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DashNumberEnd V a Ul rn O) Ln cn D r v �o 0 0 x v f 15665 SW ALDERBR00K DRIVE CITY OF TIGAIRD BUILDING INS!=c CTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST BUP _ Date Requested_ C✓ 2 � ( � AM '�,,�� pM BLD Location, (( __—` —L -6, I eMt=C two - Contact Person L� /�. _ Ph _Z L-f PLNI Contractr,n _ Ph , SWR BUILDING Tenant/Owner _ ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drair Inspection Notes _ SGN Slab __— - - - ----------_...___ __------ SIT Post& Beam ------ - Ext heath/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 v Rain Drains Final PA FAIL Rough In Gas Line — Dampers u - S PART r-AIL EEEK-TRIC82 - — ------ Service Rough In UG/Slab Low Voltage -- —� - Fire Alarm AM PART FAIL Backfill/Grading — Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13115 SW Hall Blvd Catch Basin Fire Supply Line ( J Please call for reinspection RE: ( J Unable to inspect-no access ADA Approach/Sidewalk Other Date Z C/ Inspector Ext Final PASS PART FAIL J DO NOT REMOVE this Inspection record from the job site. 1 ELECTRICAL PERMIT CITY OF T IGARD PERMIT#: ELC2000-O0251 li DEVELOPMENT SERVICES DATE ISSUED: 5/15/00 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111DC-04000 SITE ADDRESS: 15665 SVV ALDEREIROOK DR SUBDIVISION: SUMMERFIELD NO.7 ZONING: R-7 BLOCK: LOT : 355 JURISDICTION: TIG Proiect Description: Installation of one branch circuit for new a/c unit. _ RESIDENTIAL UNIT TEMP RIX/FEEDERS MISCELLPNEOUS_ 1000 SF OR LESS 0 - 200 amp. PUMP/IRRIGATION: EACH ADD'L 500SF: 201 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/ SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER —BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 60J amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTICN 1000+ arnplvolt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >= 225 AMPS` CLASS AREA/SPEC OCC_____1 Owner: Contractor: M:OORE, THOMAS JEWETT + D C GRF ELECTRIC '15665 SW ALDERBROOK DR 15460 SE PARADISE LN TIGARD, OR 97224 MULINO, OR 97042 �� Phone: Phone: 503-829-4146 e� Reg#: LIC 76751 SUP 1655S ELE 3-484C _FEES _ Required Inspections Type By Date Amount Receipt Elect'I Service PRMT DEB 5/15/00 $37.50 0002147 Elect'I Final SPCT DEB 5/15/00 $3.00 0002147 Total $40.50 This Permit is issued subjec4 the regulations contained in the Tigard Municipal Code. State of OR Specialty Codes and all other applicable laws All work will be done in ars,rdance with approved plans This permit will expire if work is not started within 180 days cf issuance,or ff work is suspended for moi: than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-OC10 through OAR 952.001.0080 You may obtain copies ofjbgsejyles or direct questions to OUNC at(503) 246-1987 PE.RMITTEE'S SIGNATURE`�1 �; ISSUED BY: _ OWNER INSTALLATION ONLY _ The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE:_- _ CONTR�A�C�TOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: -IJQ� ��-fc11UY .r-� r __. DATE:—_—._____ _ LICENSE NO: - I J —_.—_— -- Call 639-4175 639-4175 by 7:OOpm for an inspection the next business day 05/12/200k, 1 1:21 50719295747 (wF ELE(_.iR11 PAGE 01 CITY OF TIGARD Electrical Permit Application Plan Chea-9 _ 13125 SW HALL BLVII1. Recd by ` TIGAF2D OR 97223 Date Recd Phone(503)639•x)171, x317/ Dole to P EDate to DST Inspection(503)6,39 417.5 Print of Type Permit s Fa.( 1503) 598-'ir40 Incompleta or Illegible will riot br,accepted Ca1)ed I. Job Ad4r'a": Complete Feu Schedule Below: _ Nt•mber of Insp�ctlotu per permit allowed Meme tat Development _ _- Name(or name of business) --- p�1 Service Included: w Items Cost Sum Address 5 (p U S L,0 A !t e �Q aa. Resldenuai-per unit �Z2 1000 sq It or lees f 117.75 • city/State�z,p �_tlgn�� q -- - Lech additional boo sq,fl or portion thereof _ i 26 15 1 Commercial ❑ Residential Limited Energy 1 160.00 Face Manufd Home or Modular Z8. Conitrvct'o�nd eon o Dwelling Service or Feeder S 72.75 _ 7 (Prior to permit Isswrnce,!applicants must provlr]e Contrlaety' ranee ab.Services or Frsrardere Information tv COT chats brae). Instasabon,ansrannn,or reloca'.len Electrical Contractor .