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InitiallyGood R a 1i X15 SW Alderbrook Circle CITY OF TIGARD 24-Hour BUILDING Inspection Line: (603)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MS•r 1 � — Receiv,)d ._-_ Date Reguested— - L BUP AM PM!� UP - -- Location - 1 Suite MEC Contact Peroon , f'f�"'►,r. Ph( ) 2 -76L� PLM Contractor.._._-- — Ph(--) — _— _ SWR _ BUILDING Tenant/Owner ELC Foorng_._..- ------- Foundation ELC F!g Drain ACGASS: /� r - -- --- Crawl Drain _— h c_J ELR Slab Inspection Notes: SIT Post&Beam - Shear Anchors ---- Ext Sheath/Shear Int Sheath/.Shear --- -- Framing - - Insulation — Drywall Nailing -- Firewall Fire Sprinkler -- - Fire Alarm - - -- - - - — Susp'd Ceiling - - — -- Roof — — Othe, - -- Final PASS PARTFAIL - ---— -- --_ PLUMBING_ _ Pest -- Under Slab - Rough-In -_- --- '+Nater Service Sanitary Sewer Rain Drains ------ Catch Basin/Manhole Storm Drain ---- Shower Pan Other: - — - PART FAIL NICAL Post& Beam Rough-'in ----- Gas Line Smoke Dampers ART FAIL icA-- ---- - Service Rough-In UG/Slab — — - --- Low Voltage _— Fire Alarm Fina! Reinspection fee of$,— required before next inspection. f ay at City Hall, 13125 SW Hall Blvd. PASS_PART FAIL _SIT_E ___�� n Please call for reinspetAion RE: _ — Unable to inspect-no access Fire S.ipply Line ADA Approach/Sctewalk Data v1nsR14�RRtr _ — Other- Final - Ext ther. Final DO NOT REMOVE this Inspection record from the Job site. PASS _PART FAIL /}` CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003-00032 Y 13125 SW Hall Blvd., i igard, OR 97223 (503) 639-4171 DATE ISSUED: 1/29/03 SITE ADDRESS: 15415 SW ALDERBROOK CIR PARCEL: 2S111D6-02700 S'JBD:VISION: SUMMERFIELD NO.8 ZONING: R-7 BLOCK: LOT: 486 JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES- TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: �^ URINALS: GREASE TRAPS: LAVATORIES: OThER FIXTURES. TUB/SHOWERS: SEWER LINE: ft NATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of new gas water heater. FEES Owner: —�-- -— Description Date Amount RALPH BURNETT 15415 SW ALDERBRUOK CIR [PLUMB) Permit fee 1129/03 $72.50 TIGARD, OR 972.24 [TAXI K'!..State]'ax 1/29/0 $5.80 Total $78.30 Phone Contractor: COLUMBIA HE'TING + COOLING INC PO BOX 230.397 8900 SW BURNHAM ST STE E-1 10 TIGARD, UF; 97281-0397 _ REQUIRED INSPECTIONS Phone : FX 598-0270 Final Inspection Reg#: W--2704 704 000012 72 LIC 763'"') PLM 34-175PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This ,permit will expire if work is not started within 180 days of issuance, or if work is suspended fir more than 180 days. ATTEN KION: Oregon law requires you to follow rules adopted by the Oregon lsed$;r: i Permittee Signature: �._ �Lt_ -- ), I Call (503) 639-4175 by 7:00 P.M.for an inspection needed the next business day Plumbing Permit ApplicW011 1) tc received: ] D Permit no.: c M�IOc 3'Q�3 f Cita- of Tigard ;ewer permit no.: Building permit vo.: Addtcm: 13125 SW Hall Blvd,Tigard,OR 97223 cct/a Lno.: Expire City o�fTigard Phone: (503) 639-41'11 Pro 1 PP _ p - Fax: (503) 598-1960 Date issued: By: Receipt no.: - Land use approval: v _ Caw file no: Payment type: ;tj &2 family dwelling or accessory U Commercial/industrial U M•'.. itimily U Tenant improvement New constru:tion 'fLJ Addition/alteration/replacement J I ooti service U Other:3MMUM address: r�� / / r12— Description (j! . -'ee a.) Total - �-- ew I and 2-family dwellings only: Bldg.no.: — Suite no.: — (includes 100 h.for each uPlityconnection) Tax map/tax lot/account no.: — SFR(1)bath Loth Block. Subdivision: SFR(2)bath Project name: SFR(3)bath -- _--_ City/county: _��- IP Each additional bath/kitchen _ ' _ Site utilities: De-cription and location of work on premises:-_ Catch basin/area drain Drywells/leach ins/trench drain _ Est.dare of completion/inspection: Footing drain Ino. lin. ft l _ — Manufactured home utilities_ Business name: C/>�uG r' _ Manholes Address: ^ r , Rain drain connector ]KV � "� - City: State: 7.tP: -��? Sanitary sewer(no,lin. ft) Phone: Fax: y -C p E-mail: Storm sewer(no.lin.ft.) Ph _ L� 4 _-- Water service(no.lin.ft.) CCB no.: 7iQ-_- r Plumb.bus.reg.no�7�-�� tlxture or Item: City/metro lic.no.: 1--A Absorption valve �— --_ Contractor's representative signature: Back now preventcr Print name: IDate: -,.