fee for branch circuits City State Zip without purchase of Phone No. - service or feeder fee. / First branch circuit L $35.00 � _ - The installation is being made on property I own which is not Each additional branch circuit $5.00 intended for sale, lease or rent. 4e.Miscellaneous (Service p or feeder not included) $40.00 2 Owner's Signature Each pumor irrigation circle $40.00 Each sign or outline lighting t Signal circuit(s)or a limited anergy 3. Plan Review section (if regf�ired): panel,alteration or extension _ $40.00 Minor Labels(10) $100.00 Please check appropriate Item and enter fee in section 5B. 4 or more residential units In one structure 4f.Each additional inspection over Service and feeder 225 amps or more the allowable In any of the above $35.00 -- System over 600 volts nominal Per Inspection - $5500 - Classified area or structure containing special occupancy Per hour --_ $55.00 as described in N.E.C.Chapter 5 In Plant Submit 2 sets of plans with application where any of the abova apply. 5. Fees:Sa.Enter total of above tees $ Not required for temporary construction services. 5%' Surcharge(.05 X total fees) $ NOTICE Subtotal 5b.Enter 2594 of line 5a for $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if uir (Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal fie,, IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY Trust Account TIME AFTER WORK IS COMMENCED. Total balance rue 1,08TMELC96 APP Rey 9096 I i f i / \\ CITOF TIGARD _—MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: NlEC2004-00051 DATE ISSUED: 2/6104 13125 SW Kill Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111DB-03400 SIi'E AL DRESS: 15315 SNI ALCERBROOK DR SLIMMERFIF!-D NO.8 ZONING: R-7 BLOCK: LOT:420 JURISDICTION_ TIG I.:!_ASS OF WORK: ALT FLOOR f URN: EVAP COOLERS: 'YPC t:) U:ac: :3F UNIT HEATERS: VENT FANS: UCC'IPANCY G'?N: R3 VENTS W/O APPL: VENT SYSTEMS: STORiL:,: BOILERS/COMPRESSORS _ HOODS'. _ FUEL TYPES 0 3 HP- DOMES. INCIN: a l_P — — v 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 _ AIRHANDLING__U_NITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 2 > 10000 cfm: Remarks: (bnvert heat pump and water heater to bas. Owner: - --- _-._.—— FEES GARDNER, KAREN Description Date Amount 15315 SW ALDERBROOK DR �MECFII Permit Fee 2/6/04 $72.50 TIGARD, OR 97224 1 FAxj 8 State 2/6/04 $5.80 Total $78.30 Phone: 503-684-1112 Contractor: THERMAL F LO 14865 SW 74TH AVE.#190 TIGARD, OR 97224 REQUIRED INSPECTIONS Gas Line Insp ^ Phone: 503-670-8383 Mechanical Insp Reg #: LIC 151847 Heating Unt Insp This permit is issued subject to the regulatiar•: stained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-66]ZL Issued By: lrl-. 1< Permittee Signature ��Yt Cill (503) 639-4175 by 7:00 P.M. for inspections needed the next business day i FROM :?HERMAL FLO INC FAX NO. :5036709064 Feb. 04 2004 04:47PM P1 Mechanical Perinit Application City of Tigard � _ y` w Datereceivcd: -(�-O Pet,nitno. i �,F N Praject/oppl.no.: Expiredate, City of Tigard Address: 13125 SW Hall$Ivd,Tigard,OR 9722 — Phone: (503) 639-4171 r `� i, '�O li Date issued: BRecciptno.: Fax: (503) 599-1960 E Case file no.: Payment type: ARU -- Land uzie approval: LITY _ icif^,�; Ruildingpermitno.: • 1 R ?.fani ly dwelling or accessory ❑Cvtnmercit►Vintiustrial U Multi-larnily U Ten,nl improvement U New construction U Add ition/alteration/repIacement U Udiet: JOB SITE INFORMATION 7o7ilf%1LR(IAL %'AiAlATION' SCIIEDVLE Job address: rj `jw /-16-73 F-47"Z� indurate equipment quantities in bares blow. ludicxtc the dollar Bldg.no.: - Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ Lot: $lock: _ Subdivision_ _ "See checklist for important application information and Pro er:t name: jurisdiction's fee schedule for residential permit fee. City/county:'T 2�- ZIP: Description and location of work on