- c� 200 amps or leas _r f 64.25 2 Address �-� _�-_� Lr 201 . rips to 400 amps f 96 50 2 1 W amps to NO(I amps — E 1,2850 2 City_ ( t . State 801 amps l0 1000 ampsy f 19250 "— 2 Phone No. _ 7_L4. (!J - •- -_ - Over 1000 amps or roar 5 38375 2 .lob No _ Rarorvutcf only � i 53 50 � 2 EIec Cont. Lica No o---4-1 � r-XP Date 1c;f=) ac Temporary Services or Feeders OR Stele CCB Reg No 1 _iI Fxp Date `I '7 t 00 Inaullalion,alteration,or rola:a(lon COT Business Tax or Metro No. 3^f•7Z- Exp.Date q.LL-jL'C 200 amp, ^r leas s s.+so 2 201 ampit to&D0 amr< f 60.25 _ 2 Signature of Supr. Elec'n'&C� � 401 amps 110 6010 ampr. s 107.00 � � 2 Over 800 amps to 100: .Mis, License No Fxp Date uDres"A"above.- l -_. - Phone No --�'� ;�_^{�r - No Branchon s r(oNew allaataon vt ewtsntslon per ppnul FU y f�_ " ti_?+-7 a)Iha Me for Wench dru-l'• 2b. For owner 6natelletiona: a'hh purchu+of service tr Feeder f.,r � Each bn.mch crcult 3 5 35 2 Print Uwnar'6 Name ----- -- b)The tee for uN branch rires Address ---- wldteaf pt,rehaa.r•+r awvke City _ —.- State------ZIP` _- I a'feeder he. 9 S� Phone NoFiisl branch allwa L 8 37.50 __. Each addltkmal brard+cornua --- i 5.3E The Installation Is being made on property I own which is not � ftsceNsocrlan '—.__.. _ Intended for sale, lease or rent (Servks or feeder not v+ciuded) Each pump or irrigetklr cirds f 42 75 Owner's SignatureEach sign or%inline lijhting S 42 75 Siong)clrcuti(s)or a drnlnb energy -� tlor ►f rT@ u%rad :• DenI, o;1Ialv(1llon nr eflanerorl - S 60 00 3. flan ReViAw sec Q I Minor labl• Q) i 107.00 Please check appropriate It-m and enter fee In section bB. at Each*01drinat Inspector- 4 or more residential uni is In one slrudure the allawable In any of ft% above --Service rind*,dot 2V amps red more a er inepadaon - = 50 00 Per pout S so n0 `iystem over Uo volln nominal Lir Plant S 5000 —— Clarsfied arca or structure containing apecrel oempancy as - described in N E C Chapter 5. Fees: 6a.Enter lout of above.two i Suta•nit 2 sots of plans with application where any of the above apply ,JK Surdlarg#(05 x Intel bee) ! " rrrrt required for tomprxsry construction servlcss SuDfotm S _ W Enler 25%of Nine 6A Mr NOTKGr. Flan Paer,Yw If rjjV0VQ(Sac.3) 5 PERMITS AFCOMF VOID IF WORK OR CONSTRUCTION AUTHORIIkU SUDfofsl f IS NOT COMMENCED WITHIN 190 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 190 DAYS T rut I Account M AT ANY TIME AFTER WC'RK IS COMMENCED I Total balance Due ./ i• Inrme�elrelrlr AnC � ' / 05/12/2000 13:21 5038295747 GRF ELECTRIC PAGE 01 CITY OF TIGARD Electrical Permit Application PlanC"°�`" 13125 SW HALL BLVD. Recd 6y V Date Recd TIGARD OR 97223 Dare to P E. Phone(503)639-3171, x3134 Date to DST Inspection (503)6394175 Pnnt of Type Parmn s Fax (503) 596-1,960 Incomplete or illegible will not be accepted called - 1. Job Address: 4. Complete Fee Schedule Below: Name of Development— Number of Ina ons pw permit allowed Name(or name of business). �Q�'-� Service Included: Items Cost Sum Address (1 S- (A) .0( e r 4. Residential•per unit City/Stale/Zipfor-I I a »�� 7ZZ�} 1000 SQ R or less i 117.7:r a �- Lech adeltionel 500 aQ n or portion thereof _ : 26 25 1 Commercial ❑ Residential Limited Energy - _ s 13000 �— -� Fach Manufd Home or Moc'ular 2a. Contraetl� na O on 64:/: DweHing Service or Feeder S 72.75 (Prior rn permit Ise uancs,applicants mutt p►ov Ids contraimir Nwnta 4b.Services or Fi@sdsre Information for COT date bass). _ InRtalletion,sheraoon,or iulo:atlon Llectrlcal