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15580 SK ALDERBROOK DRIVE
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-417; Business Line: 639-4171 — -- —
/.��v BUP
Date Requested AM PM -6;44 RLD
Location /3 T b'o _5 L✓ �t .�� *ave Suite MEC Zqr V
Contact Person Ph Z 7 Z G 3 �' PLM
Contractor _ Ph SWR
BUILDING Tenant/Owner rp—IPG s'` C � ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain I Inspection Notes: SGN ------
Slab ---------- --- SIT
Post R Beam - -`-
Ext Sheath/Shear
Int Sheath/Shear
Framing �L�.r%7'� C ��ieYdA-
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: -
Final
PASS PART FAIL_ --------
PLUMBING
Post& Beam -----
Under Slab
Top Out
Wafer Service
Sanitary Sewer _--
Rain Drains
Final --_- - -- __-----.-------
PASS PART FAIL
Post&Beam
Rough In
Gas Line - ------- ---- -
oke Dampers
Fina I
PART FAIL
ELECTRICAL - -- -"---�!
Service
RoughIn ------��- _.._� - ----- ---____._--- -----,
UG/Slab
--------------------
Low Voltage - -- ^- ------ ----
Fire Alarm
Final - --- --- -------- - __ __-
PASS PART FAIT- - ---_--------_-�._-_---
SITE
Backfill/Grading -�—
Sanitary Sewer
Storm Drain ( J Reinspection fee of$ required before next Inspection. Pay at City Hall, 1.025 SW Hall Blvd
Catch Basin [ J Please call for reinspection RE _ [ J Unsdle to inspect-no acce�,
Fire Supply Line
ADA
Approach/Sidewalk
Other Date Ext _-
Final
PASS PART FAIL J DO NOT REMOVE this inspection record from the job site,
- a
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Focting Rain Drain Cover/Service FINAL:
Foundation' Water Line Ceiling -Plumb.
Post/Beam Mach, Shear/Sheath Framing ech.
Plbg.Und/Flr/Slab Pibg. Top Out Insulation -Elect.
Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date: ._ A.M. P.M E try:
Address:
Tenant: __ Ste MST: _
BUP:
Con/Own: -- ------- .. - MEC:
PLM:
ELC:
THE FOLLOWING CO'IRECTIONS ARE REQUIRED ELR:
LA_
ect�x - Date:
PROVED DISAPPROVED/CALL FOR REINSP. CF CO
i
CITY OF T MECHANICAL
DEVELOPMENT SERVICES PERMIT PERMIT #. . . . . . » : ME.C96-04l+,
13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 DATE ISSUED: 12/17/9E,
PARCEL.: 25.1 i I DC- 020+7.i
SITE:_ AC►DRI SS. . . - 1.5580 SW AI-_bER1~ROOK. OFA
'. tJBD I V I S I ON. . . . : fiUMME:RF I EL.D NO. 7 ZONING: R--7
nl_C1Cw. . . . . . . . . . . L01.. . . . . . . . . . . . . .3H6
CLASS OFOWORK. . :ALT FLUOR FURN. . . . : 0 CVAP COOLERS: 0
TYPF- OF' USE. . . ,. :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :R3 VENTS W/i:.l 0 VENT SYSTEMS: 0
'ITORIFS. . . . . . . . . 0 BOILERS/COMPRESSOR, HOODS. . . . . . . : 0
1" L.IEL TYPES_------._.--__- 0.-3 HP. . . . : 0 DOMES. INCIN: 0
: /GAS/ / / 3-15 HP. . . . : 0 COMML. I NC I N: 0
MAY. INPUT-. 0 BTU 15-30 HP. . . . : Vi PFA--1A11-3 UNITS: 0
FIRE DAMF•'E^RS?. . : 30--50 HP. . . . : 0 WOODSTOVES. . : 1
GAS PRE=SSURE. . . : 50+ 11P,. . . . : N CLO DRYERS. . : 0
1\10. CIF UN176----------- AIR HAND). :ENG UNITS OTHER UNITS. : 0
FURN � 1.O0K BTU: 0 (= 10000 .-fm : 0 GAS OUTl_.E S. : 1
TURN ) =100K BTU: 0 ) 1 OOOO cfm : 0
Ppmarks : Installing gas insert aTrci yas piping
O-,vner. -.________._______________.______._-- -•---______----____...__-- FEES
DON HOFFMAN type amnunt by date r^ecpt
15580 SW ALDE:RRROOK PRMT $ 25. 00 B 12/1.7/90, 96--287840
15PCT '1• i . .,'S B 12/17/96 96--287f.34O
I"I GARD OR 9722:
phone #:
Cont Tact or .