promises: Lz�t>, %f dga } � r t t i I -- -- Fve(es.) Total Est.date of eornpletion/inspcction; Z (� Descri 'on QN),. Rm.nnly,Res.only _ _—._. - Tenant improvement or change of use HVAC. Air Is existing space hosted or conditioned?U Yes ❑Nn handling unitAir con 'tinning(site plan rcqut1c-) Is existing space insulated?O Ycs U No Alteration ofexis'ting HV C'c ystem - -- -- -- Boiler/rounpressors Business name; � a s�' State boiler pctmit no.: _ lIl' Tons �$TU/H Address: q r smo c ampe ductsmm�kedetectors City, State: ZlP Zr Hcatpurnp(Sim plan r aired) Phone:6,7O• Pax:470•et CYC &mail: Tnsta rep acern uac rn uer_ _ liT /H - Including ductwork/vent liner M Yes❑Net CCB no.: c'j ¢j 'j _ nsla Urep act/re ocateheaters-suspcnda], City/metrolic.no. 7? 7 _ will,or floor mounted Name(please -int); /-,t�{r yi.fu., =C_rte_x.+2 5 Vent for ap Iiance other than race - --— t Refrigeration: Absorptionunits 13TUfll _ Name: C. o, ��, ,,~t�C.<E S Chillers__ HP - Address: Compressors_,_ _ Hl' --� Cit � � State: ZIP: Eavlrcmrnenta a gust and ventlla on: y: Appliance vent Phone:Ito• Z Bax: E-mail: Drycrcxhaufit - --- — -- o s,type U Ii/res.Idtc c aimat hood faro suppresdon system _ _- Name: (� Z _— r-,haunt fan with single duct(bath fans) Mailing as dress: �' �t x aust system a artfrom healing or A --- _ Cit State: /1. 7.IP: i Fltel pup g andstet l nn up to 4 outlets) Y ��Sr�� 2-- - - TyPe: _—__Lb'C; _ NG Oil Phone: F,,= F mail: Fuel i in Etch addition over 4 outlets _ Process piping ocitematrc required) Name: Number of outlets — -- — —_ _- _ _ ter ted appiPnace or-�etitt Address: _ - Decorativefireplace City: State: ZIP: insert-type--- Phone: nsert-type Phone: I E-mail• - r tovdpellet stove -- _� Applicant's sig�na�tu_rc ' Datc.D n3 other. Narbe(print): Nm jur:cdictiour -rept crrdn cw*,pleme eW)urhdicdon frx more intortnatim. Ptrmlt fee...................$ _ �•'Z"� Notice;This permit application �V a ❑M lerrard Minimum fee................$ �415c� Creel cw'nutttber ' �5 r��.I C �'7 1 b 12:Zy Q �, expires if a Perm It is not obtained ^�1fL— — _L,�1 FL Plan review(at — %) $ !l - p;R, within l$0 days after It has been State su-char n,t a of u re�w•n n c it cord accepted ascorr.plete. (g°X')' '$ �• C� -------- �- ' _3� TOTAL .......................$ :Z& SQ__ sEe�ture mount -- H4-161'1(dMCC>M CITY OF TIGARD 24-Hour BUILDING? Inspection Line: (503 175 INSPECTION 01VISION Business Line: (5 171 MST BUP Received _ Date Re ueste AM .— PM//tl? BUP - ----- Location _ 3 __6'Suiia—. MEC 1 Contact Person ---- - Ph(- - ) - 1,9 o 'Z.�„��LM'' Ic'1`- — Contractor _ __. _------ — Ph(_---) — — -- SWR _ --- r BUILDING Tenant/Owner Footing ---- - - - ELC _ Foundation Access: Ftg Drain 51�R Crawl Drain \ Slab Inspection otes: 1---- Post&Beam Shear Anchors - Ext Sheath/Shear Int Sheath/Shear Framing — --r --- - Insulation Drywall Nailing -L�/ -- --- -- - --- Firewall Fire Sprinkler �j - ---- - ------ Fire Alarm — Susp'd Ceiling - - - - - Roof Other: Final PASS PART FAIL _ PLUMBING -.-- Pnct R"RAam I lnder Slab ---- --- -- -- Houg Water In n ��Q Water Service Sanitary Sewer Rain Drains -- -- — -- --- Catch Basin/Manhole Storm Drain C.� Shower Pan ��;j� / -! X17'0 Other: -------------.- -..---------- �.--- - -------—-- - ----- Final PASS PART F IL - 'WECHANICAU.J -,�-�-�- Post 4.peam Gas -in_e Smoke Dampers r ---- ----- —.--_ - - - S PART FAIL — --- ---------- EL Tq CAL Service _-- — — -- — Rough-In _—_� ------ ------- -- --- -- -- UG/Slab Low Voltage Fire Alarm Final u Reinspection fee of$—_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd PASS PART FAIL _ SITE -" Please call for reinspection —_.-_. - n Unable to inspect no access Fire Supply Line ADA �/ �-/e 1 Approach/Sidewalk Date -__ Inspector ___.__ _---* Ext Other: Final DO NOT RFIMOVE this Inspection record from the job site. PASS PART FAIL