Contractor- F_ c--bn LG 200 amps or less s 64.26 2 Address 1� �� -11 201 amps to 400 amps y 86 SO 2 City MAJ !e3, state—Q LZ,--ZIP 401 amps to ROO amp@ S 126 50 — 2 601 amps 10 1000 amps $ 192 So 2 Phone No. Lri }I `*_ ig Over 1000 amps or vons 5 363 15 - 2 .lob No Reconnect only S 3350 - 2 EI9c Cont, Lica No 1+ �Ex Date TU' ) ` p 4c.Temporary Services or Feeders OR State CCB Reg No -Yl--�� Fxp Date �'7 t1�' Installeuon,altirslion,or relocation COT Business Tax or Metro No. 3,f?L E:xp.Dete ILLLh,r; 200 amps of tees s 53 so 2 201 amps to a00 amps �- f 60,25 2 Signature of Supr Elec'n . , 401 amps to 600 amps _� s 107.00 .._ 2 � �� 0100f 600 amps to 1000 voile, License No �5 Exp Date I L k:M see"b"above. Ad.Wench Clrtufls Phone Nos{� I� Tv New.ellefabon or extenslon per penal FU X y Ut- t;-1 -7 a) rh@ tee for branch circuits 2b. For owner installations: wf h purchase or servles or reader raa Print Owner's NarnoFach hranch crrcult __. _�— S 5 35 2 b)The fee for branch civ xln6 Address _ _—__ Without purcheseof aarvks City – State ._. Zip-- or feeder Me. SO Phone No Fuat branch circuli s 3750 Loch additional branch ver utt t 5.35 _ The Installation is being made on property I own which is not e+.Miscellaneous — Intended for sale, le2se or rent (Survica a,%w1w not included) Each pump or rnigalion drde f 42 75 Owners Signature _ Forh sign or oi,Allne lighting —. $ 42.75 - --- - --' Signal arcuh(s)or a Ilm"A energy ion !f required):* panel,aharatlon or e><fenaiorr s 4000 3. Plan Review suct I Minor lahels I1O) _,- .� f 10'1,00 Please check appropriate Item and enter fee In section 58. ar.Each additional Inspection over 4 or more residential unth rn one abuclure the allowable In any or the above -- _�_ _ S - Serviae arta flee in@pecbon 50 00 feeder 725 amps to mon! Por how S 50 no System over 600 volts nominal In Plant _ S 5900 clasamed area or structure containing soacaal occupancy as described in N CC Chapter 5 5. Fees: �Z7 6e.Fnts-total of above feeR S Submit 2 sera of plana wkh appllcsftc n whore any of the abode apply. A;urcharoe)05 x total lege) S Not required for temporary construcil.)n sorvicet. suarolaf S _ 6b F Nor 25%of W-M 6a for NOTI QE- r lar.Renew a rp%rWW(Sec.3) 3 PFRMITS HFCOMF VOID IF WORK OR CONSTFUCTION AUT`H0RtZFL1 Subtofaf S IS NOT COMMENCED wrfHIM 160 DAYS.OR IF CONS1RUCIION On WORK IS SUSPENDED OR AFIANDONEO FOR A PERIOD OF ISO DAYS Trust Aixounl F r\ r ? AT ANY TIMF AF f FR WORK IS COMMENCED Tara:balance Due S lJJ ��Acn�rnrm��cleciric Anr CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2000-00179 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 05/11/2000 PARCEL: 25111 DC-04000 SITE ADDRES:�.y: 15665 SW ALDERBROOK DR SUBDIVISION: SUMMERFIELD NO.7 ZONING: R-7 BLOCK: LOT: 355 JURISDICTION: TIG CLASS OF WORK: AI-T FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GKP: R3 VENTS W/O ADPL: VENT SYSTEMS: STORIES: BOILERS/e7OMPR_E_SSORS HOODS: _ _FUEL TYPES 0 3 HP: I L -)MES. INCIN: 3 15 HP: COMML. INCIN: MAX INPUT: BTL! 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?- 30 -50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: f=URN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Install an air conditioning unit. A/C units cannot be placed within the required setback areas. Owner: _FEES MOORE, THOMAS JEWETT + D C Type By Date Amount Receipt 15665 SW ALDERBRUOK DR PRMT GEO 05/11/20( $50 00 0002083 TIGARD, OR 9'7229 5PCT GEO 05/11/20( $4.00 0002083 Total $54.00 Phone: ��__._ — --- Contractor: FIRST CALL HEATING 1650 NE LOMBARD PORTLAND, OR 97211-4798 REQUIRED ;NSPECTIONS Cooling Unt Insp Phone:247 2054 Final Inspection Reg #:LIC 102030 ORIGINAL 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 130 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 obtain copies of these rules or direct questions to OUNC by calling (503)246-9189. �- Issue By: `�e' e3! e"t Permittee Signature: _ :x to e-.