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15615 SW ALDERBRCKDK DRIVE
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business L;,%e: 639-4171 ---------
/ BLIP —w
Date Requested_ AM _PM BLD
Location %Cri!� x Suite MEC
Ph PLM
Contractor --e�4c,� A— Ph _ Z y ' 4,5-Z :S SWR _
BUILDING Tenant/O ner ELC _—
Retaining Wall ELR
Footing Access:
FPS
Foundation /�jLGZ --
Fog Drain - AGN
Crawl Drain Insrection Notes: --
Slab _ _ -- SIT
Post& Beam --- _-�
Ext Sheath/Shear
Int Sheath/Shear
Framing
---------- --- -
-------------
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: --- -- _- " - -
Final
PASS PART FAIL ---.-_- ----
PLUMBING
Post&Beam --
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post&Beam �� �Lt�� -�: t ✓ �_-�- - - ------------
Rough In
Gvs L _
Smoke
ke Dampers
F
PAS PART FAIL
Service��
Rough In
UG/Slab ,_--
Low Voltage
Fire Alarm ----.-___.__-.-.-
Final
PASS PART FAIL
SITE
Backfill/Grading -` _-_-_--- -l- `----`--- - -
Sanitary Sewer
Storm Drain ( J Reinspection fee of$_ required before next inspection Pay at City Hall. 13125 SW Hall Blvd
Catch Basin ( J Please call for reinspection RE -_ [ ]Unable to inspect- no access
Fire Supply Line -----_ --
.ADA
Approach/Sidewalk -�
Date
Other _ -%� i"ispr�r,tor Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITYOF TI GQ /D MECHANICAL PERMIT
CITY
a„ PERMIT#: MEC1999-00368
DEVELOPMENT SERVICES QR4J1GIN •E ISSUED: 9/9/99
13'125 SW Hall Blvd., Tigard, OR 97223 (503) 1
PARCEL: 2;1111 DC-04300
SITE ADDRESS: 15615 SW ALDERBROOK DR
SUBDIVISION: SUMMERFIELD NO.7 ZONING: R-7
BLOCK: LOT: 358 JURISD17T,ON: 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 HOC DS:
_ FUEL. TYPES_ _ Y 0 3 VIP: DOMES. INCIN:
I I'G 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: AIR HANDLING UNITS
OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: -- 1
GAS OUTLETS: 1
> 10000 cfm:
Remarks: Gas piping and gas fireplace insert.
Owner: ^� FEES --
I.INNE, UNO E +GLADY,; E Type By — Date Amount Receipt
15615 SW ALDERBROOK DR PRMT DEB 9/9199 $50.00 99-318188
TIG.ARD, OR 97224 5PCT DEB 9/9/99 $3.50 99-318188
._._
Phone: Total $53.50
--- —
Contractor:
GEORGE MORLAN PLUMBING
5529 SE FOSTER
(CCB EXP 6/2002) REQUIREDINSPECTIONS
PORTLAND, OR 97206 Gas Lina Insp _
Phone: 771-1145 Mechanical Insp
Reg #: LIC 00002734 Final Inspection
PLM 26-60p
chis permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Godes 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 thrc.ugh OAR 952-001-0080.