>2, Backwater valve __- Basins/Aavatory Clothes washer _ Name: Dishwasher Address: _ Drinking fountain(s) - City: State ZIP: Ejectors/sump Phone: Z-7 0{ Fax: p E-mail' Expansion tank Fixture/sewer cad Floor drains/floor sinks/hub _ Nam^.(print): �� _�� -- Garbage disposal -- _-- Mailing at0re s: /5'"�/S ,S ' > > Hose bibb Ci:;: T p t n/ State:�� ZIP: Ice maker Phone: '< [ Fax: LE2aiI Inter:Mor/grease trap _- Ormer installation/residential maintenance only: The actual installation Primr(s) will be made by me or the maintenanc,,and rrpair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) Orvnees si nature: Date: sumpKH Tubs/shower/shower pan -__ _. lJrinal AFi Name:_ 7Water closet Address: ter heaterCity: State: _ ZIP_Phone: - mail: al -- Minimum fee................$ _ --- Not_d1 Jarisdkderu accept cmdi7 cants,please call)mi► 'Kaon for rose intrnma6on. Notice'this permit appllCaliarl Plan teview(at — %) $ .— UMaa U MasterCard expires if a permit is not obtained credo ca d oamtkr:— --I—�-- within IRO rays after it has been S11te surcharge(896)... $ _ -- [9spiroa TOT 1. .......................$ - _ ----- accepted as complete. Noir or cartE�older as eMiwn n ctedli end ; Cardh�Ader slRniture ^—�� Amount 470.1616(60WOM) l PLUMBING PERMIT FEES: -- PRICE TOTAL New 1 and 2 family dwellings only: ^� " ;Z1 QTY, AMOUNT (includes all plumbing fixtures in PRICE TOTAL FIXTURES individualthe dwelling and the first100 ft. QTY (ea) AMOUNT Sink v- __ - for each utili�connections $249.20-_ O4 ne 1 bath�_-Tub or Tub/Shower Comb. Two 2 bath - $350.0_0_ _�1- ---.. $399.00Three(3)bath Shower Only ,Water Clocel - SUBTOTAL B%STATE SURCHARGEDishwasher -- •OF SUBTOTALTOTALGarbage Disposal - - - - Laundry Tray16.60 — A'ashing Machine �^ i 16.60 Floor Dram%Floor Sink 2'' - '. 60PLEASE COMPLETE: q 1F+.60 - -------- __ _— __ __ Q.uantit b Pe Work rformed Water Heater b onversicn O like kine 16.60 Fixture Type: New Moved Rtrlaced Removed/ Gas piping requirea a separate mechanica; - Capped _ permit. - MFG Home New Water Service 46.40 46 40 Lavatory - MFG Home rm Se Naw San/Stower _ Tub cr Tub/!ihower Hose Bibs 16.60 Comb'cation _ - -- Roof Drains --- - 16.60 Show,ar Only _ - --- -� 16.60 Water Closet - Drinking Fountain __ Urinal _ Other ures(Specify)----- 16.60 FixtL`is',iwashel _ -- q;Zbage Disposal -_- --- !aundERoom Tra - __-- - Washing Marhine- - - -- Floor Drain/Sink: 2" Sewer-1st 100' -^- 55.00 V-- Y _ - --- Sewer-each additional 100' 46.40 —4"__ - _-" 55.00 Water Heater -- Water Service-1st 100 — - Other Firtures Water Service•each�ddition,,I 200 46.40 _-_ 5 ecify�__--- S-rirrn&Rain Drain-1st 100' 55.00 S„rm&Rain Drain-each additlonal 100' 46.40 -_ ---- - ('..ommerdal Back Flow Prevention Device 46.40 -_ Resinential Backflow Prevention Device' -_ 27.55 Catch Basin - 16 60 — - Inspection of Existing Plumbing or Specially 69.50 Re uested Ins ectiuns per/hr COMMEN IS REGARDING ABOVE: � -- - 65.25 - I:ain D-rain,single family dwelling -� -------� ___ --_ Grease Trees 16.60 - --�- QUANTITY TOTAL -- Isometric or riser diagrarn Is miulred ff --------'-- -- ___—�-- 'SUBTOTAL --- _� b%STATE SURCHARGE "PLAN REVIEW 25%OF SUBTOTAL. - _Required o�If fixture qry total 1e�8 _,_ ----- TOTAL $ 'Minimum permit fee Is$72.50 4 8%state Purr narge recent Residential Backflow Prew rition L)ovlce,which Is$3e 25"s%stale surcharge "All New Commercial Relldings require 2 sets of plant with Ise melrlc or riser diagram for plan review. i:\dsts\forrns\pim-fees doc 12/26/01 CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2003-00033 13125 SW Hall Blvd., Tigard, ON 97223 (503) 639-4171 DATE ISSUED: 1/29/03 PARCEL: 2S 111 DB-02700 SITE ADDRESS: 1.5115 SW ALDERBROOK CIR SUBDIVISION: SUMMERFIEL.D NO.8 ZONING: R-7 BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: OTR FLOOR TURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: 1 STORIF3: _BOILERS/COMPRESSORS _ HOODS: _ FUEL-i YPES 0 - 3 HP: i DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIR= DAMPERS?: 30 - 50 I-iP: WOODSTOVES: 3AS PRESSUR::: 50 + HP: CLO DRYERS: FURN <. 