-, Call (50Y69-4175 by 7:00 R M. for inspections needed the next business day OS/11�99 rHti 11 : 18 FAX 503 598 1960 CM (1F TIGAIM Q 002 heck CM CITY OF TIGARD RECEIVEMM�cttanical Permit Application Plan Plany ---- 13125 SW HALL BLVD. Commerr,ial and Residential Date Rec'd TIGARD, OR 97223 Date to P.E (503) 639-4171, x304 MAY 10 2000 �/I (�°� Date to DST -` Print or Type � Permit N e�ooa-eco MM NIT ppf.VEL01' Called LNI icor pl�ete or I e9lble applications will not be accepted _ _ Norm d deveAtmenWrojed Description Table 1 A Mechanical Code Ot Price Amt Job Strae-Address a,;;p A Permit Fee 16.00 Address i �J l.tJ A 1 1) Furnace to 100,000 BTU 6 �C�r Including duct!;&vents see footnote 1,2 9.65 nl ge CHy/stn. 00 2) Furnace 100,000 BTUs Including duds 6 vents see footnote 1,2 12.00 Name(or name of b sineas) 3) Floor Fumace Owner - r e- including vent see footnote 1,2 9.65 _e Malting Access [ 4) Suspended heater,wall heater or floor mounted heater see footnote 11,1 8.65 5) Vent not included in a pliance earth 4.75 Clty/Slial ZIP Ph Check all that apply: 'Boller Heat Air `C c _� Z� Z��` For Items 6-10,see or Pump Cond Qty Price Arra I Na (or name of business) footnotes 1,2 Comp _ 6)<311P,absorb u0t to 100K BTU V, 9.65 F7eeupan! Meiling Address 7)3-16 HP;ebsorb unit 100k to 500k BTU 17.65 exyrstar. Zip Phone 8)15-30 HP;Wbsorb unh.5.1 mil BTU 24.15 9)30.50 HP;absorb Contr8ctor Name •nit 1-1.75 mil BTU 36.00 (c 0 l 1 `C v`k"� J)>50HP;absorb unit Prior to permit Mal"Address >1.75 mil BTU 80.15 Issuance,a copy I � 04)(. cf� 11 A;r handling unit to 10,000 CFM of aril licenses A ay/St to ZIP P w w 7.00 _ are required H C ( .V t CA.-/1�'� 611 Z-k l C? -t`� r 1:)Air handling unit 10,000 CFM+ expired In COT C#Wn Const CM.Board DEIP Exp.Date 11.85 database l CJ ' 3 V ' 1�' 13)Non-portable evaporate cooler Architect Nam* 7.00 1-1)Vent fan connected to a single duct Malting Address 4.75 Or 150 Ventilation system net included in applial .00 Engineer CRY/state Zip Phone 16)Hood served by 7 mechanical exhaust _ _ -�--- - 7.00 De work to be done: 17)Domestic incinerators 12.00 New Repair O Replace with like kind Yes O No O 18)Commercial or industrial type incinerator Res Met 0 Commercial 0 48.25 19)Repair units I Additional Information or description of work: 8.40_.____ 1(\�-' -�e- ,\� k /L:-- 20)W,.-,)d stove/gas Mother unhatclothe dryer/etc. 7.00 NOTE: For Commercial projects only;Units over 400 lbs.require 21)Gas piping one to four outlets tru sctural gaslve.caSee footnote 1 _ 3.75 Type of fuel _oil O natural gas O LPG O electriqAor- 22)More then 4-per outlet(each)` 75 _ Minimum Permit Fee$50.00 SUBTOTAL - I hereby acknowledge that I have read this application,that the Information SURCHARGE_ given is correct,that I am the owner or akdhorized agent of PIAN REVIEW 25%OF SUBTOTAL a the owner,that plans submitted are In compliance with Oregon State laws. Required for ALL commemlal rmlts only TOTAL Slgnatum of Owner/Agent Date r T Other Inspections and Fees: 1. Inspections outside of normal business hours(mininum charge-two coma emonName Phone hours) $50.00 per hour 2. Inspections for which no fee Is specificrklly Indicated (minimum charge-hair hour) f50.017 icr hour F6onotes for commercial projects only: �- 3. Additional plan review required by changes,additions or revisions to 1 Provide full schematic of existing and proposed gas line and pressure plans(minimum charge-one-half hour)$50,00 per hour 2. Provide drawings to scale showing existing and proposed mechanical units. •State Contractor Beier Certification required _-� "'Residential A/C requires site plan,showing placement of unit 1.Vnechperrn.doc rev 7119/99 �r7" ��tr C ( /'e, t")"P- ,f--) cl e s` V'Z- r r i 4 I I