I..LJDE MANS INC
12675 SW BFAVE=RUAM RD
FIEAVFRTON OR .}1005
r,hone #: 646--64O9 $ 26. 25 TOTAL
�?eg tt. . OOrn514
-- -- ---
REQUIRED INSPEC'T'IONS
This permit is Issued subi--t to the regulations contained in the Gas Line I.nsp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
gppl icable laws. All work will be done in accordance with Final I n s p e ct i a n _
spproved plans. This permit will P>'pire if cork is not started ���`•.__ _ �
41thrn W days of issuance, or if work is suspended for more
than 18@ days.
f-'a r•m i t t e e
Call for inspection - 639--4175
Plan Ch
ec
CITY OF TIGARD Mechanical Permit Application Recd By_ 1
13125 SW HALL BLVD. Commercial and Residential Tlate Recd
T IGARD, OR 97223 Date to P E
(503) 639-4171, x304 Date to D T
Permit X_
f - -
Print or Type —
1 ' L_
Incom_p.'ete or illegible applications will not be accepter! Called
Noma of Developmenv rolect 1 ��1I Description
r— lie Table 1A Mechan col Code 0T'r PRICE AMT
Job reef A13CROSS ;urea --1 A) Permit Fee 0- 0- 10 00
Address
Bldg# aty state Zip —1 B) Supplemental Permit 300
Name for name of`bu/snessl -{I i 1 ) Furnace to 100.000 BTU 600
Owner _�i�, i"\ incl,ducts&vents
TTT333FFF"""
Mailing Address 2 1 Furnace 100000 BTU+ 7.50
(-:� ` :� o I incl duc %&vents _
C tyiSiale Zip phone 7 1 Floor Furn ice F 00
i4 y,-1 irk `1 ; /, .J/. . _incl.vent_
Name or name Su
business) 4) spended hewer,wall healer 600
or floor mounted seater
Occupant Mailing Address 5) Vent not incl in 3.00
4
appliance permit _
Crty state w\` Zip Pnone 6) Boiler or comp,heat pump,air cond 6 00
to 3 HP,absorp unit to 100K BTI.)
NNTe 7) Boller or comp,heat pump,air cond. 1100
__i ; tyL �a _ 3-15 HP:absorp unit to 500K BTU
Contractor Madrg Address ( 8) Baler or comp,heat pump,air cond 15.00
15-30 HP,absorp unit 5-1 and BTU _
)Pnor to cdy/stata Abib Phone 9) Boder or comp,heat pump,air cond. 22.50
issuance a copy L f,,, . , I rN) t ;v `t 7r, Y K• l 30.50 HP:absorp unit 1-1 75 mil BTU _
of a1 licenses are Oregon const Contloan]Lic a Exp Date 10.) Boder or comp,heat pump,air cond. 3750
required if I /�/e >50 HP absorp unit 1.75_and BTU
expired in C O T COT Business Tax or Metro a Exp Date 11 ) Air handling unit to 450
data base) __ _ _ 10,000 CFM _
Nrchitect Name 12) Air handling unit 7 50
_ 10,000 CTM+
or Mailing Address 13) Non portable 450
_ evaporate cooler _
Engineer Crtyrstate tip Phone 14) Vent fan connected Y 3.00
_ to a single duct_
Descnba work New O Addition O Alteration(D Repair O r 15) Ventilation system not 450
to be done Residential O Non-residential O included in a,ipliance permit
Additional Descnption of work 16) Hood served by mechanical exhaust 450
17) Domestic incinerator- — _ 7 50
Existing use of 18) Commercial or industnaltype 3000
budding or property inoinerator
19) Repair units 4 50
Proposed use of 20) Woodstove 4 50
building or property —��.___
21)_Clothes dryer,etc _ 4 50
Type of fuel-nit O natuuit gas 0 LPG O electric O 22) ("ther units 450
I hereby acknowledge that I have read this application that the 23) Gas o ping one to four outlets 200
information givens correct that I am the owner cr authorized agent of
the owner,that plans submitted are in compliance with Oregon State 24) More than 4-per outlet (each) 50
IaWs
Signature of Owner— /Age t+VI --Date --- ---`��� QTY.SUBTOTAL
'SUBTOTAL
Contact Person Name T Phone 5%SURCHARGE
Z�
PLAN REVIEW 11%OF SUBTOTAL
L -- - TOTAL ,I �-
i kdstVnechpmt doc lrev 7)96) 'Minimum permit fee is S25 #5%surcharge G�0
I
W ION
CITYOF T I G A R D __ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2001-00175
13125 SW HMI Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/18/01
PARCEL: 25111 DC-00100
SITE ADnRESS: 15580 SW ALDERBROOK CIR
SUBDIVISION: SUMMERFIELD NO 8 TONING: R-7
BLOCK: LOT:448 JURISDICTION: TIG
CLASS OF WORD,: OTR FLOOR FURN:� EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERSICOMPiESSORS , HOODS:
_ FUEL TYPES 0 3 HP: 1 DOMES. INCIN:
15 HP: COMML. INCIN:
MAX INPUT: [ITU 15 -30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSUR 50+ HP: CLO DRYERS:
FURN < 100K BTU: _ AIR HANDLING UNITS OTHER UNITS:
FURN >-100K BTU, <= 10000 cfm:i GAS OUTLETS:
> 10000 cfm:
Remarks: Installation of exterior A/C unit. As this is a replacement unit the placement has been grandfathered in and
may set in some location as original. Per e-mail from Jim Hendryx 6/5/01.