You Tay obtain copies of t, ser les or direct questions to OUNC by callir} (503)246-9189 '
Issue�py: �� Permittee Signature: �/� — 'i e-7, 1
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
SEP-01-1999 11 39 r.b1
CITY OF T IGARD ��q� �nical Permit Application
13125 SW HALL BLVD. ommercial and Residential
TIGARD, OR 97223
(603) 939-4171, x304 �! l 19y9 m Ec l 49q_003 4
1 r� COMMUNITY Oi_v iopmi tPrint or Type
Incomplete or iii®gable applications
r-- will not be accepted
Name of 0"'^bWW*FP'c>♦e1" l7escriptlon —
)(D AyJ C L (-�.n,y� Table 1N Mechanical✓ode — ___2ty Price Amt
Job S~Adaroa �---`— A Porrnit Fee " 16.00
Address ��Y r �' � fj�-�,I�, - 1) Furnace to 1D(3,000 BTU
Including duds 6 vents see footnote 1,2 9,65
°wa ckr>ruKm ZIP 2) Furnace,100,900 BTU+
_
Including duds&vents see footnote 1,2 12.00 _
(or norm alousih n;r 3) Floor Furnace
C?wner �yLI(I.c _ Including vent __ see footnote 1,2 965
4) Suspended heater,wall heater
5i
/ /� Sc.� nJc_I�L t,,o�I� 7�r _ or floor mounted heater Cee footnote 1_,2 9.85
l�J 1-1 t 1 G 1��1 5 Vent not Included in■ Ilanp7 rmft 4.75
G • Zlp Phone � --
Cho-A all that apply: 'Boiler Heat Air
dOY, oft For(tams 6-10,sea or Pump Cond Qty Price Amt
----`- N t-Vo +� bum..)m. ) '-- footnotes 1,2 Como
^ 6)<311131ab. to unit to
100K BTU 9.65
OCCUpant DLL11''a Ada"" 7)3-15 HP:absorb unit
100k to 500k BTU 17.65
cayrsnrm - 7Jp Penn• 8)1Cr30 HP:absorb - -
unit.5-1 mll BTU
('oWGZCtor M 9)30-60 HP:absorb -
r to/bo unit 1-f.75 mil BTU _ 36.00
'rtor to 10)>50HP:absorb unit
�� T91Add`"" � / >1.75 mII @TU _ 60.15_
tuarm,a copy �-1 }�C� p�T. 11 Air hand!Ir g unit to 10,000 CFM -
af all licenses CRyr`- • Zip Phone
7.00
rre required if �1; 12)Alr',andlmg unit 10,000 CFM+ -
4-ked In COT -.94 n.cont. �•rn Lic.e Da' _ 11.75
database ! �- 13)Non-portable evaporate cooler
Arraekeea Nona'"
700 _
14)Vent ion conneMed to a single duct
Or Milllnp MareN _ _ _
1;)Ventilation system not Included In
a�lla� nal Permit 7.00
Engineer cnyc;<.te a=PP 16)Hood served by mechanicalurhaust
Lp
7.00
sarbe worts to be done- stic incirrerstors -
_ _ _ 1200 _
New O Re air 0 Replace we like kind; Yee O No 0 erdal or indwtnal type Incinor-at or
Ftoeldintlalw Commercial _ 16,25
r units titbonal Infonttab or descnptlonof work 8.40LS Pf P�n } FlrP��(�, (, Sf-F-+ stove/yes FP/other unils/dothe dryerlelc 700TE: For Pbmmerc, pmlecta only.Units over 400 lbs.require ipeg one to four outlets9f dural as aka __ 3.75�_� otnote 1e of fuel ollO natural gas t.PG Oetoctnc 0 hen 4�er outlet eac inmum P_ermlt Fee$S0.0o SUATOTALW5
Other
nlDy acknowlbdgethat I have rC+ed this aplication+ tht hfRCFIARGEn Is a,rred,that I am the owner or authortzed agent of PLAN REVIEWl5%OF SUBTOTAL
owner,that plans submitted ern in compliance with Oregon State Iaws Re uired for ALL commerctal rlrlts onlTOTALn
uluWnt Da6e inspections and Fees-
lief Person Name - 1. Inspections ouffiIde of normal hun!naas hours(minloum r-harga-two
Phone hours) $60-00 per hour
6_ l(�.-/_D3o 2. Inspections for which no fee Is speclfleally Ind!cated (rnlnlmum
/ � , ✓�`S �Lk+• t!J charge-half hour) :150.00 per hour
native for commercial pro)scd,only; 3. Additional plan review required by changes,additions or revlslons to
rovide full srhema6c of ttvy6ng and proposed gas line and prrrssure. plana(rnlnlmum charge-on -half P,•ur)$50.00 per hour
mvlde drawings to scale ahowing ertsting end proposed mechanical
"Stale Controcrnr Railer C•nircatlon mQvired
-Residential A1C requires lite plan showing placement of unit
vnechperm.doc rev 0214199
TOTAL_ P.01