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15940 SW ALDERBROOK CIRCLE
MECHANICAL
CITY OF TIGARD PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 t503)639-4171 DATE ISSUED: 01/04/99
PARCEL: 2SIllDC-01500
SUBDIVISION. . . . SUMMERFIELD N0. 8 ZONING: R-7
TYPE OF USE. . . . :SF UNIT HEATERS. . .; 0 VENT FANS. . . : 0
Remavt(s : Quillin - convert fp to natural las burning insert-, 281 gas pipe to
pressure test
- �
Owner: ------------------------------------------------- FEES --------------
BERT QU%LLL2N type amount by date recpt |
15940 SW ALDER8gOOK C1R PRMT $ 23. 00 JSD W1/04/99 99-311690 �
| �
. ..~.^ , . 26. 25 TOTAL
'
|
UAS11OUCAL WA 98G71
[71hane #: 360-835-3516
Pf-g #. . : 108176 REOPIRED INSPECTIONS
7his permit is issued subject to the regulations contained it the Mechanical Tnsp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection
apprnved plans. This permit will expire if work is nct started
within 180 days of issuance, or if work is suspended for more
applicable laws. All work will be done in accordance with Fincil Inspection
than 180 days. ATWIDNt Dregon law requires you to follow rules
adopted by the Dregan Utility Notification Center. lbast rule! are
et forth in OAR 952-01-Ml through OAR 9W-W-008F. You may
obtain copies of these rules or direct questions to Off by calling
(503)246-9187.
Plan
c.Tv 0'= TIGARDRECE�tit'' Mechanical Permit Applization Recd By - � l
13125 SW HALL BLVDCommercial and Residential Date Recd
TIGARD, OR 97223 j�'N 1' 4 VY
t Date to P E r
(503) 629-4171, x304,
U ,�rtMUNITY UkYEltl!'MLN! Date to DST
"rint or Type Permit# c
_ Incomplete or_il_legible appli-ations will not be accepted
called
Veme ur De velopmenllProlect _ �A)
eSoripilon ��-T
able 1A Mechanical Code _ QTY PRICE AMT
.lob Street Adtlress ' SuAe>Y Permit Pee Y 0 0- 10 00
Address l.�! 5Co) )c1ei'-
B(dg# Citylstate zip 1.) Fumace to 100,000 BTU — I
6 u0
f ! Z _including ducts&vents _
Name i.,r name of business) 2.) Furnace 100,000 PTj. ?50
Owner �-�- (�����j� includirc„ucts&vents
Mailing Address T— j,) FIOGr F'mace �- 6.00 -
_ ncludin vent
Cityret°te - zip Phone 4) Suspended Neater,wall heater 6.00 —
�� or floor mounted heater
Name for name of bu>i��ssj 5.) Vent not incuded in appliance oennit 3 00
Occupant Mailing Ads ---� 6.) Boller or comp,heat pump,air tond. �^ 6.00
to 3 HP;absorb and to 100K BUT
tyle'e1e� ZIP Phon° 7.) Boiler or comp,heat pump,air cams _. 11.00
3.15 Hp;absorb unit to 500K BTU**
COtltraCtUr N?'"° i ` 1 8.) Boller or comp,heat pump,air Gond. ---1560--1500
4
N-y- -0'z , '.r\C-- 15-30 HP;absorb unit,5-1 mil BTU'"
Prior to pemut Meiling A6dress 9.) Boiler or camp,heat pump,air ccnd 22.50
issuance,a copy ] �,Z YV�(� �_��(g (-00�1 30-50 HP;absorb and 1-1.75mii BTU" _ _
of all licenses CRY/State t„-7) zip Phone (� 10) Boiler or camp,heat pump,air condi 37 50
are required if C ( 1 $ 5 ; 50 HP;absorb unit 1.75 mil BTU"
expired in CO•r Orepan Cror.st.Cont and Lica Exp. ate 11 ) Air handling unit to 10,000 CFM 4.50
database l L) (�?
Architect rl°milti� rp 311 13) NCn-portable evaporate cooler
or4lailing AAddress 1+) rent fan connected to a single duct 3.00
Engineer C ryrStatezip Phone 15) Ventilation system not included in 5.50
__ _ appliance permit
Describe work New O Additionly—Alteration O Repair O 16.) Hood served by mechanical exhaust 4 50
to be done Residential O Non-residential O
Additional Description of work. 17.) Domestic inti �-retors 7 50
nOrive�- FP -fti AahA,14 �jaJ >Ij�ri?trtS — -
r u 18) Commercia l or it j S—ria(type 30.00
�-t s e -I-- L� a, f�
l r Il�SU2'�) Incinerator _
Existing use of d' 19.) Repair un,", 4 50
building or property�- _ ^
20.) Wood stove "4 50
Proposed use of 2.1 ) Clothes dryer,etc. 4 50
building or property _
_
22.) Other units 4 50
�S SQ (�
r _ t
Type of fuel-oil O natural gas LPG O electric O 23.) Gas piping one t8 four outlets `+ 200
I hereby acknowledge that I have read this application,that the �i 24) More than 4-per outlets(each) i L .50
information given is correct,that I am the owner or authorized agent of
tt,e owner,that plans submitted are in compliance with Oregon State QTY.SUBTOTAL
laws. _
Signature Owner/Agent Date *SUBTOTAL
14/- -- � - - - - 5
`�-- 5%SURCHARGE
Conta on Name PhOnr_ -� o
i
PLAN REVIEW 25/o OF SUBTOTAL
s�6(:)--"5`35-14 —.--_ ---- - TOTAL — _...
i Unechpmt.doc (rev 9 J 'Minimumo
permit fee is S25+•5%surcharge
"Residential AIC requires site plan showing placement of unit
i
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Lina: -4171 MST
BUP
_;6v Date Requested Z_zb` PM BLD
Location- _�%�(1 �'��- � �,(� ��,�- Suite MEC
Contact Person L( PhPLM
Contractor _ Ph SWR
BUlLDlNG Tenant/Owner ELC
Retaining Wall EL
Footing Access:
Foundation FPS
Fig Drain - -
Crawl Drain I Inspection Notes: i� �— SGN
Slab
SiT
st 8 Beam � ��� �
Po ---
Ext Sheath/Shear -
Int Sheath/Shear ---- -----.- -_--___.
Framing _
Insulation -- -- -- -
Drywall Nailing �i� �5 _l�/^lam ✓7~ _',�7- L --
Firewall - -- -
Fire Sprinkler
Fire Alarm - —- -
Susp'd Ceiling
Roof - -
Misc: --
Final
PASS PART FAIL
PLUMBING �i-- --�
Ilost$ Beam ---- -
Under Slab
Top Out - - - - ----
Water Service
Sanitary Sewer
Rain Drains
Final --
PASS ;BART FAIL
MECHANICAL --
Post& Beam
Smgbe Dampers
TAS PART FAIL
IFEECTRICAL ---- -- - ----- - - -- - --- - -
Service
Rough In —
UG/Slab
Low Voltage -_----- - _ ----.�_-- __-- _
Fire Alarm
Final ---___ -------------- -__ ------- —
PASS PART FAIL _--
SITE
Backfill/Grading - -- --- -- --
Sanitary Sewer
Storm Drain [ [Reinspection fee of$ `_— required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please call for reinspection RE [ ]Unable to Inspect-no access
ADA
Approach/Sidewalk
Other Date �� - Insl;��for Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.