100K BTU: 1 __AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 ( `m: GAS OUTLFTS: > 1000C cfm: Remarks: Replace gas furnace with like kind and install new a/c. Owner: I �— FEES RALPH BURNETT (Description Date ^� Y Amount 15415 SW ALDERBROOK CIR — TIGARD, OR 97224 IMLCI 1] Permit Fee 1/2.9/03 $72.50 ITAX]8"4,titate1'ax 1/29/03 $5.80 Phone: Total $78.30 Contractor: COLUMBIA HEATING + COOLR113, INC P.O. BOX 230397 TIGARD, OR 9727? REQUIRED INSPECTIONS Phone: 624-2704 Heating Unt Insp Cooling Unt Insp Reg#: LIC 76359 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with apr;,oved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more han 180 days. .ATTENTION. Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center, Those rules are set forth in OAR 952-001-00 Issued By: Coll Ct j Permittee Signature: Call (503)639.4175 by 7:00 P.M. for Inspections needed the next business day ` c Mechanical'P'ermit Applicatiion Data received: Permit no.:tit -Dq?15City of. Tigard C'uvnf figard Addrefls: 13125 SNV I la 11 131 vd,T,gard,OR X172"?3 Project/oppl.no.: Expire date: Phone: (503) 639-4171 Date issued: By: I Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building permit no.: jailm U 1 &2 family dwelling or accessory U Commercial/induslrial U Multi-family J Tenant improvement J New construction 'WXddition/alteration/refdacement U Other: SCHEWLE Job address: - r Indicate equipment quantities in boxes below. Indicate the dollar Bldg, no.: Suite no.: value of all mechanical mater.als,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ Lot: Block: Subdivision: - *See checklist for important application information and Project name: jw isdiction's fee schedule for residential permit Fee City/county: I ZIP: g 7 - l Description and loc tion of work on premises: _ e focal Est.dale of comple on/inspection: Description _ Qty. Res.only Res,onl Tenant improvement or change of use: r Is existing space heated or conditioned?U Yes U No Air handling unit CFM trconditioning ate an required-- -- Is existing space insulated?U Yes U No terat on of existing Y�i�syaem Sot er compressors Business name:n X I State boiler permit no.: HP Tons__BTU/H Address: OX tr smo a amper uct smoke etectors City: state ZIP:qW41 eat pump(site p an requtr ) Phone.:4 pt/.9 7 0, Fax• t"QXE-mail: nsta rep ace urnac urn. — CCB no.: 7G 3 Jr - Including ductwork/vent incr du Yes 13 No ---- nsta rep ac re ocate heaters-sus(•an c , City/metro Iic.no.: �1 j •A wall,or floor mounted Name(please print): r e.A,tae/ o�� enc for Lance of er t an furnace I 1101 fis NJc gerat on: Absorption units_. BTU/H Name: �R1IA b ��1�, � Cfillers__ HP lddress: Com ressurs_ HI' nv 0R0Pn!,e a uusl an vent at un: City: , state_ ZIP: Appliar cc vent Phonc: p f'tx: E-mail: erec ausri—t — oo s,Type res. tc a azmat hood fire suppression system N.une: Exhaust fan with single duct(bath fans) Mailing address: A C�,7x taust s ste ppm a art rom eatin or AC Cit ue ng stnstut on up to out ets) City: T~ State: ZIP: c Type: ___LPG NG Oil Phone: Fax: I E-mailve tin eachadditional over outlets Process piping(sc ematic regmre ) Name: Number of outlets t er appliance— r e�rolpmeW: Address: _ Decorative fireplace City: _ State: "LIP: Insert- ype - Phone: I E-mail: stove/pe et stove — Applicant's signature`:- Date: -Other --. f ter: Name (print): /�� --- — Not all juriscactions weept<tedit.artlr,Plerute can jurixliction rot mom infamutdo t. Permit fee.....................$ --- U Visa Q MasterCard Not:cn:This pem.it application Minimum fee................$ Ctedit card number expires if a permit is not obtained - Espl — within Igo days after it has been Plan review(at _ %) $ Nuof eardhol ,r u shown on cmiit tam-- accepted as complrte. State surcharge(896) ....Name _ $ TOTAL .......................$ ------Cardholder Nptrttae � Amount "— 440,417 MWCOM) i I Columbia Heating & Cooling, Inc. P.O. Box 230397 Tigard, OR 97223-0397 Phone: 503-624-2704 Fax: 50.3-598-0270 Y ;� i