Owner: FEES
LF_STER LIEBERMAN Type By Date Amount Receipt
15580 SW ALDERBROOK CIR 5PC2 CTR 6/18/01 $5.80 272001000C
T"IGARD, OR 97224 PRM4 CTR 6/18/01 $72.50 2720010000
Tetal $78.30
Phone: --- s
Contractor:
FIRST CALL HEATING & COOLING
1650 NE LOMBARD
PORTLAND, OR 97211-4798 REQUIRED INSPECTIONS_
Cooling Unt Insp
Phone:231-3311 Final Inspection
Reg #:LIC 102030
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days Of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obta*p copies of these rules or direct questions to OUNC by calling (503)246-9189.
Issue B ff G� �c�_.C, Permittee Signature: 2
Call (503) 639-4175 by 7.00 P.M. for inspections needed the next business day
Mechanical Permit Application
-t v v i Date,rMeivod:� Permit no.M�.eL.�(- •,
City Ol♦ TigardRojecUappl.nv.: '' F�piredata
G(rvofTldnrd Addresr. 1312.5 SW Hall Blvd, ;ard,OR 97223 Date issued: B
Phone: (503) 639-4171 _ Y , Receiptno..
Pax: (503)598-1960 Case file no. Payment type:
land use approval: .. ________ -__- Buildingpamitno..
;cunswu
dwelling or accessory U CommettaaUmdusttial 0 Multi-family U Tenant improvement
ctioaCt Addition/alierauon/repiacentent U OtherIUM firm
Job „ �,-C) f) /- r r a �/r_r Indicate equipment quantities 1n boxes below.indicate the dollar
Bld •no.; I Scute no.: value of all mechanical mR.terials,equipment,labor,overhead,
Tax maphax- lot/ecootmt do: proflr.Value$
I.ot; Block: _ Subdivision: 'See checklist for important applicarion information and
Project name: jtuisdicliun's fee schedule For icsideutial ponnit fet.
Cf /county: d ZIP; _
Dercriptlon and 196timi of work on premises;
Est date of completion/inspccGon. Description Hese oma) l Total
-- �1 oh'
'tenant improvement or change of use. HVAC:
dlln unit
_CFM
Is existing spa=heated or conditioned?O Yes U No hanAtrcon ono issue last uttred)
Is existing space Insulated?Ct Yes O No teras onsyretn^-
I IMI eT compresao” - -- --
$ualnevnarmc: f;/r-�t Ic!// �tal� (F�rCr/is?J 5tatcboila utno HP Tuna BTU/H
_'__�s��_�.�.��� LCi+�c`_�� � ers uaamo c rxtora
City: L'Lr/-+ et;� <'- Stale:, f.__ P* 97-2/i7He& _U_ t%-- rIan req ----Phone z ? S u�Fax: E-mail: IrutalUteptacetLrnacc76tttncr
CCg no.: --- In Juding ductworYJvent liner O Ycs Cl No
''' r— TastallTrepTec`eftelmttr rate»-suspe ed, -
City/metto llc_no.: - wall,or floc mounted
Name(please print): enc ora ante o «� tI-uitair---
Absurpucu thnite BTU/H
No= Chinets_ _ HIP
Addrm-, -- - co reelon HP
.srornrcrtta exisartgt exubaft
d e State: Zip: kpPlunce vent
Phone: Fax: fi-mall: er cx 8_U. - -
Type pe17I its.. c -Eat
hood fire suppression systevn
Nano; /�c Exhaustfan with single duct bath tons)
NWHna oddreor _/ - --
r tst system apart m heath or AC
Ci ( Sratc: Z1F' Z red RRRot and WWWsstion ftp to 4 outlets
Tyr
Phone; Pax 1{•mad: Fuel i1,n est a o a ovc,duutleu
__LFfj NO Oil
stg( r•rrha c requ -- _
Nance; Number of oudets-Mii —
Atidtesi: ---- --- 6rta�attx tri eq tnewti -
Decorative.fireplace
Mr. State:-- P: - --- haat-- _
l�ix3s av pc stove
Phone: Fax 11 mail: - - --
met
A licant's signature: G ,-. .l_-��, Dara -
O�l an
Name -----.._ _
t): r
N177
a sa)WWWI to WOW astat Oft PIMM an}dedkdaa to cos taraaution. Permit frc.....................S
UVua OMOWCard Notice- Thisermiti not
tobtainion Mlnlmtrtnfee.......... S „
exons if s permit is not obtained ��•��
cnat`sod wailier .� within 180 days after it has heen Plan review(at %) S r h
---WuI�Waamffl r comm a e accepted as complete. States surcharge,(896) ..,$
s TOTAL.......................S
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