Case File 4
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15515 SW Alderbrook Circle
04/22/2003 11:58 0000000 ABAB:AAAAAA AA PAGE 01/02
Mechanicalk) ' '
nit Application
City
t Tigard
—` Date received; •. AR R- e 7 Permit no.: �+�(i�'40i c
kitty o Tiga d I'toject/apyl.no.: �+ Rxpire dote
City q/TigaW Address: 13125 SW Hall Hlvd,Tigwd,OR 97223 - — -
1_1,one: 1503) 639-4171 Date issued: By Rem"no.:
Fax: (503) 598-1960 Case Gibe no.: Paymenttype:
Land 111e apptoval: - Building permit no:
tP{2 farndv dwelling or accessory t r r'.>mn:en ial/industria: U Multi-family O Tenant improvement
O New consbuction d JitiatJelteraliort/rcplacemen, U Other _- _-_--
Joh address: U5S)i_51- Indicate equipment quantities in boxes below, indicate the dolla-
Hidg.no.: Suile tto.: value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.. profrL Value S -_--- .
Lot: _ Block: Subdivision: 'See checklist for important application information and
Project name: S jurisdiction's fee sclie.-dc for residential pennit fee.
0.
City/county: ri 4 ZIP: -�
Description and location of work on premises:- r t��e _ _
22_. tin t:a G.C.+S�__ _ JVtOett.) Total
List.date of completion/inspecuon; _ UteacripU� _ Rera.od Ras.ott�l
Tenant improvement or change of use: lll
Is existing space heated cr conditioned?O Air handling unit CFM Yes ONO r hando n atopen ccqu
Is existing apse a insulated?❑Yes G No tera ono existing HVA system
�oilertcompressors _
Business name Sunset-Fue.1Qs Stite boiler permit no.:
--� HP Tone DTUIR
Address: PQ_� 4s^ 8 sir16 a ampeT' tz�okedetectors
City: ------^.._. q4 'P� 181v�;74;
etal Heat uUre fa( rtnec urnor__ - I
Phone: F illan , C R .4$= � p
-- Including ductwnrk/vent liner es O No 1
CCD no.: X `e'k Vi-04&ci r - __ costa mplac re ovate raters'suapen r ,
Cit /metm lie.no: aLI164o wall,or floor rnonntrA
Nam cage tint); int ora un.a 0 Ian furnace
e r e��t eta:
Aba�rptlot•e�gtU_____�._____ RTIJ:'H
Name: Chihcrs__ __ HP
Address:
- Co ressoraHP
1.it ,. II':- _ State: Znr rotueeo�eirutM■ t+inM op:
y _ ApQ�Ilancev�ent
I'lutne: Fax: m� E tnall: -i-- ----- —__.�
�ionds,Type I11Vies tc a aarnaatt
hood fire suppression system _
Name: 04-Yv-% C, Exhaust fan with single duct(t-ath fans)
Matting address: - exhausts stem a e»�t�'rT or Th-
_- rlbvt o
For-pT'aC rr d vp to cul ere
('try' State: ZIP: Ty e_ L.P0 - Nti Oil
(?tunet3 Fax: ptttaR: Pre i n ac t a It on curt ou eU _
t Tt oeem p tit rr.xT mR1ic itxlntcrM)
Humber of outlets _ --
I lune: _
t tc�t• Mt�Y a'e
Addtrae: -_�,��_ �- I>�coradvefirrplace �
aposesols
City: State: JP: n't-sprat- -
Phone: I F : I&Mau: tour etatove
Applicant's signature: _ Date: -).>-p �-�--
Name(print): a VkQ-!%2 AC r1.13
Nee W"v emse a&&,pisco tan Pajl_rt.trvn kdernWlaa -- ---- ---- ---'_- PCrrtlit fee.....................
C]Visa a MutaCam Notice:T s permit application SM.-4
Minlmur�fze................s y 1.
<e�du cad umber: ��C..- eupucs if a permit is not obtain.,N] plan revlt%va(at __ %) $ is
r. within 180 days after it has been
state sun targe(896)....$
— M'u�s af;WAGM«AKW§ao Miss Md accepted m complete.
3 TOTAL .......................Z
CITY OF fIGARD 24-Flour
BUILDING Inspection Line: (503)639-4175
INS,P'EC1ION DKIISION Business Line: (503)639-1171 MST
BLIP _
C�
-7e,ceived ____ ,Date Requested �— AM_ PM b,1P —
i.ocation _._ Suit'a C
Contact Person — Ph(— �" 3 u '®� _ PLM
Contractor Ph( ) _ SWR
BUILDING Tenant/Owner ELC
Footing
Foundation �— ELC --_- - ----- - -_---
Ftg Drain ELR
Access:
Crawl Drain _
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
Other:
Final
PASS PART FAIL -_----- -- -- —- —_
PLM_BING
Post&Beam
Under Slab _— - _ - --- - --- -
Rough-In
Water Service --- __-_
Sanitary Sewer
Rain Drains --- __
Catch Basin/Manhole
Stoim Drain - --
Shower Pan
Othgr — -- -
Final
PASS_ P_AR_T_ FAIL__ -
AV
CHANICAL _
Post&Beam
Rough-In ._—
G.s Line
Smoke Dampers - (--�_ `j �
SART FAIL
ELECTRICA-[:'-
Rough-In
AL'Rough•In
UG/Slab -
Low Voltage `_—
Fire Alarm v _
Final E] Reinspection fee of$� required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: E] Unable to inspect-no access
Fire Supply Line '1
ADA
Approach/Sidewalk Date — InuPerto� % tt2==Z Ext---
Other:
Final DO NOT REMOVE this Inspections record from the Jq6 site.
PASS PART FAIL
CITYOF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2.003-00205
13125 SW Hall Blvd.,Tigard, OR b7223 (503) 639-4171 DATE ISSUED: 4/43/03
PARCEL: 2S111 DB-022.00
SITE ADDRESS: 15515 SW ALDERBROOK CIR
SUBDIVISION: SUMMERFIELD N0.8 ZONING: R-7
BLOCK: LOT: 481 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 VENT SYSTEMS:
STORIES: _ BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 3 HP: DOMES. ING!N:
pG 3 15 HP. COMML INC,IN:
MAX INPUT: BTU 1r 30 HP: REPAIR umrS:
FIRE DAMF'ERS?: 30 50 HP: WOODSTOVES
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HAN_DL!NG UNIT'S OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: J GAS OUTLETS.
> 10000 cfm:
Remarks: Installation of gas furnace.
Owner: FEES ---
HUGHES,WILLIAM LEO Description Date Amount
SHARON MARY [M::CH] Permit Fee 4/23/03 $72.50
15515 SW ALDERBROOK CIRCLE
TIGARD, OR 97224 [TAX]8%State"fa 4/23/03 _ $5.80
Phone: Total $78.30
Contractor:
SUNSET FUEL CO
PO BOX 42287
2944 SE POWELL BLVD REQUIRC-D INSPECTIONS
PORTLAND,OR 97242
nsp
Phone: 503-234-0611 Heating I
Final Inspection
Reg#: !-IC 2374
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- f)0".,You may obtain copies of these! rules or direct questions to OUNC by calling
(503)2 6-6699.
Issued .�L/uC�L�vtt Permittee Signature:
Call (503)639-4175 by 7 00 P.M. for inspections needed the next husiness day